Transcript The Joining of Wisdoms: Re-focussing on the personal

IT IS ALL ABOUT THE JOURNEY:
Supporting the creation of active recovery
spaces within service frameworks
Kompetanse PA Brukervis- Nordisk Konferanse OM
Psykisk Helse
2nd – 4th October, 2007 Trondheim, Norway
Helen Glover
Queensland, Australia
Non Focussed
Refocus on 3, 2, 1
Bodies of Knowledge
A Recovery Oriented Paradigm Shift
Dominant
Paradigm
Less - Dominant
Paradigm
Non Dominant Paradigm
Dominant Paradigm
Formally Learnt
Experiential
•Objective
Explanation of Distress
( Professional)
•Understanding of Subjective Distress
Social
Medical
•External Interpretation
Work
•Internal Interpretation
Recovery
•External Expert
Based
And
Nursing
Psychology
•External knowledge
Practice
Occupational
•Focuses on what is commonKnowledge
Therapy
Lived
Experiences
Traditional
•Self Expert
Society
Family and
•Internal knowledge
Knowledge
Community
•Focuses on what is unique
Alternatives
Knowledge
•Absolute Truth Alone
•Many understandings
•Externally Determined
•Internally realised
Objective
•Managed
Care- Doing to
Subjective
•Participatory
Care – being with
Adapted from Canadian framework of Support 1989 & Glover H , 2001
Some Underpinning
Core
Beliefs
•
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
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
Loves
I can’t do Travel
Friend
that I have
an illness
I might fail… I
might
Teacher
relapse..
Patient
Others
know more
about me
than I do…
Wife
Assessments
& Monitoring
Stubborn as
Hospital
an Ox
admissions
Gym
goer
Medications
I have to face the
facts – I have a
mental illness
Reports and
I
am
just an illness…no-one
Dr’s
documentation
expects anything else of me
Appointments
Can Kill
House owner
Plants
Day ( mortgage payer)
at a
Centres
Sorry I can’t
Glance
go… I have to
Sick
go to the Day
I certificates
don’t know …
Tax Payer
Centre
Aunt
Internal & External Supports
External
Self
Direction &
Care
Internal
IStubbornness
have
Hobbies and
Interests
Humor
Mental Health
Care & support
I am not
to face
capable
of
Resilience
Natural
reality
doing that
supports
Courage
that I
am sick
Sense of Self
Spirituality
I’ll have to ask the
Sense of meaning and purpose
doctor first
Meaningful
occupation
Housing &
Financial
Supports
Physical Health
care
Construction of Chronicity
ME
IT
Micro Aggressors
Construction of Wellness
ME
IT
Micro Enhancers
Free Entry!!!
NO Identity with illness
required
Special Entry!!!
Identity with illness
required
Which door?
Types of Participation
I am actively
involved in
addressing
systemic
change
Tertiary
I am actively
involved in
valued roles
and
opportunitie
s
I am actively
involved in
managing my
health
Secondary
Primary
Lived Experienced “
Specialities”/ Expert areas
Beyond the T –Shirt
Experience 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 Glover
Australia
[email protected]