Thursday, December 12, 2019
Principles of Recovery-Oriented Mental Health- myassignmenthelp
Question: Write about thePrinciples of Recovery-Oriented Mental HealthPractice. Answer: The national framework for recovery-oriented mental services outlines the key concepts that specialist should use while providing mental services. In an in-depth illustration, this paper will be aiming to demonstrate how the story of Sandy Jeffs can be used by mental health professionals to align their services with the principles provided in the framework. The Concept of Lived Experience The report of (Australian Health Ministers' Advisory Council, 2013) advocates for a recovery model that focuses on the concerns of the people who have lived experience in mental health problems. Recovery in lived experience takes the first approach by focusing on the disorder through its manifested syndromes and symptoms. In this way, the health professionals use clinical approaches in diagnosing and treating the disorder. In lived experience, recovery also involves taking a holistic approach which looks at the whole person. Specialists also look at the consumer not as a receiver of the service but as an expert coming from his or her own experience(Tambuyzer, Pieters, Audenhove, 2011). In this dimension, the professionals who are service providers interact with service users as partners but not just as recipients of the service. The Concept of Mental Recovery in a Lived Experience The concept of mental recovery in lived experience focuses on taking service users as persons with equal right with other people in the society(Mental Health Commission of NSW, 2018). The doctrine focuses on promoting the lives of mentally ill individuals to promote it. Thus, this concept focuses on empowering the users, helping them regain hope, and maintain their optimism despite the disorders limitations. As outlined in (Australian Health Ministers' Advisory Council, 2013), The entire concept revolves around consideration of a new era where service users are no longer the recipients of a service, but experts in their lived experience. This vision acknowledges that service providers should work together with service users under the philosophy of collaboration. Main Ideas in A national framework for recovery-oriented mental health services According to (Australian Health Ministers' Advisory Council, 2013), the framework has 17 capabilities which are put into five main areas of practice (practice domains). Among them, the first domain encourages services to recognize recovery as a culture and language that inspires service users to be hopeful and optimistic(Aggarwal, 2016). This domain discourages actions that make mentally ill persons feel weak and stigmatized. It also discourages actions such as discrimination, and other activities that can discourage them from pursuing education, employment or other aspects that can make their lives better. The second domain requires that mental services take the service user as the primary of the service, and to focus on the users situations holistically. In a holistic approach, services focus on the users by understanding that the persons well-being has the body, state of mind, family and the society as factors which are inseparable(Mental Health Commission of NSW, 2018). This domain takes recovery as a process that emphasizes on the individuals, their families, culture and society strengths. The third domain advises that the support for personal recovery should not be an additional task to the health system, but it should be part of the primary agendas(Australian Health Ministers' Advisory Council, 2013). The domain urges the practitioners to support users of their services in defining their goals. Patients should be given adequate support to enable them to outline their needs, dream, goals in life, and plans among others(Clarke, Oades, Crowe, 2012). This domain contains all factors of holistic approach, individuality, peer support, informed choice, and personal strength. The fourth domain is an advice to organizations which advocate for recovery(The Department of Health, 2010). This domain reasons that such organizations should show their commitment to the promotion of recovery. In essence, these are organizations whose cultures offer primacy on the recovery, focus on it, adapt to it, and their objectives are on the people. The fifth domain fosters elements of social inclusion. Inclusion here requires recognition of human rights and citizenship of the mentally ill persons(The Department of Health, 2010). The domain also emphasizes the action towards social determinants that affect patients health, mental health, and their wellbeing. In general, this domain discourages inhuman treatment such as assaults, stigmatization, and discrimination