Muutke küpsiste eelistusi

Personal Recovery and Mental Illness: A Guide for Mental Health Professionals [Pehme köide]

(King's College London)
  • Formaat: Paperback / softback, 288 pages, kõrgus x laius x paksus: 234x157x13 mm, kaal: 490 g, 20 Tables, unspecified; 1 Halftones, unspecified
  • Sari: Values-Based Practice
  • Ilmumisaeg: 28-May-2009
  • Kirjastus: Cambridge University Press
  • ISBN-10: 0521746582
  • ISBN-13: 9780521746588
Teised raamatud teemal:
  • Formaat: Paperback / softback, 288 pages, kõrgus x laius x paksus: 234x157x13 mm, kaal: 490 g, 20 Tables, unspecified; 1 Halftones, unspecified
  • Sari: Values-Based Practice
  • Ilmumisaeg: 28-May-2009
  • Kirjastus: Cambridge University Press
  • ISBN-10: 0521746582
  • ISBN-13: 9780521746588
Teised raamatud teemal:
Focuses on a shift away from traditional clinical preoccupations towards new priorities of supporting the patient.

Recovery is a concept which has emerged from the experiences of people with mental illness. It involves a shift away from traditional clinical preoccupations such as managing risk and avoiding relapse, towards new priorities of supporting the person in working towards their own goals and taking responsibility for their own life. This book sets an agenda for mental health services internationally, by converting these ideas of recovery into an action plan for professionals. The underlying principles are explored, and five reasons identified for why supporting recovery should be the primary goal. A new conceptual basis for mental health services is described - the Personal Recovery Framework - which gives primacy to the person over the illness, and identifies the contribution of personal and social identity to recovery. These are brought to life through twenty-six case studies from around the world.

Arvustused

'This is probably the best single author overview of the field of recovery ' Mental Health and Social Inclusion 'This volume's modest title belies its importance for therapists and, indeed, for helpseekers themselves. [ Slade's] enthusiasm and dedication are evident.' The Journal of Nervous and Mental Disease ' a key text ' www.drinkanddrugsnews.com 'This book fills a vacuum for a broad publication on how recovery values can be translated into working services and concrete actions. Perhaps Mike Slade should be awarded a prize for his attempt to provide a rationale and path for mental health services in the 21st century.' The British Journal of Psychiatry ' not only accurate and up to date in its description and analysis of the current Mental Health Services, but also a refreshing critical and constructive appraisal of their function and their intended goal. uplifting, stimulating and thought provoking offers a refreshing return to a humane and humanistic way of thinking about and approaching the problems faced by those who experience mental health problems and by those who are trying to help Excellent.' BMA Medical Book Awards reviewer

Muu info

Focuses on a shift away from traditional clinical preoccupations towards new priorities of supporting the patient.
List of case studies x
Acknowledgements xi
Section 1 Mental illness and recovery
Chapter
1. Overview of the book
1
What's the problem?
1
Aims of the book
2
New goals, values, knowledge and working practices
3
Structure of the book
4
Collective nouns
5
Author perspective
6
Chapter
2. The nature of mental illness
8
What is mental illness?
8
Clinical models
8
Disability models
28
Diversity models
30
Adjudicating between models
33
Chapter
3. What is recovery?
35
One word, two meanings
35
Are clinical recovery and personal recovery incompatible?
40
Personal recovery and mental health services
43
Section 2 The primacy of personal recovery
Chapter
4. Epistemological rationale
45
What is knowledge?
45
The development of a science of mental illness
46
Problems with evidence-based medicine
48
The dominance of nomothetic knowledge
50
The epistemological tension
51
Epistemology and personal recovery
53
Constructivism – a more helpful epistemological basis
54
Chapter
5. Ethical rationale
57
Working with the consumer
57
Compulsion justification 1: benefit to society
58
Compulsion justification 2: best interests
58
Balancing ethical imperatives
60
Chapter
6. Effectiveness rationale
63
Creating markets
63
The 'science' of commercially funded drug trials
64
The actual effectiveness of pharmacotherapy
65
An empirically supported view of medication
66
Chapter
7. Empowerment rationale
69
The changing treatment of mental illness
69
The empowerment rationale for personal recovery
72
Chapter
8. Policy rationale
74
Policy in the United States of America
74
Policy in Australia
75
Policy in New Zealand
75
Policy in Scotland
75
Policy in England and Wales
76
Summary of the policy rationale
76
Section 3 Recovery-focussed mental health services
Chapter
9. The Personal Recovery Framework
77
Empirical foundations
77
Identity
81
The four tasks of recovery
83
Identity and relationships
87
The Personal Recovery Framework
90
The job of mental health professionals
92
Chapter
10. Fostering relationships with a higher being
94
Healing
94
Spirituality
95
Mental health services can support spiritual development
95
Chapter
11. Fostering close relationships
99
Chapter
12. Peer relationships
103
Mutual self-help groups
103
Peer support specialists
104
Peer-run programmes
110
Chapter
13. Professional relationships
114
Types of clinician–consumer relationships
114
Detached and partnership relationships
115
Real relationships
119
Reconstructing professionalism
121
A professional relationship
122
Chapter
14. Promoting well-being
125
What is positive psychology?
125
Interventions to promote well-being
132
Chapter
15. The foundations of a recovery-focussed mental health service
135
Values
135
Evidence-based practice as a contributor to recovery
139
Narrative-based practice as a contributor to recovery
139
Values-based practice as a contributor to recovery
140
Rehabilitation as a contributor to recovery
141
Differences between traditional and recovery-focussed services
143
Chapter
16. Assessment
144
Using assessment to develop and validate personal meaning
144
Using assessment to amplify strengths
149
Using assessment to foster personal responsibility
154
Using assessment to support a positive identity
155
Using assessment to develop hope
157
Messages to communicate through assessment
158
Chapter
17. Action planning
160
Chapter
18. Supporting the development of self-management skills
165
The offering of treatment
165
Supporting self-management
165
Supporting the development of agency
166
Supporting the development of empowerment
167
Supporting the development of motivation
170
Chapter
19. The contribution of medication to recovery
172
Medication and choice
172
Medication and recovery
173
Chapter
20. The contribution of risk-taking to recovery
176
Two types of risk
176
A recovery-supporting approach to risk
178
Chapter
21. Recovery through crisis
182
Compulsion
182
Preventing unnecessary crises
184
Minimising the loss of personal responsibility during crisis
184
Mdintaining hope during crisis
186
Supporting identity in and through crisis
188
Chapter
22. Recognising a recovery focus in mental health services
191
Quality standards
191
Belief markers
192
Discourse markers
193
Evaluating success
194
Chapter
23. Improving social inclusion
197
Mental health professionals can improve social inclusion
198
The role of consumers in improving social inclusion
206
The role of governments in improving social inclusion
207
Section 4 Challenges
Chapter 24 Concerns held by clinicians
211
Chapter 25 Concerns held by consumers
217
Chapter 26 Organisational transformation
221
Action one: lead the process
221
Action two: articulate and use values
223
Action three: maximise pro-recovery orientation among workers
224
Action four: develop specific pro-recovery skills in the workforce
228
Action five: make role models visible
230
Action six: evaluate success in relation to social roles and goal attainment
231
Action seven: amplify the power of consumers
233
The future
234
Appendix: Electronic resources to support recovery 237
Reference list 239
Index 266
Mike Slade is a Reader in Health Services Research, Health Service and Population Research Department, Institute of Psychiatry, King's College London.