SEVEN HABITS OF RECOVERY FOCUSSED SERVICE

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SEVEN HABITS OF RECOVERY FOCUSSED SERVICE

• DR.M.K.JHA
• CONSULTANT PSYCHIATRIST
• BOSTON

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SEVEN HABITS OF RECOVERY ORIENTATED SERVICE

• THE 7 HABITS OF HIGHLY EFFECTIVE PEOPLE
• STEPHEN R. COVEY, 1989
• THE SEVEN HABITS OF RECOVERY ORIENTATED
  PSYCHIATRISTS A NON-CLINICAL GUIDE FOR PERSONAL
  GROWTH AND DEVELOPMENT ARUN, MITHILESH JHA,
  SEP2012, BJP BULLETIN

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REFOCUS

• 2009-2014
• STUDIES TO SUPPORT MH SERVICES IN BEING RECOVERY
  FOCUSED
• RECOVERY PROMOTING RELATIONSHIPS
• PRACTICE CHANGE

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Recovery

• DEFINITIONS DIFFER
• SYMPTOMPS BASED
• FUNCTIONALITY EMPHASISED
• NEW MODELS -
• IN RECOVERY
• HOPE
• SOCIAL INCLUSION
• EMPOWERMENT

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RECOVERY

• CONCEPT
• DEEPLY PERSONAL
• CHANGE - ATTITUDE, VALUES, SKILLS, ROLE, GOAL
• LIVING-HOPEFUL, CONTRIBUTING AND SATISFYING LIFE
• WITHIN LIMITATION OF ILLNESS
• JOURNEY WITHOUT A DESTINATIONS

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CEMI

• SCHIZOPHRENIA AND OTHER SERIOUS ILLNESS SEEN AS
  IRRESVERSIBLE ILLNESS
• MH POLICIES AND PROGRAMME
• -VE VIEW OF PREDICTED OUTCOME

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RECOVERY

• IMPACT ON PERSON AND FAMILY
• PARTIAL OR FULL RECOVERY IS POSSIBLE

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LONG TERM Schz OUTCOME

• Bleuler, 1972, Zurich 208/53-66 fully or
  partially recovered
• Huber, 1975, Bonn 502/53 full or significant
  improvement
• Harding et al, 1986 VERMONT, 269/68
• Wikipedia-FEP-GOOD OUTCOME 42

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CHIME MODEL

• MARY LEAMY ET AL, BJP, 2011 NOV, 445-452
• SYSTEMATIC REVIEW
• NARRATIVE SYNTHESIS

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CHIME MODEL
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RECOVERY INTERVENTION
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HUMAN RIGHT

• PERSONS WITH DISABILITIES
• UN CONVENTION
• ART 19
• INDEPENDENT LIVING
• INCLUDED IN THE COMMUNITY
• NOT CONTINGENT UPON GETTING BETTER

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Recovery focussed service

• Fit for 21st Century
• Recovery is for all
• No decision about me, without me

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REASONS FOR SUPPORTINGRECOVERY

• BETTER SOCIAL OUTCOMES
• POLICY SUPPORT
• NEW HORIZON, 2009, Rec Ori
• LIBERATING NHS, USER EXP
• NO DECISION ABOUT ME, 2010
• PROFESSIONAL DEVELOPMENT
• COLLABORATIVE, SELF CARE, CHOICE, EXPERT

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RECOVERY MODEL

• ARIZONA EXPERIENCE
• LENGTH OF IN PT STAY DRASTICALLY REDUCED
• RE ADMISSION WITHIN 30 DAYS
• OO CAMHS DATA

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RECOVERY ORIENTATED SERVICES
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RECOVERY ORIENTATED SERVICES
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RECOVERY FOCUS

• PARADIGM SHIFT
• EINSTEIN THE SIGNIFICANT PROBLEM WE FACE CANNOT
  BE SOLVED AT THE SAME LEVEL OF THINKING WE WERE
  AT WHEN WE CREATED THEM.