among others. Principles of Mental Recovery and the Lived Life of Sandy Jeffs Employing this principle would require one to recognize that recovery does not remain within the boundaries of eliminating symptoms. Instead, recovery takes into account the individuals purpose of life. This principle reminds practitioners that recovery involves elevating the status of an individual by helping them reach their goals, satisfy their endeavors, and giving them an identity in the society (Jacob, Munro, Taylor, Griffiths, 2015). Secondly, this principle requires the service providers to understand that recovery is a unique process that differs from one individual to the other(Rapp Goscha, 2011). Also, it involves enlightening the society on the purpose of inclusion. According to (Xie, 2013), mentally disabled persons should be given a chance to seek education, employment, and a better life. From the Sandy Jeffs experience, she states that she was diagnosed with schizophrenia, she saw no purpose in life. She states that people deny mentally ill patients jobs and stigmati ze them. These are actions that this principle is condemning. Instead, the service providers should enlighten the society to accept inclusion, starting offering jobs to mentally ill individuals, and recognize them as people who can contribute to a good change in the society. The principle of real choices Empowering and supporting individuals to come up with practical choices about their lives and the way they want to live it is one role in nursing practice(Australian Health Ministers' Advisory Council, 2013). Practitioners should aim at supporting individuals to grow their strengths and take care of themselves. As a rule in practice, nurses should execute their duty to care while still ensuring that they are supporting individuals when they are engaging positive risks, encourage them to apply for jobs and help them in going for new opportunities in life. Sandy Jeffs states that; We have to start supporting people in the community, and that's not just about reducing stigma, but it's also about helping people and supporting them We need to provide them with drugs, give them meaningful jobs This is a part of empowering them mentally ill persons by giving them work and making them feel worth. The principle of attitudes and rights According to (Australian Health Ministers' Advisory Council, 2013), this principle looks at the interaction between health professionals and the consumers. Mental health service providers should be listening, and they should learn and act upon the communications coming from their service users(The Department of Health, 2010). Promotion and protection of the rights of mentally disabled persons should be at the forefront of these service providers. Service providers should understand that citizenship is core player in the recovery. In her work, Sandy Jeffs in On being certified Insane the poem states that even specialists could humiliate her The humiliation does not cease as they lead you to the locked ward; a lunatic, a fruit cake, certified insane. And the soul is a fragile blossom nearing its end. All dignity is lost, and the term of residence in the loony-bin begins with the auspicious title(Jeffs Staines, 1993, p. 18) Instead of such actions, specialists should provide a good environment that is respectful of the individuals human rights, legal status, and their entire citizenship(Kogstad, Ekeland, Hummelvoll, 2011). Dignity and Respect This principle requires courteous action when dealing with users, honesty and respectful interactions while and honest in all interactions. Dignity and respect involve being careful when dealing with sensitive matters such as someones beliefs, faith, values, culture, etc.(Kogstad, Ekeland, Hummelvoll, 2011). Practitioners should discourage challenges of discrimination and other words that are meant to castigate or undermine the client. For instance, Sandy Jeffs in Thesaurus of Madness provides numerous words that are used to refer to mentally ill persons and all these words are derogatory; Being as I am, mad that is, I must be: bananas, crackers, a camel short of a caravan, a ball short of an over, a pad short of a kit, not in my right mind, bereft of reason, deprived of my wits (Jeffs, 2009) Partnership and Collaboration Partnership and collaboration is all about inclusion, acknowledging that service users can are the experts of their care(Anderson, 2012). Professionals are called to involve service users in the recovery programs rather than just treating them as recipients. Professional should be the first people to accept sharing roles with mentally ill persons. By involving users, professionals can help them realize their goals, see their value in the society, and promote them to take care of themselves(Elstad