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15 inaudible ways to achieve greater recovery

15 inaudible ways to achieve greater recovery



15 inaudible ways to achieve greater recovery
15 inaudible ways to achieve greater recovery

The "healing" approach to mental health is a firm commitment to place the person with a mental health problem as a true hero in the "first-person" of the therapeutic and personal growth process.

Both users and their families, as professionals, managers, and politicians, are showing an increasing interest in adopting a recovery approach as a guideline for mental health policies, professional practices and guiding the services provided.

In this approach, the concept of healing does not refer to merely clinical healing, which would be synonymous with treatment, or to return to the situation before the mental health problem. This approach emphasizes how a person experiences his life, not symptoms or illness. 

The purpose of this person is to increase his ability to lead a satisfying life, according to his interests, goals, goals, and potentials, even if symptoms of the mental health problem persist.

Healing is defined as a "very personal process" that involves developing a new meaning and purpose in life that goes beyond the negative effects of a mental health problem. It is an ongoing process, consisting of acquiring or restoring many aspects of people's daily lives, which may have been lost due to a mental health problem.

This means regaining active control over one's life. This may include discovering (or rediscovering) a positive feeling of self, accepting and facing the reality of any permanent difficulty or disability, finding meaning in an individual's experiences, and solving personal and social problems or relationships with others, which can contribute to addressing difficulties related to the mental health problem.

Recovery-oriented professional practices attempt to maintain the quality of life, focusing on a person's ability to hope and develop a life that is meaningful to themselves, according to their goals and aspirations.

The healing approach recognizes that people who have been diagnosed with a mental health problem often feel deprived of their rights and that these feelings can interfere with the curative process. This approach begins with a foundation that will produce better results if people feel that decisions about their treatment are made according to their cultural ideas and personal values. 

The recovery approach focuses on well-being and disease resistance and encourages people to participate actively in their self-care process, which allows them to define their vital goals and pharmacological, psychological and social treatment.

Principles of recovery

On the basis of healing "... a set of values ​​lies on a person's right to build a meaningful life for himself, with or without continuing symptoms of mental illness. 
Recovery is based on the concepts of self-determination and self-control. Emphasizes the importance of hope in maintaining motivation and supporting life expectations Complete Individuality ”(Shepperd et al, 2008); the most important principles are detailed below:

- Recovery consists of building a meaningful and fulfilling life project that is defined by itself regardless of the development of its symptoms or problems.
- It represents a movement that avoids disease, disease and symptoms and is close to health, strength and well-being.
- Hope is essential to recovery and a person experiences it because it has more control over their lives and realizes how others get it.
- It stimulates and facilitates self-control (self-management).
- Restraint operations are similar but they work individually, differently in each person.
- Help relationships between physicians and patients depart from expert / patient coordination to arrive at the coordination of the trainer or travel partner in the discovery process.
- People do not recover alone. The recovery process is closely related to social inclusion processes and the ability to enjoy a meaningful social role and satisfaction with a person in society rather than in separate services.
- Recovery is the discovery or rediscovery of a sense of personal identity, independent of disease or disability.
The language used, the stories built and its meaning are of great importance as a medium for the recovery process. On the one hand, this mediation can foster a sense of hope and possibilities, or, on the contrary, call for pessimism and time.
- The development of services based on recovery depends on the personal characteristics of professionals, at the same level as academic training. Hope, creativity, care, empathy, realism and flexibility must be developed.
- Often family and other relatives are necessary for recovery, and therefore they should be taken into consideration whenever possible. However, peer support is essential for many people in the recovery process.

Carry out recovery

To ensure that mental health services are directed towards this perception of assistance, to accompany people who have been diagnosed with a mental health problem in their recovery process, a profound organizational change is required (Shepperd et al, 2010). The challenges are diverse and can be summarized in ten main ideas:

- Changing the nature of daily interactions and perceived quality
- Provide comprehensive user-led educational and training programs
- Establish a "recovery training center" that leads programs
- Ensure organizational commitment and create a "culture" of recovery
- Increased "allocation" and decision-making
- Changing the way we deal with risk assessment and management
- Redefine user engagement
- Convert a group of professionals
- Support professionals during their recovery
- Increased possibilities for building a life 'beyond illness'

Business models aimed at recoverygreater recovery 

One cure-based business model is the Tidal Mental Health Nursing model, which was developed more than two decades ago in the United Kingdom (1995-1998), in cooperation with Mental Health Service users. This model is based on empowering users and care based on needs and the ability to learn from experiences. Emphasizes the importance of personal stories and the use of first-person voices, with an emphasis on narration about the behavior or clinic of the disease. By using their own language, metaphors, and personal stories, a person expresses the content that is truly important to them.

This model, applied to hospital accommodations for the short time that it started, uses water as a nuclear metaphor for both the experience of the person entering the mental health service and the care system that needs to be adapted.

Based on a series of commitments, Tidal creates several standard interventions, framed in three areas (El Yo, El Mundo and Los Otros):

- Overall evaluation of individual sessions
- Observer evaluation
- Personal security plan

Three forms of teamwork: discovery, information exchange, and solutions.


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