Task 1 INTRODUCTION I. Hi I'm Tali and I'm here to talk with you about the recovery concept as applied in mental illness is quite confrontational, especially for nurses who are incognizant of Recovery-oriented medical practice. II. The key concept in this presentation is the effect of recovery in individuals with mental illness. Recovery does not refer to cure but to internal and external conditions experienced by recovering mental patients. III. Recovery-oriented medical practice is important for nurses, as it presents a new approach towards the care of mentally ill patients. IV. Some of the key points in this presentation are the principles of recovery, role of consumers in development and implementation of the recovery program, implications It enables caregivers and patients to track their progress. Additionally, this principle dictates that the services provided use the individual care experiences to inform quality improvement processes. Under “uniqueness of the individual”, recovery-oriented mental health practice acknowledges that recovery is not only about the cure but about living a dignified, meaningful, and purposeful life (Goldman et al., 2009). This practice accepts that the outcomes of recovery are unique to each and surpass health focus to incorporate social This principle allows individuals to build on their potential and lead responsible lives. Under “Partnership and communication”, recovery-oriented mental health practice values the significance of sharing information related to the mental situation of individuals. The principle also values the significance of clear communication lines (Rapp & Goscha, 2012). It also acknowledges the capability of each and that partnership between caregivers and individuals should be paramount The contemporary mental health system has failed in the efforts to propel the recovery of people suffering from mental illness. Such flaws have resulted in increased dissatisfaction from the people utilizing these services, as well as their families and the administration of the facilities. Only a fundamental transformation of the system’s culture can lead to a genuine recovery (Rapp & Goscha, 2012). As such, mental health consumers should take the leading role in designing and enforcing the change to a recovery-based mental health
Recovery and professional caring both are integrated in everyone’s career as a nurse. As nurses we need to aid individuals in the recovery process, as well as promoting a professional and caring environment for them to strive in. Jean Watsons Theory of Human Caring and the Repper and Perkins recovery model both inter-relate in recovering from an illness. In all three of the recovery models components that are inter-related, authenticity is needed to make the connections with the patients, especially with the model being based on individual adaption and preference (Bennet et al., 2014, p. 39). This is more of a contemporary way of thinking as it more relates to change and growth of the individual (Collier, 2010, p. 17). To be able to aid a patient to make a full recovery, the patient must have the resources and support, with good intentions and authenticity from those who are enabling them, such as nurses.
Walsh, A. & Clarke, V. (2009) Fundamentals of Mental health Nursing New York: Oxford University Press.
Stuart, G. W. (2009). Principles and Practice of Psychiatric Nursing (9th ed. pp 561). St. Louis, MO: Elsevier Mosby.
National Institute for Mental Health in England (NIMHE) (2005) suggests that recovery is a journey of an individual despite their mental illness being able to maintain some degree of control in their life. In ensuring that Alice is reintegrated back to the society, nurses need to offer her hope despite periods of relapse being prevalent in their recovery journey. (SOURCE) argues that nurses play a vital role in patient’s recovery and this is evident by the level of hope staff afford them. Using the recovery principles, clinicians will employ holistic approaches in meeting Alice’s social, physical, spiritual, emotional and psychological needs hence fostering
Rather than preparing graduates in education or consulting as previous graduate nursing programs had done, this program educated psychiatric-mental health nurses as therapists with the ability to assess and diagnose mental health issues as well as psychiatric disorders and treat them via individual, group, and family therapy (ANA, 2014). Thus, the Psychiatric Mental Health Clinical Nurse Specialist (PMH-CNS), one of the initial advanced practice nursing roles (Schmidt, 2013), was born. After Community Mental Health Centers Act of 1963 led to deinstitutionalization of individuals with mental illness, PMH-CNSs played a crucial role in reintegrating formerly institutionalized individuals back into community life (ANA, 2014). PMH-CNSs have been providing care in a wide range of setting and obtaining third-party reimbursement since the late 1960’s. In 1974 a national certification for PMH-CNSs was created (APNA, 2010). Subsequently, PMH-CNSs began to be granted prescriptive privileges in the Pacific Northwest in the late 1970s, that practice has now spread to 37 states and the District of Columbia (APNA,
However, recovery is based on core aspects such as hope and meaning whereby an individual tries to overcome discrimination, stigma and trauma attributed to the diagnosis of a mental illness. Also, it requires a person to assume the control over his or her life and empowered to make his or her own decision in full engagement. There are two types of recovery, i.e. clinical recovery and personal recovery. Therefore, it is vital for an individual to have a clear understanding of the two as well as identify the differences since recovery is considered to have a medical meaning. According to Rethinks, clinical recovery is a treatment outcome emerged from the designated experts of mental health professionals which encompasses the restoration of social functioning and getting rid of symptoms, hence making an individual to get back to normal. (Unger,
From a historical perspective, the recovery oriented approach is a new approach in the mental health setting, and in Australia, the ‘National framework for recovery-oriented mental health services’ was only endorsed by the Australian Health Ministers in 2013 (Department of Health, 2014). This document provides guidance to mental health practitioners to respond appropriately and effectively to the diversity of individuals with mental health issues, as well as describing key capabilities and practice approaches for a recovery oriented approach in the mental health setting. (Department of Health, 2014).
