Developing a model of recovery in mental health (original) (raw)
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Recovery from Serious Mental Illness: A Concept Analysis
This paper examines the concept of recovery in the context of serious mental illness. The analysis uses literature from multiple health care disciplines and different uses of "recovery" in everyday language, technical applications, and popular culture. This iterative process concludes with a definition of recovery from serious mental illness: a nonlinear process of self-organization and adaptation that offsets the personal disintegration of mental illness and enables the individual to reconceive his or her sense of self and well-being on all biopsychosocial levels. The relevance of the concept is reevaluated with this definition for potential usage in the mental health care setting.
Processes of Recovery in Serious Mental Illness: Findings from a Multinational Study
American Journal of Psychiatric Rehabilitation, 2005
As part of a growing literature describing processes of recovery in psychotic disorders, this report presents findings of an intensive, international study. Open-ended qualitivite interviews were conducted in Italy , Norway, Sweden, and the United States with a total of twelve individuals who have experience of recovery in psychosis. All interviews were translated into English and transcribed. Investigators from each of these countries collaborated in analyzing the interviews and identifying common elements across the twelve narratives. Themes were identified in each of the following areas: 1) how the individual deals with his or her difficulties; 2) the role of material resources; 3) the various roles of formal and informal health systems; 4) the roles, and absence, of significant others; and 5) the roles of social and cultural factors. Salient themes included the person's determination to get better, establishing a degree of self-control, and struggling to achieve a normal life; the need for material resoures and a sense of home, and the importance of going out and engagging in normal activities; the benifits, and costs, of medication, involvement in mutual support=user groups, and participation in various psychosocial interventions; the need to be accepted as, and to accept oneself as, a normal person who exists beyond the psychosis; the impact of stigma and discrimination, and the imortance of having one's rights respected and returning to a meaningful social role through work and=or positive relationships outside of the formal mental health system. Cultural differences # Affiliation reflects lead author.
Concept analysis of recovery in mental illness in young adulthood
Journal of Psychiatric and Mental Health Nursing, 2015
Recovery, as a concept, emerged as a core philosophy of the service user movement that began in the late 1960s and 1970s. Previous reviews on recovery in mental health have presented definitions or a conceptual framework; however, over time it has been open to disparate interpretations. Aim: To conduct the first concept analysis of mental health recovery in young adulthood within various multidisciplinary contexts. Method: Rodgers"s (2000) six-stepped evolutionary method enabled the analysis of recovery"s conceptual characteristics, the identification of an exemplar and the proposition of a hypothesis with implications for practice. Results: The derivation of the term recovery does not convey its" identified conceptual characteristics. Identified attributes include the reawakening of hope, reclaiming a positive self and meaning through personal growth. Antecedents include the disruption of illness, stigmatisation, internal inventory and contemplative recovery. Identified consequences include the return to normality, reconstruction of self and active social connection. Conclusion/ Implications for Practice: The new conceptual definition is the reawakening of hope and rediscovery of a positive sense of self, through finding meaning and purpose within personal growth and connection using creative self-care coping strategies. This paper reveals an apparent disparity between professional and personal interpretations of recovery. Therefore, the implication for mental health nursing is the congruence of recovery-orientated practice with the process of recovery experienced by young adult service users.
The Rediscovered Concept of Recovery in Mental Illness
2014
recovery has recently reemerged in many countries as a key concept in mental health. Several long-term outcome studies have highlighted much higher recovery rates than previously assumed for persons with long-term mental illness. Service users (consumers) and professionals are now promoting this approach, and for users, recovery is about taking control over their own lives and introducing improvements which may or may not be related to clinical indicators of recovery. this approach also requires that professionals work with consumers in a much more collaborative fashion then in the past. australia, Canada, england, and israel have all formally accepted recovery as the cornerstone of their mental health policies and are currently in various phases of implementation. this paper describes these developments and identifies the implications for mental health social work.
The Recovered Subject: A social-cognitive Outline of a new Subject in the Field of Mental Health
Recovery represents a new paradigm in the field of mental health. It refers hereby less to the possibility of relief from symptoms than to the individual’s capacity to develop a meaningful life and a self-concept beyond the illness. Several countries adopted recovery oriented approaches to implement mental health service reforms and attracted considerable scientific interest on that subject matter. A comprehensive theory of the recovery process is however still missing. The present article argues for an analytic approach to the socio-cognitive components in the different stages of the subject’s recovery process. By the means of narratives from mental health patients, a dramatic loss of internal territoriality (“locus”) is evidenced in psychiatric treatment, whereby a subject in crisis renounces its internality to the professionals’ authority. The eventual process of a subject’s recovery, we suggest, has to be regarded as an inverse process, in which internality is privately and socially reclaimed and defended in terms of ownership and responsibility. The phenomenon of users’ social movements, such as Madpride, is suggested as a form of re-conquest of social territory by the means of emancipatory pride. The mental components of the recovery process represent, in a large part, concepts from the theoretic framework of Cristiano Castelfranchi and his associates. A conception of the subject emerges whereby recovery is ideated literally as a process of “re-covering” aka protecting the subject’s internality against the psychiatric/institutional gaze and rule of private affairs.
Clinical and Experimental Health Sciences
Objective: This study aims to describe the stages of recovery and the effect of sociodemographic and clinical factors on the recovery stages of individuals with mental illness under inpatient treatment. Methods: 171 patients who received inpatient treatment between April 2021 and June 2021 were taken to the study. Data were collected by using the Introductory Information Form and the Stages of Recovery Instrument from participants. Results: According to the nurse, awareness was the highest level of the recovery stages and, according to the patient, growth was the highest level of the recovery stages. The average of the subscales of stages of recovery scale was found as 12.57±7.54 for moratorium, 19.26±5.84 for awareness, 19.22±6.40 for preparation, 19.52±7.03 for rebuilding and 20.03±7.73 for growth. Social support was found effective in all stages of recovery except moratorium stage; income level was found effective in preparation, rebuilding, and growth stages; diagnosis of the illness was found effective in the awareness stage; going to the Community Mental Health Center (CMHC) was found effective in preparation stage and child presence was found effective in rebuilding stage of recovery. Conclusion: Our findings are important for identifying the effects of situations that can be changed by intervention, such as level of social support, income level, and going to CMHC, on improvement, and for drawing attention to actions that legislators should take regarding to collaboration between mental health professionals and institutions.
Toward a biopsychosociopolitical frame for recovery in the context of mental illness
Internationally, mental health care systems have identified recovery as the underlying philosophy for practice and policy in mental health care, although establishing a specific definition of recovery is still work in progress. This mixed-methods study explored the meaning and scope of recovery from the perspective of people diagnosed with mental illnesses. Sixty-five individuals self-identifying as diagnosed with schizophrenia completed measures of recovery, symptom level, insight into illness, hopelessness and internalised stigma. In addition, twenty people participated in a semi-structured interview focused on how diagnosis affected their personal and social experiences. Regression analyses based on the quantitative data and thematic analysis of the qualitative data indicated stigma is a major barrier to recovery. However, recovery can be promoted by integrated biomedical, psychological, social and political processes. Qualitative findings suggested that an important component of recovery is feeling empowered and entitled to full participation in social environments. This study suggests that recovery-oriented social work interventions should be directed at promoting social citizenship for people diagnosed with mental illness, combating stigma, and creating the psychological and social environments for finding meaning and hope after receiving a diagnosis.