IT IS ALL ABOUT THE JOURNEY:IT IS ALL ABOUT THE JOURNEY:

Supporting the creation of active Supporting the creation of active recovery spaces within service recovery spaces within service

frameworksframeworks

Kompetanse PA Brukervis- Nordisk Konferanse OM Psykisk Helse

2nd – 4th October, 2007 Trondheim, Norway

Helen GloverQueensland, Australia

Non Focussed

Refocus on 3, 2, 1

•Objective Explanation of Distress

•External Interpretation

•External Expert

•External knowledge

•Focuses on what is common

•Absolute Truth Alone

•Externally Determined

•Managed Care- Doing to

•Understanding of Subjective Distress

•Internal Interpretation

•Self Expert

•Internal knowledge

•Focuses on what is unique

•Many understandings

•Internally realised

•Participatory Care – being with

A Recovery Oriented Paradigm ShiftA Recovery Oriented Paradigm Shift

And

Dominant Paradigm Non Dominant Paradigm

Bodies of KnowledgeBodies of Knowledge

Dominant Dominant ParadigmParadigm

Less - Dominant Paradigm

Formally LearntFormally Learnt( Professional)( Professional)

Medical

Psychology

Social Work

Occupational Therapy

Nursing

ExperientialExperiential

Traditional SocietyKnowledge

Lived Experiences

Family and Community Knowledge

SubjectiveObjective

Alternatives

Recovery Based

Practice Knowledge

Adapted from Canadian framework of Support 1989 & Glover H , 2001

Some Underpinning Some Underpinning • We are self righting beings

• We constantly seek to meet our needs

• We are constantly changing

• We are meaning making beings

• We each are responsible for our own lives

• We utilise and create a range of environments to undertake our

life’s work

• Contributing is as an important factor as being able to receive

• We define ourselves in many ways –People are not their illness

experience

• We are joined by our sameness not our difference. We have all

overcome something

• Overcoming anything requires personal effort

Core Core BelieBelie

fsfs

Efforts of “Self Righting”Efforts of “Self Righting” • Realising I am uncomfortable

• Wanting something different

• Personal vision of what is possible

• Believing I can

• Realising no-one can ‘ recover me’

• Taking risks – having a go

• Actively seeking and utilising supports

• Seeing that I am Self Managing and Doing It

• Seeking to be in more control

• Doing more of works and less of what doesn’t

• Realise I can influence my distress

• Taking more ownership and self direction

• Learning and discovering

• Making meaning

• Seeing my illness is not me

• Appreciating my sense of sameness to others

• Transcending my identity with illness

• Reconnecting to my sense of citizenship

• Making contributions

• Accepting and maintaining roles, responsibilities and opportunities

• Appreciating my internal effort versus the effort of others

Wife

Teacher

Tax Payer

House owner( mortgage payer)

Aunt

Loves Travel

Can Kill Plants

at a Glance

Friend

Gym goer

I can’t do that I have an illness

I’ll have to ask the Doctor first

Others know more about me

than I do…

I might fail… I might

relapse..

Sorry I can’t go… I have to go to the Day

Centre

I have to face the facts – I have a mental illness

I don’t know …

I am just an illness…no-one expects anything else of me

Hospital admissions

Day Centres

Dr’s Appointments

Assessments & Monitoring

Medications

Sick certificates

Reports and documentation

Stubborn as an Ox

Patient

Self Direction & Care

Natural supports

Mental Health Care & support

Housing & Financial Supports

Meaningful occupation

Hobbies and Interests

Self Self Determ

ination

Determination

MotivationMotivation CourageCourage

ResilienceResilience

StubbornnessStubbornness

Personal

Personal

Responsib

ilit

Responsib

ilit

yy

HumorHumor

Sense of meaning and purposeSense of meaning and purpose

Sense of SelfSense of Self

Internal & External SupportsInternal & External Supports

SpiritualitySpiritualityFutureFuture

Physical Health care

I am I am

mentally Illmentally Ill

I’ll have to ask I’ll have to ask the doctor firstthe doctor first

I am not I am not capable capable of doing of doing thatthat

I have I have to face to face reality reality that I that I am am sicksick

InternalExternal

Construction of Chronicity Construction of Wellness

Micro AggressorsMicro Aggressors Micro EnhancersMicro Enhancers

ITME ME IT

Special Entry!!!Identity with illness

required

Free Entry!!!NO Identity with illness

required

Which door?Which door?

Types of ParticipationTypes of Participation

PrimaryPrimary

SecondarySecondary

TertiaryTertiaryI am actively involved in valued roles

and opportunitie

sI am actively involved in

managing my health

I am actively involved in addressing systemic change

Lived Experienced “ Lived Experienced “ Specialities”/ Expert areasSpecialities”/ Expert areas

Beyond the T –Shirt Beyond the T –Shirt Experience AloneExperience Alone

• Human Rights & Social Justice

• Effects of Marginalisation and Discrimination on Wellness

• The effects of professional, systemic, community and self stigma

• Skills in addressing stigmatising practices and structures

• Anti- discrimination, disability discrimination

• Concepts of Advocacy and Advocacy skills

• Power relationships and its impact on illness/wellness

• Self empowerment

• Values and principles of Recovery and Recovery Based Practice

• Resilience – overcoming adversity

• Narratives of lived experience

• Effects of professional, community and self stigma

• Construction of Disability/Wellness

• Self Assessment

• Self Management

• Self Directed Planning

• Frameworks of Peer Support

• Evidence base for Peer Support

• Lived experienced delivered services

• Lived Experienced research methodology

• Working with people differently who experience crisis

• Change processes

• Connecting with people in distress

• Skills of sitting with distress and being with

• Social connectedness and inclusion

• Research that supports recovery

• Recovery based practice indicators

• Recovery based language

• Self documentation mechanisms

• Recovery education

• Recovery based practice education

• Social Inclusion theory

• Self determination theory

• History of mental illness and recovery

• History of consumer movement

• International perspectives on survivor movement

• Survivor politics

• Legal frameworks

• Involvement and participation structures and models

• Current Policy – National, State and Universal

• Frameworks of Support

• Community Resources

Thank you

Helen GloverAustralia

helen@enlightened.com.au