Recovery

1
Recovery

• Elizabeth Moody
• Associate Director of Nursing
• 6th June 2006

2
Supporting literature

• DoH Ten essential shared capabilities-A framework
  for the whole of the mental health workforce
  (2004)
• NIMHE Guiding statement on recovery (2005)
• Our Health, Our Care, Our Say A new direction
  for Community Services (2006)
• From Values to Action The CNO Review of Mental
  Health Nursing (2006)

3
A definition

• A deeply personal, unique process of changing
  ones attitudes, values, feelings, goals, skills
  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 ones life as one grows beyond the
  effects of mental illness.
• Anthony 1993

4
From Values to Action

• Commences with a vision for Mental Health nursing
  over the next 10 years
• The report aims to help Mental Health Nurses
  (MHNs), their organisations and professional
  leaders put in place the practical changes that
  will make a difference to Service Users and
  Carers
• Recommends key actions needed for nurses to
  improve the care of people with mental health
  problems

5
From Values to Action Key Recommendations

• Mental Health Nurses should promote and increase
  social inclusion for service users and carers
• All Mental Health Nurses will comprehensively
  assess and take into account that people have
  interrelated psychological, physical, social,
  emotional and spiritual needs
• The key principles and values of the recovery
  approach should inform Mental Health Nurses
  practice in all areas of care and inform service
  structures, individual practice and education

6
Social Inclusion

• Fight stigma at a local level
• Develop links with schools, colleges and
  employers
• Education
• Support service users to retain or develop social
  links, supports, roles

7
Bio psychosocial Assessment

• Identify strengths that service users have or
  that can be restored
• Social needs- finance, housing employment, social
  and familial networks, interests
• Physical- activity, sexual health, well-being,
  smoking, nutrition, side-effects of medication
• Spirituality- personal sense of identity,
  religious beliefs, quiet space for reflection

8
Recovery Approach

• Increase in the availability of psychological
  interventions
• Direct Payments
• Review policies and philosophies to ensure they
  support the delivery of care based on recovery
  principles
• Service users and carers to be routinely involved
  in recruitment, education and assessment of
  Mental Health Nurses

9
Recovery Approach

• Value base
• - Value the aims of the service user
• - Holistic approach
• - Work in partnership and provide
  meaningful choice
• - Be optimistic about possibilities

10
So what are we doing in the Trust?

• Advance Statement policy
• Reconfiguration of services
• Recovery Wards
• Rehabilitation Services
• Assertive Outreach Teams
• Wellness Recovery Action Planning (WRAP) training
• Volunteer Services
• Bi-Polar project
• Expert Patient programme

11
So what are we doing in the Trust?

• Service User and Carer Implementation Team-
  consultation, action planning, evaluation,
  recruitment
• Development of new roles
• STR workers
• Community Support Workers
• New roles for nurses
• Open days for the public and local media

12
Recovery

• Not too many years ago, I was Mary Ellen
  Copeland, manic depressive. Because I had this
  label my family was told not to expect much of
  me. I learned not to expect much of myself. I
  became dependent on the mental health system to
  maintain, at best, a minimal life style. I
  avoided thinking about the future the present
  was bad enough. I saw myself through a mental
  health system lens that was confining and
  oppressive. Now I see myself through a different
  lens, a lens that is Mary Ellen Copeland,
  educator, author, mother, wife, woman

13
Recovery in mental health is an exciting concept-
but weve got to take off the lens caps