The Office of Consumer Services, Ohio
Department of Mental Health developed a Recovery Process Model and Emerging
Best Practices to define and enhance the quality of mental health services
These were developed as a guide to help consumers increase their understanding of
their roles in the recovery process and as advocates for the delivery of quality
services by competent service providers. The model clarifies what consumers have
discovered during their personal recovery journeys about their roles and the
roles of others in the recovery process. Additionally, the model and best
practices are intended to serve as educational tools for family
members/significant others, mental health professionals, administrators,
regulators and third-party payers.
As a basis for the development of this
model and emerging best practices, recovery is defined as: "a
personal process of overcoming the negative impact of a psychiatric disability
despite its continued presence."
Individuals who are recovering from
mental illness move from a state of dependency to interdependency. Many
factors influence their current stage of functioning within the recovery
process. Consequently, movement is not linear. The ultimate goals for
individuals in the recovery process are to:
For each stage within the recovery
process, the status of the consumer and the roles of clinicians and
community supports are defined.
Using this dynamic Recovery Process
Model, generic and universally applicable practices that influence recovery
emerged. These Emerging Best Practices identify preferred behaviors based
upon the best available knowledge and consensus of a diverse working group
comprised of consumers, family members and mental health professionals. As the
impact of these behaviors is measured, it is anticipated that these practices
will be refined and/or others will emerge.
In the existing Emerging Best
Practices, behavioral statements have been identified for the consumer,
clinicians and community across the four levels of recovery and the nine
essential components as defined in the Recovery Process Model.
During the recovery process, this model
indicates that in order for consumers to function optimally they are dependent
upon clinicians, family/significant others and community supports to provide
support and/or services that are consistent with the best practices identified.
Additionally, consumers must take personal responsibility for managing their
recovery by following the best practices as defined. Failure of any of these
entities to behave consistently with these best practices could result in
consumers: not functioning optimally, taking longer than necessary to reach
their optimal level of functioning within and across stages or having
unnecessary relapses. Also, the services provided would not be cost-efficient or
Consumers can use these best practices to
guide their actions during their recovery, identify the services and/or supports
they need and assist them in receiving appropriate services and/or support when
they need it.
Clinicians can use these best practices
to validate they are providing the appropriate services, at the right time, that
will result in the best outcomes. Additionally, these best practices can assist
clinicians in providing consistent services and supports to consumers in
Community supports can use these best
practices to determine the resource commitment that is needed to facilitate
consumersí recovery in a timely manner.
As new clinical, scientific and
technological developments take place, this model and best practice statements
will be updated to reflect those changes.