Different approaches Recovery Recovery-oriented practice Psychosocial rehabilitation Medical model History History History History Always existed but didn’t build Emerging practice since the 1970s. To support deinstitutionalisation Historically dominant model, based momentum until approximately Currently building momentum through Since 1950s on 150 years of belief (Kraepelin) 1970s. Driven by consumers government policies and consumer Assumptions and values Assumptions activism. Worker-directed and initiated illness’ is a chronic, Assumptions and values ‘Mental Self-defined and self-directed Assumptions and values Outcomes-orientated deteriorating disease What consumers do What workers and services do to Individual as a person, not a Attempt to cure Reclaiming a sense of self support the person’s recovery diagnosis Professional holds power Individual journey Own agency Individual involvement Professional is expert and knows best Person’s own agency Self-directed journey Growth potential Practices Not a model Hope Practices Assessment tools Non-linear Connectedness Assessment tools Diagnosis Not about cure Environment (social and emotional) Treatment Treatment Is a process, not an outcome Practices on performance of everyday Medication Consumer as a partner activities Legal Practices Consumer led Anti-discriminatory Environmental context where the Evidence – Evidence Socially inclusive person lives, learns, socialises or Medical Longitudinal studies Evidence works Language Consumers’ own experience Longitudinal studies Medication Patient Case Language Language Evidence Being in recovery (recognising it’s a Accessible Scientific studies Recovery from process) Equitable Language Treatment resistant Person-centred Person-centred Client Challenges Challenges Challenges Case No hope of doom’ – ‘prognosis Encountering systems that aren’t Education of workforce, consumers Treatment can be experienced as Challenges recovery focused and carers Service-led traumatising Developing broader community Community perceptions No consumer participation understanding Low participation of consumers
Different approaches Recovery Recovery-oriented practice Psychosocial rehabilitation Medical model History Always existed but didn’t build momentum until approximately 1970s. Driven by consumers Assumptions and values Self-defined and self-directed What consumers do Reclaiming a sense of self Individual journey Person’s own agency Not a model Non-linear Not about cure Is a process, not an outcome Practices Consumer led Evidence Longitudinal studies Consumers’ own experience Language Being in recovery (recognising it’s a process) Person-centred Challenges Encountering systems that aren’t recovery focused History Emerging practice since the 1970s. Currently building momentum through government policies and consumer activism. Assumptions and values What workers and services do to support the person’s recovery Own agency Self-directed journey Hope Connectedness Environment (social and emotional) Practices Consumer as a partner Anti-discriminatory Socially inclusive Evidence Longitudinal studies Language Accessible Equitable Person-centred Challenges Education of workforce, consumers and carers Developing broader community understanding History To support deinstitutionalisation Since 1950s Assumptions and values Worker-directed and initiated Outcomes-orientated Individual as a person, not a diagnosis Individual involvement Growth potential Practices Assessment tools Treatment on performance of everyday activities Environmental context – where the person lives, learns, socialises or works Medication Evidence Scientific studies Language Client Case Challenges Service-led Community perceptions Low participation of consumers History Historically dominant model, based on 150 years of belief (Kraepelin) Assumptions ‘Mental illness’ is a chronic, deteriorating disease Attempt to cure Professional holds power Professional is expert and knows best Practices Assessment tools Diagnosis Treatment Medication Legal Evidence Medical Language Patient Case Recovery from Treatment resistant Challenges No hope – ‘prognosis of doom’ Treatment can be experienced as traumatising No consumer participation