Title: Ships are safe in harbour, but that is not what they are designed for
1Ships are safe in harbour, but that is not
what they are designed for
2Recovery
- Andy Luckhurst, Service User Consultant, Oxleas
NHS Trust - Gina Benjamin, Project Manager, Community Options
3Brainstorm
- What do you think Recovery means?
4Defining Recovery
- A deeply personal, unique process of changing
ones 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
ones life as one grows beyond the catastrophic
effects of mental illness
(Anthony, 1993. pp559-560)
5Questionnaire
6Themes of Recovery
- Hope
- Being believed in
- Developing perspective on the past
- Changing other peoples expectations
- Gradually gaining a sense of greater wellbeing
- Developing a new meaning and purpose in life
- Persevering (not a linear process)
(Turner- Crowson Wallcraft, 2002)
7Themes of Recovery cont
- Taking personal responsibility for ones life
- Acting to rebuild ones life
- Developing valued relationships and roles
(Turner-Crowson Wallcraft, 2002)
8Understanding Recovery
- Recovery is a journey and that is a very
individual experience for each and everyone - People can go in and out of recovery
- It is important that a persons personal history
is listened to - It is vital to get to know the person not the
diagnosis - Goal setting is important, where are you now
where would you like to be - Recovery does not offer a cure, but a means of
looking at your life differently, of gaining a
sense of hope for a better future for yourself
9Bromleys RecoveryNETMission Statement
- The Recovery Group is committed to the support
and encouragement of people recovering from
mental illness. - Whilst it is recognised that Service Users hold
the key to their own recovery, the valuable
knowledge and experience of others is an
important aspect of recovery. - The group will provide professional and personal
support needed to help the individual to take
responsibility to have active involvement, to
ensure the ongoing long-term recovery process.
10Bromleys Recovery Groups Mission Statement
- Recovery is
- Maintaining a sense of hope about ones own
future journey in life. It is about developing
coping skills to both manage and improve ongoing
self-development and gaining the opportunity to
lead an independent, meaningful life in the
community. - Recovery is not a linear journey, but a journey
with many twists and turns.
Bromley Mind
11Understanding Recovery
- While in recovery formulating a wellness
toolbox (what keeps you well), a crisis
intervention plan (WRAP, Wellness Recovery Action
Plan) - It is important to build up a rapport with your
support team, you can discuss with them what you
want out of life, and how they can help you
attain what you want - Peer support from other people who are on the
road to recovery, together you can discuss coping
strategies - Look at people holistically, it could be
housing/lack of benefits/lack of a social
life/lack of friends and family that are stopping
them recovering - Recovery cannot be packaged or delivered or
done for or to people
12Wellness Recovery Action PlanWRAP
- What makes a WRAP?
- DMP or Daily Maintenance Plan
- Crisis Plan
- Post-crisis Plan
13Before you can create a WRAP, we need to
consider what the words WRAP mean
- Wellness the maintenance of good physical and
mental health, especially when maintained by
proper diet, exercise and habits - Recovery regain your ability to manage your
life - Action how you are going to do your plan
- Plan lists what you are going to do
14Recovery Principles
- The Service User directs the recovery process
therefore the Service Users input is essential
throughout the process - The Mental Health system must be aware of its
tendency to enable and encourage Service User
dependency - Service Users are able to recover more quickly
when their hope is encouraged, enhanced/and or
maintained - Life roles at work, and meaningful activities are
defined - Spirituality is considered and their culture is
understood - Educational needs as well as those of their
family/ significant others are identified - Social involvements also need to be identified
Taken from NIMHE (National Institute for Mental
Health in England) Emerging Recovery Policy and
Resource Guide
15Recovery Principles Cont
- Individual differences are considered and valued
across the whole life span - Recovery from mental illness is most effective
when a holistic approach is considered - In order to reflect current best practice there
is a need to merge all intervention models and
approaches, including medical, psychological,
social and recovery - Workers initial emphasis on hope and the
ability to establish trusting relationships
influences the Service Users recovery - Workers operate from a strengths/assets model
Taken from NIMHE (National Institute for Mental
Health in England) Emerging Recovery Policy and
Resource Guide
16Recovery Principles Cont
- Workers and Service Users together develop a
recovery management plan. This plan focuses on
the treatments and supports that will facilitate
recovery and the resources that will support the
