Recovery
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A DISCUSSION PAPER ON RECOVERY
This discussion paper is intended to support the discussions that will lead to a shared understanding and
common language of what consumer- focused recovery means. The paper will review recovery’s history, philosophy and values. This shared understanding will allow the Commission ‘family’ and its external partners to be clear about the meaning of recovery and to move towards the use of a common shared meaning of the concept. Shared meaning is essential to supporting transformative change. |
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Contributor: Queensland Alliance |
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AAA International Journal of Psychosocial Rehabilitation
This online journal is a great resource, and you really must consult it occasionally (hence the AAA so it ends up at the top of the list). The IJPR is "a web based, peer reviewed publication for mental health practitioners, consumers and applied researchers". At the time of submitting this listing, articles included "The Social Construction of Mental Illness and its Implications for the Recovery Model" and "Recovery from Severe Mental Illness: The Lived Experience of the Initial Phase of Treatment"
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Contributor: Qld Alliance |
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An Exploratory Analysis of Correlates of Recovery
(Abridged Abstract) This study attempted to understand factors associated with a recovery orientation. METHODS: The authors reanalyzed data from 825 people with schizophrenia. RESULTS: People with less depression were more likely to have a recovery orientation. Family understanding of mental illness and fewer side effects of medications also had a significant effect. Psychotic symptoms were associated with less life satisfaction. Receipt of various services, including day treatment and legal services, was positively associated with knowledge about illness and services. CONCLUSIONS: A polarized view of biomedical and recovery perspectives on mental illness may be unfounded, given that these perspectives appear to be mutually reinforcing.
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Contributor: Queensland Alliance |
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Auseinet Online Recovery Toolkit
Auseinet has an online toolkit providing information and resources around issues of recovery for people with mental illness. The toolkit is designed to be useful for jurisdictions, service providers, consumers and carers. Their factsheets and links are particularly useful
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Contributor: The Queensland Alliance |
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Boston University Recovery Resources
The Centre for Psychiatric Rehabilitation at Boston University is internationally renowned for its work in research, training and service delivery. Here are links and a list of articles they recommend
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Contributor: The Queensland Alliance |
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Changes in Schizophrenia Across Time: Paradoxes, Patterns & Predictors
Intro: There exist two polar, yet accurate, views about the outcome of schizophrenia. Huber et al. (1979), after studying the outcome of schizophrenia in 502 patients for more than two decades, wrote: "Schizophrenia does not seem to be a disease of slow progressive deterioration. Even in the second and third decades of illness, there is still a potential for full or partial recovery" (p. 595). Nine other such studies agree. Yet today, we have dayrooms, shelters, and public mental health caseloads consistently overcrowded with persons chronically languishing with the diagnosis of schizophrenia.
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Contributor: Queensland Alliance |
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Consumer-Directed Transformation to a Recovery-Based Mental Health System
This paper provides an outline of how consumers/survivors can catalyze a transformation of the mental health system from one based on an institutional culture of control and exclusion to one based on a recovery culture of self-determination and
community participation. The paper provides a road map for developing services, financing, and supports that are based on self-determination and recovery. |
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Contributor: Queensland Alliance |
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Crisis Planning
This whole website is very informative & inspiring. This page helps consumers to determine their own Crisis Plan - indicators of a crisis, and what the consumer wants to happen when a crisis occurs. Consumers can do it alone, or support workers can work through the questions with a person they are supporting. A great way for consumers to take control of episodes of mental illness.
