MENTAL HEALTH RECOVERY PROCESS

CLINICAL CARE (Current Status)

DEPENDENT/
UNAWARE

DEPENDENT/
AWARE

INDEPENDENT/
AWARE

INTERDEPENDENT/
AWARE

Cannot identify personal needs;

Uninformed of resource opportunities;

May be angry, anxious, distrustful, and unmotivated;

May not accept diagnosis;

Symptoms, treatment, and stigma may interfere with motivation;

May experience shame & stigma concerning illness;

Depends on professional care;

Aware of illness;

Aware of services & choices available within system;

May not feel empowered to make choices;

May not be interested or desire to make appropriate choices;

Takes responsibility for managing his/her life and illness;

Aware of choices of services, treatment and other resources;

Makes choices independently;

Reasonably self- confident and values personal worth;

Chooses level of involvement with family/significant others, peer groups and community activities;

Accepts responsibility & involves him/herself in community;

Views service providers & personal support system as partners and peers;

Works collaboratively with service providers & personal support system to make choices;

Feels he/she has an opportunity to contribute to others and to society;

Demonstrates hope and achievement when interacting with consumer;

Promotes acceptance as first step to recovery;

Explains illness, symptoms, courses of treatment and hope for the future and begins to reach consumer about the use and benefits of a personal Relapse Prevention Plan and Advance Directives;

Informs consumer of benefits of active treatment;

Ensures consumer and family/significant others are educated about the choices/resources available to them;

Provides activities that will increase consumer’s readiness to make choices in selecting life roles, environment, and goals;

Educates consumer about mental illness & recovery;

Continues hope- instilling strategies;

Works with consumer to define and achieve preferred life roles & goals;

Continues instilling hope strategies;

Encourages input from family/significant others as appropriate;

Encourages development of individualized coping strategies to deal with persistent symptoms;

Continues to support consumers with medication management;

Works with consumer & consumer chosen support system to enhance/support chosen life roles;

Provides information and contracts to consumer to help locate other community resources & supports;

Provides consumer ongoing continued support;

Makes available family and consumer peer support, consumer enrichment and engagement activities;

Makes available educational opportunities for consumers and their families/significant others that focus on mental illness, recovery process and strategies that facilitate recovery;

Provides support and information to overcome stigma and enhance community inclusion (e.g., via churches, community organizations);

Community resources address treatment, life goals, chosen roles, goals & social needs;

Promotes & supports anti-stigma campaigns;

Makes available for consumer collaborative support as needed to remain in chosen life role;

Continues to seek respect & value consumer & family/significant other involvement in community activities & organizations;

MENTAL HEALTH RECOVERY PROCESS EMERGING BEST PRACTICES

CLINICAL CARE (Best Practices)

DEPENDENT/
UNAWARE

DEPENDENT/
AWARE

INDEPENDENT/
AWARE

INTERDEPENDENT/
AWARE

CONSUMER'S
BEST
PRACTICES

Identifies information about mental illness, recovery process, stigma, self-esteem, and building self confidence;

Gains awareness of illness through symptom reduction & education;

Develops self trust by living through traumatic events with support (e.g. hospitalization, family problems, incarceration);

Gains awareness of cyclical or episodic nature of illness & that recovery is not a linear process;

Begins to set recovery goals;

Uses available resources;

Accepts illness & treatment;

Participates in peer support activities;

Reshapes identity;

Begins to make more appropriate choices/decisions;

Participates in prescribed treatment;

Keeps appointments with doctors & therapists;

Attends & participates in self-help group meetings;

Seeks out information from providers & other resources;

Participates in structured activities;

Monitors illness & medications & reports needs to clinician/ physician;

Develops & achieves recovery goals;

Develops & uses own personal coping skills for dealing with residual of recurring symptoms & personal support system;

May keep journal that focuses on feelings; expectations, & life roles;

Reviews personal Recovery Management Plan to update & note accomplishments;

Reviews journal to determine progress;

Takes an active part in peer & advocacy efforts;

Works with other consumers to achieve personal life goals;

Uses mental health services on an "as necessary" basis;

CLINICIANS’
BEST PRACTICES

Builds relationship with consumer by listening, valuing & accepting him/ her as a worthwhile person;

Continues using hope- instilling strategies;

Develops collaboratively with consumer, family/ others and physicians on Recovery Plan;

Collaborates with consumer in managing illness with proper medication by providing information about mediation, strategies for effective management.

Develops rapport & positive relationships with consumer’s family/ significant others;

Assists consumer in setting & reaching goals, thus increasing personal control & self-esteem;

Links consumer to appropriate services, benefits and entitlements;

May involve consumer in groups designed to target issues related to transitioning back to community, goal setting and building relapse prevention strategies and Advance Directives;

Refers family/significant others to psycho-education classes;

Provides (as appropriate) printed information on diagnosis & available resources;

Continues to use hope- instilling strategies;

Helps consumer learn coping skills;

Keeps current on research & treatment to assist consumer in gaining mastery over symptoms;

Assists consumer in developing goals that are shaped by external ideals;

Assists consumer in connecting with community services based upon his/her needs;

Works with consumer to review & monitor status of his/her goals;

Works with consumer to define Recovery Support Plan, Relapse Prevention Plan and Advance Directives;

Assists consumer in contacting agencies & services that will help him/her achieve life goals & support recovery-enhancing activities (i.e., GED, BVR, recovery groups, housing options, volunteer opportunities);

Refers to Social Security to learn about how to use work incentives;

Supports & assists consumer in developing personal coping skills;

Monitors with consumer Recovery Management Plan;

Provides support and assistance in maintaining recovery;

Advocates use of community resources;

Encourages & supports consumer in becoming more involved in community activities;

COMMUNITY SUPPORTS’
BEST PRACTICES

Conducts depression screenings, stress tests, etc. at Health Fairs;

Provides educational products, programs, opportunities that meet the needs of the consumer;

Makes psycho-education & peer support groups available to families/significant others;

Continues providing psycho-education;

Designs inclusive support activities for consumer & family/significant others;

Continues to make available peer support groups for consumers and their families/significant others;

Supports & provides opportunities for volunteer work, paid employment, GED, vocational training, technical training and college opportunities;

Provides housing options including independent housing and home ownership;

Provides opportunities for consumer to be included in cultural, social, physical & entertainment activities;

Includes consumer & his/her family/significant others in planning, providing, & evaluating mental health & support services;

Expands community support;

Increases opportunities for consumer to become involved in community;