Recovery and Social Inclusion Setting the Scene

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Recovery and Social Inclusion Setting the Scene

• Stephany Carolan
• SEDC
• NSIP

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My plan for today

• What do we mean by recovery and social inclusion?
• Why is it important?
• Key messages

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Recovery

• Recovery does not mean cure it is not an end
  point recovered but a continuing journey
  an ongoing process. It is a way of life. It is an
  attitude and a way of approaching the days
  challenges.
• (Deegan 1988)

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• An active, ongoing and highly individual
  process, through which an individual is enabled
  to assume responsibility for his/her life, and
  develops a specific set of strategies to cope
  with symptoms, and to address secondary assaults
  of the disability, including stigma and
  discrimination.
• (Piers Allott 2001)

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Key Themes

• Traditional view that people did not recover
  from severe mental illness.
• Emphasis was, and still can be, on medication,
  monitoring, risk avoidance and symptom control or
  reduction.
• Resulting in low expectations and learned
  dependency.

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• Recovery is defined by the individual
• It is a life-long, often complex, journey
• Moves from a medical model of mental illness and
  takes a holistic view of mental health
• Focuses on strengths and potential rather than
  deficits and problems

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Social Exclusion

• What can happen when people or areas suffer from
  a combination of linked problems unemployment,
  poor skills, low incomes, poor housing, high
  crime, bad health and family breakdown
• Characterised by the inter relatedness of
  problems that are mutually reinforcing combined
  they create a fast moving, complex and vicious
  cycle
• (SEU 1999 and 2004)

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Three related ideas

• Social Exclusion (structural barriers)
• Social Inclusion (citizenship)
• Social Capital (insurance)

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The Inclusion Web
Scores Places total People total Spread
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Why is Recovery and Social Inclusion Important?

• Rethink (2004) asked service users to name just
  one change that would improve the quality of
  their lives
• 62 chose non medical change
• Improved social relationships
• More money
• Employment
• End of stigma and discrimination

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Its not the symptoms of my mental illness makes
me relapse, its the loneliness (Service User.
Reading. Guardian 05)
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Policy Drivers

• Choice
• Holistic, joined up services
• People taking control of their lives
• Employment
• Community based services
• Local decisions
• Direct payments and individualised budgets

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Socially Excluded Adults PSA (DRAFT not
confirmed)

• VISION
• Increase the proportion of the most socially
  excluded adults in
• settled accommodation
• employment, education or training

• Which at-risk groups?
• adults (young people) leaving care
• adults released from custody and on community
  sentences
• adults in contact with secondary mental health
  services
• adults with moderate to severe learning
  disabilities

• Why these outcomes?
• these outcomes provide individuals with the
  foundations for getting their life back on track
• these events are also risk factors - if
  individuals are not helped they are likely to go
  on to a life of entrenched exclusion
• there is no composite measure of social
  exclusion, so we have to define it using a set of
  other indicators

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Key Messages

• Cultural change
• This is about the mental health community in
  Portsmouth
• You are all Recovery Champions and you can make
  a difference
• Engage with today