Recovery from Mental Illness... Offering Hope Through Your Personal Journey


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By Heather Masson

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Recovery from Mental Illness... Offering Hope Through Your Personal Journey

  1. 1. Recovery from Mental Illness…Offering Hope Through Your Personal Journey Presented by: Dr. A. Baines, MD FRCPC H. Masson RN CPMHN (C), Manager of Patient Care Services, Recovery Program Carlo Verdicchio, Peer Support Worker
  2. 2. • • • • • • • • Mental Health Living with Mental Health Challenges Protective and Risk Factors Historical views of Recovery Concepts of Recovery Peer Support Treatment Options Residential Program at the Royal
  3. 3. Definition of Mental Health WHO Mental health is a state of well-being in which an individual realizes his or her own abilities, can cope with the normal stresses of life, can work productively and is able to make a contribution to his or her community. In this positive sense, mental health is the foundation for individual well-being and the effective functioning of a community. World Health Organization
  4. 4. Mental Health Challenges Can Affect An Individual’s….. • • • • • • Social Relationships Physical Health Ability to engage in meaningful activities Ability to work or attend school Finances Ability to see their own potential
  5. 5. Historical Views on Recovery • Institutionalization • Negative perceptions • Mental Health System beliefs and attitudes had negative impact on patients and their families • No notion of hope or Recovery Allot, P. Loganathan, L. Fulford, K.M.W. (2002)
  6. 6. Mental Health Commission of Canada, Recovery Recovery…involves a process of growth and transformation as the person moves beyond the acute distress often associated with a mental health problem or illness and develops new-found strengths and new ways of being. Mental Health Commission of Canada, 2010
  7. 7. Language of Recovery  FROM focusing on deficits  FROM doing for the person  FROM focusing on disease  FROM the clinician as teacher  FROM measuring set of specific outcomes  TO working with person’s strengths  TO working with the person  To focusing on treatment  TO both person & clinician as learners  TO allowing person to determine own goals & own measures of success Gottlieb (2013)
  8. 8. Stigma
  9. 9. Principles of Recovery • Recovery is about building a meaningful and satisfying life, as defined by the person themselves, whether or not there are ongoing or recurring symptoms or problems. • Self-management is encouraged and facilitated. The processes of self-management are similar, but what works may be very different for each individual. No ‘one size fits all’.
  10. 10. Principles of Recovery cont…. • The helping relationship between clinicians and patients moves away from being expert / patient to being ‘coaches’ or ‘partners’ on a journey of discovery. • People do not recover in isolation. Recovery is closely associated with social inclusion and being able to take on meaningful and satisfying social roles within local communities, rather than in segregated services. • Recovery is about discovering – or re-discovering – a sense of personal identity, separate from illness or disability.
  11. 11. Recovery
  12. 12. Quality of Life
  13. 13. Hope
  14. 14. Building my Role Peer Support in Recovery
  15. 15. Peer Support in Recovery “Research findings document that individuals who use peer run services have decreased hospitalizations, suicide rates, and substance use, an increase in social contacts, ability to carry out activities of daily living and a positive impact on participants’ recovery, including an increase in their empowerment, hopefulness, and informal learning of adaptive coping strategies.” J. Campbell in On Our Own Together: Peer Programs for People with Mental Illness:
  16. 16. Wellness
  17. 17. Wellness From the December 2012 issue of the Canadian Foundation for Healthcare Improvement’s Mythbusters : “…a growing body of evidence is showing that recovery of a meaningful life despite limitations imposed by illness is possible and likely. People with lived experience have known for some time that, with hope, empowerment and support from others, recovery is possible. Promoting a mental health system that views both personal and clinical recovery as the objective can reduce the healthcare costs, enhance quality of life, promote social inclusion, and help those living with mental illness lead full and productive lives.”
  18. 18. Recovery Program at the Royal • 32 bed inpatient unit located on the 1st floor of the Royal Ottawa Place. • 3-6 month length of stay • Interdisciplinary Team (Psychiatry, Nursing, OT, SW, RT, Dietary, Peer Support, Pharmacist on site) • Recovery-focused treatment, education and opportunities for skill-building. • A holistic view of mental health that focuses on the individuals strengths, not just symptoms
