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Recovery model

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trauma-informed care argue the principles and strategies should be applied to individuals experiencing mental illness, substance dependence, and trauma as these three often occur simultaneously or as result of each other. The paradigms surrounding trauma-informed care began to shift in 1998 and 1999. In 1998, the Center for Mental Health Services, the Center for Substance Abuse Treatment, and the Center for Substance Abuse Prevention collaborated to fund 14 sites to develop integrated services in order to address the interrelated effects of violence, mental health, and substance abuse. In 1999, the National Association of State Mental Health Program Directors passed a resolution recognizing the impact of violence and trauma and developed a toolkit of resources for the implementation of trauma services in state mental health agencies. Trauma-informed care has been supported in academia as well. Scholars claim that neglecting the role of trauma in a person's story can interfere with recovery in the form of misdiagnosis, inaccurate treatment, or retraumatization. Some principles of trauma-informed care include validating survivor experiences and resiliency, aiming to increase a survivor's control over her/his/their recovery, creating atmospheres for recovery that embody consistency and confidentiality, minimizing the possibilities of triggering past trauma, and integrating survivors/recovering persons in service evaluation. In practice, trauma-informed care has shown to be most effective when every participant in a service providing context to be committed to following these principles. In addition, these principles can apply to all steps of the recovery process within a service providing context, including outreach and engagement, screening, advocacy, crisis intervention, and resource coordination. The overall goal in trauma-informed care is facilitating healing and empowerment using strengths-based empowerment practices and a comprehensive array of services that integrate co-occurring disorders and the multitude of needs a recovering person might have, such as drug treatment, housing, relationship building, and parenting support.
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individual needs and can effectively rehabilitate those recovering from issues such as sexual violence and drug addiction without criminalization. Additionally, safe houses provide a comfortable space where survivors can be listened to and uplifted through compassion. In practice, this can be accomplished through one on one interviews with other recovering persons, engaging in communal story circles, or peer-led support groups. Those who share the same values and outlooks more generally (not just in the area of mental health) may also be particularly important. It is said that one-way relationships based on being helped can actually be devaluing and potentially re-traumatizing, and that
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the intervention among a population with higher baseline values on the need for recovery and providing opportunities for physical activity, such as organizing lunchtime walking or yoga classes at work. Additionally, they recommended strategically integrating a social media platform with incentives for regular use, linking it to other platforms like Facebook, and considering more drastic physical interventions, such as restructuring an entire department floor, to enhance the intervention's effectiveness. The study concluded that relatively simple environment modifications, such as placing signs to promote stair use, did not lead to changes in the need for recovery.
101:, coupled with studies demonstrating that many people do recover. A recovery-oriented approach has since been explicitly embraced as the guiding principle of mental health and substance dependency policies in numerous countries and states. Practical measures are being implemented in many cases to align services with a recovery model, although various obstacles, concerns, and criticisms have been raised by both service providers and recipients of services. Several standardized measures have been developed to assess different aspects of recovery, although there is some divergence between professionalized models and those originating in the 600:
isolating the conditions of a recovering person and not addressing conditions such as substance abuse and mental illness simultaneously as part of one source. Specific practices in traditional service delivery systems, such as unnecessary procedures, undressing for examinations, involuntary hospitalizations, crowded emergency rooms, and limited time for providers to meet with patients, have all been critiqued as insensitive to persons recovering from trauma and consequential mental illness or substance abuse. Limited resources and time in the United States healthcare system can make the implementation of trauma-informed care difficult.
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commitment from leadership in an agency to train staff members to be trauma-aware, but this training can be costly and time-consuming. "Trauma-informed care" and "trauma" also have contested definitions and can be hard to measure in a real world service setting. Another barrier to trauma-informed care is the necessity of screening for histories of trauma. While agencies need to screen for histories of trauma in order to give the best care, there can be feelings of shame and fear of being invalidated that can prevent a recovering person from disclosing their personal experiences.
632:. The commission's emphasis on recovery has been interpreted by some critics as saying that everyone can fully recover through sheer will power and therefore as giving false hope and implicitly blaming those who may be unable to recover. However, the critics have themselves been charged with undermining consumer rights and failing to recognize that the model is intended to support a person in their personal journey rather than expecting a given outcome, and that it relates to social and political support and empowerment as well as the individual. 587:
taking, rebuilding broken relationships or forging new ones, actively engaging in meaningful activities and taking steps to build a home and provide for themselves and their families. Milestones could be as simple as gaining weight, re-establishing relationships with friends, or building self-esteem. What is key is that recovery is sustained.". Key to the philosophy of the recovery movement is the aim for an equal relationship between "Experts by Profession" and "Experts by Experience".
