Principles Of Mental Health Recovery And Therapeutic Relationships In Mental Healthcare Essay.

Discusses the meaning of recovery in mental healthcare/mental health nursing , and Identifies three (3) principle tenets.

Discusses how recovery is applied in mental health nursing, and or mental healthcare in general.

Discusses how and why nurses develop therapeutic relationships/alliances with consumers.

In discussing the therapeutic relationship/alliance, the discussion is related to recovery principles.

Meaning of recovery in mental healthcare

Mental health recovery is a method of living a hopeful, sustaining, and a purposeful life even with boundaries which is triggered by a certain disease or illness. Recovery in mental health includes the establishment of new purpose and meaning in the life of an individual as one grows outside the lethal effects which is caused by the mental illness (Moxham 2017). From the individual’s perspective who is having a mental illness, the word recovery means retaining and gaining the hope, to understand the individuals’ disabilities and abilities, personal independence, to engage in an active life, meaning and purpose in life, social identity and an optimistic sense of one self. Recovery from the mental illness has a connection with the physical health care and also there are some other differences (Bonney and Stickley 2008). If a person with a critical injury can recovered then a person with the mental health can also recover. A person having a serious mental health like schizophrenia and if he had a disabling course to illness then he or she can still engage himself or herself in the procedure of recovery of mental health.

The three principle tenets refers to the inborn gifts of Thought, Mind and Consciousness which the every human being uses including the mental health patients to create their capabilities of life. There are some of the main components of recovery in mental health which includes hope, empowerment, understanding, personal responsibility and identity. Hope is mainly seen as a main term in recovery and without hope the patient cannot be able to cope up with their recovery processes. Along with hope comes belief. Believing an alteration in individual’s situation is conceivable is essential in the recovery method and it can be raised by the hope-inspiring associations or relationships. Rebuilding or redefining the identity is another central module of recovery as the people often lose the meaning of ‘self’ when a diagnosis is given to them. Empowerment in mental health targets the person who is sick and their curers feeling involved in decisions relating to them or the person they care for (Townsend and Morgan 2017). The core of empowerment in mental health is to help people to understand their mental health and the control of life.

The recovery model in mental health care targets the fact that, with suitable and adequate support, the nurses or the health carers can take the authority for the patient’s wellbeing. With the help of recovery model, the mental health analysis is a guide for the treatment than an identity. The recovery model is a person-centred and complete tactic to the care of mental health (McCormack and McCance 2006). The model mainly involves the two processes which says that the most efficient recovery is the patient directed approach and it also says that the recovery from a mental illness is conceivable. The use of motivational interviewing techniques, assessment tools, and recovery planning can support the patients to make their decision planning. Many features are related in a way to recovery which includes monetary security and satisfying work and maintain the good relationships. The situation or the environment, which delivers for personal growth and allows the people to develop the spiritual and cultural viewpoints, are also important. Believing in, listening to and understanding by the friends, families and caregivers are very supportive to the patient on the way to recovery. Getting clarifications for difficulties or involvements and receiving support to complete their goals are vital to success. There are many tools and websites or the programs both for the caregivers and the patients which targets the personal wellbeing and satisfactory from the illness. The nurses tries to enhance the person's control over their lifecycle and also their respective mental problems, authorise them to achieve the wellness, to progress their excellence of life and support people to attain their goals and dreams. The nurses focuses on the various areas which covers the main features of people's lives which includes the skills of living, relations, self-esteem and identity. The recovery model inspires the mental health people to move straight and targets new achievable goals (Thornton and Lucas 2010). Furthermore, the model support the opinion that the patient should do things which they like, get on with their lives, and progress relations which give them a meaning to live with their mental health conditions.