  19. 19. Who do we serve? • • • • • Axis 1 diagnosis Age 18-65 History of prolonged illness and hospitalization First episode psychosis Experiencing significant challenges in his or her ability to successfully function within the community. This is demonstrated by a lack of meaningful activity, social roles or functional ability to manage self-care or live in the community with minimal formal support. • Capable of engaging in the recovery process • Voluntary Program
  20. 20. Referral Process • Referral Package complete • Send through internal mail or fax • Reviewed by intake team to determine appropriateness of referral • Team assessment of patient and tour • Wait list • Admission
  21. 21. An individual is ready to participate in the program when….. Ability and desire to … • Engage in the recovery process with our interdisciplinary team • Identify short and long term goals • Recognize responsibility for their wellness and recovery • Participate and engage in regular programming
  22. 22. Program Goals and Discharge • The goal is for people to move back into the community and live as independently as possible, accessing available community supports. People are discharged when they; • Successfully reach their goals • Demonstrate a level of functioning in activities of daily living required to live in the most appropriate environment of their choice • Progress to a point where they can no longer benefit from the program
  23. 23. Treatment “Recovery is described as a deeply personal, unique process of changing one’s attitudes, values, feelings, goals, skills, and/or roles. It is a way of living a satisfying, hopeful, and contributing life even with limitations caused by illness. Recovery involves the development of new meaning and purpose in one’s life as one grows beyond the catastrophic effects of mental illness.” Anthony (1993)
  24. 24. Meanings of Recovery • Above is an example of Personal Recovery, which is an idea about recovery from illness that comes from the expertise of people with lived experience of mental illness • Clinical Recovery, is more familiar to health care workers and arises from the expertise of mental health professionals and usually involves eradicating symptoms and returning to social functioning. Adapted from Slade (2009)
  25. 25. • Treatment in recovery-focused care is a collaborative process which focuses on promoting well-being rather than simply treating illness. Professional staff are encouraged to facilitate a service-user identifying, developing, and working towards personally meaningful goals for their well-being. As much as possible, the service user is the ultimate decisionmaker for how care is directed.
  26. 26. Professional Expertise • Providing education/guidance on medication options, including risks and benefits so consumers can make informed decisions • Assisting in identifying and achieving personal goals for safety and well-being (symptom mgmt, housing, financial security, healthy lifestyle activities) • Facilitating fostering meaningful relationships, selfempowerment, self-esteem • Assisting in developing meaningful occupation and social/community inclusion • Supporting peer relationships through Peer Support Workers
  27. 27. The importance of self-directed goalsetting “It’s not really helpful to do activities just for the sake of doing something, to really make a difference it has to be meaningful.” -patient in the Recovery Program
  28. 28. •
  29. 29. Success Stories
  30. 30. Questions???
  31. 31. Recovery is Possible for Everyone.. “Persons suffering from mental or physical illness must not define themselves by their illness, but rather the unique individual that they are. Any illness may make your journey through life more challenging however, recovery is possible for anyone. Recovery is a process in which an individual suffering with mental illness acquires insight into their strengths and abilities, and continues to work toward meaningful goals despite residual symptoms of their illness. Success is not measured by others, but rather the person themselves.” Heather Masson RN CPMHN (C)
  32. 32. Resources Allott, P., Loganathan, L. and Fulford, K.W.M. (2002). Discovering hope for recovery: a review of a selection of recovery literature, implications for practice and systems change in Lurie, S., McCubbin, M., & Dallaire, B. (Eds.). International innovations in community mental health [special issue]. Canadian Journal of Community Mental Health, 21(3). Mental Health Commission of Canada Changing directions, changing lives. Mental Health Strategy for Canada • Toward Recovery and Well-Being: A Framework for a Mental Health Strategy for Canada • Voluntary National Standard of Canada for psychological health and safety in the workplace released d_MediaRelease_ENG.pdf Centre for Addiction and Mental health CAMH Knowledge Exchange Canadian best practices portal for health promotion and chronic disease prevention CMHA Mental health promotion tool kit Evidence-based mental health promotion resource (VicHealth) Gottlieb, L. (2013). Strengths-Based nursing care. Health and healing for person and family. New York: Springer Interactive Domain Model of Best Practices IDM Best Practices website at National Network for Mental Health (NNMH)