Client-Driven Care

1
Client-Driven Care

• Recovery Values in the Adult System of Care
• Using Values in a Cultural Context

2
Learning Objectives

• Discuss the differences between the medical,
  psychosocial rehabilitation and empowerment
  models.
• Identify the core values and principles of
  recovery and resiliency.
• Demonstrate the core values of recovery and
  resiliency.

3
Models of Treatment

• Initially, treatment services were delivered
  utilizing an approach thats known as the Medical
  Model.
• Brainstorm What are all the words and phrases
  that come to mind when you hear this term?

4
Evolving Models of Treatment

• Psychosocial Rehabilitation (PSR) is the next
  model of treatment
• The Goals of PSR are
• Recovery
• Community Integration
• Quality of life

5
Psychosocial Rehabilitation Is..

• a set of tools and techniques that are used to
  help an individual with a psychiatric disability
  to restore his/her ability to live
  independently, socialize and use effective life
  management skills.

6
Principles and Values of Psychosocial
Rehabilitation

• Choice
• Strengths based
• All people have the capacity to learn and grow
• Respect and dignity
• Integrated services
• Individualized planning
• Community based
• Holistic
• Cultural Competence

7
Examples of PSR Programs

• Supported employment
• Case management services
• Residential treatment programs
• Supported education programs

8
The Empowerment Model

• Dan Fisher, PhD, MD
• Key beliefs of the Empowerment Model
• Mental illness is not a permanent condition and
  people have recovered from it.
• It is important to hear about and learn from
  people who have recovered and who can be role
  models.

9
The Empowerment Model

• Symptoms are expressions of severe emotional
  distress
• The model emphasizes the importance of
  reestablishing personal connections.
• It's often peers who are the most significant
  guides for recovery.

10
The Recovery Model

• The ideas expressed by Dan Fishers Empowerment
  Model reflect the broader concept of the Recovery
  Model - that recovery from mental illness is
  possible.
• The values of the Recovery Model are empowerment,
  hope, self-determination, meaningful role and
  cultural competence.
• Going forward, well refer to these ideas as the
  Recovery Model.

11
Approaches to Working with People

• A Chance to Act Out!

12
Diagnosis is not a destiny. Pat Deegan, Ph.D.
13
Recovery Research

• Courtenay Hardings research a longitudinal
  study of people hospitalized in Vermont and
  Maine.
• Whats the research definition of recovered?

14
Research Definition of Recovery

• Recovered is
• Experiencing no psychiatric symptoms
• Having social relationships and support systems
• Not on benefits
• Not on medication
• Significantly recovered is all but one of the
  above.

15
Recovery is a personal journey

• Recovery is not something we provide.
• It is defined by the individual in the context of
  his/her worldview.
• We walk alongside people who are in the midst of
  a unique and personal recovery journey and we,
  too, are on our own similar journey.

16
Recovery Values

• Empowerment
• Self-Determination
• Hope
• Meaningful Role
• Cultural Competence

17
Living Out the Values
18
Culture and Values

• There are cultural differences in values. For
  example, in some cultures the word empowerment
  doesnt exist. It is not a concept that everyone
  necessarily relates to.
• Discussion Time
• From your cultural background, are any of these
  values not applicable or problematic?
• What strategies might you use with someone whose
  worldview regarding values was different from
  yours?

19
SAMHSAs Recovery Fundamentals

• Self-Direction
• Individualized and Person-Centered
• Empowerment
• Holistic
• Non-Linear

• Strengths-Based
• Peer Support
• Respect
• Responsibility
• Hope

20
Putting Fundamentals into Practice