What is Recovery?
Presented by:
On:
At:
Aims of this Session
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Understand different views on Recovery
Inside and Outside factors in Recovery
Think about individual Recovery
Barriers to Recovery and ways to
overcome them
• What Recovery means to me and tools
to help me in Recovery
Patricia Deegan, PhD
I was 18 years old. I asked the
psychiatrist I was working with, What’s
wrong with me? He said, You have a
disease called chronic schizophrenia. It is a
disease that is like diabetes. If you take
medications for the rest of your life and avoid
stress, then maybe you can cope. And as he
spoke these words I could feel the weight of them
crushing my already fragile hopes and dreams
and aspirations for my life. Even some 22 years
later, those words still echo like a haunting
memory that does not fade.
Two Definitions of Recovery
• Symptom remission; full- or part-time involvement in
work or school; independent living without supervision
by family or surrogate caregivers; not fully dependent
on financial support from disability insurance; and
having friends with whom activities are shared on a
regular basis. sustained for a period of 2 years. (Liberman et al,
2002)
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A deeply personal, unique process of changing one’s
attitudes, values, feelings, goals, skills and roles. It is a
way of living a satisfying, hopeful and contributing life
even with limitations caused by the illness. Recovery
involves the development of new meaning and
purpose in one’s life as one grows beyond the
catastrophic effects of mental illness.
(Anthony 1993)
‘Inside’ and ‘Outside’
“Recovery refers to both internal conditions
experienced by persons who describe
themselves as being in recovery—hope,
healing, empowerment and connection—and
external conditions that facilitate recovery—
implementation of human rights, a positive
culture of healing, and recovery-oriented
services.”
(Jacobson and Greenley, 2001, p. 482).
Inside + Outside = Life
Inside
and
Outside
-Less symptoms-Family support
-understanding-getting insight-trust-Transformation-maturing as an individual-Emotional response-Empowerment-Hope-No self-stigma-
-Freedom-Confidence-Identity-
R
e
c
o
v
e
r
y
-Back to work-Not harming self-speaking to somebody-services promoting recovery-
-reading my file-Making choices about Medication-kindness-giving something back-WRAP-Better environment-
The C.H.I.M.E.
https://recoverycontextinventory.com/helpfulrecovery-resources/personal-narratives/
Barriers to Recovery
(Mental Health Commission 2007)
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Dominance of Medical Model
Public Opinion/Stigma
Resistance from Service Providers
Lack of Multidisciplinary Teams
Lack of Understanding of Recovery
Model
• Lack of Evidence-based Research for
Recovery Model
Scenario:
Barriers and Solutions in the Day Hospital
Barriers
Solutions
• Psychiatrist doesn’t
listen to me
• Psychiatrist Changes
every 6 months
• Waiting for
Psychology or
Counselling
• Prepare in Advance
• Use a friend or family as
‘sounding board’
• Ask someone to come in with
you
• Find out when Psych is leaving
• Make list of hopes/plans and
record in notes
• Lo-cost counselling
• Peer Groups, GROW, AWARE,
PIETA
• Samaritans 24/7
Mid West Region Definition of
Recovery
‘Recovery is an ongoing process and is not an end
goal. It describes a person’s journey towards
independence, and embodies a belief that one
has purpose and value with or without the
symptoms of mental ill health. It is made
possible by the support and guidance of others
but ultimately it is about making educated
choices as an individual about how best to
manage one’s own well being and health’.
My Personal Recovery
Recovery to me means:
e.g. “Hopefulness”
e.g.
My Recovery Goal is....
Thank you!
References
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Anthony WA (1993) Recovery from mental illness: the guiding vision of the mental health service
system in the 1990s, Psychosocial Rehabilitation Journal, 16, 11-23.
Deegan, P. (1996) Recovery as a Journey of the Heart. Psychiatric Rehabilitation Journal, 19(3), 9197.
Jacobson N, Greenley D (2001) What is recovery? A conceptual model and explication. Psychiatric
Services, 52(4), 482-5.
Leamy M, Bird V, Le Boutillier C, Williams J, Slade M (2011) A conceptual framework for personal
recovery in mental health: systematic review and narrative synthesis, British Journal of Psychiatry,
199, 445-452.
Liberman RP., Kopelowicz A ., Ventura, J. & Gutkind, D. (2002) Operational criteria and factors
related to recovery from schizophrenia, International Review of Psychiatry 2002, 14, 256–272
https://recoverycontextinventory.com/helpful-recovery-resources/personal-narratives/ [Retrieved
on 8/7/16]
https://recoverycontextinventory.com/what-is-mental-health-recovery/context-and-the-recoveryprocess/ [Retrieved on 7/7/16]
https://www.youtube.com/watch?v=jhK-7DkWaKE [Retrieved on 11/7/16]
https://www.youtube.com/watch?v=syjEN3peCJw [Retrieved on 11/7/16]
McMahon, J., Wallace, N., Kelly, J., Egan, E. (2014) Recovery Education College: A Needs Analysis,
University of Limerick/HSE (in press).
Mental Health Commission (2007) A Vision For a Recovery Model in Irish Mental Health Services: A
Qualitative Analysis of Submissions to the Mental Health Commission.