No Health without Mental health (2011) Principles of Recovery

• 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

• Both for service users and Staff
• Courses lead by both a Practitioner teacher and a Peer teacher
• Non-clinical

• 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.