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Unaware of effect illness has on decision making;

Lacks identity;

Does not recognize responsibility for actions or their consequences;

May resist assistance and may be angry;

Does not realize input is important to facilitating recovery;

May have difficulty taking control of his/her life;

May be totally dependent upon clinician;

May not take medication.

Depends upon others and feels powerless & victimized;

Lacks identity;

Sense of self is determined by others;

Understands the need for assistance;

Begins to see the relationship between decisions and quality of life;

Sees choices but may feel powerless about making choices.

Has sense of self;

Has personal identity;

Defines own goals;

Aware of consequences of decisions;

Aware of personal responsibility;

Takes risks;

Seeks to be in control;

May resist othersí decision making;

Understands the need for assistance;

Begins to see the relationship between decisions & quality of life;

May experience stressful interactions with family/significant others.

Aware of how he/she affects the others' lives;

Recognizes his/her relationship with others;


Asks for help while still having sense of self;

Recognizes value & nature of goal attainment;

Makes decisions, based upon information, awareness and consequences.


Educates consumer, family members/ significant others about illness, diagnosis and treatment;

Considers stigma associated with mental illness when educating and treating consumer;

Addresses stigma issues with consumer, family and significant others;

Assesses and promotes consumerís ability to understand illness, community living skills and educational level;

Recognizes recovery struggle & communicates that understanding to consumer;

Validates consumerís feelings;

Aware of power issues;

Encourages independence and continued personal & social activity;

Encourages medication compliance as a means to facilitate recovery.

Identifies consumerís hopes, dreams, aspirations & values;

Teaches coping, problem-solving & decision making skills;

Teaches consumer about gaining resources;

Helps consumer build self-esteem;

Provides environment for consumer to set goals;

Teaches & reinforces independent living skills & alternatives;

Identifies consumerís perspective on his/her "loss" of power & control;

Presents alternatives and allows consumer to make choices.

Exchanges and/or shares knowledge with consumer;

Shares power & decision making with consumer;

Assists consumer in achieving his/her goals;

Enhances consumerís life skills;

Educates consumer about resource sources (e.g., library);

Encourages consumer to find other resource persons;

Encourages participation in social groups;

Enhances consumerís social skills, including reading social cues;

Educates consumer on "how to take control;"

Accepts consumerís mistakes;

Exhibits patience;

Encourages consumer to participate in social, cultural & spiritual groups/ organizations.

Assists consumer in solidifying his/her role within community;

Encourages self- advocacy;

Fosters the development & refinement of interaction & interpersonal skills;

Supports & educates consumer regarding his/her exploration of personal intimacy, cultural and spiritual needs;

Includes consumer in program planning & evaluation;

Supports involvement of consumer in system change activities;

Involves consumer in implementation of Recovery Management Plan.


Provides housing, food, transportation support;

Makes case management and community support programs & educational opportunities available;

Provides consultation for family members;

Manages guardianship issues;

Family and consumer, and organizations provide support.

Provides environment within business and housing settings that allow the consumer to practice newly-found skills and encourage self reliance;

Establishes self-help groups.

Encourages independence;

Provides educational opportunities focused on recovery & stigma-busting strategies.

Recognizes individuals with mental illness can lead productive & independent lives;

Supports individuals with mental illness in maintaining productive independent lives.

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Open to learning and increasing awareness about illness;

Listens and begins developing trusting relationships;

Aware of lack of power and control;

Recognizes benefits of medication, if needed and is compliant.

Seeks education opportunities that provide information about mental illness, self esteem, sense of self and building self confidence;

Maintains medication, if necessary;

Self-evaluates decisions;

Makes choices based upon self-evaluation;

Seeks assistance when necessary.

Seeks personal relationships & support for them;

Maintains medication;

Engages in forums for educating & dispelling stigma for purposes of gaining more power;

Aware of accomplishments;

Celebrates success & learns from mistakes.

Volunteers to help other consumers gain awareness & take risks to eliminate stigma;

Maintains medication;

Maintains personal & professional relationships;

Accepts responsibility for own wellness;

Makes decisions based upon awareness and understanding of consequences.


Identifies persons who have been successful in recovery from their mental illness to serve as role models;

Uses interventions that address consumerís needs from a recovery perspective;

Identifies available community supports;

Involves consumer in groups;

Educates recovery & support teams about valuing consumerís feelings;

Uses speakers for purpose of discussing issues related to housing, budgeting and grooming;

Values consumerís feelings;

Leads recovery team in promoting self reliant model;

Identifies non-medical symptoms (e.g., mood) that impact consumerís recovery.

Identifies with consumer survival techniques;

Provides consumer with Peer Support to assist with realization of "hope;"

Provides educational opportunities that focus on teaching problem solving, decision making and coping skills;

Takes trips with consumer to the community to identify resources;

Develops partnership with consumer that focuses on developing decision making strategies and evaluating consequences & benefits;

Develops with consumer his/her Relapse Prevention Plan and Advance Directives;

Celebrates with consumer when goals are achieved (e.g., dinner certificates).

Supports consumer when needed;

Empowers consumer to be independent & healthy;

Involves consumer in groups for purposes of setting goals & cultivating healthy relationships;

Develops with consumer stress management regime, advocacy skills;

Works with consumer on maintaining Recovery Management Plan, Relapse Prevention Plan & Advance Directives;

Uses other consumers as mentors for purpose of identifying strategies that result in successful living within the community.

Evaluates with consumer the effects of various intervention strategies;

Works in partnership with consumer to maintain recovery and supports consumer choices.


Makes information about housing, food, transportation, etc., available within community (e.g., churches, hospitals, outreach programs);

Mental health agencies establish collaborative relationships with local criminal just system (i.e., policy, Bar Association);

Provides opportunities for consumer involvement;

Expects consumer to use self-reliant model.

Provides resource materials in waiting rooms at Mental Health Centers;

Mental health agencies conduct public relations activities within community & focuses on media;

Media includes mental health in health reporting.

Provides consumer with information about resources available within the community;

Provides educational opportunities that focus on interpersonal and social skills;

Expects consumer to be involved in community;

Rewards positive participation & celebrates successes.

Remains available to support consumer as needed.

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