MENTAL HEALTH RECOVERY PROCESS
|May experience negative feelings;
May be angry;
May be in denial;
May not accept condition;
May internalize stereotypes of persons with mental illness;
Shame, fear, denial may cause looking away from others;
May feel isolated socially and spiritually.
May be emotional & sensitive;
Begins accepting illness but may still be affected by negative
perceptions of mental illness;
Attempts to gain knowledge about mental illness;
Relies on others (e.g. media) for understanding of illness and
|Begins to understand & accept illness;
Reaffirms identity & separates characteristics of illness from
Begins to be resilient against stereotypes;
Self esteem improves;
Focuses internally, separate from mental health system.
Participates in advocacy activities;
Educates public about rights of persons with mental illness (e.g.,
legal, civic and constitutional).
|Provides positive environment to facilitate understanding of persons
Actively listens to consumer;
Fosters hope for recovery;
Emphasizes consumerís strengths & assets versus deficits;
Educates consumer, family members/significant others about illness,
diagnosis and treatment;
Keeps abreast of current literature;
Addresses issues of stigma and supports consumer;
Engages in stigma busting behaviors & activities;
Values and fosters partnerships and inclusion among providers,
families, significant others, friends and consumers.
|Supports & reinforces consumer in gathering information about
illness; setting appointments; identifying resources & assuming
responsibility for self;
Values consumer choices;
Assists consumer in understanding consequences associated with
Provides opportunities for consumer to vent & express his/her
Assists consumer in coping with internalized stigma;
Teaches stigma-busting behaviors & activities;
Views consumer as an individual versus diagnosis; and different
Teaches coping mechanisms that are not stigmatizing.
|Provides information that emphasizes recovery;
Supports consumer during recovery process;
Emphasizes to consumer responsibilities for own actions;
Promotes & emphasizes consumer focus on living "with"
mental illness versus suffering from an illness;
Challenges other clinicians/providers when they stigmatize;
Encourages consumers to challenge clinicians/providers;
Informs consumer about new medications that can decrease
Assists consumer in developing & participating in stigma busting
Works with consumer in confronting stigma throughout the system;
Advocates for consumer as full partner in recovery.
|Assists consumer in celebrating success of his/her Recovery
Arranges visits to model recovery inside & outside hospital with
other recovering consumers, staff and inpatients;
Reinforces non-stigmatizing behaviors;
Actively supports anti-stigma efforts;
Supports consumerís decision to disclose;
Encourages & supports consumer to access community
organizations, social, cultural, spiritual and personal interest
groups for validation of strengths & esteem.
COMMUNITY SUPPORTSí ROLES
|Provides education opportunities that focus on understanding mental
illness and the mentally ill;
Provides opportunities to reject/combat stigma (i.e., community
Responds to negative stigma issues presented in the media and other
Ensures that organization, staff, internal policies, etc. are stigma-free.
|Establishes Consumer Speakerís Bureau & provides speakers who
are doing well & willing to tell their story;
Conducts anti-stigma public relations campaigns within the
Provides de-stigmatizing activities for consumers to participate in.
|Makes support groups available & accessible;
Conducts anti-stigma campaigns.
|Involves consumer in community activities;
Promotes persons recovering from mental illness in educational
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MENTAL HEALTH RECOVERY PROCESS BEST PRACTICES
|Identifies positive support system;
Seeks ways to handle anger (i.e., anger management);
Seeks out information on mental illness; meanings of mental illness;
Seeks out other consumers who have been successful in handling
stigma & feelings of isolation;
Seeks out meaningful social, cultural and spiritual relationships.
|Increases self- knowledge about illness, medication and mental health
Gains knowledge about available resources;
Becomes more trusting of service providers;
May begin to promote and participate in anti-stigma activities.
|Develops short-term goals;
Focuses on vocational skills with less emphasis on personal
Participates in support groups that focus on ways to improve/diffuse
Separates self from stereotypes.
|Accepts his/her illness;
Seeks to educate public about mental illness and mental health;
Gets involved in community activities to help dispel stereotypical
CLINICIANSí BEST PRACTICES
|Office, treatment & program environments reflect
mental health recovery philosophy;
Recognizes importance of components of Relapse Prevention Plan and
Advance Directives in decreasing stigma;
Educates family, friends and significant others about stigma;
Provides consumer with education materials;
Identifies roles in decreasing stigma;
Cross-trains mental health providers in order to minimize stigma
within the mental health system;
Encourages consumer participation in community organizations (i.e.,
YMCA, library society, theatre groups);
Conducts positive interactions with consumers/families based upon
recovery principles and expectations;
Involves consumer in groups for purpose of exploring why stigma
|Uses groups (e.g., Mental Health Education, Self Esteem) to discuss
cause and effect of stigma and consumer responsibility for his/her
Uses speakers from other groups to discuss stigma & stigma-busting strategies (e.g., AMI,
Works in partnership with consumers, families/significant others in
|Encourages consumer to volunteer (e.g., food banks, nursing homes,
soup kitchens and/or drop-in centers);
Develops & teaches leadership and advocacy skills;
Uses groups to focus on "good citizenship" behaviors;
Uses group discussion to focus consumer on appropriate
Advocates for consumer as full partner in recovery.
|Monitors the mental health system to minimize internal stigmatizing
of consumers and families;
Encourages consumer to take leadership role in advocacy and support
groups (e.g., AMI);
Encourages consumer to make presentation;
Creates opportunities to celebrate consumerís achievements (e.g.,
COMMUNITY SUPPORTSí BEST PRACTICES
|Community organizations sponsor stigma-busting activities;
Consumer and family organizations partner with community
organizations in coordinating stigma-busting activities.
|Establishes & maintains Speakersí Bureau;
Conducts anti-stigma campaigns;
Consumer & family organizations conduct media/legislative watch
and response activities.
|Establishes & maintains support groups;
Continues anti-stigma activities and collaboration.
|Establishes and maintains support groups,
anti-stigma activities and collaboratives.