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place within society; and to validate the self. Recovery can thus be viewed as one manifestation of empowerment. Such an empowerment model may emphasize that conditions are not necessarily permanent; that other people have recovered who can be role models and share experiences; and that "symptoms" can be understood as expressions of distress related to emotions and other people. One such model from the US
578:(or alternatively requiring total abstinence) recovery approaches have emphasized the need to simultaneously address the whole of people's lives, and to encourage aspirations while promoting equal access and opportunities within society. Some examples of harm reduction services include overdose reversal medications (such as 582:), substance testing kits, supplies for sterile injections, HIV, HBV, and HCV at-home testing equipment– and trauma-informed care in the form of group therapy, community building/events, case management, and rental assistance services. The purpose of this model is to rehabilitate those experiencing addiction in a 493:, empowerment and real-world personal experience. "Recovery from", the medical approach, is defined by a dwindling of symptoms, whereas "recovery in", the peer approach, may still involve symptoms, but the person feels they are gaining more control over their life. Similarly, recovery may be viewed in terms of a 603:
There are other challenges to trauma-informed care besides limits in the United States healthcare system that can make trauma-informed care ineffective for treating persons recovering from mental illness or substance dependence. Advocates of trauma-informed care argue implementation requires a strong
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Recovery of a durable sense of self (if it had been lost or taken away) has been proposed as an important element. A research review suggested that people sometimes achieve this by "positive withdrawal"—regulating social involvement and negotiating public space in order to only move towards others in
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A common aspect of recovery is said to be the presence of others who believe in the person's potential to recover and who stand by them. According to Relational Cultural Theory as developed by Jean Baker Miller, recovery requires mutuality and empathy in relationships. The theory states this requires
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points and possible crisis points, and to understand and develop personal ways of responding and coping. Developing a sense of meaning and overall purpose is said to be important for sustaining the recovery process. This may involve recovering or developing a social or work role. It may also involve
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are said to often be of wider and longer-term importance. Case managers can play the role of connecting recovering persons to services that the recovering person may have limited access to, such as food stamps and medical care. Others who have experienced similar difficulties and are on a journey of
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For many, recovery has a political as well as personal implication—where to recover is to: find meaning; challenge prejudice (including diagnostic "labels" in some cases); perhaps to be a "bad" non-compliant patient and refuse to accept the indoctrination of the system; to reclaim a chosen life and
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A consensus statement on mental health recovery from US agencies, that involved some consumer input, defined recovery as a journey of healing and transformation enabling a person with a mental health problem to live a meaningful life in a community of his or her choice while striving to achieve his
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is also an important part of empowerment. Advocates of Women's Empowerment Theory argue it is important to recognize that a recovering person's view of self is perpetuated by stereotypes and combating those narratives. Empowerment according to this logic requires reframing a survivor's view of self
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It has been emphasized that each individual's journey to recovery is a deeply personal process, as well as being related to an individual's community and society. A number of features or signs of recovery have been proposed as often core elements and comprehensively they have been categorized under
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Some concerns have been raised about a recovery approach in theory and in practice. These include suggestions that it: is an old concept; only happens to very few people; represents an irresponsible fad; happens only as a result of active treatment; implies a cure; can only be implemented with new
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According to a study, a combined social and physical environment intervention has the potential to enhance the need for recovery. However, the study's focus on a general healthy and well-functioning population posed challenges in achieving significant impact. The researchers suggested implementing
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Doug Banks, Jim Burdett, Vicki Burnett, Deb Christensen, Susie Crooks, Elva Edwards, Stewart Fenton, Seulata Fui, Maria Glanville, Sonja Goldsack, Alex Handiside, Chris Hansen, Anne Helm, Iwa Natana, Mary O'Hagan, Lina Samu, Ana Sokratov, Te Wera Te Kotua, John Tovey, Debra Wells and Ranui Wilson
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reports developing national and state initiatives to empower consumers and support recovery, with specific committees planning to launch nationwide pro-recovery, anti-stigma education campaigns; develop and synthesize recovery policies; train consumers in carrying out evaluations of mental health
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What constitutes 'recovery', or a recovery model, is a matter of ongoing debate both in theory and in practice. In general, professionalized clinical models tend to focus on improvement in particular symptoms and functions, and on the role of treatments, while consumer/survivor models tend to put
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are said to be important to recovery for reducing the social and psychological effects of stress and trauma. Women's Empowerment Theory suggests that recovery from mental illness, substance abuse, and trauma requires helping survivors understand their rights so they can increase their capacity to
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These approaches are in contrast to traditional care systems. Advocates of trauma-informed care critique traditional service delivery systems, such as standard hospitals, for failing to understand the role of trauma in a patient's life. Traditional service delivery systems are also critiqued for
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A number of standardized questionnaires and assessments have been developed to try to assess aspects of an individual's recovery journey. These include the Milestones of Recovery (MOR) Scale, Recovery Enhancing Environment (REE) measure, Recovery Measurement Tool (RMT), Recovery Oriented System
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way rather than through law enforcement and criminal justice-based intervention which can fail to address victims’ circumstances on a need-by-need basis. From the perspective of services the work may include helping people with "developing the skills to prevent relapse into further illegal drug
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Various stages of resistance to recovery approaches have been identified amongst staff in traditional services, starting with "Our people are much sicker than yours. They won't be able to recover" and ending in "Our doctors will never agree to this". However, ways to harness the energy of this
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A review of research suggested that writers on recovery are rarely explicit about which of the various concepts they are employing. The reviewers classified the approaches they found in to broadly "rehabilitation" perspectives, which they defined as being focused on life and meaning within the
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issued a 2008 policy paper proposing that the recovery approach is an idea "whose time has come" and, in partnership with the NHS Confederation Mental Health Network, and support and funding from the Department of Health, manages the Implementing Recovery through Organisational Change (ImROC)
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William Anthony, Director of the Boston Centre for Psychiatric Rehabilitation developed a cornerstone definition of mental health recovery in 1993. "Recovery is a deeply personal, unique process of changing one's attitudes, values, feelings, goals, skills and/or roles. It is a way of living a
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Other criticisms focused on practical implementation by service providers include that: the recovery model can be manipulated by officials to serve various political and financial interests including withdrawing services and pushing people out before they're ready; that it is becoming a new
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perspective, a number of additional qualities of the recovery process have been suggested, including that it: can occur without professional intervention, but requires people who believe in and stand by the person in recovery; does not depend on believing certain theories about the cause of
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model of rehabilitation. This approach supports victims of trauma through a community-centered, transitional housing method that provides social services, healthcare, and psychological support to navigate through and past experiences. Safe houses aim to support survivors on account of their
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along with service users, Tidal is a particular model that has been specifically researched. Based on a discrete set of values (the Ten Commitments), it emphasizes the importance of each person's own voice, resourcefulness and wisdom. Since 1999, projects based on the Tidal Model have been
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Trauma-Informed care is a philosophy for recovery that combines the conditions and needs of people recovering from mental illness and/or substance abuse into one framework. This framework combines all of the elements of the Recovery Approach and adds an awareness of trauma. Advocates of
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or her full potential. Ten fundamental components were elucidated, all assuming that the person continues to be a "consumer" or to have a "mental disability". Conferences have been held on the importance of the "elusive" concept from the perspectives of consumers and psychiatrists.
