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‘Recovery’ - towards integration into an Irish community mental health team

Published online by Cambridge University Press:  13 June 2014

John McFarland ,
Paula Street ,
Esther Crowe Mullins  and
Anne Jeffers
John McFarland*
Affiliation:
Department of Psychiatry, Clinical Science Institute, National University of Ireland Galway, Galway, Ireland
Paula Street
Affiliation:
East Galway Mental Health Services, Loughrea Day Hospital, Barrack Street, Loughrea, Galway, Ireland
Esther Crowe Mullins
Affiliation:
East Galway Mental Health Services, Loughrea Day Hospital, Barrack Street, Loughrea, Galway, Ireland
Anne Jeffers
Affiliation:
East Galway Mental Health Services, Loughrea Day Hospital, Barrack Street, Loughrea, Galway, Ireland
*
*Correspondence E-mail: [email protected]
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Abstract

Objectives: We aimed to further our understanding of the concept of recovery by analysing comments made in small group discussions that occurred on a planning Away Day held by a community mental health team along-side service users and carers, which had recovery as its theme. The purpose of this was to reshape the structure and workings of the team.

Method: Five small groups, of approximately 10 individuals each, comprised of service-users, carers, representatives from voluntary organisations and mental health professionals were asked to discuss three questions related to Recovery.

Results: The commentary reflected previous qualitative research on the philosophy of recovery. Issues that were raised included defining wellness as independent to illness, constructive risk taking, the importance of social factors, medication issues and the importance of self-management and optimism. The comments subsequently went on to shape community mental health team service delivery.

Conclusion: Discussion and reflection between mental health professionals, service users and carers can lead to a change in attitude and practice in a well-resourced, fully multi-disciplinary community mental health team, within which both the biological and non-biological aspects of mental illness are accepted. The result has been an introduction of service changes which have helped develop a team that is more accessible and increasingly collaborative.

Keywords

RecoveryRecovery model
Type
Review
Information
Irish Journal of Psychological Medicine , Volume 26 , Issue 4 , December 2009 , pp. 197 - 201
Copyright
Copyright © Cambridge University Press 2009

