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NURS11163 Recovery Approach To Mental Health

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Question:

People with a lived experience of mental health challenges have played a significant role in the evolution of Recovery. Explore five peer reviewed articles from lived experience authors in the course work, together with the information you have learned in the unit and address the following questions.

  • How have people with lived experience demonstrated leadership in the evolution of the Recovery approach?
  • How have people with lived experience participated in the development of the Recovery approach?

The National standards for mental health services describes the need for consumer and carer participation in health services.

  • In what ways do people with Lived Experience partner with health services to promote a Recovery approach to care?  
  • Describe how nursing staff can assist to promote consumer participation in service delivery?
 

Answer:

The people with lived experience in mental health have brought significant change in the concept of the mental health recovery. The National Framework for Recovery Oriented Mental Health Service is the current model of delivering care for people with mental health complications. This framework also provides proper definition about the recovery and lived experience. The following paper is mainly based on the statement that the persons with lived experience in mental health provide active support and participation in drafting the recovery plan for the mental health. It is their active leadership which helped in the evolution of the process of care by breaking the stigmatisation. In order to discuss the thesis statement in details, the first part of the paper will explore leadership qualities demonstrated by individuals with lived experience in mental health in the recovery planning and how person with lived experience participated in the development of recovery approach. The second part of the paper will focus on ways in which people with lived experience, partner with health service providers to promote recovery approach. At the end the paper will summarize the ways through which nursing staffs can assist to increase consumer participation in service delivery. This analysis will help to highlight the contribution of lived experience people on mental health recovery planning.

 

How have people with lived experience demonstrated leadership in the evolution of the recovery approach?

People having lived experience in mental health, provide active support and help in designing the recovery approach for the mental health service users and this is mainly done via procuring active leadership (Happell et al., 2015). This active leadership helped in the evolution of integrated recovery oriented model for mental health service. Initially the model was not integrated but was directed towards a single clause. However, the leadership of lived experience people helped to draft the recovery plan with proper focus on well-being and social exclusion (Frost et al., 2017). According to Xie (2013), the nursing professional nurtures certain mental blockage towards handling mental health patients especially if he or she is an undergraduate trainee nurse or newly registered nurse. The nursing professional believes that this fear or ignorance or reluctance in handling patient with mental health complications, influences their attitude towards the mental health service users. Under this setting, the effective approach of the individuals with lived experience in the mental health lead to the evolution of the nursing approach. A person with lived experience in mental health helps to alleviate this fear or the social exclusion stigma among the mental health nursing professionals and thereby helping them to indulge into the recovery plan with no preconceived mind-set (Byrne, Happell, Welch & Moxham, 2013). Happell et al. (2015), highlighted that the nursing professionals lack the proper encouragement and enthusiasm towards drafting the recovery care plan for the mental health patient. Yanos, Lucksted, Drapalski, Roe and Lysaker (2015) are of the opinion that people with lived experience in mental health provide active leadership via encouraging these nursing professionals.

 

How have people with lived experience participated in the development of the Recovery approach?

The participation of lived-experience individual changed the overall recovery approach of mental health framework. Previously, mental health recovery framework was not culturally diverse. People with lived experience provided active support in making the plan culturally and linguistically diverse. Such culturally and linguistically diverse recovery process helped to target a global mass population passing through mental health complications and thereby helping in a collective recovery (Chronister, Chou & Liao, 2013). Person with lived experience in mental health, provided encouragement to the mental health professionals to understand the impact of mental illness and how the capacity for the development of recovery is important to normalize the overall experience. This encouragement and detailed understanding helped the mental healthcare professional to draft the recovery plan in a bespoke manner. Previously there was single recovery plan for all and it was not person-centred. According to Hibbard and Greene (2013), person centred recovery plan or bespoke recovery plan is helpful in obtaining quality outcome for the individuals with mental health complications. The individual with lived experience in mental health participated in both internal and external recovery process. In external recovery, the contribution mainly comes from the immediate carers that is, the family members. The internal recovery is presentation of self under the aspect of the spatial and relational aspects like enjoying life with family and friends. People with lived experience in mental health highlighted that the family member must also participate in the recovery plan in order to promote external recovery (Naslund et al., 2016). This family participation changed the perspective of the recovery.

 

In what ways do people with Lived Experience partner with health services to promote a recovery approach to care

The national standards for the mental health practice in Australia encourage participation of the individual with lived experience in mental health in the recovery process. The partnership from lived experience individuals occurs through sustaining relationships, encouragement for meaningful occupations and respect and safety in theory. The individual with lived experience in mental health helps in the promotion of this recovery paradigm in order to break apart the conventional demarcation that exists between the service users and the service givers. This partnership helps to abide by the national standards of mental health service through providing respect to all the stakeholders in the mental healthcare plan. The participation of individual with lived experience in mental health occurs in the domain of language of recovery based on the national standards (Australian Health Minister Advisory Council, 2013). Lived experience individual also participate in drafting person-centred care approach through stating their own experience. Their personal experience during their passage of the mental health recovery help to uplift the tailored recovery plan based on the circumstances, culture and diversity, socio-economic status, life circumstances, age and gender. Lived experience individual helped in the development of special recovery tool which helps to measure different domains associated with personal recovery or recovery orientation of services (Australian Health Minister Advisory Council, 2013).