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of recovery has also been a powerful force behind the development of recovery approaches and policies. A key issue became how service consumers could maintain the ownership and authenticity of recovery concepts while also supporting them in professional policy and practice.
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and the world. In practice, empowerment and building a secure base require mutually supportive relationships between survivors and service providers, identifying a survivor's existing strengths, and an awareness of the survivor's trauma and cultural context.
309:, mutuality, and a sense of social belonging; and is often challenging in the face of the typical barrage of overt and covert negative messages that come from the broader social context. Being able to move on can mean having to cope with feelings of 557:
In general, recovery may be seen as more of a philosophy or attitude than a specific model, requiring fundamentally that "we regain personal power and a valued place in our communities. Sometimes we need services to support us to get there".
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Secker, J; Membrey, H; Grove, B; Seebohm, Patience. (June 2002). "Recovering from Illness or Recovering your Life? Implications of Clinical Versus Social Models of Recovery from Mental Health Problems for Employment Support Services".
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in daily life. Cultural biases and uncertainties were also noted in the 'North American' model of recovery in practice, reflecting views about the sorts of contributions and lifestyles that should be considered valuable or acceptable.
2892: 207:. The concept of recovery was often defined and applied differently by consumers/survivors and professionals. Specific policy and clinical strategies were developed to implement recovery principles although key questions remained. 510:
conditions; can be said to occur even if symptoms later re-occur, but does change the frequency and duration of symptoms; requires recovery from the consequences of a psychiatric condition as well as the condition itself; is not
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satisfying, hopeful, and contributing life even with limitations caused by the illness. Recovery involves the development of new meaning and purpose in one's life as one grows beyond the catastrophic effects of mental illness."
756:'s National Mental Health Plan 2003-2008 states that services should adopt a recovery orientation although there is variation between Australian states and territories in the level of knowledge, commitment and implementation. 246:
recovery can also play a role in establishing community and combating a recovering person's feelings of isolation. An example of a recovery approach that fosters a sense of community to combat feelings of isolation is the
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The data-collection systems and terminology used by services and funders are said to be typically incompatible with recovery frameworks, so methods of adapting them have been developed. It has also been argued that the
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but a sustainable belief in oneself and a willingness to persevere through uncertainty and setbacks. Hope may start at a certain turning point, or emerge gradually as a small and fragile feeling, and may fluctuate with
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Recovering Consumers and a Broken Mental Health System in the United States: Ongoing Challenges for Consumers/ Survivors and the New Freedom Commission on Mental Health. Part II: Impact of Managed Care and Continuing
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Gibbs, Deborah A.; Hardison Walters, Jennifer L.; Lutnick, Alexandra; Miller, Shari; Kluckman, Marianne (July 2015). "Services to domestic minor victims of sex trafficking: Opportunities for engagement and support".
651:- at least when genuinely chosen and shaped by each unique individual on the ground - serious social, institutional and personal difficulties made it essential that there be sufficient ongoing effective support with 2127:
Gibbs, Deborah A.; Hardison Walters, Jennifer L.; Lutnick, Alexandra; Miller, Shari; Kluckman, Marianne (2015). "Services to domestic minor victims of sex trafficking: Opportunities for engagement and support".
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resources; adds to the burden of already stretched providers; is neither reimbursable nor evidence based; devalues the role of professional intervention; and increases providers' exposure to risk and liability.
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Elliott, Denise E.; Bjelajac, Paula; Fallot, Roger D.; Markoff, Laurie S.; Reed, Beth Glover (2005). "Trauma-informed or trauma-denied: Principles and implementation of trauma-informed services for women".
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Developments were fueled by a number of long-term outcome studies of people with "major mental illnesses" in populations from virtually every continent, including landmark cross-national studies by the
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perceived resistance and use it to move forward have been proposed. In addition, staff training materials have been developed by various organisations, for example by the National Empowerment Center.