Principle tenets of mental health recovery

How and why nurses develop therapeutic relationships or alliances with consumers-

The therapeutic relationship which is also named as the one-to-one relationship or the nurse-client relationship, is a technique which uses personal attributes, theoretical understandings and suitable medical techniques to deliver the chance for a positive and emotional involvement for the patient who receives treatment from the effective mental health services (Dziopa and Ahern 2009). The one to one relationship between the mental patient and psychiatric-mental health nurse is a goal oriented and collaborative relationship. The required time which is available to create the one to one relationship can be dependent on a variety of conditions. The one to one relationship starts with creating the therapeutic alliance which is a growth-facilitating relationship between the patient and the nurse. The crucial role of the caregivers is drawn, plans are designated, and also the consequence examples are also provided. Establishment of the therapeutic relationship is important especially when the person faces anxiety and struggle to change. The therapeutic relationship sometimes should be conducted in face to face interactions with the nurses and the patients (Halldorsdottir 2008). Working with a professional caregiver and nurse in a therapeutic alliance has cumulative effect to support the psychological comfort by making a healthy interrelationships. The relationship continually focuses on the patient’s need and the problems (Moxham 2017). Through the informal and the formal relationship with the patient and the nurses can take the therapeutic relationship to a more advanced level. The recovery can be applied in the mental health with the help of the recovery health model and with the influences of the caregivers or the nurses. It can be explained that recovery in mental health is an episode of healing, transformation, and alteration that leads to achieve their own pathway to mental well-being. Usually it is a procedure that grows gradually and with a proper therapeutic relationship with the patient. 

Therapeutic relationship helps in the promotion of the mental health recovery. The therapeutic relationship between the caregivers and the patient plays a crucial role in the mental health recovery process. It helps in the establishment of a mutual support between the nurses and the patients to share the skills, knowledge and social learning which eventually plays an important role in the recovery of mental illness. The relationship helps and encourages the people to strengthen and develop the recovery skills and eventually the recovering skills allow the people to take control and understand their own life and wellness (Slade and Wallace 2017. Culture also effects the prospects of the therapeutic relationship, and clarifications of the incidents that takes part within it. It is essential to steadily assess the effect of culture within the one-to-one relationship, and also the effects of the therapeutic relationship on the person's life experiences and values. Nurses plays a crucial role to support the persons to evaluate their personal status of health and combining the health manners into their recovery plan through the therapeutic relationships. When the aim of the therapeutic relationship is to encourage key changes in emotional state then the person must participate in an attentive and intellectual effort. Nurses or the caregivers felt to use the recovery approach in their practice and in order to achieve this the nurses needs more education. The collaborative suggestion between the service users and the nurses on the treatment inspires to gain the trust.  There are several factors which support the recovery processes. Recovery on mental health focuses on the talents, strengths and managing the abilities and setting an aim towards the recovery which can be gathered by the relationships. The principles of recovery-oriented mental health practice confirm that the mental health services are distributed in a manner that enhances the retrieval of the customers of mental health which includes the individual uniqueness, approaches and the rights, communication and partnership between the caregivers and the patients and the evaluation in the recovery of mental health.

References

Bonney, S. and Stickley, T., 2008. Recovery and mental health: a review of the British literature. Journal of psychiatric and mental health nursing, 15(2), pp.140-153.

Dziopa, F. and Ahern, K.J., 2009. What makes a quality therapeutic relationship in psychiatric/mental health nursing: A review of the research literature. Internet Journal of Advanced Nursing Practice, 10(1), pp.7-7.

Halldorsdottir, S., 2008. The dynamics of the nurse–patient relationship: introduction of a synthesized theory from the patient’s perspective. Scandinavian Journal of Caring Sciences, 22(4), pp.643-652.

McCormack, B. and McCance, T.V., 2006. Development of a framework for person?centred nursing. Journal of advanced Nursing, 56(5), pp.472-479.

Moxham, L. (2017). Contemporary psychiatric-mental health nursing. 3rd ed. Australia: Pearson Australia, pp.20-43.

Moxham, L. (2017). Contemporary psychiatric-mental health nursing. 3rd ed. Australia: Pearson Australia, pp.553-583.

Shepherd, G., Boardman, J. and Slade, M., 2008. Making recovery a reality (pp. 1-3). London: Sainsbury Centre for mental health.

Slade, M. and Wallace, G., 2017. Recovery and mental health. Wellbeing, recovery and mental health, pp.24-34.

Thornton, T. and Lucas, P., 2010. On the very idea of a recovery model for mental health. Journal of Medical Ethics, pp.jme-2010.

Townsend, M.C. and Morgan, K.I., 2017. Psychiatric mental health nursing: Concepts of care in evidence-based practice. FA Davis.