Recovery Research and Service Implications Federacion Espanola de Asociaciones de Rehailitacion Psic

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Recovery Research and Service ImplicationsFederac
ion Espanola de Asociaciones de Rehailitacion
Psicolsocial IV CongresoMadrid, Spain,

• Dr. Marianne Farkas
• Center for Psychiatric Rehabilitation
• Boston University
• Nov. 25, 2005

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Definition of Recovery

• Recovery
• Development of new meaning and purpose as one
  grows beyond the catastrophic effects of mental
  illness.

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Recovery Research Types of Studies

• Longitudinal studies of outcome of schizophrenia
• Survey research
• Qualitative Studies

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Research Supporting Recovery from Serious Mental
Illness
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Research Supporting Recovery from Serious Mental
Illness
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Qualitative Interviews
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Examples of Analysis of Recovery narratives
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Major Themes in Recovery Research

• Recovery is possible and has been documented for
  over 30 years
• Recovery involves more than symptom reduction
• Recovery involves resumption of valued roles,
  well being, self esteem etc.
• Recovery is a complex, non-linear and
  multi-dimensional process
• Recovery is a highly individualized process with
  multiple explanatory models used
• Recovery is dependent upon a fragmented,
  distracted and often unavailable series of
  services

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Implications for Services Principles of Practice

• Principle I
• The consumer directs the recovery process
  therefore, services, as well as the process
  should be designed, implemented and evaluated
  with the consumer as driver and provider as
  partner throughout the process.
• Principle II
• Recovery is enhanced when the Mental Health
  System/Psychiatry enhances choice and eliminates
  its tendency to enable coercion and encourage
  compliance.
• Principle III
• Consumers are able to recover more quickly when
  hope is encouraged, enhanced and/or maintained

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Implications for Services Principles of Practice

• Principle IV
• Recovery is enhanced when life roles
• ( e.g. worker, student, friend) are defined and
  drive the process.
• Principle V
• Recovery is enhanced when a holistic, strengths
  focus
• ( i.e. physical, emotional, intellectual,
  spiritual well being) is implemented.
• Principle VII
• Recovery is enhanced when individual differences
  are considered and valued across the life span.

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Implications for Services Principles of Practice

• Principle VIII
• Recovery is enhanced with family involvement
  and/or a network of support. The consumer defines
  his/her family unit.
• Principle IX
• Recovery is enhanced when services are based on
  values ( person first, involvement, self
  determination, hope) ?