Week 4: The Recovery Paradigm Pt. 3

Question 1

Guiding Values of Recovery-Oriented Mental Health Services

Answer 1

• Supporting personal recovery
• Supporting the person’s goals
• People receiving services are responsible for their own lives

Question 2

Involves working with individuals in a way that fosters growth, empowerment, and the achievement of their full potential.

Answer 2

Recovery-Oriented Practice

Question 3

Was a five-year (2009-2014) research program aimed at improving the recovery orientation of mental health services led by Kings College London, England.

Goal: To increase recovery-orientation approaches in mental health services

Answer 3

REFOCUS

Question 3

What are the components of Refocus?

Answer 3

1) Recovery-promoting relationships: staff interaction with service users
2) Working practices: tasks/activities that professionals and service users do together to promote recovery

Question 4

What are the three main working practices (Refocus)?

Answer 4

1) Understanding values and treatment preferences
2) Assessing Strengths
3) Supporting Goal-Striving

Question 5

What is the importance of Relationships in Refocus?

Answer 5

1) Successful implementation of working practices depend on quality of relationship between professionals and service users
2) Service providers work WITH the person rather than FOR the person
3) Coaching as an interpersonal style helps staff apply REFOCUS

Question 6

Key features of coaching (Refocus)

Answer 6

Person-Centered
Encouraging Reflection
Solution-Focused
Accountability of Individual in their own Life

Question 6

Key features of the first working practice: values and treatment preferences

Answer 6

• Information is recorded/documented
• Learn about what matters to the individual
• Life history (positive and negative)
• Their identity and potential influences
• Treatment preferences and needs
• Boundaries and privacy

Question 7

Bird and colleagues (2014) developed an interview guide to assist staff in understanding a client’s values and treatment preferences.

This guide can be used to facilitate a conversation between the professional and the client.

Answer 7

Values and Treatment Preferences (VTP) Interview Guide

Question 7

This practice aims to gain a holistic understanding of the person.

Since recovery means more than just treating illness, the assessment of internal and external resources is fundamental to helping people to achieve personal recovery.

Answer 7

Working Practice 2: Assessing Strengths

Question 8

Key features of the second working practice: assessing strengths

Answer 8

Holistic Understanding
Internal and External Resources
Personal Recovery Goals

Question 9

Key features of the third working practice: supporting goal-striving

Answer 9

Avoids Paternalism
GROW Framework
Coaching

Question 10

Can be used to assess an individual’s strengths and resources.

Key Areas Assessed:
Current Situation
Desires and Aspirations
Personal and Social Resources

Answer 10

Strengths Worksheet

Question 11

It involves supporting individuals in setting and achieving their goals.

Answer 11

Supporting Goal-Striving

Question 12

GROW Framework

Answer 12

Goal: Clearly define the desired outcome.

Reality: Assessing the current situation and identifying challenges.

Options: Exploring potential solutions and strategies.

Way Forward/Wrap Up: Agreeing on specific steps to take towards the goal.

Question 13

Approach Goals VS Avoidance Goals

Answer 13

Definition: Approach goals are focused on achieving positive outcomes, while avoidance goals are focused on avoiding negative outcomes.

Example: An approach goal related to medication might be to use alternative strategies, while an avoidance goal might be to reduce medication.

Motivation: Envisioning a better life is more motivating than avoiding negative experiences.