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Contributor: Queensland Alliance |
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Crossing the Divide - D&A and MH issues for MH NGOs
Results of a survey of issues for NGO mental health services
The occurrence of mental health and drug and/or alcohol issues in individuals is increasingly becoming an area of concern in our sector and the drug and alcohol sector. Research was undertaken by the Alliance to gain a snapshot of the current situation from the perspective of our member organisations, and some drug and alcohol organisations. The key findings of the research of our member organisations identified that nine out of ten agree that their service often deals with individuals with mental health and drug and/or alcohol issues, highlighting the importance of this study and the need to understand this cross-sectional issue and its impact on our sector. Furthermore, confidence of respondents when supporting individuals with both mental health and drug and/or alcohol issues varied, with some service types less likely to feel more confident. The idea of specialised training for workers who support individuals with both issues was supported with 98% of respondents indicating a need for this. The value of organisational links was found to be important to the majority of respondents (96%), with 70% of the respondents indicating that they do have links to drug and alcohol services. From the interviews taken with drug and alcohol services, organisation links were also deemed as being important for assisting individuals with both issues. |
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Contributor: Qld Alliance |
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DRAFT for comment
"About non-government mental health services": a draft brochure for discussion & feedback. See Sector Development Diary Event2 for more information
Website: Sector Development Diary Event 2 |
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Contributor: Molly Galea |
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Discovering Hope for Recovery From a British Perspective - Literature Review
A review of a sample of recovery literature, implications for practice and systems change.It's a great overview, bringing together lots of resarch on recovery - a good introduction for someone who wants to know 'But what does Recovery MEAN, exactly?'
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Contributor: Qld Alliance |
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Emerging Research Base of Peer-Run Support Programs
This is a fantastic table that summarises 34 research papers on peer-run support groups. Inspiring reading if you are looking to establish or justify such a program.
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Contributor: Queensland Alliance |
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Finding Our Voice through Community Building Dialogues
I think when the audience feels validated and believed in, they flourish just as a person who is going through their recovery. In fact, the principles of recovery are equally the principles of these Dialogues. In the process, this open-ended style gives the participants an opportunity to experience being an active member of the type of community we advocate for recovery. These might be called Community Building Recovery Dialogues.
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Contributor: By Dan Fisher |
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Housing & Accommodation Support Initiative - Report 1: Summary
A great evaluation to read if you are looking for Australian research into the effectiveness of NGO mental health programs. The Housing and Accommodation Support Initiative (HASI) is a jointly funded NSW Department of Health and NSW Department of Housing (DOH) program, which aims to improve housing stability and community participation for people with mental illness through community based accommodation and coordinated support services. HASI Stage One provides accommodation support places to over 100 people with complex mental health problems and high levels of psychiatric disability. The Social Policy Research Centre (SPRC) is evaluating this program. The report outlines key findings including client satisfaction, friendships, housing stability and reduction in hospital admissions
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Contributor: Queensland Alliance |
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Mental Health Recovery: What helps, what hinders?
A huge study that interviewed over a hundred people across the USA to define factors that assisted recovery.
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Contributor: The Queensland Alliance |
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Mental Illness Recovery & Place
Abstract: This paper explores fifteen residents’ perspectives on a supported housing program for people
recovering from low prevalence mental health disorders in rural Gippsland, Victoria, Australia. It moves beyond the often unproductive institutional versus community care dichotomy to present a more complex consideration of the residents’ perceptions of supported housing as a site for recovery. This paper contributes to the literature on consumers’ experiences of mental health care in particular places. The residents’ narratives highlight the importance of supported accommodation as an integral part of a recovery focused service system delivered predominantly, but not exclusively, in the community |
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Contributor: Queensland Alliance |
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Mentalympians TV
Mental Health TV – A World First
A new internet channel, Mentalympians.tv, will be launched at the 6th Annual International Initiative for Mental Health Leadership in Brisbane. |
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Contributor: Queensland Alliance |
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PSYCHOSOCIAL REHABILITATION: ISSUES AND ANSWERS FOR PSYCHIATRY
This is a fascinating article written by psychiatrists for psychiatrists, calling on them to work collaboratively with psychosocial rehabilitation service providers (that's NGO mental health services)
"The authors advance the argument that a confluence of developments, both within and beyond psychiatry, has now created an opportunity for psychiatry to build a mutually productive relationship with rehabilitation." |
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Contributor: Queensland Alliance |
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Psychosocial Research Centre
This Melbourne research centre is a collaboration of the University of Melbourne, La Trobe University and NorthWestern Mental Health. The Centre also works with a broad range of community organisations to foster research and service partnerships in three priority areas:
1. Enhancing recovery from mental illness through social and economic participation. 2. Bridging current evidence and practice gaps in the delivery of psychosocial interventions. 3. Building new evidence for psychosocial approaches which enhance recovery from mental illness There's no actual research results listed on this website, but if you want to know more about what they are doing, you can email them from here. |
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Contributor: Queensland Alliance |
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Recovery
A fascinating article that uses consumers’ own words and experiences to define recovery, then looks at some of the research into recovery
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Contributor: The Queensland Alliance |
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Recovery - Emerging Best Practices Process
This is a really practical and straightforward website.
