Self-management/Recovery-oriented care/Family Dynamics Flashcards
What does recovery refer to?
Recovery does not equate with “cure,” but refers to “living a satisfying, hopeful and contributing life, even when there are ongoing limitations caused by mental health problems and illnesses.”
What is mental illness?
Alterations in cognition, mood, or behaviour that are coupled with significant distress, and impaired functioning.
Which report highlighted the importance of issues related mental health and mental illness in Canada?
The Epp Report.
What does the continua from The Epp report depict?
Two interseting axis. One is Serious Mental Illness to No Symptoms of Mental Illness. The other is Optimal Mental Health to Poor Mental Health. Demonstrates that mental illness and mental health are two different things.
What is a characteristic that is emerging as being essential to recovery?
Resilience
Resilience is a process and outcome of complex, cultural systems, rather than as an individual capacity to overcome adversity.
In the face of stressors, resilient people recognize negative feelings and negotiate complex personal and societal systems in order to deal with their responses and the responses of others.
What key concerns does recovery rest upon?
- respect for individual contexts and wishes
- hope for a better future
- dignity and self-determination
- collaboration and relfection
- focus on strengths and personal responsibility
What is the currently accepted explanation for mental illness?
The diathesis-stress model: in which diathesis represents biological predisposition and stress represents environmental stress or trauma
Was deinstitutionalization successful?
Lack of funding and available community supports negated many of th ebenefits and many people with serious mental illness were left largely unsupported. Many were discharged to inadequate supports, which led to homelessness and criminalization.
What is recovery described as?
The ability of the individual to work, live, and participate in the community. Provides patients with hope, empowerment, and confidence to take an active role in determining their own treatment path.
What is at the center of Changing Directions, Changing Lives: The Mental Health Strategy for Canada (2012)?
Recovery Orientated Care
What are two specific recommendations from the Changing Directions, Changing Lives: The Mental Health Strategy for Canada (2012) report?
2.1.1 Implement a range of recovery-oriented initiatives in Canada, including the development and implementation of recovery guidelines, and
2.1.2 Promote the education and training of mental health professionals, health professionals, and other service providers in recovery-oriented approaches.
What are the two pillars of recovery-oriented care approaches?
- Each person is a unique individual with the right to determine their own path toward mental health and mental well being
- We live lives in complex societies where many intersecting factors have an impact on mental health and well being (biological; psychological; social; economic; cultural; and spiritual)
What does psychosocial rehabilitation promote?
- Resilience
- Personal recovery
- Full community integration
- A sense of purpose and meaning for those who have been diagnosed with any mental health condition and/or addiction issue
What are key domains of psychosocial rehabilitation?
- Housing
- Employment
- Education
- Leisure
- Wellness & living skills
- And draw on emerging areas of family involvement, peer support and
peer-delivered services.
What are examples of programs that promote the recovery model?
Kentwood
Clubhouse Model
Cascade unit CCMHBI
Assertive Outreach
Crisis Teams
Goal Sheets on in-patient units
Comfort measures on units
Peer Groups/Organizations (Schizophrenia Society)
Vocational Programs
Housing Programs
Use of The Tidal Model
What are the 6 dimensions of recovery-oriented practice?
- Creating a culture and language of hope
- Recovery is personal
- Recovery occurs in the context of one’s life
- Responding to the diverse needs of everyone living in Canada
- Working with First Nations, Inuit and Metis
- Recovery is about transforming services and systems.
What is involved in creating a culture and language of hope?
- Recovery is possible for everyone
- Hope stimulates recovery
- Acquiring the capabilities to nurture hope is the starting point for building a mental health system geared to fostering recovery
- Creating a service culture and language which leads to a person feeling valued, important, welcomed and safe.
What are 4 guidelines that help to respect that recovery is personal?
4 guidelines:
Recovery is person-first and holistic
Affirming autonomy and self-determination
Focusing on **strengths and personal responsibility **
Building collaborative relationships and reflective practice
What are four guidelines associated with understanding the context of one’s life?
4 guidelines:
1. recognize the value of family, friends and community
2. support social inclusion and advocacy on social determinants
3. address stigma and discrimination
4. build partnerships with community
How might you be the nurse who practices in a recovery-oriented way?
- Let it be their goals. Remind them of their strengths (core to this model)
- Give as much decision making power to the patient/client; their wishes are really important.
- Encourage independent thinking and in general independence
- Reassure mistakes happen
- Act in a way that fosters equalization and collaboration
- Accept feelings without labelling as symptoms
