The Recovery Framework
Question:
Discuss About The Experiences Perceptions Of Service Users?
The principles of recovery-oriented mental health practice acknowledge the involvement and engagement of the individuals in the process of care delivery. Care practices in the context of mental health service sector focus on individual’s recovery as the process of gaining and retaining normal course of life. The present essay discusses the statement that “The consumer’s voice is central to all current mental health contexts and areas of practice.” The discussion analyses how the principles of recovery paradigm can be included into mental health nursing practice. The paper revolves around concepts such as recovery framework, the uniqueness of the patients, advocacy, peer support, consent, rights and attitudes, communication, partnership, respect, and dignity.
The concept of recovery is gaining more prominence in the field of mental health treatment. Emerging from the perspectives of healthcare consumers and challenging conventional beliefs regarding the course of treatment, recovery is at present a widely conceptualized notion involving a process of building a meaningful life (Slade et al., 2014). Recovery is mostly defined by the individuals them as they are to report whether they are experiencing recurring or ongoing problems and symptoms related to a mental health disease. When speaking on the service provider context, recovery brings in a number of challenges in protecting choice and self-determination of clients (Stuart, 2014). According to Stickley et al., (2018) it is to be remembered that recovery in mental health care is not equivalent to cure. The researchers have to say that recovery is referred to the suitable association of internal as well as external conditions that enable recuperation from present condition. The internal conditions are those that the individuals describe themselves such as healing, hope, connection and empowerment. The external conditions are those factors emerging from the environment that facilitate the comprehensive recovery process. Considering the patient’s voice in the recovery process leads to a positive culture of healing. As opined by Fortinash and Worret (2014) recovery refers to the distinct and unique experience of an individual together with his journey of addressing challenges brought about by a mental illness. The role of a mental health professional is to foster an environment that is in support of the recovery efforts of the individuals. Recovery is to be noted as a core component of changing care practices in the mental health arena.
As pinpointed by Townsend and Morgan (2017) the uniqueness of an individual is be acknowledged before commencing on the treatment plan as desired. Each individual has his own set of values and needs and the preferences of each individual play a crucial role in his recovery process. Person-centered care approach has been appraised repeatedly in literature for its power to foster optimal care delivery. Recovery-oriented mental health practice must recognize that recovery is not just about care; it is about enabling choices for living a purposeful, satisfying and meaningful life. In this regard, the care professional is to make the individual feel being a valued member of the community (Parker et al., 2017). Further, professionals are to accept that recovery outcomes are mostly unique and personal for each person. The emphasis is to be on the enhanced quality of life and social inclusion. The researchers further highlighted the need of promoting advocacy for the patients. Advocacy for patients can be maintained by abiding by the legislations put in place for mental care services. Individuals are to be empowered to take their own choices and exploit their creativity. In addition, they are to be supported to build on their strengths and take responsibilities for their future life (Wykes et al., 2018).
The Uniqueness of Patients
Stuart (2014) pointed out the need for peer support in mental health recovery process. Peer support is an opportunity for patients to achieve considerable recovery through the promotion of positive mindset and instilling social networking. Peer support creates an environment where individuals suffering from similar or different mental health conditions can exchange ideas and experience, thereby enabling a speedy recovery. For the purpose of successful medical treatment, the informed consent of the individual is to be taken prior to commencing with the treatment. A person has to be given sufficient information for enabling an informed decision. This would include an explanation of the purpose of the proposed treatment, the method, type and duration of the treatment, the advantages and risks of treatment, beneficial alternative treatments, and other relevant information.
Attitudes and rights of mental health patients can be promoted through active listening and acting upon key communications from the patients. Human, citizenship and legal rights of the individuals are to be promoted and protected at all levels. Supporting individuals to develop and maintain recreational, social, vocational and occupational activities is elementary. Instilling hope in the individual about a better future supports the individual to live a better life (Varcarolis, 2016).
Communication and partnership are two interlinked concepts in recovery-oriented mental health practice. Care professionals must remember that every person is the expert on his own life and must, therefore, engage in partnership with the patients to provide care that is of sense to the individuals. Sharing of important health information with the patients is also a part of partnership, and two-way communication has been proved foster better care delivery. In this respect, it is to be mentioned that clear and transparent communication is of utmost importance (Shawyer et al., 2017). Communication is to be done in a realistic and positive manner so that individuals can realize their own aspirations, goals, and hopes for recovery (Varcarolis, 2016). Dignity and respect of the patients are to be promoted by being honest, respectful and courteous n all forms of communication. Being sensitive to patient’s need and respecting their culture and beliefs lies at the core of mental health practice. Further, discrimination is to be challenged within the broader care context (Rose et al., 2015).
