Exploration of the Impact of Clinician-Guided Recovery Narratives in People with BD CREST.BD Pilot Study Rosalind Irving. ...
<ul><li>We are made up of stories but many have lost their story.  (Jean Houston, 2009) </li></ul><ul><li>A narrative of p...
Why am I doing this? <ul><li>I have worked for 5 years within a medical model. I want to find new ways  of working with pe...
Purpose of the Recovery Narrative for the client <ul><li>To piece together a coherent story of self (since identity develo...
Client Comments   Brandon University Psychiatric Nursing Program <ul><li>“ I didn’t realise how far I’d come.” </li></ul><...
Purpose of the recovery narrative for the therapist  <ul><li>Recovery narratives can help the  therapist become aware of t...
Research Methods: eliciting narrativ es <ul><li>Narratives elicited through normal psychotherapeutic process. </li></ul><u...
Method (cont.) <ul><li>2 nd  + 3 rd  sessions  </li></ul><ul><li>Clinician will read notes from previous session  </li></u...
Method (cont) <ul><li>4th session </li></ul><ul><li>Review of the narrative so far </li></ul><ul><li>Completion of client’...
Methods <ul><li>Sample:  10 participants,with BD type I or II </li></ul><ul><li>4 sessions of 1 hour each </li></ul><ul><l...
<ul><li>We will use Community Based Research (CBR) methods to identify ways of sharing the narratives with others with BD,...
Some Possibilities for Sharing Narratives <ul><li>Post stories anonymously on CREST website </li></ul><ul><li>Create a utu...
Next Steps <ul><li>If you are interested in participating in this project and would like to create your own recovery narra...
Upcoming SlideShare
Loading in...5
×

Exploration of the Impact of Clinician-Guided Recovery Narratives in People with BD

786

Published on

Vancouver Coastal Health Family Therapist, Rosalind Irving, outlines a CREST.BD pilot study which will explore new ways of working with people with BD through recovery-oriented care that incorporates patient narratives and storytelling.
Presented during a CREST.BD Public Engagement Event on February 23rd 2011 at UBC Robson Square.

Published in: Health & Medicine
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total Views
786
On Slideshare
0
From Embeds
0
Number of Embeds
1
Actions
Shares
0
Downloads
0
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

Exploration of the Impact of Clinician-Guided Recovery Narratives in People with BD

  1. 1. Exploration of the Impact of Clinician-Guided Recovery Narratives in People with BD CREST.BD Pilot Study Rosalind Irving. Family Therapist. Community Psychiatric Services, V.C.H. North Vancouver
  2. 2. <ul><li>We are made up of stories but many have lost their story. (Jean Houston, 2009) </li></ul><ul><li>A narrative of possible recovery is necessary if a person is to recover, but it is the fact of its being a shared narrative that matters. (Bruner, 2002) </li></ul>
  3. 3. Why am I doing this? <ul><li>I have worked for 5 years within a medical model. I want to find new ways of working with people with BD that empowers them further. </li></ul><ul><li>My experience as a therapist has shown me that clients become empowered when they tell their own story. </li></ul><ul><li>I believe that recovery-oriented care holds the potential to have a positive impact on both healthcare providers and people living with mental health problems. </li></ul>
  4. 4. Purpose of the Recovery Narrative for the client <ul><li>To piece together a coherent story of self (since identity development may have been interrupted and sense of self damaged). </li></ul><ul><li>To help develop a sense of agency, reduce aloneness, process grief </li></ul><ul><li>To give suffering new meaning since it can help others by providing role modeling and hope. </li></ul><ul><li>To counteract external definitions of self based on the illness (leading potentially to self-stigma) </li></ul>
  5. 5. Client Comments Brandon University Psychiatric Nursing Program <ul><li>“ I didn’t realise how far I’d come.” </li></ul><ul><li>“ I want my family to read this so they can understand me.” </li></ul>
  6. 6. Purpose of the recovery narrative for the therapist <ul><li>Recovery narratives can help the therapist become aware of the client’s view of the cause of illness, potentially resulting in more effective interventions </li></ul><ul><li>The therapist’s understanding and empathy may be deepened. </li></ul>
  7. 7. Research Methods: eliciting narrativ es <ul><li>Narratives elicited through normal psychotherapeutic process. </li></ul><ul><li>Rogerian approach of unconditional positive regard will help create safety for client </li></ul><ul><li>Clinician will encourage client to tell hisher story, prompted by questions </li></ul><ul><li>Clinician will explore significance of events with client </li></ul><ul><li>Clinician will take notes </li></ul>
  8. 8. Method (cont.) <ul><li>2 nd + 3 rd sessions </li></ul><ul><li>Clinician will read notes from previous session </li></ul><ul><li>Story will continue with clinician prompting </li></ul><ul><li>client to explore significance and meaning </li></ul>
  9. 9. Method (cont) <ul><li>4th session </li></ul><ul><li>Review of the narrative so far </li></ul><ul><li>Completion of client’s story </li></ul><ul><li>Client’s feedback regarding the process and content of the narrative </li></ul>
  10. 10. Methods <ul><li>Sample: 10 participants,with BD type I or II </li></ul><ul><li>4 sessions of 1 hour each </li></ul><ul><li>Analysis: Material will be analysed by quantitative and qualitative methods. </li></ul>
  11. 11. <ul><li>We will use Community Based Research (CBR) methods to identify ways of sharing the narratives with others with BD, or with clinicians (optional) </li></ul><ul><li>The community steering group and the clients will make decisions re. KT </li></ul>Knowledge Translation (KT)
  12. 12. Some Possibilities for Sharing Narratives <ul><li>Post stories anonymously on CREST website </li></ul><ul><li>Create a utube video linked to CREST website </li></ul><ul><li>Publish in a book form </li></ul><ul><li>Other ideas? </li></ul>
  13. 13. Next Steps <ul><li>If you are interested in participating in this project and would like to create your own recovery narrative, or would like more information, please talk to me here today or by email: </li></ul><ul><li>[email_address] </li></ul>This research has been made possible by funding through a Vancouver Coastal Health Research Institute Teams Grant

×