Self-management/Recovery-oriented care/Family Dynamics

Question 1

What does recovery refer to?

Answer 1

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.”

Question 2

What is mental illness?

Answer 2

Alterations in cognition, mood, or behaviour that are coupled with significant distress, and impaired functioning.

Question 3

Which report highlighted the importance of issues related mental health and mental illness in Canada?

Answer 3

The Epp Report.

Question 4

What does the continua from The Epp report depict?

Answer 4

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.

Question 5

What is a characteristic that is emerging as being essential to recovery?

Answer 5

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.

Question 6

What key concerns does recovery rest upon?

Answer 6

• respect for individual contexts and wishes
• hope for a better future
• dignity and self-determination
• collaboration and relfection
• focus on strengths and personal responsibility

Question 7

What is the currently accepted explanation for mental illness?

Answer 7

The diathesis-stress model: in which diathesis represents biological predisposition and stress represents environmental stress or trauma

Question 8

Was deinstitutionalization successful?

Answer 8

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.

Question 9

What is recovery described as?

Answer 9

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.

Question 10

What is at the center of Changing Directions, Changing Lives: The Mental Health Strategy for Canada (2012)?

Answer 10

Recovery Orientated Care

Question 11

What are two specific recommendations from the Changing Directions, Changing Lives: The Mental Health Strategy for Canada (2012) report?

Answer 11

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.

Question 12

What are the two pillars of recovery-oriented care approaches?

Answer 12

• 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)

Question 13

What does psychosocial rehabilitation promote?

Answer 13

• 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

Question 14

What are key domains of psychosocial rehabilitation?

Answer 14

• Housing
• Employment
• Education
• Leisure
• Wellness & living skills
• And draw on emerging areas of family involvement, peer support and
  peer-delivered services.

Question 15

What are examples of programs that promote the recovery model?

Answer 15

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

Question 16

What are the 6 dimensions of recovery-oriented practice?

Answer 16

1. Creating a culture and language of hope
2. Recovery is personal
3. Recovery occurs in the context of one’s life
4. Responding to the diverse needs of everyone living in Canada
5. Working with First Nations, Inuit and Metis
6. Recovery is about transforming services and systems.

Question 17

What is involved in creating a culture and language of hope?

Answer 17

• 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.

Question 18

What are 4 guidelines that help to respect that recovery is personal?

Answer 18

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

Question 19

What are four guidelines associated with understanding the context of one’s life?

Answer 19

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

Question 20

How might you be the nurse who practices in a recovery-oriented way?

Answer 20

• 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