The Essay On Lived Experience In Mental Health Recovery Approach Is Crucial.

1. 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?

2. 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?

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

The mental health recovery concept has brought in a prominent change in the prevailing philosophical ideas of the professionals of psychology. This revamp mostly encompass but is not limited to the transfer of the importance over the individuals with lived experience in mental health (Longden, Read & Dillon, 2016). This concept of recovery has introduced one of the preliminary approaches in mental health service. However, there exists a gap in the understanding of how the interventions coming from the individuals with lived experience in mental health is useful in drafting the mental health recovery plan or how their proposals can be incorporated in the process of service delivery (Longden, Read & Dillon, 2016). The following essay, aims of highlight the importance of the participation of the individuals with lived experience in mental health in drafting the recovery plan. In doing this, the essay will focus on the leadership executed by the people with lived experience in mental health in the recovery approach, and how their participation have helped in the development of the recovery plan. The essay will also highlight the ways in which people with lived experience in mental health promote recovery care approach and how the nurses can promote consumer’s participation in service delivery.

Individual with lived experience in mental health provides promising support and help in framing the recovery approach for the service users of mental health and this is mostly executed via providing active leadership. This active leadership from individuals with lived experience in mental health helps in decreasing social stigmatization of people with mental health complications (Happell et al., 2015). The research conducted by Byrne, Happell, Welch and Moxham (2013) highlighted that the mental health nurses has certain mental blockage while handling mental health patients and this problem is more prominent among the newly registered nurse or undergraduate trainee nurse. Byrne, Happell, Welch and Moxham (2013) stated that this ignorance or fear or unwillingness to care for patients with mental health disability create a negative state of mind among the nursing professionals and thereby affecting the overall quality of care. A person with lived experience in mental health, with their active leadership, helps to overcome this reluctance and simultaneously help the mental health-nursing professionals to participate in the recovery plan enthusiastically. Xie (2013) highlighted that mental health professionals lack proper knowledge about how or in which direction the mental health recovery plan must be framed. The individuals with lived experience in mental health help to provide this direction. Their active leadership executed by the interactive approach help the mental health professionals to understand that minimal pharmacological support and high personal or mental support and unbiased behavioural approach is optimal in gaining success in the care plan. This basic understanding and constant encouragement coming from the lived-experience individuals provide significant thrust in the evolution of the recovery approach.

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

The lived experience people participated in the development of the recovery approach via helping to make cultural and linguistically recovery plan. Participation of lived experience people from different cultural background helped in the generation of a diversified approach in the recovery plan. This diverse plan helped in covering the spiritual and mental needs of wide array of service users (Chronister, Chou & Liao, 2013). The participation of the lived experience people helped the mental health professionals to understand that how the capacity of recovery is crucial for normalizing the entire experience. This approach helped to the evolution of person-centre care plan (Hibbard & Greene, 2013). According to Naslund, Aschbrenner, Marsch and Bartels (2016), person-centred recovery plan help to getting quality outcome in the recovery process as it targets specific needs to the individuals. The participation of the lived experience people in the internal recovery process helped to understand that the internal recovery is only temporary recovery and is important to influence overall external recovery (Gunasekara, Pentland, Rodgers & Patterson, 2014). Internal recovery is mainly provided by the nurses and external recovery is guided by the immediate carers like the family members. The external recovery process is important because it covers spatial and relational aspects of life (Gunasekara, Pentland, Rodgers & Patterson, 2014). The participation of lived experience people are at times encourage along with their family members. This joint participation helped the mental health professionals to understand that active involvement of the family members in the care plan is also important in order to get quality outcome (Gunasekara, Pentland, Rodgers & Patterson, 2014). In their study Roberts and Bowers (2015) highlighted that a psychiatric nurse stags should be knowledgeable about the transactional analysis theory and which would eventually help them in achieving positive attitude towards mental health patients. This approach of transactional analysis is developed via the participation of the lived experience people and thereby helping to getting quality outcome in the recovery plan.

