No Health without Mental health (2011) Principles of Recovery

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  • No Health without Mental health (2011)

  • Principles of Recovery

  • REFOCUS: Model of Recovery

  • Supporting Recovery

  • Physiotherapy and Recovery



The Vision:

  • The Vision:

  • More people will have good mental health

  • More people with mental health problems will recover

  • More people with mental health problems will have good physical health

  • More people will have a positive experience of care and support

  • Fewer people will suffer avoidable harm

  • Fewer people will experience stigma and discrimination



Implementing Recovery organisational change (ImROC)

  • Implementing Recovery organisational change (ImROC)

  • Recovery colleges

  • Promoting trusts and organisations to hiring Peer support workers



    • Evidence based practice and skilful use of interventions
    • Getting rid of symptoms
    • Restoring social functioning
    • “Getting back to normal”


“…. A deeply personal, unique process of changing one’s attitudes, values, feelings, goals, skills &/or roles. It is a way of living a satisfying, hopeful, & contributing life even within the limitations caused by illness. Recovery involves the development of new meaning & purpose in one’s life as one grows beyond the catastrophic effects of mental illness.” (Anthony 1993)

    • “…. A deeply personal, unique process of changing one’s attitudes, values, feelings, goals, skills &/or roles. It is a way of living a satisfying, hopeful, & contributing life even within the limitations caused by illness. Recovery involves the development of new meaning & purpose in one’s life as one grows beyond the catastrophic effects of mental illness.” (Anthony 1993)


Physical, mental and spiritual journey

  • Physical, mental and spiritual journey

  • Spontaneous and Natural

  • Deeply Personal

  • Can occur with or with out professional help

  • Involves growth and setbacks, periods of rapid and little change

  • Can occur with continuing symptoms

  • http://youtu.be/jhK-7DkWaKE





The goal of the recovery process is not to become normal. The goal is to embrace the human vocation of becoming more deeply, more fully human. (Deegan, 1995)

  • The goal of the recovery process is not to become normal. The goal is to embrace the human vocation of becoming more deeply, more fully human. (Deegan, 1995)

  • A person with paraplegia can recover even though the spinal cord has not. Similarly, a person with mental illness can recover even though the illness is not “cured”. (Anthony, 1993)



Moratorium Denial, confusion, hopelessness, identity confusion, self-protective withdrawal

  • Moratorium Denial, confusion, hopelessness, identity confusion, self-protective withdrawal

  • Awareness The first glimmer of hope for a better life, that recovery is possible. Can emerge from within or be triggered by significant other, role model, clinician

  • Preparation The person resolves to start recovery work, taking stock of personal resources, values, limitations

  • Rebuilding Forging a more positive identity, setting & striving towards personal goals, reassessing old values

  • Growth Whether or not symptom-free, can manage illness & stay well (resilience, self-confidence, optimism)



Recovery-promoting Relationships

  • Recovery-promoting Relationships

    • Relationship between staff and service users is central to personal Recovery
    • Exploring team understanding of Recovery and team values
    • Skill training in Coaching
  • Working Practices







  • Valuing people for who they are – seeing beyond a diagnosis/set of symptoms

  • “Listening” & believing in the authenticity

  • Seeing & having confidence in their skills, abilities & potential

  • Recognising that problems or set backs are part of the recovery process



  • Tipping points for successful recovery:

  • Insights and acceptance in the person being supported

  • Allowance of risk taking

  • Co-development of social opportunities and knowledge

  • Positive relationships with formal services based on good communication

  • Carers involved in self-recovery and respite



Established from sport and Business

  • Established from sport and Business

  • Non-clinical

  • Defined as a holistic orientation to working with people, to find balance, enjoyment and meaning in their lives as well as improving performance, skills and effectiveness.



  • Goal: Setting clear goals

  • Reality: Exploring the current situation

  • Options: Alternative strategies or courses of action

  • Way forward: What is to be done, when, by whom and the will to do it.



Supporting people regain their place in their communities where they live

  • Supporting people regain their place in their communities where they live

  • Restitution – Regaining something that was lost or taken away



Mutual self-help groups

  • Mutual self-help groups

  • Peer support specialists

    • Is a role in the mental system for which personal experience of mental illness is a job requirement
    • Their own lived experience is valued
    • Act as Role models
  • Peer run programmes



Currently no research in the role of Physiotherapy in Recovery

  • Currently no research in the role of Physiotherapy in Recovery

  • Currently little involvement in Recovery

  • Is there a place for physiotherapy in Recovery?

  • Natural Coaches!

  • Goal-striving practice



www.rethink.org

  • www.rethink.org

  • www.scottishrecovery.net

  • www.iop.kcl.ac.uk/recovery

  • www.researchintorecovery.com



  • Slade, M (2009) 100 ways to support recovery. Rethink Recovery Series Vol. 1. London: Rethink Mental Illness

  • Bora R, Leaning L, Moores A, Roberts G (2010): Life coaching for mental health recovery: the emerging practice of recovery coaching. Advances in Psychiatric Treatment, Vol 16, 459-467

  • Gallwey T (1974), The Inner Game of Tennis. Random house, New York.




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