Week 4: The Recovery Paradigm Pt. 1

Question 1

The process of closing down large mental health institutions (asylums) and moving people with mental health conditions into the community.

Answer 1

Deinstitutionalization (1960s)

Question 2

Led to a shift in focus from merely treating symptoms to supporting people with mental health conditions in their recovery journeys.

Answer 2

Deinstitutionalization Movement

Question 3

Personal experiences of having a mental health condition.

Answer 3

Lived Experience

Question 4

What caused Deinstitutionalization to happen?

Answer 4

Human rights concerns: Institutionalization was often associated with poor living conditions and abuse.

Medical advancements: New medications and therapies made it possible for some people to manage their symptoms outside of institutions.

Cost-effectiveness: Caring for people in the community was often seen as a more cost-effective option.

Question 5

He considered one of the pioneers of the recovery paradigm.

Founded the Center for Psychiatric Rehabilitation at Boston University which has significantly influenced the field.

Answer 5

William Anthony

Question 6

Recovery is described as a deeply personal unique process of changing someone’s attitudes, values, feelings, goals, skills, and or roles. It is a way of living a satisfying, hopeful, and contributing life, even with limitations caused by illness. Recovery involves the development of new meaning and purpose in one’s life as one grows beyond the catastrophic effects of mental illness.

Answer 6

Recovery according to William Anthony

Question 7

Does not mean that we will get back what we lost.

It mRecovery according to William Anthonyeans finding new meaning in life even though one’s life has changed forever.

Answer 7

Recovery according to William Anthony

Question 8

Is often non-linear, meaning it doesn’t always follow a straight path. There can be ups and downs, periods of growth and setbacks.

Answer 8

Recovery

Question 9

One where progress is consistent and without setbacks.

Answer 9

Linear Process

Question 10

Refers to something that is caused by medical treatment or examination. It often refers to unintended negative side effects of a medical procedure or medication.

Answer 10

Iatrogenic Effects

Question 11

Negative attitudes and beliefs about mental illness can have a significant impact.

Answer 11

Stigma

Question 12

Is a deeply human process, facilitated by the deeply human responses of others.

Answer 12

Recovery according to William Anthony

Question 13

What is the difference between Clinical Recovery and Personal Recovery?

Answer 13

Origin: CR is conceptualized by professionals, while PR
emerged from the experiences of people with mental illness.

Expert: In CR, the clinician is the expert, while in PR, the individual is the expert on their own journey.

Outcome vs. Process: CR is often seen as a binary outcome (recovered or not), while PR is a continuous process.

Assessment: CR is assessed objectively, while PR is defined subjectively by the individual.

Emphasis: Emphasis is placed in symptoms and role functioning for CR, while PR emphasizes hope, meaning, and empowerment.

Question 14

What are the characteristics of the recovery journey according to Leamy et al. (2011)?

Answer 14

Active Process
Individualized
Non-linear
Journey
Composed of Stages
Challenges
Multi-dimensional
Gradual
Life-changing
Not a cure
Healing/supportive environment
Professional help or without
Trial and error

Question 15

CHIME Framework proposed by Leamy and colleagues (2018)

Answer 15

Connectedness: relationships, support, peer support
Hope: belief in recovery, dreams and aspirations, motivation to make positive changes
Identity: rebuilding oneself, overcoming stigma
Meaning in Life: purpose, goals
Empowerment: personal responsibility in recovery, control in setting and pursuing goals

Question 16

What were the findings of Leamy et al. (2011) on the Subgroup Analysis of Black and Minority Ethnic Communities?

Answer 16

People from black and minority ethnic communities share many of the same recovery experiences as those from the majority population.

Emphasis on Spirituality and Stigma

There were cultural and collectivistic factors.

Question 17

Misuses and Abuses of the Concept of Recovery (Slade et al., 2014)

Answer 17

1) Hiring peer workers is enough
2) Recovery is only for people with psychosis
3) Treatment services always foster recovery
4) Compulsory treatment is recovery-oriented
5) Meaning of recovery (becoming independent and “normal”)
6) Closure of services
7) Welfare reform (disrespects people with a lived experience of mental illness)

Question 18

Are practices that treat individuals as if they were children or incapable of making their own decisions.

This often involves making decisions for others without their consent or input.

Answer 18

Paternalistic Practices

Question 19

Refers to forcing someone to undergo medical treatment, often against their will.

This can involve involuntary hospitalization, forced medication, court-ordered treatment, or other forms of treatment.

Answer 19

Compulsory Treatment

Question 20

Refers to changes made to government programs that provide financial assistance to low-income individuals and families.

Answer 20

Welfare Reform