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from the 1970s and 1990s, showing unexpectedly high rates of complete or partial recovery, with exact statistics varying by region and the criteria used. The cumulative impact of personal stories or
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Huntington, Nicholas; Moses, Dawn Jahn; Veysey, Bonita M. (2005). "Developing and implementing a comprehensive approach to serving women with co-occurring disorders and histories of trauma".
729:, already report redesigning their mental health systems to stress recovery model values like hope, healing, empowerment, social connectedness, human rights, and recovery-oriented services. 229:
relationships that embody respect, authenticity, and emotional availability. Supportive relationships can also be made safer through predictability and avoiding shaming and violence. While
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systems; and help further the development of peer-run services. Mental Health service directors and planners are providing guidance to help state services implement recovery approaches.
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experience; that it hides the continued dominance of a medical model; and that it potentially increases social exclusion and marginalizes those who don't fit into a recovery narrative.
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to facilitate this. A 2006 review of nursing in Scotland recommended a recovery approach as the model for mental health nursing care and intervention. The Mental Health Commission of
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There have been specific tensions between recovery models and "evidence-based practice" models in the transformation of US mental health services based on the recommendations of the
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movement in particular, began to incorporate the concept from the early 1990s in the United States, followed by New Zealand and more recently across nearly all countries within the "
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but does tend to take place as a series of small steps; does not mean the person was never really psychiatrically disabled; focuses on wellness not illness, and on consumer choice.
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Building a positive culture of healing is essential in the recovery approach. Since recovering is a long process, a strong supportive network can be helpful. Appropriate
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Anthony, W.A., Cohen, M., Farkas, M, & Gagne, C. (2002). Psychiatric Rehabilitation. 2nd edition. Boston: Boston University Center for Psychiatric Rehabilitation.
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a way that feels safe yet meaningful; and nurturing personal psychological space that allows room for developing understanding and a broad sense of self, interests,
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Coffeng, Jennifer K.; Boot, Cécile R. L.; Duijts, Saskia F. A.; Twisk, Jos W. R.; van Mechelen, Willem; Hendriksen, Ingrid J. M. (2014-12-26). Jepson, Ruth (ed.).
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have been required by government policy to use a recovery approach and mental health professionals are expected to demonstrate competence in the recovery model.
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More widespread application of recovery models to psychiatric disorders is comparatively recent. The concept of recovery can be traced back as far as 1840, when
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Davidson L, O'Connell M, Tondora J, Styron T, Kangas K (May 2006). "The top ten concerns about recovery encountered in mental health system transformation".
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context of enduring disability, and "clinical" perspectives which focused on observable remission of symptoms and restoration of functioning. From a
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is implementing a recovery approach in at least some regions, and has developed a new professional role of Support Time and Recovery Worker.
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reports that its guiding documents place the service user at the core and emphasize an individual's personal journey towards recovery.
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Ramon S, Healy B, Renouf N (March 2007). "Recovery from mental illness as an emergent concept and practice in Australia and the UK".
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Ahern L, Fisher D. Personal Assistance in Community Existence: A Recovery Guide. Lawrence, Mass: National Empowerment Center; 1999.
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Heslin, Kevin C.; Andersen, Ronald M.; Gelberg, Lillian (2003-01-01). "Case Management And Access To Services For Homeless Women".
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Increasingly, recovery became both a subject of mental health services research and a term emblematic of many of the goals of the
629: 2254:"What we talk about when we talk about recovery: a systematic review and best-fit framework synthesis of qualitative literature" 3935: 2644: 1003: 768:(NIMHE) endorsed a recovery model as a possible guiding principle of mental health service provision and public education. The 1844: 718: 542: 204: 3565: 2755:
Fisher D, Chamberlin J. PACE/Recovery Peer Training Recovery Curriculum. Lawrence, Mass: National Empowerment Center; 2004.
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The New Freedom Commission on Mental Health has proposed to transform the mental health system in the US by shifting the
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proposes a number of principles of how people recover and seeks to identify the characteristics of people in recovery.
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focuses on the continuous process of change inherent in all people, conveying the meaning of experiences through water
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that emphasizes and supports a person's potential for recovery. Recovery is generally seen in this model as a personal
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Francis East, Jean; Roll, Susan J. (2015). "Women, Poverty, and Trauma: An Empowerment Practice Approach: Figure 1".
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or bandwagon that neglects the empowerment aspects and structural problems of societies and primarily represents a
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Harris, Maxine; Fallot, Roger D. (2001). "Envisioning a trauma-informed service system: A vital paradigm shift".
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The Place of Volition in Addiction: Differing Approaches and their Implications for Policy and Service Provision
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Theodora Campbell-Orde, M.P.A., Judi Chamberlin, Jenneth Carpenter, M.S.W., & H. Stephen Leff, Ph.D. (2005)
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region, have adopted recovery as a guiding principle for reforming and developing the mental health system.
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Rights, Relationships and Recovery: The Report of the National Review of Mental Health Nursing in Scotland
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Ahern L, Fisher D (April 2001). "Recovery at your own PACE (Personal Assistance in Community existence)".
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has included the promotion and support of recovery as one of its four key mental health aims and funded a
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have also been proposed as important tools to empowering someone and increasing her/his self-sufficiency.
