IT IS ALL ABOUT THE JOURNEY:IT IS ALL ABOUT THE JOURNEY:
Supporting the creation of active Supporting the creation of active recovery spaces within service recovery spaces within service
frameworksframeworks
Kompetanse PA Brukervis- Nordisk Konferanse OM Psykisk Helse
2nd – 4th October, 2007 Trondheim, Norway
Helen GloverQueensland, Australia
Non Focussed
Refocus on 3, 2, 1
•Objective Explanation of Distress
•External Interpretation
•External Expert
•External knowledge
•Focuses on what is common
•Absolute Truth Alone
•Externally Determined
•Managed Care- Doing to
•Understanding of Subjective Distress
•Internal Interpretation
•Self Expert
•Internal knowledge
•Focuses on what is unique
•Many understandings
•Internally realised
•Participatory Care – being with
A Recovery Oriented Paradigm ShiftA Recovery Oriented Paradigm Shift
And
Dominant Paradigm Non Dominant Paradigm
Bodies of KnowledgeBodies of Knowledge
Dominant Dominant ParadigmParadigm
Less - Dominant Paradigm
Formally LearntFormally Learnt( Professional)( Professional)
Medical
Psychology
Social Work
Occupational Therapy
Nursing
ExperientialExperiential
Traditional SocietyKnowledge
Lived Experiences
Family and Community Knowledge
SubjectiveObjective
Alternatives
Recovery Based
Practice Knowledge
Adapted from Canadian framework of Support 1989 & Glover H , 2001
Some Underpinning Some Underpinning • We are self righting beings
• We constantly seek to meet our needs
• We are constantly changing
• We are meaning making beings
• We each are responsible for our own lives
• We utilise and create a range of environments to undertake our
life’s work
• Contributing is as an important factor as being able to receive
• We define ourselves in many ways –People are not their illness
experience
• We are joined by our sameness not our difference. We have all
overcome something
• Overcoming anything requires personal effort
Core Core BelieBelie
fsfs
Efforts of “Self Righting”Efforts of “Self Righting” • Realising I am uncomfortable
• Wanting something different
• Personal vision of what is possible
• Believing I can
• Realising no-one can ‘ recover me’
• Taking risks – having a go
• Actively seeking and utilising supports
• Seeing that I am Self Managing and Doing It
• Seeking to be in more control
• Doing more of works and less of what doesn’t
• Realise I can influence my distress
• Taking more ownership and self direction
• Learning and discovering
• Making meaning
• Seeing my illness is not me
• Appreciating my sense of sameness to others
• Transcending my identity with illness
• Reconnecting to my sense of citizenship
• Making contributions
• Accepting and maintaining roles, responsibilities and opportunities
• Appreciating my internal effort versus the effort of others
Wife
Teacher
Tax Payer
House owner( mortgage payer)
Aunt
Loves Travel
Can Kill Plants
at a Glance
Friend
Gym goer
I can’t do that I have an illness
I’ll have to ask the Doctor first
Others know more about me
than I do…
I might fail… I might
relapse..
Sorry I can’t go… I have to go to the Day
Centre
I have to face the facts – I have a mental illness
I don’t know …
I am just an illness…no-one expects anything else of me
Hospital admissions
Day Centres
Dr’s Appointments
Assessments & Monitoring
Medications
Sick certificates
Reports and documentation
Stubborn as an Ox
Patient
Self Direction & Care
Natural supports
Mental Health Care & support
Housing & Financial Supports
Meaningful occupation
Hobbies and Interests
Self Self Determ
ination
Determination
MotivationMotivation CourageCourage
ResilienceResilience
StubbornnessStubbornness
Personal
Personal
Responsib
ilit
Responsib
ilit
yy
HumorHumor
Sense of meaning and purposeSense of meaning and purpose
Sense of SelfSense of Self
Internal & External SupportsInternal & External Supports
SpiritualitySpiritualityFutureFuture
Physical Health care
I am I am
mentally Illmentally Ill
I’ll have to ask I’ll have to ask the doctor firstthe doctor first
I am not I am not capable capable of doing of doing thatthat
I have I have to face to face reality reality that I that I am am sicksick
InternalExternal
Construction of Chronicity Construction of Wellness
Micro AggressorsMicro Aggressors Micro EnhancersMicro Enhancers
ITME ME IT
Special Entry!!!Identity with illness
required
Free Entry!!!NO Identity with illness
required
Which door?Which door?
Types of ParticipationTypes of Participation
PrimaryPrimary
SecondarySecondary
TertiaryTertiaryI am actively involved in valued roles
and opportunitie
sI am actively involved in
managing my health
I am actively involved in addressing systemic change
Lived Experienced “ Lived Experienced “ Specialities”/ Expert areasSpecialities”/ Expert areas
Beyond the T –Shirt Beyond the T –Shirt Experience AloneExperience Alone
• Human Rights & Social Justice
• Effects of Marginalisation and Discrimination on Wellness
• The effects of professional, systemic, community and self stigma
• Skills in addressing stigmatising practices and structures
• Anti- discrimination, disability discrimination
• Concepts of Advocacy and Advocacy skills
• Power relationships and its impact on illness/wellness
• Self empowerment
• Values and principles of Recovery and Recovery Based Practice
• Resilience – overcoming adversity
• Narratives of lived experience
• Effects of professional, community and self stigma
• Construction of Disability/Wellness
• Self Assessment
• Self Management
• Self Directed Planning
• Frameworks of Peer Support
• Evidence base for Peer Support
• Lived experienced delivered services
• Lived Experienced research methodology
• Working with people differently who experience crisis
• Change processes
• Connecting with people in distress
• Skills of sitting with distress and being with
• Social connectedness and inclusion
• Research that supports recovery
• Recovery based practice indicators
• Recovery based language
• Self documentation mechanisms
• Recovery education
• Recovery based practice education
• Social Inclusion theory
• Self determination theory
• History of mental illness and recovery
• History of consumer movement
• International perspectives on survivor movement
• Survivor politics
• Legal frameworks
• Involvement and participation structures and models
• Current Policy – National, State and Universal
• Frameworks of Support
• Community Resources