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Every NHS mental health trust should employ service users to promote recovery, charity urges

September 14, 2009
by Angela Hussain

.........

Every NHS mental health trust in Britain should employ service users to promote the principles of mental health recovery to staff, a leading charity has recommended.

Service users should run 'recovery education centres' to help radically change mental health care within trusts, says the Sainsbury Centre for Mental Health.

Such recovery centres should also train people who have had mental health problems to be ‘peer professionals’. They should eventually provide 50 per cent of all mental health care within each trust.

The Sainsbury centre's position paper, entitled Implementing Recovery: Ten Key Organisational Changes calls for a radical shake-up of mental health services where recovery principles become woven into mental health care.

The recovery principles represent a less-medical, more holistic and social approach to care and treatment.

Last year the Sainsbury centre published Making Recovery a Reality. It presented key principles behind the “empowering” recovery approach and implications for services if they are to steer away from a traditional medical model.

Professor Geoff Shepherd, a clinical psychologist and visiting professor in the health service and population research department at London's Institute of Psychiatry, said: "Implementing recovery requires a major transformation in the culture of mental health services.

"It means supporting people to take much greater control over the way that they are treated.

"It means challenging stigma and discrimination much more assertively in communities. And it requires mental health professionals to work in a very different way to support service users’ own priorities and their hopes for the future."

See also:
Service provision

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What is recovery, anyway?

From: Kim Sherrington, lead clinician/unit manager, NHS mental health trust, UK
Date: September 17, 2009

Got no problem with this in theory and indeed will welcome anything that challenges the corrupt pharma-led industry we have now. But will someone please define 'recovery' - the govt equates it to getting a job.

And can we acknowledge that we created stigma in the first place with our frightening language, labels and treatments. Therefore let's sort out our own house rather than blame media and the public for their stigmatising views.

........

I'll be a peer professional

From: Robert Arthur, unemployed due to depression, Basingstoke. England
Date: September 17, 2009

This is a very good idea. And I for one would be very willing to train to be a peer professional. At the moment in Basingstoke where I live there seems to be no thought or provision in this matter. And I'm sure I'm not the only person who would benefit greatly from a service of this description.

.......

Recovery is a Trojan horse

From: Louise Pembroke, survivor activist [not recovered], London
Date: September 17, 2009

What would we promote as 'recovery' then? One US website written by survivors states that recovery means having friends who are NOT service users or providers. That stuffs my recovery then!

If you ask service users - [the kind of user who doesn't attend conferences] what is their understanding of recovery is, they may well reply all they've been taught by the voluntary and statutory sectors which is recovery equals employment.

Then we have a niche of 'recovery' trainers - including survivors who promote varying 'levels' of recovery ranging from 'impaired' [slightly sub-standard] through to going 'beyond recovery' to a place called thriving where nothing gets you down, eureka!

I don't see this highly-sloganised bandwagon of recovery as the holy grail, more of a Trojan horse. It's been politically hijacked along with 'personalisation' to service welfare reforms which will benefit councils and the voluntary sector, not service users. It's been used by the statutory sector to get people in and out asap and is used in such a way as to be bolted onto a medical model of mental health, not challenge it. Survivors are not neccessarily any better at defining recovery for others than a psychiatrist or social worker. They also have to operate within a current culure which dictates some version of the recovery is The Way and The Only Way, with amazement if you don't agree.

Recovery as it is currently espoused is as much of a tyranny as the medical model and no less so just because a survivor says it. Before this word was elevated to a god-like status, users/survivors did seek to live our lives as well as we can, we did seek and promote self management, anyone remember that?! Ditto, there have always been people working in services who were and are holistic in the way they work - the word recovery made no difference to them. I've never seen a word so evangelised and misued as recovery. I'm anti-recovery.

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April 9, 2008: This tide's already changed - The recovery approach in mental health is not new say Phil Barker and Poppy Buchanan-Barker.
Feb 16, 2011: Crisis of masculinity? Time for psychologists to study men- Martin Seager explains why in a society where almost all prisoners are men psychologists should focus more on male psychology.

Oct 9, 2008: Cognitive behavioural therapy; a Labour quick fix
- CBT simplifies what distress is, argues Dorothy Rowe

March 20, 2008: 'Recovery' approach in mental health is idea 'whose time has come' - charity bids to present principles behind “empowering” philosophy of care

Oct 31, 2007: Getting personal - Stop the psychological therapy "brand warfare" argues Martin Seager


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