 

Describe how nursing staff can assist to promote consumer participation in service delivery

In order to increase the participation of the mental health consumers in the process of service of delivery, it is the duty of the nurse to seek consumers’ suggestion in the care plan. Seeking out advice from the consumer and implementation of the same will make the consumers feel that their opinion is also valued and thereby helping to increase their involvement in the care plan (Gunasekara, Pentland, Rodgers & Patterson, 2014). Nursing professionals are also required to provide dedicated roles including the leadership positions for the mental health consumers. This leadership position will motive them to participate in the recovery process (Slade et al., 2014). Apart from the consumers, their family members should be encourage to take active participation in the recovery planning. The participation of the family members will make the mental health consumers feel secured and safe and thereby encouraging their participation (Oruche, Downs, Holloway, Draucker & Aalsma, 2014).  Longden, Read and Dillon (2016) highlighted the importance of practicing therapeutic relationships with the client in order to increase the participation of the consumers in the mental health recovery planning.

To clinch the above discussion in the best possible manner it becomes apparent that persons with lived experience in mental health provide active support and participation in drafting the recovery plan for the mental health. It is their active leadership which helped to bring a global evolution in the mental health recovery process. Their active partnership helped to break the stigmatisation underlying the mental health individual. The analysis of the essay highlighted that recovery plan drafted from the perspective of the individual with lived experience in mental health lead to the generation of person-centred care plan. This person centred care plan mainly take into consideration of the age, gender, life circumstances, socio-economic status and cultural diversity in drafting the care plan. Moreover, the person with lived experience in mental health also provides active leadership in drafting the care plan for the mental health service that is free from any social stigma and pre-conceived mindset. Therapeutic relationship and active communication are ways by which nurses can increase consumer’s participation in recovery plan.

 

References

Australian Health Minister Advisory Council (2013). A national framework for recovery-oriented mental health services. Access date: 24th August. Retrieved from: https://www.health.gov.au/internet/main/publishing.nsf/content/67D17065514CF8E8CA257C1D00017A90/$File/recovgde.pdf

Byrne, L., Happell, B., Welch, T., & Moxham, L. J. (2013). ‘Things you can't learn from books’: teaching recovery from a lived experience perspective. International journal of mental health nursing, 22(3), 195-204. https://doi.org/10.1111/j.1447-0349.2012.00875.x

Chronister, J., Chou, C. C., & Liao, H. Y. (2013). The role of stigma coping and social support in mediating the effect of societal stigma on internalized stigma, mental health recovery, and quality of life among people with serious mental illness. Journal of Community Psychology, 41(5), 582-600. https://doi.org/10.1002/jcop.21558

Frost, B. G., Tirupati, S., Johnston, S., Turrell, M., Lewin, T. J., Sly, K. A., & Conrad, A. M. (2017). An Integrated Recovery-oriented Model (IRM) for mental health services: evolution and challenges. BMC psychiatry, 17(1), 22. doi:  10.1186/s12888-016-1164-3

Gunasekara, I., Pentland, T., Rodgers, T., & Patterson, S. (2014). What makes an excellent mental health nurse? A pragmatic inquiry initiated and conducted by people with lived experience of service use. International Journal of Mental Health Nursing, 23(2), 101-109. https://doi.org/10.1111/inm.12027

Happell, B., Bennetts, W., Harris, S., Platania?Phung, C., Tohotoa, J., Byrne, L., & Wynaden, D. (2015). Lived experience in teaching mental health nursing: Issues of fear and power. International Journal of Mental Health Nursing, 24(1), 19-27. doi: 10.1111/inm.12091

Hibbard, J. H., & Greene, J. (2013). What the evidence shows about patient activation: better health outcomes and care experiences; fewer data on costs. Health affairs, 32(2), 207-214.  https://doi.org/10.1377/hlthaff.2012.1061

Jacob, S., Munro, I., & Taylor, B. J. (2015). Mental health recovery: lived experience of consumers, carers and nurses. Contemporary nurse, 50(1), 1-13. DOI: 10.1080/10376178.2015.1012040

Longden, E., Read, J., & Dillon, J. (2016). Improving community mental health services: The need for a paradigm shift. The Israel journal of psychiatry and related sciences, 53(1), 22-30. Retrieved from: https://www.redmaristan.org/source/15/IJP%20Vol%201%202016%20(2)community%20psychiatry.pdf#page=22

Naslund, J. A., Aschbrenner, K. A., Marsch, L. A., & Bartels, S. J. (2016). The future of mental health care: peer-to-peer support and social media. Epidemiology and psychiatric sciences, 25(2), 113-122. https://doi.org/10.1017/S2045796015001067

Oruche, U. M., Downs, S., Holloway, E., Draucker, C., & Aalsma, M. (2014). Barriers and facilitators to treatment participation by adolescents in a community mental health clinic. Journal of Psychiatric and Mental Health Nursing, 21(3), 241-248. https://doi.org/10.1111/jpm.12076

Slade, M., Amering, M., Farkas, M., Hamilton, B., O'Hagan, M., Panther, G., ... & Whitley, R. (2014). Uses and abuses of recovery: implementing recovery?oriented practices in mental health systems. World Psychiatry, 13(1), 12-20. https://doi.org/10.1002/wps.20084

Xie, H. (2013). Strengths-based approach for mental health recovery. Iranian journal of psychiatry and behavioral sciences, 7(2), 5. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3939995/

Yanos, P. T., Lucksted, A., Drapalski, A. L., Roe, D., & Lysaker, P. (2015). Interventions targeting mental health self-stigma: A review and comparison. Psychiatric rehabilitation journal, 38(2), 171. Retrieved from: https://psycnet.apa.org/buy/2014-42856-001

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