Download Role of Psychiatrists in Recovery Oriented Systems and Promoting

Role of Psychiatrists in
Recovery Oriented
Systems and Promoting
Wellness
NASMHPD
Medical Directors Council
2007 Best Practices Symposium
Scottsdale, Arizona
"People will forget what you said. People will
forget what you did. But people will
always remember how you made them
feel."
--Margaret Mead
Recovery and Hope
“If I look into someone’s eyes and all I see is a chronic
schizophrenic, then I participate in diminishing that
person’s hope.”1
“But if I look into that person’s eyes and I see somebody
who can work, who can have friends, who can have a
lover, who can have a life that is meaningful in ways
that are important to that person, then I will instill that
hope in that person, and I will help the recovery
process. I cannot fake this. It has to be something I
feel in my soul.”1
Hope and Recovery
“I often work with people who have lost hope. The most
important thing I can do for them is not merely
prescribing the right medications or making the right
diagnosis, but to hold hope in a crucible and blow the
embers to keep hope alive until the person is strong
enough to take that crucible back and hold the hope
themselves.”1
“Recovery is the personal process of change that people
can go through to recapture their own lives, to find
meaning in life, and to become more than just a
schizophrenic or just a patient.”1
Recovery and Empowerment
“We, as mental health professionals, can promote this
process. By our willingness to be part of a real
relationship, to support strengths and goals, to accept
risks and acknowledge the importance of empowerment,
and above all support hope, we can promote the
personal journey that is the core of recovery.”1
1. Ronald J. Diamond, MD. (2006) A SPECIAL REPORT Recovery from a psychiatrist’s viewpoint. NEW
DIRECTIONS IN SCHIZOPHRENIA • A POSTGRADUATE MEDICINE SPECIAL REPORT
Psychiatrists applaud MI Initiatives
Both Carli and Reid mentioned a recommendation for
strengthening the role of the state's medical director for
mental health as being particularly important to
psychiatry.
The recommendation is to "strengthen the role of the
Department of Community Health Medical director so
that s/he becomes the leader in the development of
evidence-based practices in the mental health system."
The recommendation describes specific actions to
implement those practices.
SOURCE: Mulligan, K. Psychiatrists Applaud Plan To Renovate MH System Psychiatric
News 2005 40: 1-57.
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"Consumer and family members should be involved in
the design and delivery of services," she said. "It's the
only way to go."
She also cited the importance of recommendations about
suicide prevention and reducing stigma.
Carli said that psychiatrists reminded the commission
that treatment of mental illness often necessitates
managing a chronic illness. "We discussed whether or
not that concept conflicts with a focus on the recovery
model and decided that the two are not incompatible,"
he added.
SOURCE: Mulligan, K. Psychiatrists Applaud Plan To Renovate MH System Psychiatric
News 2005 40: 1-57.
Recovery Themes
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At the core of recovery is hope!
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Another key premise is that of meaning!
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Many individuals have derived meaning
from advocacy and political action.
A few rhetorical questions …
1.
How do you spread hope through the system?
2.
How about sharing meaning with those that we serve
and those that we work with?
3.
Have you joined forces with the local and state
advocacy groups?
Hope and Recovery
"Recovery is the experiential shift from
despair to hope, alienation to purpose,
isolation to relationship, withdrawal to
involvement and from passive adjustment
to active coping.”
P. Ridgeway. "Restoring psychiatric disability: Learning from first person recovery
narratives." Psychiatric Rehabilitation Journal. 24(4). 2001.
The Arizona Dialogues
Based on SAMHSA’s Participatory Dialogues
model
 Unique to Arizona … well maybe not anymore!

– Trained individuals from both groups of people in the
dialogue to serve as facilitators
– Contractor for Maricopa County (ValueOptions)
convened several Arizona Dialogues throughout the
county
Voice and Choice
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Providing members a voice and a choice in
their services:
– Child and Family Teams -supporting family decisionmaking
– Adult Recovery Teams –empowering individuals that
need the most help
– A comprehensive array of covered behavioral health &
recovery services
Arizona Fostering Hope
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Creating an environment of hope through the
Peer Support workforce:
– More than 600 FTE Peer Workers statewide, including
80 specializing in substance use recovery.
– 14 consumer-operated organizations provide peer
services, warm lines, depression and alcoholism
screening, employment training and educational
services for members & families
– Recovery and Wellness Planning is now a routine
component of behavioral health treatment
Arizona’s Inclusion
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Involving individuals and families with
lived experience in DBHS quality, policy
and program operations:
– Mystery Shopper
– Policy Committee
– The Family Committee
– Office of Individual and Family Affairs
Source: http://www.cs.brown.edu/courses/cs024/imagesHistoric.html
Thank You