In conclusion, different strategies are to be implemented by mental health professionals through which they are able to promote appropriate recovery of individuals suffering from mental health conditions. At the core of service delivery lies the need to promote collaborative relationships with the patient for fostering a proper understanding of his wishes, opportunities, and strengths. Responding to the individual’s preferences, concerns goals, needs, and values is critical for ensuring best quality services. Further, professionals are to promote decision-making led by individuals suffering from mental illness as per the needs and values of the individual. Demonstrating resourcefulness and empathy is also pivotal for recovery outcomes.
Reference
Fortinash, K. M., & Worret, P. A. H. (2014). Psychiatric Mental Health Nursing-E-Book. Elsevier Health Sciences. Retrieved from https://books.google.co.in/books?hl=en&lr=&id=xx8PDQAAQBAJ&oi=fnd&pg=PP1&dq=mental+health+nursing,+book&ots=61UyEluyCw&sig=vGVYQLtjAD-fziHV8MJynY5vq7A#v=onepage&q=mental%20health%20nursing%2C%20book&f=false
Parker, S., Dark, F., Newman, E., Korman, N., Rasmussen, Z., & Meurk, C. (2017). Reality of working in a community?based, recovery?oriented mental health rehabilitation unit: A pragmatic grounded theory analysis. International journal of mental health nursing, 26(4), 355-365. DOI: 10.1111/inm.12251
Rose, D., Evans, J., Laker, C., & Wykes, T. (2015). Life in acute mental health settings: experiences and perceptions of service users and nurses. Epidemiology and psychiatric sciences, 24(1), 90-96. DOI: https://doi.org/10.1017/S2045796013000693
Shawyer, F., Enticott, J. C., Brophy, L., Bruxner, A., Fossey, E., Inder, B., … & Edan, V. (2017). The PULSAR Specialist Care protocol: a stepped-wedge cluster randomized control trial of a training intervention for community mental health teams in recovery-oriented practice. BMC psychiatry, 17(1), 172. DOI: https://doi.org/10.1186/s12888-017-1321-3
Slade, M., Amering, M., Farkas, M., Hamilton, B., O’Hagan, M., Panther, G., … & Whitley, R. (2014). Uses and abuses of recovery: implementing recovery?oriented practices in mental health systems. World Psychiatry, 13(1), 12-20. DOI: 10.1002/wps.20084
Stickley, T., Wright, N., & Slade, M. (2018). The art of recovery: outcomes from participatory arts activities for people using mental health services. Journal of Mental Health, 1-7. DOI: https://doi.org/10.1080/09638237.2018.1437609
Stuart, G. W. (2014). Principles and Practice of Psychiatric Nursing-E-Book. Elsevier Health Sciences. Retrieved from https://books.google.co.in/books?hl=en&lr=&id=ivALBAAAQBAJ&oi=fnd&pg=PP1&dq=mental+health+nursing,+book&ots=pEHZHol0p-&sig=hvkn5fRM8b1sZPSrgG6UoLGVv4s#v=onepage&q=mental%20health%20nursing%2C%20book&f=false
Townsend, M. C., & Morgan, K. I. (2017). Psychiatric mental health nursing: Concepts of care in evidence-based practice. FA Davis. Retrieved from https://books.google.co.in/books?hl=en&lr=&id=3a0-DwAAQBAJ&oi=fnd&pg=PA1&dq=mental+health+nursing,+book&ots=mSUeDqROyB&sig=ltQ4ZJ8S4ONfxwqmQHPkG-azpho#v=onepage&q=mental%20health%20nursing%2C%20book&f=false
Varcarolis, E. M. (2016). Essentials of Psychiatric Mental Health Nursing-E-Book: A Communication Approach to Evidence-Based Care. Elsevier Health Sciences. Retrieved from https://books.google.co.in/books?hl=en&lr=&id=Qi68DAAAQBAJ&oi=fnd&pg=PP1&dq=mental+health+nursing,+book&ots=JYh5uuTN9Y&sig=W1tbEB3I54TD2CTETtRsUtrUWX0#v=onepage&q=mental%20health%20nursing%2C%20book&f=false
Wykes, T., Csipke, E., Williams, P., Koeser, L., Nash, S., Rose, D., … & McCrone, P. (2018). Improving patient experiences of mental health inpatient care: a randomised controlled trial. Psychological medicine, 48(3), 488-497. DOI: https://doi.org/10.1017/S003329171700188X
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