The strengths-based and recovery models, used often by social workers, hope to prioritize individual 's strengths in order to best assist them on their road of recovery. The recovery model uses empowerment to help their clients make the best decisions for their lives. Allowing the clients to remain autonomous and have the agency to make their own decisions provides fruitful results as well as the maintenance of their recovery. Allowing clients to be in control, as much as possible, of their decisions and recovery paths helps the clients to understand what choices they should make for their life. When a client makes a decision that is not advisable, there are two paths of action. First, the practitioner could go over both the positive and negative implications that that choice would have immediately and in the future. Second, if harm could come to any individual, then the practitioner would have to force the individual to make a different decision or report the behavior. While forceful decisions are not the most productive, a practitioner can not allow harm to happen to any individual. Mental health professionals cannot allow their clients to do harm to themselves or others because of their code of ethics (“NASW snapshot…”,
When looking at the recovery model from a psychiatric rehabilitation perspective, there are a number of characteristics of the recovery process that have been suggested, which include: it is possible for recovery to occur without professional intervention, however this then requires people who believe in and stand by the person in recovery; it does not include dependence on believing specific theories about the cause of the circumstance; it can occur even if symptoms happen to re-occur, but this does not affect the frequency and duration of these symp...
Pratt, C. W., Gill, K. J., Barret, N. M., & Roberts, M. M. (2013). Psychiatric rehabilitation(3rd ed., pp. 169-171). San Diego, CA: Academic Press.
My experience in mental health clinical was very different from any other clinical I had before. In a mental health clinical setting, I am not only treating client’s mental illnesses, I am also treating their medical problems such as COPD, diabetes, chronic renal failure, etc. Therefore, it is important to prepare for the unexpected events. In this mental health clinical, I learned that the importance of checking on my clients and making sure that they are doing fine by performing a quick head-to toes assessment at the beginning of my shift. I had also learned that client’s mental health illness had a huge impact on their current medical illness.
interventions, this model shows promise of helping those who suffer from a mental illness to not
“The concept and value of self-determination is at the very foundation of our country, yet in our behavioral health care system, self-determination is diametrically opposed to the basic assumptions of the medical mode of “care-taking” that has long defined mental health treatment. Self-determination is a concept and value that encompasses “self-management.” However, self-determination goes further than self-management. Self- management implies a focus on managing a situation or specific objectives, whereas self-determination is about the natural process and potential for one to be effective and healthy in the context of their life.” (Federici
Seed, M., & Torkelson, D. (2012). Beginning the recovery journey in acute psychiatric care: Using concepts from Orem's self-care deficit nursing theory. Issues in Mental Health Nursing, 33, 394-398
I have been restlessly questioning if our team has done everything possible to produce a long-lasting outcome for our patient population. I have been making many positive impacts on individual levels but how can I expand my spheres of influences to a population level? I find this question is intellectually challenging and pursuing the Psychiatric Mental Health Nurse Practitioner (PMHNP) will be the pragmatic solution. As PMHNP, I will be equipped to bring a more holistic approach to prove the best comprehensive care rather than addressing a " current primary complaint" of a more complex problem. On a personal and professional level, I fiercely believed that mental illness and addiction are family's disease. One suffers, the rest suffer and I am motivated to cultivate a better understanding of mental health and to embrace a culture of kindness and empathy for those who suffer and their loved ones. The autonomy, prescriptive authority, diagnostic ability and psychotherapy skills that I gain from Maryville's Psychiatric Nurse Practitioner program will empower me to bring compassion and empathy back to the art of