Transcript MODULE 4: RECOVERY: A LIVED EXPERIENCE

MODULE 3:
RECOVERY:
A LIVED EXPERIENCE
Preparing the Workforce
Employing Consumers and Family Members
As Employees in the Mental Health Workforce
Working Well Together
Welcome
2
The Vision
• “Transformation to a mental health system where
service delivery is no longer driven solely by the
values of professionals and bureaucrats, but rather is
based on an equitable partnership involving
individuals with psychiatric disabilities is needed. One
way to achieve such a transformation and
partnership; is through the employment of people
who are consumers of mental health services as
providers.
• vision statement acknowledges the recovery goals of
"living, working, learning, and participating fully in the
community
– (Clay et al. 2005; New Freedom Commission on Mental
Health 2003)
3
Recovery:
A Lived Experience
4
Hope
5
Quote:
One of the elements that
makes recovery possible
is the regaining of one’s belief in oneself.
- Chamberlain
6
Learning Objectives
• Discuss the views
that support
recovery
• Identify elements
of recovery
• Understand the
influence of
recovery in the
workplace
7
Is Recovery Possible?
In small groups of three, discuss how your
workplace would respond to these
questions:
1. Is recovery possible?
2. If so, what would it take to recover?
3. If not, what would hinder recovery?
8
Recovery
9
The Emergence of Recovery
The possibility of recovery is based on
two divergent views:
1. Lived experience of consumers recovering
2. Research data supporting recovery
10
Lived Experience
• "Mental health clients bring a set of values,
beliefs, and lifestyles that are molded, in part, by
their personal experiences with a mental illness,
the mental health system and their own ethnic
culture. When these personal experiences are
shared, mental health clients can be better
understood....
» California Department of Mental Health,
Information Notice 02-03; Revised Addendum
4/2002: Required Components For the
Implementation Plan; Plan for Culturally Competent
Specialty Mental Health Services, 2002
11
Lived Experience
• A Story of
Recovery
12
The Research of Recovery
Vermont Study of Post-discharged Consumers
1. 62-68% = Considerable Improvement
2. > 50% = Had Social Life
Held Paid Job or Volunteered
Were Symptom Free
Were Off of Medication
(n=269)
– Harding, C., The Vermont Longitudinal Study of Persons with Mental Illness 1,
American Journal of Psychiatry, Vol. 144 pgs. 718-726 and The Vermont
Longitudinal Study of Persons with Mental Illness 2, American Journal of
Psychiatry, Vol. 144 pgs. 727-735, 1987.
13
Peer Support Efficacy Study
• 1,800 participants in randomized, controlled trial
revealed those offered consumer-operated
services as adjunct to traditional mental health
services showed significant gains in:
– Well-being—hope, self-efficacy, empowerment, goal
attainment, and meaning of life—in comparison to
those who were offered traditional mental health
services only.
» COSP Study Results (SAMSHA, Sept, 2010 Peer
Support and Peer Providers: Redefining Mental
Health Recovery)
14
Change in Well-being Over Time
*COSP = Consumer-Operated Service Programs
TMHS = Traditional Mental Health Services
SAMSHA Sept, 2010,
“Peer Support and Peer Providers: Redefining Mental Health Recovery”
http://www.promoteacceptance.samhsa.gov/teleconferences/archive/default.aspx.
15
Well-being Improved by Intensity
of COSP* Use
*COSP = Consumer-Operated Service Programs
16
Benefits of Peer Support, Improved…
• Acceptance, welcoming and engagement
• Hope supported by an ally/role model within the mental
health system
• Firsthand information on system navigation and resources
• Fewer symptoms
• Social network participation
• Fewer and shorter hospitalizations
• Coping and acceptance of their illness
• Illness management and daily functioning
• Employment and retention rates
• Self-help skill building outcomes equally as effective as
therapy
Solomon, P., Peer Support/Peer Provided Services, Underlying Processes, Benefits & Critical Ingredients,
Psychiatric Rehabilitation Journal, (2004) Vol. 27, No. 4, Pg. 392-402
17
MHSA Outcomes
– "An increase in the numbers of consumer and family
member employees has been one of the most successful
parts of the CSS component" (pg. 48), and with regard to
Wellness and Resilience that "The most significant catalyst
for change appears to be the use of consumer staff" as
"living proof of the possibility of recovery. This kind of
evidence can have a powerful effect on consumers and
family members and on staff, particularly those who have
been in the system for a long time seeing only consumers
who are not doing well" (pg. 44).
California State Department of Mental Health: MHSA Implementation Study: Community Services and
Supports; Successes and Challenges,
www.dmh.cahwnet.gov/Prop_63/MHSA/Publications/docs/MHSA_ImplementationStudy_Report.pdf, 2009
18
The Reality of Recovery
Supported Employment
Supported Housing
Supported Education
19
Ten Elements of Recovery
1. Self-Direction
2. Individualized &
Person-Centered
3. Empowerment
4. Holistic
5. Non-Linear
See handout
6. Strengths-Based
7. Peer Support
8. Respect
9. Responsibility
10. Hope
20
Define the Elements
Group Activity:
1. Divide into ten groups.
2. Each group will be assigned one
Element of Recovery
3. Refer to the handout of definitions.
4. Provide two examples in the workplace
of how this element can be supported.
21
Benefits of
Recovery
22
Benefits of Recovery
Knowing That Consumers:
Can Recover
Can be Gainfully Employed
Can Live in Supported Housing
Can Obtain Their Education
Provides Transformational Opportunities For All
23
Identifying Benefits
Around the room, you will see easel papers
with different titles.
As you walk by each paper, write a benefit that
you believe consumers and families can bring
to the workplace in each category listed.
24
Benefits of Employing Consumers
Group Activity:
Consumer to Consumer
Consumer to Co-Worker
Consumer to the Mental Health System
25
Benefits of C/FM workers to…..
Clients Receiving Services:
Inside experience, exposure, and
understanding of the mental health system
Cultural, ethnic and racial diversity
Understanding the stigma and
discrimination that follows consumers;
special understanding and empathy
Non-pathologizing approach
Role models for others
26
Benefits to…..
Consumer Employees:
 Support their personal recovery.
 Rewarding to help others grow and change.
 Valued role in society; affirms contribution
and appreciation
 Role models: prove that hope exists and
employment is possible.
 Professional growth by building skills, gaining
experience and knowledge.
 Income can improve standard of living.
27
Benefits to…..
Co-Workers
 Staff gains insight and sensitivity.
 Relationships are the most effective way to
reduce stigma.
 Helps reduce ‘us’ vs ‘them’ mentality.
 Observe the process of recovery
 Personal experience with the process of
recovery
 Model self-care
28
Benefits to…..
The Organization
Reduce discrimination and stigma
 Consumer culture is represented
 Valuable input given on system improvement.
 Success in engaging some hard-to-reach
clients
 Focus on wellness instead of illness,
successes instead of failures, abilities
instead of disabilities.

29
Benefits to the Vision
“Transformation to a mental health system
where service delivery is no longer driven
solely by the values of professionals and
bureaucrats, but rather is based on an
equitable partnership involving individuals with
psychiatric disabilities is needed….
30
Benefits to the New Vision
… One way to achieve such a transformation
and partnerships; is through the employment
of people who are consumers of mental health
services as providers.”
- New Freedom Commission
on Mental Health (2003)
31
Quote:
Never let go of hope. One day you will see that it all
has finally come together. What you have always
wished for has finally come to be. You will look back
and laugh at what has passed and you will ask
yourself... “How did I get through all of that?”
- Unknown (Source: ThinkExist.com)
32
QUESTIONS?
33