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Talking Helps
Published in Clare Gerada, Zaid Al-Najjar, Beneath the White Coat, 2020
Clare Gerada, Caroline Walker, Richard Jones
Group work in addictions can make a huge contribution to recovery. For addicted doctors the experience of being included in a group reduces isolation and stigma. Members share their experiences of recovery and, those in established recovery, model success for people just starting out. Most therapy groups for doctors with addiction adopt an alcoholic or narcotics anonymous (AA/NA) philosophy and engagement in the 12 steps.
Understanding Severe Persistent Mental Health Problems and Disorders
Published in David B. Cooper, Jo Cooper, Palliative Care Within Mental Health, 2018
In addition to the above recommendations, it is also suggested that health professionals undertake training to address the values and practical aspects of the recovery model with a view to developing understanding of mental ill-health, treatments and recovery in a variety of cultural contexts (SeeChapter 6). There should be a focus on respectful communication, consumer strengths and the impact of stigma and social exclusion (Galletly et al. 2016).
The impact of spirituality
Published in Stephen P Kliewer, John Saultz, Healthcare and Spirituality, 2017
Stephen P Kliewer, John Saultz
Dr Daniel Fisher MD, PhD, the Executive Director of the National Empowerment Center, is a proponent of what is called the ‘recovery’ model of mental healthcare. The recovery model seeks to help people with mental illness develop a sense that life can and will go on and is worth living. In a talk given in 2004 to mental health professionals in Oregon, Dr Fisher noted that most people with mental illness have a common ailment, ‘despair about life.’ ‘Being,’ he said, ‘people with a lack of purpose, meaning, or sense of self, people with mental illness or addiction issues are vulnerable to coping strategies such as another reality or substance use.’1
Part of the solution yet part of the problem: factors of schizophrenia stigma in mental health professionals
Published in International Journal of Psychiatry in Clinical Practice, 2023
Kevin-Marc Valery, Louis Violeau, Thomas Fournier, Florence Yvon, Sophie Arfeuillere, Julien Bonilla-Guerrero, Aude Caria, Antonin Carrier, Jean-Marc Destaillats, Alice Follenfant, Sonia Laberon, Nadeja Lalbin-Wander, Eric Martinez, Bérénice Staedel, Roselyne Touroude, Luc Vigneault, Solenne Roux, Antoinette Prouteau
To assess recovery-oriented practice, we developed the Recovery-Oriented Practice scale (McDonald’s ω = 0.84), with six items drawn from a recovery model and guidelines (Bird et al., 2014), targeting practices involving: hopeful language, information about care and rights, collaboration with families/caregivers, community inclusion, connection with peers (see online Annexe for a complete description of items). Each item was rated on a 7-point frequency scale (from 1: never to 7: systematically), higher scores indicating more frequent use of recovery-oriented practices. Three items assessed participants’ beliefs regarding their own professional utility in their work (McDonald’s ω = 0.84; Lebowitz & Ahn, 2014), higher scores indicating strong beliefs in one’s own professionals utility. Two items drawn from a work arduousness scale assessed ethical conflict (Spearman’s rho = 0.74; Laberon & Lagabrielle, 2013), higher scores indicating strong ethical conflict in practice. Finally, participants were asked their profession, number of years of practice, and whether they had received specific information regarding concepts of stigma or recovery during their initial or further training.
Nursing Staff’s Experiences of Caring for People with Mental Ill-Health in General Emergency Departments: A Qualitative Descriptive Study
Published in Issues in Mental Health Nursing, 2022
Katharina Derblom, Jenny Molin, Sebastian Gabrielsson, Britt-Marie Lindgren
In the ED environment, a traditionally clinical model of recovery is deeply rooted and central to the everyday practices of nursing staff (Marynowski-Traczyk et al., 2017). Clinical recovery is understood as objective and observable and is about relieving symptoms and curing illness (Slade, 2009). In contrast, the recovery model, which emphasizes the personal and social aspects of recovery, is the foundation of psychiatric care in many countries and is considered best practice for people with mental ill-health (Marynowski-Traczyk et al., 2013). The goal of personal recovery is not necessarily to be cured of mental ill-health or to return to a pre-illness state; but instead that the person experiences improved well-being, regains hope, and believes in their own possibilities (Davidson & Roe, 2007; Marynowski-Traczyk & Broadbent, 2011). A recovery-oriented approach is about being able to handle all dimensions of recovery and can be defined as person-centred, strength-based, collaborative, and reflective, enabling nursing staff to address the needs and rights of unique individuals in unique situations (Gabrielsson & Looi, 2019).
Deliberate Context-Driven Conceptualization in Psychological Assessment
Published in Journal of Personality Assessment, 2022
Finally, it is important to note that more person-context-driven conceptualizations may align fairly well with treatment models that de-emphasize the amelioration of symptoms as the central goal of psychotherapy in favor of improving overall quality of life. For example, the recovery model (Leonhardt et al., 2020) emphasizes finding ways to increase life satisfaction, regardless of symptom presence. Similarly, many narrative therapies focus on making meaning in life, often in the face of dominant narratives (current contexts) that do not align with individuals’ identities (e.g., Freedman & Combs, 1996; Tilsen, 2021) and through reconciliation of minority stress (historical context; e.g., Garo & Lawson, 2019). As linking assessment results to useful treatment recommendations (treatment utility of assessment) is constantly a goal—and one that is not entirely realized—in the field of clinical psychological assessment (Kamphuis et al., 2021; Nelson-Gray, 2003; Wright et al., in submission), broadening case conceptualization to consider both historical and current contextual factors and their interaction with the individual holds the potential to inform these kinds of treatments for clients.