The national standards for the mental health practice in Australia promote the participation of lived experience people in the recovery process. Their active participation is important to frame a care plan which facilitates sustaining relationships, respect to individuals, and encouragement in the meaningful occupations and safety in theory (Australian Government Department of Health, 2018). The lived experience people promote the recovery care approach via breaking apart the conventional demarcation between the service users and service gives. This assists to follow the national standards of mental health service via providing respect to the stakeholders in the mental health care plan (Australian Government Department of Health, 2018). The partnership also come in the form of assistance that is helps in the development of proper language for the recovery approach. This recovery approach provides holistic care and also takes strict actions against social exclusions and poor social determinants of health (Australian Government Department of Health, 2018). The partnership of lived experience people in recovery approach to care is based on the exchange of ideas and personal experiences. Such ideas coming from lived experience people from different socio-economic status, age, gender, financial and societal background help in drafting bespoke plan. This bespoke plan promotes faster recovery and well-being (Australian Government Department of Health, 2018).

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

Mental health patients who are the victims of functional disability, orientation disorders, and cognitive perceptual changes have difficulty in framing right decision for them and also about the treatment of care. Under this context, delivering quality health-care service is strictly bound-up with the behaviour and attitude of the mental health nursing staff. Positive attitude of the nurse exhibited during the overall treatment process helps the patients to relax and also promotes their integration into the therapeutic environment and this finally facilitates their overall response in the treatment (Cahill, Paley & Hardy, 2013). In contrast negative attitude of the nurse staffs cause poor social interactions with the patients causing problems like patients gradually disconnecting from their environments and generating very high resistance to the treatment. Thus it is the duty of the mental health nurse to execute therapeutic relationships with the service users in order to increase their participation in the service delivery (Cahill, Paley & Hardy, 2013).

The nursing staffs can assist in the promotion of the consumer’s participation in the service delivery via executing therapeutic relationships with the mental health consumer. The mental health nursing stags execute therapeutic relationship via increasing the patient participation, collaboration and empowerment in overall service delivery (Cahill, Paley & Hardy, 2013). Empowerment is mainly concerned with the nurse working interactively along with the consumers in order to understand, teach and access consumers need. This act of empowerment help the patients to feel that their needs and opinions are taken into consideration and thus increasing the participation in the service delivery. Acting in collaboration is another important factor of the therapeutic relationship which helps to increase the consumer’s participation in the service delivery. This collaborative practice is mainly executed via encouraging the family members of the service users in the therapy plan. Moreover, Kourkouta and Papathanasiou (2014) are of the opinion that the nurse stags are required to practice the strategy of active listening via maintaining eye contact and responding to every sentences or queries of the service users. This act of active listening with encourages the mental health service users to share their experience and thereby helping to increase their participation.  

Thus from the above discussion it can be concluded that the individuals with lived experience in mental health plays an important role in framing the recovery plan for the mental health service users. The overall recovery plan designed from the perspective of the lived experience individual in mental health help in the promotion of person-centred care plan. This person-centred care plan is based on the parameters like age, gender, socio-economic status, life circumstances and cultural diversity. The participation of the lived experience individuals is mainly executed via providing active leadership while drafting the recovery plan. This active leadership help to overcome the personal bias stigmatization and gap in understanding the needs of the mental health consumers. The participation of the lived experience people not only helped to develop person-centred care plan but also help to abide by the national standards for the mental health practice. Finally, it is the duty of the nursing staffs to indulge into therapeutic relationship with the mental health consumers in order to increase their participation in the service delivery.

References

Australian Government Department of Health. (2018). National Recovery Mental Health Framework. Access date: 21^th August. Retrieved from: https://www.health.gov.au/internet/main/publishing.nsf/content/67D17065514CF8E8CA257C1D00017A90/$File/2.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. Retrieved from: https://doi.org/10.1111/j.1447-0349.2012.00875.x

Cahill, J., Paley, G., & Hardy, G. (2013). What do patients find helpful in psychotherapy? Implications for the therapeutic relationship in mental health nursing. Journal of Psychiatric and Mental Health Nursing, 20(9), 782-791. Retrieved from: https://doi.org/10.1111/jpm.12015

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. Retrieved from: https://doi.org/10.1002/jcop.21558

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. Retrieved from: 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.  Retrieved from: https://doi.org/10.1377/hlthaff.2012.1061

Kourkouta, L., & Papathanasiou, I. V. (2014). Communication in nursing practice. Materia socio-medica, 26(1), 65. doi:  10.5455/msm.2014.26.65-67

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. Retrieved from: https://doi.org/10.1017/S2045796015001067

Roberts, T., & Bowers, B. (2015). How nursing home residents develop relationships with peers and staff: A grounded theory study. International journal of nursing studies, 52(1), 57-67. Retrieved from: https://doi.org/10.1016/j.ijnurstu.2014.07.008

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/