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The use of the concept in [[mental health]] emerged as [[deinstitutionalization]] resulted in more individuals living in the community. It gained impetus as a [[social movement]] due to a perceived failure by services or wider society to adequately support [[social inclusion]], and to studies demonstrating that many people do recover. A recovery approach has now been explicitly adopted as the guiding principle of the mental health or substance dependency policies of a number of countries and states. In many cases practical steps are being taken to base services on a recovery model, although a range of obstacles, concerns and criticisms have been raised both by service providers and by recipients of services. A number of standardized measures have been developed to assess aspects of recovery, although there is some variation between professionalized models and those originating in the [[psychiatric survivors movement]].
According to a study, a combined social and physical environment intervention has the potential to improve the need for recovery. However, the study's general healthy and well-functioning population made it challenging to have a significant impact. The researchers recommended implementing the intervention among a population with higher baseline values on need for recovery and providing physical activity opportunities, such as organizing lunch walking or yoga classes at work. Additionally, integrating a social media platform strategically with incentives for regular use, linking to other platforms such as Facebook, and implementing more drastic physical interventions, such as restructuring an entire department floor, may be necessary for improving the intervention's effectiveness. The study concluded that the relatively simple environment modifications used, such as placing signs to promote stair use, did not result in changes in need for recovery.<ref>{{Cite journal |
==History==
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Mental health recovery emerged in [[Geel#A model of psychiatric care|Geel, Belgium]] in the 13th century. [[Dymphna|Saint Dymphna]]—the patron saint of mental illness—was martyred there by her father in the 7th century. [https://www.visit-geel.be/en/the-church-of-st-dymphna The Church of Saint Dymphna] (built in 1349) became a pilgrimage destination for those seeking help with their psychiatric conditions. By the late 1400s, so many pilgrims were coming to Geel that the townspeople began hosting them as guests in their homes. This tradition of community recovery continues to this day.
<ref>{{cite journal | last1 = van Bilsen | first1 = Henck P. J. G. | year = 2016 | title = Lessons to be learned from the oldest community psychiatric service in the world: Geel in Belgium | url = https://www.cambridge.org/core/services/aop-cambridge-core/content/view/696139AC7D0510562534886F4A4763B2/S2056469400002126a.pdf | journal = BJPsych Bulletin | volume = 40 | issue = 4 | pages = 207–211 | doi = 10.1192/pb.bp.115.051631 | pmid = 27512591 | pmc = 4967781 | access-date=March 19, 2023 }}</ref><ref>[https://www.belganewsagency.eu/the-remarkable-story-of-geel-700-years-of-community-based-mental-health-care The remarkable story of Geel: 700 years of community-based mental health care]</ref><ref>{{citation | last1 = Stevis-Gridneff | first1 = Matina | last2 = Ryckewaert | first2 = Koba | url = https://www.nytimes.com/2023/04/21/world/europe/belgium-geel-psychiatric-care.html | archive-url = https://archive.today/20230425140349/https://www.nytimes.com/2023/04/21/world/europe/belgium-geel-psychiatric-care.html | archive-date = 2023-04-25 |title = Radical Experiment in Mental Health Care, Tested Over Centuries |
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 [[John Thomas Perceval]], son of Prime Minister [[Spencer Perceval]], wrote of his personal recovery from the psychosis that he experienced from 1830 until 1832, a recovery that he obtained despite the "treatment" he received from the "lunatic" doctors who attended him.<ref>[https://web.archive.org/web/20190919204034/http://www.recoverywithinreach.org:80/Recovery/history History of the Recovery Movement]</ref> But by consensus the main impetus for the development came from within the [[Psychiatric survivors movement|consumer/survivor/ex-patient movement]], a grassroots self-help and advocacy initiative, particularly within the [[United States]] during the late 1980s and early 1990s.<ref name="USsurgeon">Office of the Surgeon General and various United States Government agencies (1999) [https://profiles.nlm.nih.gov/spotlight/nn/catalog/nlm:nlmuid-101584932X120-doc Mental Health: A report of the Surgeon General. Section 10: Overview of Recovery]</ref> The professional literature, starting with the [[psychiatric rehabilitation]] 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 "[[First World]]".<ref name="RecoveryEmergent">{{cite journal |vauthors=Ramon S, Healy B, Renouf N |title=Recovery from mental illness as an emergent concept and practice in Australia and the UK |journal=Int J Soc Psychiatry |volume=53 |issue=2 |pages=108–22 |date=March 2007 |pmid=17472085 |doi=10.1177/0020764006075018|s2cid=25732602 }}</ref> Similar approaches developed around the same time, without necessarily using the term recovery, in Italy, the Netherlands and the UK.
