Transcript Recovery in Scotland - Scottish Personality Disorder

Simon Bradstreet, Network Director
Scottish Personality Disorder Network Conference
Glasgow, September 2007
The National Programme
Improving the mental health and well-being for
everyone living in Scotland and improving the
quality of life and social inclusion of people
experiencing mental health problems.
The National Programme
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Raise awareness
Reduce suicide
Challenge stigma and discrimination
Promote and support recovery
Scottish Recovery Network
• SRN aims to
– Raise awareness of recovery
– Develop our understanding of recovery
– Build capacity by sharing information and by
supporting efforts to promote recovery
• Launched December 2004
• Part of a public health approach
• SRN staff team and Network
Key principles
• People can and do recover
• A common human experience
• Recovery as process or journey rather than an
end point
• More than recovery from illness or absence of
symptoms
Understanding recovery
Recovery is being able to live a meaningful and
satisfying life, as defined by each person, in the
presence or absence of symptoms. It is about having
control over and input into your own life. Each
individual’s recovery, like his or her experience of the
mental health problems or illness, is a unique and
deeply personal process.
SRN ‘Journeys of Recovery’
Key principles
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A unique experience
Different things help different people
Creative, person centred approaches
Timescales vary
Understanding recovery
“What matters in recovery is not whether we’re using
services or not using services; using medications or not
using medications. What matters in terms of a recovery
orientation is, are we living the life we want to be living?
Are we achieving our personal goals? Do we have
friends? Do we have connections with the community?
Are we contributing or giving back in some way?”
Pat Deegan
Key tasks
• Research
• Communicating recovery
– Events (e.g. DCP April), talks, publications, web
and story sharing, DVD
• Building capacity for recovery
– Training, Local Network Development
• Policy and practice development
Narrative and SRN
• Why narrative
• Narrative Research Project
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Identity
Engagement
Relationships
Treatment and supports
• Promoting narrative method
and using different methods
to share
• Launch research and Routes
to Recovery October 9th
“I never ever thought
I’d be 40. I never ever
thought I’d get past 30
and I did… For the
future I want to be
happy, want to be
settled, I want to go to
Las Vegas and drive
down the main street
in a pink Cadillac!”
Values base for mental health nursing
Relationships
Rights
Respect
Recovery
Reaching out
Responsibility
“The recovery approach should be adopted as the model
for mental health nursing care and intervention, particularly
in supporting people with long-standing mental health
problems.”
“If recovery is a journey then the
role of the nurses is to provide some
guidance and sign posts on that
journey without taking control away
from the service user they travel
alongside”
Delivering for mental health
Improve the patient and
carer experience of
mental health services
Commitment 1: We will develop a tool to assess
the degree to which organisations and
programmes meet our expectations in respect of
equality, social inclusion, recovery and rights. The
tool will be piloted in 2007 and be in general use
by 2010.
Commitment 2: We will have in place a training
programme for peer support workers by 2008
with peer support workers being employed in
three board areas later that year.
Why develop a practice tool
• To improve the experience of using a service
and outcomes
• To assess the extent to which practice is
focussed around recovery
• To help people realise principles of recovery in
practice
• To make recovery more tangible
• Are we really ‘doing this already’?
Promoting peer
support for
recovery
Recovery in Scotland
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Remarkable shift in dialogue around recovery
Adoption in policy and practice
SRN balancing act
Next steps
– Communicating recovery to Scotland
– From services to self
Services to self
“Me. That’s what’s changed. Me! It was a control
thing. For 20 years there was an unconscious release
of control on my part. I let other people control
what I was doing and what I wasn’t doing. I let the
symptoms of my illness become the centre of my
universe, and I realise now that the symptoms of my
illness are not the centre of my universe.”
SRN Narrative Research Participant
Services to self
“The group has made a huge difference to me. I feel
completely empowered because it is something I am doing
for myself. It’s not a psychiatrist telling me to do this, do that,
take medication: it’s members of the group doing things for
ourselves. Also as mental health service users we don’t have
a chance to give back and what this group offers is a chance
to give support as well as receive it.”
Jo Mullen, quoted in mental Health Today, September 2007
Talking recovery
“At first we felt we had to be doing things, being
active and busy. So we weren’t taking time to talk
about recovery and learn from each other. It fell into
place when we realised that the conversation was
what mattered. That was the activity.”
www.scottishrecovery.net
• Join SRN mail list
• Research findings
and reports
• Recovery stories
• Audio and film
• Recovery in
practice detail