Recovery model: Difference between revisions

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Revision as of 02:46, 11 July 2022

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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 [[orthodoxy]] or bandwagon that neglects the empowerment aspects and structural problems of societies and primarily represents a [[middle class]] 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.<ref name="George2008">George, C. (2008) [http://www.psychminded.co.uk/recovery-approach-in-mental-health-is-idea-whose-time-has-come/ 'Recovery' approach in mental health is idea 'whose time has come'] Psychminded.co.uk Retrieved on 29 Aug 2008</ref>

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 [[New Freedom Commission on Mental Health]].<ref>{{cite journal |author=Daly, R. |title=Tensions Complicate Efforts to Transform MH Systems |journal= Psychiatric News|volume=42 |issue=13 |pages=14–15 |date=July 6, 2007 |doi=10.1176/pn.42.13.0014 }}</ref> The Commissioncommission'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.<ref>Torrey (2003) [http://www.psychlaws.org/PressRoom/stmtNewFreedomCommissionfailssickest.htm Treatment Advocacy Center Statement] Newswire. Retrieved on Aug 12 2008</ref> 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.<ref name="McLean2003part2">McLean, A. (2003) [http://www.psychosocial.com/IJPR_8/Recovering1-McLean.html 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 Challenges] International Journal of Psychosocial Rehabilitation. 8, 58-70.</ref>

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 perceived resistance and use it to move forward have been proposed.<ref>Lori Ashcraft, William A. Anthony (2008) [http://www.behavioral.net/article/addressing-resistance-recovery Addressing Resistance to Recovery:Strategies for working with staff resistant to change] Behavioral Healthcare: Tools for Transformation, March</ref> In addition, staff training materials have been developed by various organisations, for example by the National Empowerment Center.<ref>Ahern L, Fisher D. Personal Assistance in Community Existence: A Recovery Guide. Lawrence, Mass: National Empowerment Center; 1999.</ref><ref>Ahern L, Fisher D. PACE/Recovery Curriculum. Lawrence, Mass: National Empowerment Center; 2001.</ref><ref>Fisher D, Chamberlin J. PACE/Recovery Peer Training Recovery Curriculum. Lawrence, Mass: National Empowerment Center; 2004.</ref><ref>{{cite journal |vauthors=Ahern L, Fisher D |title=Recovery at your own PACE (Personal Assistance in Community existence) |journal=J Psychosoc Nurs Ment Health Serv |volume=39 |issue=4 |pages=22–32 |date=April 2001 |doi=10.3928/0279-3695-20010401-11 |pmid=11324174 }}</ref>