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===Connectedness and supportive relationships===
A common aspect of recovery is said to be the presence of others who believe in the person's potential to recover<ref name=":0">{{Cite journal|last1=Francis East|first1=Jean|last2=Roll|first2=Susan J.|date=2015|title=Women, Poverty, and Trauma: An Empowerment Practice Approach: Figure 1|journal=Social Work|language=en|volume=60|issue=4|pages=279–286|doi=10.1093/sw/swv030|pmid=26489348|issn=0037-8046}}</ref><ref name=":1">{{Cite journal|last1=Hopper|first1=Elizabeth K.|last2=Bassuk|first2=Ellen L.|last3=Olivet|first3=Jeffrey|date=2010-04-07|title=Shelter from the Storm: Trauma-Informed Care in Homelessness Services Settings~!2009-08-20~!2009-09-28~!2010-03-22~!|journal=The Open Health Services and Policy Journal|volume=3|issue=2|pages=80–100|doi=10.2174/1874924001003020080|s2cid=10319681|issn=1874-9240|url=https://semanticscholar.org/paper/9856565454f69384bdfe1906efa04a5ece89f867}}</ref> and who stand by them. According to Relational Cultural Theory as developed by Jean Baker Miller, recovery requires mutuality and empathy in relationships.<ref name=":0" /> The theory states this requires relationships that embody respect, authenticity, and emotional availability.<ref name=":0" /><ref name=":2">{{Cite journal|last=Reeves|first=Elizabeth|date=2015-09-02|title=A Synthesis of the Literature on Trauma-Informed Care|journal=Issues in Mental Health Nursing|volume=36|issue=9|pages=698–709|doi=10.3109/01612840.2015.1025319|issn=0161-2840|pmid=26440873|s2cid=36312879}}</ref> Supportive relationships can also be made safer through predictability and avoiding shaming and violence.<ref name=":2" /><ref name=":0" /><ref name=":3">{{Cite journal|last1=Elliott|first1=Denise E.|last2=Bjelajac|first2=Paula|last3=Fallot|first3=Roger D.|last4=Markoff|first4=Laurie S.|last5=Reed|first5=Beth Glover|date=2005|title=Trauma-informed or trauma-denied: Principles and implementation of trauma-informed services for women|journal=Journal of Community Psychology|language=en|volume=33|issue=4|pages=461–477|doi=10.1002/jcop.20063|issn=0090-4392}}</ref> While [[mental health professional]]s can offer a particular limited kind of relationship and help foster hope, relationships with [[friendship|friends]], [[family]] and the [[community]] are said to often be of wider and longer-term importance.<ref name="Friendships">Hack Thyself (2012) [http://hackthyself.net Recovery Is Impossible Without Friends] {{Webarchive|url=https://web.archive.org/web/20161004024621/http://hackthyself.net/ |date=2016-10-04 }}</ref> 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.<ref name=":4">{{Cite journal|last1=Heslin|first1=Kevin C.|last2=Andersen|first2=Ronald M.|last3=Gelberg|first3=Lillian|date=2003-01-01|title=Case Management And Access To Services For Homeless Women|journal=Journal of Health Care for the Poor and Underserved|volume=14|issue=1|pages=34–51|doi=10.1177/1049208902238822|pmid=12613067|issn=1049-2089}}</ref><ref>{{Cite journal|title=Services to domestic minor victims of sex trafficking: Opportunities for engagement and support|pages=1–7|journal=Children and Youth Services Review|volume=54|doi=10.1016/j.childyouth.2015.04.003|date=July 2015|last1=Gibbs|first1=Deborah A.|last2=Hardison Walters|first2=Jennifer L.|last3=Lutnick|first3=Alexandra|last4=Miller|first4=Shari|last5=Kluckman|first5=Marianne}}</ref> Others who have experienced similar difficulties and are on a journey of recovery can also play a role in establishing community and combating a recovering person's feelings of isolation.<ref name=":0" /> An example of a recovery approach that fosters a sense of community to combat feelings of isolation is the [[safe house]] or [[transitional housing]] 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 individual needs and can effectively rehabilitate those recovering from issues such as sexual violence and drug addiction without criminalization.<ref name="NYU Press">{{Cite book |url=https://www.jstor.org/stable/j.ctv12fw97b |title=The Politicization of Safety: Critical Perspectives on Domestic Violence Responses |date=2019 |publisher=NYU Press |isbn=978-1-4798-0564-8 |volume=10|jstor=j.ctv12fw97b }}</ref> Additionally, safe houses provide a comfortable space where survivors can be listened to and uplifted through compassion.<ref>{{Cite journal |last=Harrington |first=Carol |date=November 2019 |title=Neo-liberal Subjectivity, Self-branding and
===Hope===
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===Recovery from substance dependence===
Particular kinds of recovery models have been adopted in [[drug rehabilitation]] services. While interventions in this area have tended to focus on [[harm reduction]], particularly through [[Opioid replacement therapy|substitute prescribing]] (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 [[Narcan|Narcan)]], 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.<ref>{{Cite
=== Trauma-Informed Recovery ===
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