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References

1.Allott, P, Loganathan, L, Fulford, KWM. Discovering hope for Recovery. Can J Comm Ment Health 2002; 21: 13–33.Google Scholar
2.Mental Health Commission. A Vision for a Recovery Model in Irish Mental Health Services: Discussion Paper. Mental Health Commission, 2005.Google Scholar
3.Brosnan, L, Collins, S, Dempsey, H, Maguire, L, Morrin, N.The Pathways Report; Experiences of Mental Health Services from a User-led Perspective. Western Health Board and Schizophrenia Ireland, 2002.Google Scholar
4.Schizophrenia Ireland/Irish Psychiatric Association. Towards Recovery. Dublin 2002.Google Scholar
5.Department of Health and Children, Expert Group on Mental Health Policy. What We Heard; Consultation Paper. Department of Health and Children, 2004.Google Scholar
6.Mental Health Commission. A Vision for a Recovery Model in Irish Mental Health Services: Discussion Paper. Mental Health Commission, 2005.Google Scholar
7.Expert Group on Mental Health Policy. A Vision for Change. Dublin: The Stationary Office, 2006.Google Scholar
8.Irish College of Psychiatrists. How to set up rehabilitation and recovery services in Ireland. Occasional Paper. Irish College of Psychiatrists, 2007.Google Scholar
9.Anthony, WA. Recovery from Mental Illness: The guiding vision of the Mental Health service system in the 1990s. Psychosoc Rehabil J 1993; 16: 11–23.Google Scholar
10.Roberts, G, Wolfson, P. The Rediscovery of Recovery: Open to All. APT 2004; 10: 37–49.Google Scholar
11.Jacobson, N, Greenley, D. What is Recovery? A Conceptual Model and Explication. Psychiatr Serv 2001; 52: 482–85.CrossRefGoogle ScholarPubMed
12.Davidson, L, Strauss, JS. Beyond the Biopsychosocial model: Integrating Disorder, Health, and Recovery. Psychiatry 1995; 58: 44–55.CrossRefGoogle ScholarPubMed
13.Frank, JD. Persuasion and Healing. (2nd Ed) New York: Schocken, 1973.Google Scholar
14.Feltham, I. Controversies in Psychotherapy and Counseling. Sage Publications 1999.CrossRefGoogle Scholar
15.Deegan, E. Recovery: The lived experience of Rehabilitation. Psychosoc Rehabil J 1998; 11: 11–19.Google Scholar
16.Mueser, KT, Corrigan, P, Hilton, Tet al.Illness Management and Recovery: A Review of the Research. Focus 2004; 2: 34–47.CrossRefGoogle Scholar
17.Fisher, DB. Healthcare reform based on an empowerment model of recovery by people with psychiatric disabilities, Hosp Community Psychiatry 1994; 45: 913–5.Google Scholar
18.Copeland, ME. WRAP - Wellness Action Recovery Plan. Peach Press, 1997.Google Scholar
19.Leff, J, Thornicroft, G, Coxhead, N, Crawford, C. The TAPS Project. 22: A Five-Year follow-up of Long-Stay Psychiatric patients discharged to the Community. Br J Psychiatry Suppl. 1994; 25: 13–7.CrossRefGoogle Scholar
20.Repper, J, Perkins, R. Social Inclusion and Recovery. London: Bailliere Tindall, 2003.Google Scholar
21.Roberts, G, Davenport, S, Holloway, F, Tattan, T (eds). Enabling Recovery. The Principles and Practice of Rehabilitation Psychiatry. Gaskell, 2006.Google Scholar
22.Department of Health. The Expert Patient: A New Approach to Chronic Disease Management for the 21 st Century, London: Department of Health, 2001.Google Scholar
23.McLaughlin, H. What's in a Name: ‘Client’, ‘Patient’, ‘Customer’, ‘Consumer’, ‘and Expert by Experience’, ‘Service User’ - What's Next? Br J Soc Work 2008; 10: 1–17.Google Scholar
24.Craddock, N, Antebi, D, Attenburrow, MJet al.Wake-up call for British Psychiatry. Br J Psychiatry 2008; 193: 6–9.CrossRefGoogle ScholarPubMed
25.Lynch, T. Beyond Prozac: Healing Mental Suffering without Drugs. Marino Books, 2001.Google Scholar
26.National Institute for Clinical Excellence. Schizophrenia: Core Interventions in the Treatment and Management of Schizophrenia in Primary and Secondary Care. Clinical Guideline 1. London: NICE 2002.Google Scholar
27.Corrigan, PW. Target-specific Stigma change: A Strategy for Impacting Mental Illness Stigma. Psych Rehab 2004; 28: 113–21.CrossRefGoogle Scholar
28.Link, BG, Struening, EL, Neese-Todd, S, Asmussen, S, Phelan, JCThe Consequences of Stigma for the self-esteem of people with Mental Illnesses. Psychiatr Serv 2001; 52: 1621–6.CrossRefGoogle ScholarPubMed
29.Sirey, JA, Bruce, ML, Alexopoulos, GS, Perlick, DA, Friedman, SJ, Meyers, BS. Perceived Stigma and Patient-Rated Severity of Illness as Predictors of Antidepressant Drug Adherence. Psychiatr Serv 2001; 52: 1615–20.CrossRefGoogle ScholarPubMed
30.Thornicroft, G, Rose, D, Sartorius, N. Stigma: Ignorance, Prejudice or Discrimination? Br J Psychiatry 2007; 190: 192–3.CrossRefGoogle ScholarPubMed
31.Zubin, J, Spring, B. 1977 Vulnerability; a new view of Schizophrenia. J Abnorm Psychol 1977; 86: 103–26.CrossRefGoogle ScholarPubMed
32.maryellencopeland.comGoogle Scholar
33.Copeland, ME. Overview of WRAP: Wellness Recovery Action Plan. Mental Health Recovery Newsletter 2002; 3: 1–9.Google Scholar
34.Deegan, G. Discovering Recovery. Psych Rehab 2003; 26: 368–76.CrossRefGoogle ScholarPubMed
35.Thornicroft, G. Shunned. Oxford University Press 2006.Google Scholar
36.Ramsay, R, Page, A, Goodman, Tet al.Changing Minds: Our Lives and Mental Illness. London: Gaskell 2002.Google Scholar
37.World Health Organisation, www.euro.who.int/mentalhealth/topics/20061129_3Google Scholar
38.Roberts, G, Dorkins, E, Wooldridge, J, Hewis, E. Detained - what's my choice? Part 1: Discussion. APT 2008; 12: 172–180.Google Scholar
39.Oades, L, Deane, F, Crowe, T, Lambert, W, Kavanagh, D, Lloyd, CCollaborative Recovery. An integrative Model for working with Individuals who experience chronic and recurring Mental Illness. Australas Psychiatry 2005; 13: 279–84.Google ScholarPubMed
40.Royal College of Psychiatrists and National Institute for Mental Health in England. New Ways of Working for Psychiatrists: Enhancing Effective, Person-centered Services through New Ways of Working in Multidisciplinary and Multi-agency Contexts. Final Report ‘But Not the End of the Story’. London: Department of Health, 2005.Google Scholar