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and about which methods fit with the consumer's life and their journey of recovery. Developing coping and
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A conceptual framework for personal recovery in mental health: systematic review and narrative synthesis
305:, etc. It was suggested that the process is usually greatly facilitated by experiences of interpersonal 3885: 3875: 3794: 3620: 2157:"Scientific and consumer models of recovery in schizophrenia: concordance, contrasts, and implications" 859: 575: 506: 494: 230: 180: 59: 1056: 3610: 3422: 3102: 2480: 1731: 799: 782: 192: 2800: 669:
Indicators (ROSI) Measure, Stages of Recovery Instrument (STORI), and numerous related instruments.
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nationwide project that aims to put recovery at the heart of mental health services in the UK. The
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Finding and nurturing hope has been described as a key to recovery. It is said to include not just
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Jacobson, Nora; Greenley, Dianne (2001). "What Is Recovery? A Conceptual Model and Explication".
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Culture, Stress and Recovery from Schizophrenia: Lessons from the Field for Global Mental Health
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Ahern L, Fisher D. PACE/Recovery Curriculum. Lawrence, Mass: National Empowerment Center; 2001.
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of care from traditional medical psychiatric treatment toward the concept of recovery, and the
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can offer a particular limited kind of relationship and help foster hope, relationships with
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US Dept of Health and Human Services and SAMHSA Center for Mental Health Services (2004)
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Carlos Pratt, Kenneth J. Gill, Nora M. Barrett, Kevin K. Hull, Melissa M. Roberts (2002)
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Reeves, Elizabeth (2015-09-02). "A Synthesis of the Literature on Trauma-Informed Care".
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Elm, Jessica H. L.; Lewis, Jordan P.; Walters, Karina L.; Self, Jen M. (1 October 2016).
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of connectedness, hope & optimism, identity, meaning & purpose and empowerment.
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Addressing Resistance to Recovery:Strategies for working with staff resistant to change
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skills to manage individual traits and problem issues (which may or may not be seen as
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Tools In Development: Measuring Recovery at the Individual, Program, and System Levels
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during the late 1980s and early 1990s. The professional literature, starting with the
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in response to a perceived failure by services or wider society to adequately support
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A Critical Exploration of Social Inequities in the Mental Health Recovery Literature
3168: 2347: 2003: 1969:"Recovering the self in schizophrenia: an integrative review of qualitative studies" 1647: 1579: 1288: 3774: 3156: 3022: 2912: 2845: 2774: 2673: 2615: 2580: 2492: 2327: 2300: 2278: 2270: 2214: 2176: 2168: 2137: 2095: 2067: 2030: 2019:"From narrative wreckage to islands of clarity: stories of recovery from psychosis" 1983: 1941: 1881: 1813: 1769: 1694: 1619: 1557: 1489: 1345:
Recovery as Policy in Mental Health Services: Strategies Emerging from the States.
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Office of the Surgeon General and various United States Government agencies (1999)
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Our Lives in 2014: A recovery vision from people with experience of mental illness
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The Politicization of Safety: Critical Perspectives on Domestic Violence Responses
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is valued; and different domains are explored such as sense of security, personal
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Some positives and negatives of recovery models were highlighted in a study of a
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Data Collection With Recovery In Mind: Involve service users as much as possible
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Daly, R. (July 6, 2007). "Tensions Complicate Efforts to Transform MH Systems".
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Mental Health: A report of the Surgeon General. Section 10: Overview of Recovery
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Conference Report, Medscape Psychiatry & Mental Health, October 11–14, 2007
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Leamy, M., Bird, V.J., Le Boutillier, C., Williams, J. & Slade, M. (2011).
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The remarkable story of Geel: 700 years of community-based mental health care
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American Association for the Abolition of Involuntary Mental Hospitalization
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Stuart, Simon Robertson; Tansey, Louise; Quayle, Ethel (20 September 2016).
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The Strengths Model: A Recovery-Oriented Approach to Mental Health Services
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We've Had a Hundred Years of Psychotherapy – and the World's Getting Worse
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Published with the assistance of the New Zealand Mental Health Commission.
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Consumer-Directed Transformation to a Recovery-Based Mental Health System
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led to more individuals living in the community. It gained momentum as a
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The Road to Recovery: A New Approach to Tackling Scotland's Drug Problem
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Recovery rediscovered: Implications for the Ontario mental health system
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has endorsed a recovery model from a psychiatric services perspective.
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Hopper, Elizabeth K.; Bassuk, Ellen L.; Olivet, Jeffrey (2010-04-07).
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Website of the National Association of State Mental Health Directors
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Formation of healthy coping strategies and meaningful internal schema
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and help-seeking which translates into proper medication and active
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Measuring the Promise: A Compendium of Recovery Measures, Volume II
2803:. Culture, Medicine and Psychiatry. 2010 September; 34(3): 500–528. 695: 583: 570:
services. While interventions in this area have tended to focus on
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Social Inclusion and Recovery: A Model for Mental Health Practice.
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relationships and mutual support networks can be of more value to
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Achieving the Promise: Transforming Mental Health Care in America
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practices. Achieving social inclusion and overcoming challenging
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International Journal of Psychosocial Rehabilitation. 8, 58-70.
