Uses and abuses of recovery: implementing recovery-oriented practices in mental health systems.

TitleUses and abuses of recovery: implementing recovery-oriented practices in mental health systems.
Publication TypeJournal Article
Year of Publication2014
AuthorsSlade M, Amering M, Farkas M, Hamilton B, O'Hagan M, Panther G, Perkins R, Shepherd G, Tse S, Whitley R
JournalWorld Psychiatry
Volume13
Issue1
Pagination12-20
Date Published2014 Feb
ISSN1723-8617
Abstract

An understanding of recovery as a personal and subjective experience has emerged within mental health systems. This meaning of recovery now underpins mental health policy in many countries. Developing a focus on this type of recovery will involve transformation within mental health systems. Human systems do not easily transform. In this paper, we identify seven mis-uses ("abuses") of the concept of recovery: recovery is the latest model; recovery does not apply to "my" patients; services can make people recover through effective treatment; compulsory detention and treatment aid recovery; a recovery orientation means closing services; recovery is about making people independent and normal; and contributing to society happens only after the person is recovered. We then identify ten empirically-validated interventions which support recovery, by targeting key recovery processes of connectedness, hope, identity, meaning and empowerment (the CHIME framework). The ten interventions are peer support workers, advance directives, wellness recovery action planning, illness management and recovery, REFOCUS, strengths model, recovery colleges or recovery education programs, individual placement and support, supported housing, and mental health trialogues. Finally, three scientific challenges are identified: broadening cultural understandings of recovery, implementing organizational transformation, and promoting citizenship.

DOI10.1002/wps.20084
Alternate JournalWorld Psychiatry
PubMed ID24497237
PubMed Central IDPMC3918008