recovery process - Family/significant others involvement may enhance
the recovery process. The Service User defines
his/her family/significant other/s - Mental Health services are most effective when
delivery is within the context of the Service
Users community - Community involvement as defined by the Service
User is important to the recovery process
Taken from NIMHE (National Institute for Mental
Health in England) Emerging Recovery Policy and
Resource Guide
17P
artnership
o
L
ifestyles
Community Options Flexible Support for People
with Mental Health Needs
e
V
alued
e
working together for social inclusion
D
eveloping
18Bromleys Recovery Groups
- There are currently three groups. One in each of
the three localities - Each group session meets weekly for 26
consecutive weeks and lasts for 1 ½ hours - The group sessions are held at non-medical/day
service locations e.g. Church Hall - Groups have between 6 and 10 members
- The groups decide what issues/topics they want to
talk about
19Topics that have come out of groups
- Common experiences
- Self-harm
- Overdose
- Hallucinations (visual and auditory)
- Suicide
- The use of illicit drugs
- Obsessive Compulsive Disorder (OCD)
- Treatment
- Debt
- Duvet days
- Stigma (label)
- Coping strategies stress management
20Mental Health Stigma
- These are some of the areas Service Users felt
there was stigma - Stigma within services from health professionals
and admin staff - Stigma attached to a particular diagnosis
- Negative media coverage
- Family overcoming stigma with family members
- Own embarrassment to have mental illness
- Societies ignorance for example many people have
the perception that all paedophiles, and those
that may harm others etc suffer from mental ill
health - Stigma within the workplace
21What comes after a group?
- Personal development
- Cognitive Behavioural Therapy (CBT)
- Psychotherapy
- Recovery group facilitation
- Social network building
- Person-centred planning
- Anger management
- Employment supported employment, independent
employment, volunteering - Education Adult Ed., College etc
- Healthy living
- Environmental changes e.g moving home
22Experiences of people on their recovery pathway
- Recovery does not mean cure, it is a hopeful
attitude, a way of approaching the day.
Practitioners and carers working with people with
mental illness need to see the person as more
than the illness - Pat Deegan (an author, a person diagnosed with
schizophrenia, living in the USA) - Recovery requires self-confidence, self-esteem,
self-awareness, self-acceptance, it is a
liberating process, a social process and one in
which practitioners need to believe in - Ron Coleman (diagnosed with schizophrenia, a
voice hearer and author)
23Experiences of people on their recovery pathway
- My recovery process involved rest and good food
but the hardest part was raising peoples
(including my own) expectations of myself. - Rufus May (diagnosed with schizophrenia, a
psychologist) - Recovering from psychosis is an individual
journey that needs a wide variety of therapeutic
options to be available to the person - Peter Chadwick (diagnosed schizophrenia,
psychologist and author)
24Experiences of a Bromley Recovery Group member
- The group made me realise that moving on and
leading a normal life was obtainable and made
me remember that every morning is a new day. It
also taught me not to be hard on myself and give
myself a break once in a while. The group helped
me gain the confidence and strength to start
looking at career options and start part-time
work after many years of unemployment
25Experiences of a Bromley Recovery Group member
- My name is Chris. I am on the pilot recovery
group. Here are a few thoughts that I have had
about recovery. I find it very beneficial from
the point of view that it helped me recognise the
pattern of my illness, and to ask for help from
my support team, before my illness gets too bad. - It has empowered me to have a say with my own
recovery with my support team and psychiatrist,
rather than sitting there and letting them tell
me what to do. Also, it has helped me to take a
major step, which really is a major step for me,
to start volunteering in the community, and
moving away from the safety of my day centre. - At times, it was not easy because listening to
other peoples stories was quite distressing for
me. But we did learn a lot from each other, and
ways of coping and to accept the bad days as well
as the good days. - My own recovery journey has taught me that there
can be light at the end of the tunnel and my own
personal experience has not been wasted, because
now I can use it to help others on their own
personal journeys of recovery.
26I find that the greatest thing in the world is
not so much where we stand, as in what direction
we are moving.To reach the port of heaven, we
must sail sometime with the wind and sometime
against it - but sail we must, not drift or lie
at anchor.
Oliver Wendall Holmes
27Thank you
- Andy Luckhurst
- Andy.luckhurst_at_oxleas.nhs.uk
- Gina Benjamin
- Gina.benjamin_at_community-options.org.uk
With thanks to Dee Ashton, Bromley Mind