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The Recovery
Philosophy
Recovery
is a relatively new model in the treatment of serious mental illness.
The focus in a recovery driven system of care is not just on symptom management,
but on helping a person achieve their personal outcomes. Personal outcomes
are what people expect from the services and supports they receive. Personal
outcomes refer to the major expectations that people have in their lives.
Through this process our recovery philosophy has continued to evolve.
Consumers have taught us the following basic principles for a recovery-focused
system of care:
- Hope for the future
is the cornerstone of recovery. A recovery-focused system of care conveys
hope to consumers, families and professionals alike. Recovery is an
on-going and individual process. Personal goals are not defined by the
professional, but defined by the consumer. It is an individual process
that supports choice and exploring alternatives based on consumers’
and families’ values, strengths and interests.
- Recovery work addresses
both the experience of symptoms and the additional effects of having
a mental illness such as stigma and discrimination.
- Recovery means
developing a sense of control over one’s life and taking responsibility
for the course of one’s future. Rather than focusing on pathology and
on the past, recovery is present and future directed. It focuses on
improving a person’s capabilities and confidence and setting goals.
- Recovery is a partnership
using both professional interventions as well as self-directed coping
strategies.
- Recovery is enhanced
when people develop social networks for support and friendship. It enables
consumers to identify allies and supports in their natural environments.
The following strategies
need to be implemented in a recovery driven system of care:
- Self help
– consumers develop friendships and a rewarding social life through
structured self-help programs as well as informal self-help networks.
Self-help services are not a replacement for traditional services, but
rather an enhancement that adds another element to their care continuum.
- Traditional
services – providers need to join with consumers in the recovery
journey. Consumer empowerment is not about focusing on the opposing
purposes of the patient/professional relationship, but rather about
consumers and professionals partnering with each other to achieve consumer-identified
goals.
- Medication
– for many consumers, medication is a critical tool to recovery. Providers
must be willing, however, to listen to the consumer about the effects
of the medication and partner with consumers to find the right dosage
and combinations of medications.
- Vocational programs
– consumers want meaning and purpose to their lives. They find meaning
in paid work, volunteer work, and homemaking, pursing their education
and other goal-directed activities. These endeavors give hope, and provide
meaningful activities that takes the focus away from the illness and
place it on positive goal and future directed activities.
- Significant
others – families, spouses and other significant people are important
to the consumer’s recovery. This is why it is necessary to involve,
encourage and support families whenever possible.
- Knowledge
- about and acceptance of the illness. Consumers believe that knowledge
is power. They benefit from education and information about the course
and outcomes of their disorders.
- Spiritual-life
programs - focus on the whole person and add the spiritual dimension
to the recovery process. Spiritual is defined by the consumer and may
or may not be related to organized religion.
- Housing programs
- allow consumers to move through a continuum of living arrangements
to be able to live as independently as possible.
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