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rather than a set outcome, and one that may involve developing
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Implementing Recovery-based Care: Tangible Guidance for SMHAs
2397:"Recovery Movement Gains Influence In Mental Health Programs" 1030:. Hamilton County Mental Health & Recovery Services Board 415: 314: 310: 223: 51: 1683: 377:
of mental disorder) may require a person becoming their own
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Recovery Competencies for New Zealand Mental Health Workers
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President's New Freedom Commission on Mental Health (2003)
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National Resource Center on Psychiatric Advance Directives
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Behavioral Healthcare: Tools for Transformation, September
2437:"Empowerment Model of Recovery From Severe Mental Illness" 3372: 3149:
Australian e-Journal for the Advancement of Mental Health
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Australian e-Journal for the Advancement of Mental Health
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Particular kinds of recovery models have been adopted in
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perspective, this can be seen as developing a narrative.
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NASW Practice Snapshot: The Mental Health Recovery Model
1002:. Center for Psychiatric Rehabilitation. Archived from 684: 317:. When an individual is ready for change, a process of 3011:"What is recovery? A conceptual model and explication" 2728:
Behavioral Healthcare: Tools for Transformation, March
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National Consensus Statement on Mental Health Recovery
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Diagnostic and Statistical Manual of Mental Disorders
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United States Psychiatric Rehabilitation Association
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The Politics of Experience and The Bird of Paradise
2831: 2316:"Concepts of recovery: competing or complementary?" 2111:Canadian Mental Health Association, Ontario (2003) 1762:
Journal of Health Care for the Poor and Underserved
945: 439:make autonomous choices. This can mean develop the 3649:World Network of Users and Survivors of Psychiatry 2838:Australian & New Zealand Journal of Psychiatry 2251: 2107: 2105: 1543: 1304:"Recovery: The lived experience of rehabilitation" 1210:Stevis-Gridneff, Matina; Ryckewaert, Koba (2023), 3052:"Recovery in New Zealand: Lessons for Australia?" 2314:Davidson L, Lawless MS, Leary F (November 2005). 2284:20.500.11820/84053d0a-9b25-47ff-9bdb-963bf6c70312 1352: 3927: 3049: 3008: 2057: 1479: 1258: 1252: 2697: 2102: 766:National Institute for Mental Health in England 2943: 677:(and to some extent any system of categorical 280:. It is said to involve trusting, and risking 58:, a secure base and sense of self, supportive 3490:Outline of the psychiatric survivors movement 3393: 3222:Shepherd, G., Boardman, J., Slade, M. (2008) 2639: 2637: 1439:. British Journal of Psychiatry, 199:445-452. 2570: 1829: 1827: 1242: 1240: 743: 321:is initiated. It may require accepting past 2764: 1721: 1550:The Open Health Services and Policy Journal 689: 590: 3400: 3386: 3305:. Mental Health Commission. Archived from 3142:"Recovery in Australia: Slowly but surely" 2654:Psychminded.co.uk Retrieved on 29 Aug 2008 2634: 2434: 2154: 1867: 1139: 748:Since 1998, all mental health services in 707:US Department of Health and Human Services 541:and relationships. Initially developed by 386:renewing, finding or developing a guiding 224:Connectedness and supportive relationships 3026: 2913:Recovery: Patients, Families, Communities 2891:Lori Ashcraft, William A. Anthony (2007) 2849: 2724:Lori Ashcraft, William A. Anthony (2008) 2573:New Directions for Mental Health Services 2478: 2282: 2180: 2034: 1967:Sells DJ, Stayner DA, Davidson L (2004). 1824: 1561: 1301: 1237: 1168: 1116: 1098: 971: 3139: 2663: 2526:by the Scottish Government, May 29, 2008 2451: 2407:(1): 10. January 3, 2003. Archived from 1408:"What helps - Scottish Recovery Network" 1295: 3631:Royal Association for Disability Rights 3297: 3202:"Support, time, recovery (STR) workers" 2441:Medscape Psychiatry & Mental Health 1028:"Recovery: Definition & Components" 630:New Freedom Commission on Mental Health 478: 210: 14: 3928: 2832:Andresen R, Caputi P, Oades L (2006). 