The progression of recovery in Devon

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The progression of recoveryin Devon
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overview

• Where weve come from
• What weve achieved
• Where weve got to
• What is still to do

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The big new idea

• The development of a mental health service
• a network of services which share an emphasis
  on promoting, sustaining, preserving and
  enhancing mental health
• and
• on being of service, nice to know,
  respectful, responsive, consumer oriented,
  valued, relevant, good value

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2003 Mary Ellen Copeland the Key Note Speaker at
the 1st Recovery Devon Conference
2006 2nd Recovery Conference
2005 Celebration of WRAP

• www.recoverydevon.co.uk

2007 Intentional Peer Support Course
2006 Website launched
2008 Partnership Working
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What weve achieved - a substantial foundation

• Recovery Devon and a broad community of interest
  and commitment
• Adoption of recovery as the guiding philosophy of
  the Trust
• The largest group of STaR workers in the UK
• Commitment to Put recovery at the heart of all
  we do
• Workforce planning
• Recovery in all job descriptions
• The recovery guide
• 10 core standards
• The beginning of a recovery trainers group
• Senior Staff Forum 100 adoption (from 0.25 of
  the staff)
• Recovery centred care planning (document)
• Contributions to major publications
• Outcomes project (pilots)
• National and international connections

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Where have we got to?A good reputation ...

• Chief Nursing Officers Annual Report
• A Common Purpose
• A Fair deal
• Making recovery a reality
• A New Vision for Mental Health
• A recovery handbook

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Walking the Walk

• All we have achieved in recovery in Devon has
  been in partnership with people with lived
  experience, their supporters and the third
  sector, not just DPT
• We need to plan in partnership
• Away from lets put our house in order first
  thinking
• Thinking community and networks, not just
  statutory Trusts
• Applying recovery to staff as well as service
  users
• We need to be more aware of sensitivities
• A process of unlearning needs to take place
• Top down and bottom up
• New ways of relating

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Risks ...

• Clinical cabinet corporate risks
• Failing to deliver against the aspiration of
  Putting recovery at the heart of all we do,
  with consequent demoralisation for staff and
  service users and loss of reputation.
• The challenge is in how best to build on the
  foundations and make it real.

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Seeing ourselves as others see us...

• I'm not sure I go along with the general thrust
  of the recovery writings I have seen coming from
  Devon. It is all full of hope and good advice and
  reassurance that all will be well yet there is
  no mention of any of the really difficult
  problems that occur in every MH unit up and down
  the country.

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Seeing ourselves

• Mike Slade
• More development of Peer Support
• More active promotion of wellbeing
• More emphasis on the value of work
• Promotion of Devons achievements
• Creative alternatives to hospital
• More research
• Strengths based training
• Emphasis on hospitality skills

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Seeing ourselves

• Mary O Hagan
• Service user advisor posts
• Expansion of the 3rd sector
• Adjusting funding to need
• Centrality of Peer Support and Peer Led services
• Radical overhaul of inpatient model and provision
• More on reducing stigma in the community
• Recovery based service system

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The progression of recoveryin Devon

• .... continuing concern for making it real
• Principles into practice
• Rhetoric into reality
• Values into action
• Hype to hope
• A shift from foundations to fulfillment in the
  day to day experience of people who provide and
  use mental health and social care services

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After 5 years we have got to the beginning of
making recovery a reality

• To do
• Putting service users and carers at the core
• Staff training awareness, skills, qualities
• Support, supervision and ongoing learning
• Partnerships and creation of Networks
• Workforce planning occupational roles
• Service user recovery education
• Peer supported and peer provided services
• Embedding outcome evaluation in routine practice
• Designing-in the 10 core standards to all
  services
• Valuing progressive cycles of cultural change

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Beyond the horizon
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Beyond the horizon

• Recovery education for service users
• Recovery focussed crisis and sanctuary provision
  outside of the medical model
• People with lived experience as leaders
• Paid peer supporters in all areas
• Healthy communities
• Training in recovery qualities for all staff
• A new language to describe experience that is
  helpful and does not take away hope
• Audacious goals