This page divides recovery into nine dimensions and proposes roles for clinical and community services in each of the dimensions: -Clinical Care -Family Support -Peer Support & Relationships -Work/Meaningful Activity -Power and Control -Stigma -Community Involvement -Access to Resources -Education You may or may not agree with it but it's an interesting starting point for thinking about the complementary roles of clinical and community services. |
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Contributor: Queensland Alliance |
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Recovery As A Journey of the Heart
One of my favourite recovery articles. Lyrically written, it captures the essence of recovery as a radical way of interacting with humans. Recovery is not a "thing" we "do" but a way of being. "...And perhaps most of all, our greatest challenge is to find a way to refuse to be dehumanised in the age of managed profit, and to be bold and brave and daring enough to remain human hearted while working in the human services."
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Contributor: Queensland Alliance |
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Recovery competencies for New Zealand mental health workers.
This paper attempts to describe ten competencies mental health workers need when working in a recovery orientation. It offers another cross-cultural consideration of recovery concepts, and considers the adjustment needed when importing ‘recovery’ concepts from the US, due to cultural differences between New Zealand and USA.
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Contributor: The Queensland Alliance |
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Recovery focused interventions: Perceptions of mental health consumers and their case managers
Abstract : The concept of recovery has emerged as a central tenet of the mental health consumer movement, and is increasingly informing service development and evaluation. Key factors that contribute to recovery have been identified in both consumer writings and research, but
few studies have explored the extent to which mental health workers and mental health consumers share perceptions of the relative importance of those factors. In this study a new instrument was developed to measure the importance of recovery factors as rated by paired mental health consumers and case managers. A pilot administration to 15 consumers and their case managers revealed that the measure was sensitive to differences in perceptions. Differences were found in the areas of medication, strengths-based interventions and perceptions of the relationship with the case manager and service. Case managers tended to rate their level of recovery-focused activity higher than did consumers. The instrument has potential to be used in a larger study to further establish its validity and reliability. |
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Contributor: Queensland Alliance |
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Recovery from mental illness: the guiding vision of the mental health service system in the 1990s
One of the classics. A very good explanation of what recovery means, and what is needed from service users, the medical system, and community supports.
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Contributor: The Queensland Alliance |
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Recovery in Serious Mental Illness: Paradigm Shift or Shibboleth?
Discussion of the limitations and strengths of the use of the concept of recovery in mental health
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Contributor: Queensland Alliance |
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Recovery: Challenging the Paradigm
Has there been a shift in mental health services? Are MH NGOs offering recovery-oriented services or are they just repackaging the same services under a different name - a case of 'The Emperor's New Clothes'? This is a paper delivered by consumer advocate Arana Pearson to the 2004 Vicserv MH NGO conference.
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Contributor: Qld Alliance |
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Review of recovery literature 2000
An excellent starting point for getting an overview of recovery research and writings.
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Contributor: The Queensland Alliance |
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Review of the Research: Historical Myths
This article examines some of the underpinning myths in the mental health system, which, even if we are not consciously aware or them, permeate the way mental health services are developed and delivered. Anthony et al list loads of research to disprove the myths.
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Contributor: Queensland Alliance |
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Revisiting the 15 psychosocial rehabilitation principles: some consumer - focused pathways to the future.
Consumer advocate Allan Pinches reflects on the Principles of Psychosocial Rehabilitation, now more than twenty years old. He proposes that, while groundbreaking at the time of development they need: 1. a radical rewording to remove jargon and assumption of 'otherness'; and 2. re-examination according to five key concepts: Consumer participation, Empowerment of consumers, Recovery focus, Peer support and community building in PDS services, and Building bridges back into the wider community through community education and advocacy. He explores each of these concepts and gives some ideas about how they can be put into practice. This is an important discussion that all people interested in non-government mental health service provision should participate in.