2423:Confessions of a non-compliant patient 2016: 1729:Recovery Is Impossible Without Friends 1679: 1677: 1609: 1539: 1475: 1473: 1471: 1469: 1467: 1465: 521:One approach to recovery known as the 410:Empowerment and building a secure base 3381: 3122:National Mental Health Plan 2003-2008 3082:New Zealand Mental Health Commission 3009:Jacobson N, Greenley D (April 2001). 2970:US Dept of Health and Human Sciences 2566: 2564: 2562: 2560: 2558: 2556: 2554: 2552: 2550: 2122: 2120: 1927: 1925: 1923: 1921: 1919: 1917: 1915: 1913: 1911: 1755: 1753: 1751: 1749: 1747: 1745: 1743: 1675: 1673: 1671: 1669: 1667: 1665: 1663: 1661: 1659: 1657: 1605: 1603: 1601: 1599: 1597: 1595: 1593: 1591: 1589: 1537: 1535: 1533: 1531: 1529: 1527: 1525: 1523: 1521: 1519: 1463: 1461: 1459: 1457: 1455: 1453: 1451: 1449: 1447: 1445: 719:California Mental Health Services Act 483: 205:Consumer/Survivor/Ex-Patient Movement 173:consumer/survivor/ex-patient movement 3566:Bazelon Center for Mental Health Law 1371:Repper, J. & Perkins, R. (2006) 865:Physical medicine and rehabilitation 685:National policies and implementation 3571:Citizens Commission on Human Rights 3407: 3259: 2799:Neely, Laurenzo & Myers (2010) 2692:Treatment Advocacy Center Statement 1868:Harrington, Carol (November 2019). 1405: 1347:Psychosocial Rehabilitation Journal 1311:Psychosocial Rehabilitation Journal 1140:van Bilsen, Henck P. J. G. (2016). 994: 24: 3530:Self-help groups for mental health 3362:Recovery as a Journey of the Heart 3326: 3208:. 12 February 2007. Archived from 2694:Newswire. Retrieved on Aug 12 2008 2547: 2541:The Whole Person Recovery Handbook 2332:10.1097/01.yco.0000184418.29082.0e 2130:Children and Youth Services Review 2117: 1988:10.1023/B:PSAQ.0000007563.17236.97 1908: 1806:Children and Youth Services Review 1740: 1654: 1586: 1516: 1442: 1343:Jacobson, N. and Curtis, L. (2000) 887:Self-help groups for mental health 734:Canadian Mental Health Association 679:classification of mental disorders 562:Recovery from substance dependence 546:established in several countries. 533:is seen as involving opportunity; 148:Mental health recovery emerged in 25: 3962: 3596:International Disability Alliance 3340: 2767:J Psychosoc Nurs Ment Health Serv 1839:. Vol. 10. NYU Press. 2019. 759: 216:the concept of CHIME. CHIME is a 27:Mental health focused on recovery 3351:St Vincent's Hospital, Melbourne 3101:Mental Health Commission (2002) 2851:10.1111/j.1440-1614.2006.01921.x 2535: 2142:10.1016/j.childyouth.2015.04.003 1818:10.1016/j.childyouth.2015.04.003 1233:History of the Recovery Movement 700:American Psychiatric Association 313:, which may include despair and 3856:Interpretation of Schizophrenia 3581:Disability Rights International 3291: 3279: 3253: 3228: 3216: 3194: 3182: 3133: 3114: 3095: 3076: 3043: 3002: 2983: 2964: 2937: 2918: 2905: 2885: 2866: 2825: 2806: 2793: 2758: 2749: 2740: 2731: 2718: 2684: 2657: 2599: 2529: 2517: 2472: 2428: 2415: 2389: 2370: 2354: 2307: 2245: 2233: 2197: 2148: 2051: 2010: 1960: 1934:Journal of Community Psychology 1861: 1796: 1687:Journal of Community Psychology 1612:Issues in Mental Health Nursing 1429: 1399: 1385: 1336: 912:Soteria (psychiatric treatment) 641:community mental health service 325:and lost opportunities or lost 3644:Socialist Patients' Collective 3505:Psychiatric survivors movement 3428:Controversies about psychiatry 3190:Guiding Statement on Recovery. 1226: 1203: 1192: 1133: 1066: 1042: 1020: 988: 939: 103:psychiatric survivors movement 13: 1: 3936:Treatment of mental disorders 3601:Learning Disability Coalition 3495:Political abuse of psychiatry 2779:10.3928/0279-3695-20010401-11 2275:10.1080/09638237.2016.1222056 1624:10.3109/01612840.2015.1025319 997:"Toward a Vision of Recovery" 964:10.1080/10894160.2016.1152813 933: 927:Wellness Recovery Action Plan 663: 3626:Rehabilitation International 3561:Autism Network International 1100:10.1371/journal.pone.0114860 337:The development of personal 7: 3616:National Empowerment Center 3576:Critical Psychiatry Network 3443:History of mental disorders 2425:National Empowerment Center 1563:10.2174/1874924001003020080 830:Critical Psychiatry Network 792: 732:At least some parts of the 607: 552:National Empowerment Center 499:medical model of disability 381:, in order to identify key 295: 231:mental health professionals 158:The Church of Saint Dymphna 85:The concept of recovery in 10: 3967: 3941:Psychiatric rehabilitation 3886:The Myth of Mental Illness 3621:Radical Psychology Network 3285:Scottish Executive (2006) 2911:Michael T. Compton (2007) 2241:Psychiatric Rehabilitation 952:Journal of Lesbian Studies 860:Mentalism (discrimination) 643:for people diagnosed with 507:psychiatric rehabilitation 495:social model of disability 181:psychiatric rehabilitation 112: 3914: 3818: 3657: 3611:MindFreedom International 3543: 3423:Biopsychiatry controversy 3415: 3206:London Development Centre 2479:MacMaster, S. A. (2004). 