Eide, 2009). Partnership and collaboration can provide the users with an environment where they can share their feelings and receive compassion. For instance, in the poem, medicated Sandy states most of the problems that she goes through, Join me on the medication trolley I was so Stelazined I was like a cat on a hot tin roof, Ive been Modectated into a shuffle(Jeffs , 2012) Evaluation and Recovery Evaluation helps to track whether a certain approach is practical or not. Services are only useful to people if they are transforming their lives. According to (Hayward Ayres, 2011), evaluations help in assessing the progress of the users of a certain care plan, and it informs whether on changes that can be implemented to make the service better. The key outcomes that evaluations should inform are in the matters of social and family relationships, patients wellbeing, health, employment, and education among others. Conclusion This paper aimed to analyze the key principles for recovery-oriented mental health services contained in the national framework manual. The paper outlined the main ideas in the framework and discussed both the concept of lived experience and the concept of recovery. Above all, the paper demonstrated how the story of Sandy Jeffs could be used by mental health professionals to align the services with the national framework for recovery-oriented practices. References Aggarwal, N. (2016). Empowering People with Mental Illness within Health Services. Acta Psychopathologica, 2. doi:10.4172/2469-6676.100062 Anderson, H. (2012). Collaborative Practice: A Way of Being "With". Psychotherapy and Politics International, 10, 130-145. doi:10.1002/ppi.1261 Australian Health Ministers' Advisory Council. (2013). A national framework for recovery-oriented mental health services: Guide for practitioners and providers. GUIDE FOR PRACTITIONERS AND PROVIDERS. Retrieved from https://www.mhima.org.au/pdfs/Recovery%20Framework%202013_Policy_theory.pdf Boutillier, C. L., Leamy, M., Bird, V. J., Davidson, L., Williams, J., Slade, M. (2011). What Does Recovery Mean in Practice? A Qualitative Analysis of International Recovery-Oriented Practice Guidance. Psychiatric Services, 62, 1470-1476. doi:10.1176/appi.ps.001312011 Clarke, S., Oades, L. G., Crowe, T. P. (2012). Recovery in mental health: A movement towards well-being and meaning in contrast to an avoidance of symptoms. Psychiatric Rehabilitation Journal, 35, 297-304. doi:10.2975/35.4.2012.297.304 Elstad, T. A., Eide, A. H. (2009). User participation in community mental health services: exploring the experiences of users and professionals. Scandinavian Journal of Caring Sciences, 23, 674-681. doi:10.1111/j.1471-6712.2008.00660.x Hayward, S., Ayres, J. (2011). A service evaluation of recovery support from the patient's perspective. British Journal of Wellbeing, 2, 26-31. doi:10.12968/bjow.2011.2.5.26 Jacob, S., Munro, I., Taylor, B. J., Griffiths, D. (2015). Mental health recovery: A review of the peer-reviewed published literature. Collegian, 24, 53-61. doi:10.1016/j.colegn.2015.08.001 Jeffs , S. (2012). Medicated and McMadness (Two Poems by Sandy Jeffs). Retrieved from Centre for Medical Humanities: https://centreformedicalhumanities.org/medicated-and-mcmadness/ Jeffs , S., Staines, D. (1993). Poems from the Madhouse. Spinifex Press. Jeffs, S. (2009). Flying with paper wings: refl ections on living with madness. Retrieved from https://journals.sagepub.com/doi/abs/10.3109/10398562.2010.515001 Kogstad, R. E., Ekeland, T.-J., Hummelvoll, J. K. (2011). In defence of a humanistic approach to mental health care: recovery processes investigated with the help of clients narratives on turning points and processes of gradual change. Journal of Psychiatric and Mental Health Nursing, 18, 479-486. doi:10.1111/j.1365-2850.2011.01695.x Mental Health Commission of NSW. (2018). Lived experience. Retrieved from https://nswmentalhealthcommission.com.au/lived-experience Rapp, C. A., Goscha, R. J. (2011). The Strengths Model: A Recovery-Oriented Approach to Mental Health Services (2 ed.). Oxford University Press. Tambuyzer, E., Pieters, G., Audenhove, C. V. (2011). Patient involvement in mental health care: one size does not fit all. Health Expectations, 17, 138-150. doi:10.1111/j.1369-7625.2011.00743.x The Department of Health. (2010). Principles of recovery oriented mental health practice. Retrieved from https://www.health.gov.au/internet/publications/publishing.nsf/Content/mental-pubs-i-nongov-toc mental-pubs-i-nongov-pri Xie, H. (2013). Strengths-based approach for mental health recovery. Iranian journal of psychiatry and behavioral sciences, 7(2), 5-10. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3939995/pdf/ijpbs-7-005.pdf
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