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Contributor: Qld Alliance |
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Sane Research
This is a link to the research bulletins published by Sane Australia. Sane publications are generally short, straightforward and easy to read. There are reports here on mental illness and employment, mental illness and social isolation, and others
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Contributor: Queensland Alliance |
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Serving Street-Dwelling Individuals With Psychiatric Disabilities: Outcomes of a Psychiatric Rehabilitation Clinical Trial
ABSTRACT:Objectives. This study tested a psychiatric rehabilitation approach for organizing and delivering services to streetdwelling persons with severe mental illness.
Methods. Street-dwelling persons with severe mental illness were randomly assigned to the experimental program (called Choices) or to standard treatment in New York City. We assessed study participants at baseline and at 6-month intervals over 24 months, using measures of service use, quality of life, health, mental health, and social psychological status. The average deviation from baseline summary statistic was employed to assess change. Results. Compared with persons in standard treatment (n=77), members of the experimental group (n = 91) were more likely to attend a day program (53% vs 27%), had less difficulty in meeting their basic needs, spent less time on the streets (55% vs 28% reduction), and spent more time in community housing (21% vs 9% increase). They showed greater improvement in life satisfaction and experienced a greater reduction in psychiatric symptoms. Conclusions. With an appropriate service model, it is possible to engage disaffiliated populations, expand their use of human services, and improve their housing conditions, quality of life, and mental health status. (Am J Public Health. 2000;90:1873–1878) |
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Contributor: Queensland Alliance |
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Sharing responsibility for recovery
An important starting point for understanding the policy context in which NGO mental health services in Queensland are working.
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Contributor: The Queensland Alliance |
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The Maine and Vermont three-decade studies of serious mental illness: I. Matched comparisons of cross-sectional outcome
This famous 32-year study compares outcomes between two matched groups of people with long-term mental illnesses. One group received a psychosocial rehabilitation support service, the other traditional mental health services. Vermont subjects at follow-up were more productive, had fewer symptoms, better community adjustment and global functioning than Maine subjects. Conclusions: Outcome differences may be due to Vermont's model program and a policy of allowing an earlier opportunity for community life.
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Contributor: Queensland Alliance |
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The Maine and Vermont three-decade studies of serious mental illness: II. Longitudinal course comparisons
Abstract: This paper supplements the cross-sectional outcome comparisons of the companion paper by providing a brief account of the longitudinal courses of the Maine and Vermont samples across several outcome domains. Method: A Life Chart method was used to document changes in individual lives over the domains of residence, work, income source, and use of community resources over a 20-year period. Reliability studies between states were conducted. Results: Throughout much of the period, more Vermont subjects lived independently, were working, and were less likely to use community resources compared to Maine subjects. Conclusions: Differences in both policies and programmes contributed to course differences between the groups. System characteristics that may lead to better outcomes are discussed.
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Contributor: Queensland Alliance |
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The recovery vision for mental health services and research: a British perspective.
One of the challenges for Australian mental health NGOs is whether concepts developed in another context fit with Australia. This article is interesting for its exploration of how recovery concepts developed in the US might apply to Britain. The authors talk about being in the midst of a paradigm shift from assuming the goal of treatment is maintenance and management of mental illness, to overcoming mental illness. The article is written at a point of change in mental health services, similar to what Queensland is experiencing now.
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Contributor: The Queensland Alliance |
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University of Adelaide Library - Mental Health Rehabilitation and Recovery
The boffin at the University of Adelaide library has pulled together a lot of great links to fascinating recovery related sites.
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Contributor: Queensland Alliance |
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Use of a Consumer-Led Intervention to Improve Provider Competencies
Slightly complex to read, but well worth it if you are proposing a consumer-led project. This research compared two cohorts of clinicians. 151 clinicians received a consumer-developed program to support the clinicians to be more effective; 118 clinicians were controls and did not receive the program.Compared with clinicians at the control organizations, clinicians at intervention organizations showed significantly greater improvement in education about care, rehabilitation methods, natural supports, holistic approaches, teamwork, overall competency, and recovery orientation.
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Contributor: Queensland Alliance |
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Vicserv online document library
Vicserv, the Victorian peak body for NGO mental health providers, has Australia’s only library of psychosocial rehabilitation and recovery information. A lot of their stuff is on their shelves, so it’s worth a look if you are down in Melbourne. Meanwhile, explore their online documents.
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Contributor: The Queensland Alliance |