2219:10.1080/09687590220140340 800:Addiction recovery groups 783:Scottish Recovery Network 744:New Zealand and Australia 426:, and adequate access to 193:World Health Organization 3871:Madness and Civilization 3861:Liberation by Oppression 3332:Karasaki et al.,(2013). 3225:Centre for Mental Health 3140:Rickwood, Debra (2004). 3028:10.1176/appi.ps.52.4.482 2620:10.1176/appi.ps.57.5.640 2262:Journal of Mental Health 2207:Disability & Society 2155:Bellack AS (July 2006). 2072:10.1176/appi.ps.52.4.482 1886:10.1177/0896920518778107 1774:10.1177/1049208902238822 1273:10.1177/0020764006075018 1161:10.1192/pb.bp.115.051631 774:Centre for Mental Health 713:Some US states, such as 690:United States and Canada 591:Trauma-Informed Recovery 167:, son of Prime Minister 3500:Positive disintegration 3438:Hearing Voices Movement 3298:Higgins, Agnes (2008). 2956:(20): 3. Archived from 2944:Sharfstein, S. (2005). 1375:Bailliere Tindall, UK. 840:Hearing Voices Movement 770:National Health Service 574:, particularly through 266: 143:California Sober method 3831:Anatomy of an Epidemic 3586:Hearing Voices Network 3458:Martha Mitchell effect 3448:Involuntary commitment 3120:Australian Government 2585:10.1002/yd.23320018903 2017:Gold E (August 2007). 892:Shared decision making 875:Recovery International 845:Hearing Voices Network 576:substitute prescribing 91:deinstitutionalization 40:psychological recovery 3901:The Radical Therapist 3896:The Protest Psychosis 3535:Therapeutic community 3510:Psychoanalytic theory 3453:Involuntary treatment 3050:Mary O'Hagan (2004). 2678:10.1176/pn.42.13.0014 2173:10.1093/schbul/sbj044 1393:"Recovery principles" 1062:on December 22, 2012. 1055:. APA. Archived from 917:Therapeutic community 152:in the 13th century. 137:, for example within 3951:Twelve-step programs 3485:Nouthetic counseling 3015:Psychiatric Services 2989:NASMHPD/NTAC (2004) 2608:Psychiatric Services 2320:Curr Opin Psychiatry 2060:Psychiatric Services 1727:Hack Thyself (2012) 1261:Int J Soc Psychiatry 543:mental health nurses 479:Concepts of recovery 365:to, including about 252:transitional housing 211:Elements of recovery 165:John Thomas Perceval 139:twelve-step programs 48:substance dependence 3946:Drug rehabilitation 3525:Rosenhan experiment 3520:Rhetoric of therapy 3433:Critical psychiatry 3236:"What is recovery?" 3065:(1). Archived from 2497:10.1093/sw/49.3.353 2435:Fisher, D. (2005). 1091:2014PLoSO...9k4860C 825:Critical Psychiatry 815:Capability approach 810:Clinical psychology 568:drug rehabilitation 3876:Radical Psychology 3851:Doctoring the Mind 3556:Aspies For Freedom 3161:10.5172/jamh.3.1.8 3127:2008-08-28 at the 3108:2008-04-14 at the 3089:1998-02-14 at the 2996:2007-09-29 at the 2977:2006-11-30 at the 2931:2008-07-05 at the 2898:2010-08-13 at the 2879:2014-01-04 at the 2819:2007-04-17 at the 2711:2016-11-07 at the 2703:McLean, A. (2003) 2650:2020-08-03 at the 2643:George, C. (2008) 2465:2008-10-16 at the 2411:on August 2, 2003. 2383:2008-09-07 at the 1946:10.1002/jcop.20059 1880:(7–8): 1181–1194. 1874:Critical Sociology 1734:2016-10-04 at the 1699:10.1002/jcop.20063 1302:Deegan PE (1988). 995:Anthony, William. 881:Rethinking Madness 835:Emotions Anonymous 820:Celebrate Recovery 779:Scottish Executive 484:Varied definitions 436:self-determination 357:if the patient is 42:is an approach to 18:Addiction recovery 3923: 3922: 3917:Psychiatry portal 3881:The Gene Illusion 3785:Elizabeth Packard 3745:Peter C. Gøtzsche 3730:Leonard Roy Frank 3670:Giorgio Antonucci 3260:Hopkins, Andrew. 3212:on 29 April 2007. 2844:(11–12): 972–80. 2023:Can Fam Physician 1846:978-1-4798-0564-8 1494:10.1093/sw/swv030 1406:Hopkins, Andrew. 902:Social psychiatry 870:Recovery coaching 489:more emphasis on 339:coping strategies 36:recovery approach 16:(Redirected from 3958: 3775:Joanna Moncrieff 3635:Paranoia Network 3402: 3395: 3388: 3379: 3378: 3321: 3320: 3318: 3317: 3311: 3304: 3295: 3289: 3283: 3277: 3276: 3274: 3273: 3264:. Archived from 3257: 3251: 3250: 3248: 3247: 3238:. Archived from 3232: 3226: 3220: 3214: 3213: 3198: 3192: 3186: 3180: 3179: 3177: 3171:. 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Index

Addiction recovery
mental disorder
substance dependence
journey
hope
relationships
empowerment
social inclusion
coping skills
meaning
mental health
deinstitutionalization
social movement
social inclusion
psychiatric survivors movement
general medicine
psychiatry
illness
substance abuse
drug addiction
twelve-step programs
California Sober method
Geel, Belgium
Saint Dymphna
The Church of Saint Dymphna
John Thomas Perceval
Spencer Perceval
consumer/survivor/ex-patient movement
United States
psychiatric rehabilitation

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