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RECOVERY FOCUSED HABITS

• HABIT
• KNOWLEDGE
• SKILL
• DESIRE

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HABIT

• KNOWING THE NEED
• HOW TO EXECUTE
• MOST IMPORTANTLY WANTING TO CHANGE

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CURRENT PARADIGM

• MEDICAL MODEL
• NOT UNDERSTOOD
• NOT LISTENED TO
• STIGMA
• PERCEIVED INDIFFERENCE
• SOCIAL EXCLUSION
• STATE DEPENDENT

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RECOVERY ORIENTATED SERVICES
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RECOVERY ORIENTATED SERVICE1ST HABIT

• CULTURAL SHIFT
• SINGLE MOST IMPORTANT PARADIGM SHIFT
• TRUST ME, I AM DOCTOR!!!!!!
• LEARN AND PRACTICE COLLABRATION
• EMPATHIC LISTENING
• BETTER QUALITY OF EXPERIENCE

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RECOVERY ORIENTATED SERVICES

• RISK POLICIES
• POSITIVE RISK TAKING
• ENHANCE PERSONAL RECOVERY
• INTERVENE WHEN LIFE IS IN DANGER
• HR POLICIES TO CREATE BETTER JOB OPP.

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CULTURAL SHIFT2ND HABIT

• ORG OUTCOME BASED ON RECOVERY ORIENT
• CO-PRODUCTION
• COMMISSIONERS
• PROVIDERS
• SERVICE USER

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RECOVERY ORIENTATED SERVICES4TH HABIT

• EVALUATION OF SERVICE
• INDIVIDUAL EXPERIENCES GUIDE QUALITY IMPROVEMENT
  ACTIVITIES
• RECOVERY BASED OUTCOME

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RECOVERY FOCUSSED SERVICES

• EVALUATING RECOVERY
• REPORTING ON RECOVERY BASED KEY INDICATORS
• INDIVIUAL EXP GUIDE QUALITY IMPROVEMENT
• IND AND CARERES CAN TRACK OWN PROGRESS

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RECOVERY FOCUSED SERVICES4TH HABIT

• EVALUATING RECOVERY
• REPORTING ON RECOVERY BASED KEY INDICATORS
• INDIVIUAL EXP GUIDE QUALITY IMPROVEMENT
• IND AND CARERES CAN TRACK OWN PROGRESS

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RECOVERY FOCUSSED SERVICE

• ATTITUDES AND RIGHTS
• PROMOTES AND PROTECTS ALL RIGHTS
• INSTILS HOPE
• EMPATHETIC COMMUNICATION

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RECOVERY ORIENTATED SERVICES5TH HABIT

• STRONG STRATEGIC RELATIONSHIP
• HOUSING
• EMPLOYMENT
• COMMUNITY NETWORK

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PEER SUPPORT5TH HABIT

• TO SUPPORT AND FACILITATE
• HOPE AND POSSIBLITY OF RECOVERY
• REDUCTION IN ADMISSIONS
• J.RIPPER N T. CARTER, JOURNAL OF MEN HEALTH2011,
  20(4)
• SAMHSA-EVIDENCE

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RECOVERY ORIENTED SERVICES5TH HABIT

• PROMOTING INTERDEPENDENCE
• DEPENDENCE
• INDEPENDENCE

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RECOVERY FOCUS

• ROBERTS AND COLLEAGUES
• J, MHTR ED, PRACTICE 2011
• MORE IMPACT ON 3RD SECTOR

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Recovery focused services6TH HABIT

• HOPE
• AGENCY-SENSE OF CONTROL
• OPOURTUNITY

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RECOVERY FOCUSED SERVICES6TH HABIT

• OFFERING REAL CHOICES
• SUPPORT AND EMPOWER
• CULTURALLY COMPETENT
• ENCOURAGE TAKING RESPONSBILITY

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RECOVERYFOCUSED SERVICE7TH HABIT

• DIGNITY AND RESPECT
• COURTEOUS, HONEST AND RESPECTFUL
• RESPECT DIVERSITY
• CHALLENGES DISCRIMINATION

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RECOVERY ORIENTED SERVICES

• PROMOTING INTERDEPENDENCE
• DEPENDENCE
• INDEPENDENCE

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THANK YOU