Abstract
Recovery-orientation as the guiding principle of mental health policy is reshaping our scientific and clinical responsibilities. In contrast to a deficit model of mental illness recovery-orientation includes a focus on health promotion, individual strengths, and resilience. Patient self-determination, individual choice of flexible support in the community and opportunities, interventions to promote empowerment and hope also in the long-term are new indicators of quality of services. New tools and new rules for a partnership approach emerge allowing to tap the full potential of diverse experiences and forms of evidence. Cooperations outside therapeutic relationships concern participatory and user-led engagement in service development and evaluation as well as in mental health research. Recovery shares central elements and goals with those of human rights, particularly the UN-Convention on the Rights of Persons with Disabilities (CRPD), which specifically includes persons with disabilities from mental health problems.
Keyword
- Recovery
- Recovery-orientation
- Remission
- Schizophrenia
- Severe mental illness
- Psychosocial disability
- Service user involvement
- Human rights
- Peer support
- Empowerment
- Community support
- Non-discrimination
- Trialogue
- UN-Convention on the Rights of Persons with Disabilities (CRPD)
- WHO mental health action plan
- World Psychiatric Association (WPA)
- Inclusion
- Citizenship
- Resilience
This is a preview of subscription content, log in via an institution.
References
Amering, M. (2016). Trialogue: An exercise in communication between users, carers, and professional mental health workers beyond role stereotypes. In W. Gaebel, W. Rössler, & N. Sartorius (Eds.), The stigma of mental illness—End of the story? (pp. 581–590). Switzerland: Springer.
Amering, M., Mikus, M., & Steffen, S. (2012). Recovery in Austria: Mental health trialogue. International Review of Psychiatry, 24(1), 11–18.
Amering, M., & Schmolke, M. (2009). Recovery in mental health. Reshaping scientific and clinical responsibilities. London: Wiley-Blackwell.
Andreasen, N. C., Carpenter, W. T., Kane, J. M., Lasser, R. A., Marder, S. R., & Weinberger, D. R. (2005). Remission in schizophrenia: proposed criteria and rationale for consensus. American Journal of Psychiatry, 162, 441–449.
Anthony, W. (1993). Recovery from mental illness. The guiding vision of the mental health service system in the 1990s. Psychosocial Rehabilitation Journal, 16, 11–23.
Bartlett, P. (2012). The united nations convention on the rights of persons with disabilities and mental health law. The Modern Law Review, 75, 752–778.
Coleman, R. (2011). Recovery—an alien concept (2011th ed.). UK: P & P Press.
Convention on the Rights of Persons with Disabilities, United Nations General Assembly Resolution, 13 December 2006, A/RES/61/106.
Davidson, L. (2016). The recovery movement: implications for mental health care and enabling people to participate fully in life. Health Affairs, 35(6), 1091–1097.
Davidson, L. (2010) PORT through a recovery lens. Schizophrenia Bulletin 36(1), 107–108.
Davidson, L., Bellamy, C., Guy, K., & Miller, R. (2012). Peer support among persons with severe mental illnesses: A review of evidence and experience. World Psychiatry, 11, 123–128.
Deegan, P. (1996). https://www.patdeegan.com/pat-deegan/lectures/conspiracy-of-hope. Retrieved June 01, 2017.
Dixon, L. B., Dickerson, F., Bellack, A. S., Bennett, M., Dickinson, D., Goldberg, R. W., et al. (2010). The 2009 schizophrenia PORT psychosocial treatment recommendations and summary statements. Schizophr Bull, 36(1), 48–70.
Gaebel, W., Rössler, W., & Sartorius, N. (Eds.). (2016). The stigma of mental illness—End of the story?. Switzerland: Springer.
Killackey, E., Harvey, C., Amering, M., & Herrman, H. (2015). Partnerships for meaningful community living: Rehabilitation and recovery-informed practices. In: A. Tasman, J. Kay, J. Lieberman et al. (Eds.), Psychiatry (4th ed., Chap. 97, pp. 1959–1982). UK: Wiley-Blackwell.
Knuf, A. (2008). Recovery: Wider den demoralisierenden Pessimismus. In Kerbe, S (pp. 8–11).
Lang, F. U., Kösters, M., Lang, S., Becker, T., & Jäger, M. (2013). Psychopathological long-term outcome of schizophrenia—a review. Acta Psychiatrica Scandinavica, 127(3), 173–182.
Lecic-Tosevski, D., Christodoulou, N., Herrman, H., Hosman, C., Jenkins, R., Newton, J., et al. (2003). WPA consensus statement on psychiatric prevention. Dynamic Psychiatry, 36, 307–315.
Mental Health Trialogue Network, Ireland. Retrieved October 30, 2016, from www.trialogue.co.
Moran, G. S., Russinova, Z., Gidugu, V., Yim, J. Y., & Sprague, C. (2012). Benefits and mechanisms of recovery among peer providers with psychiatric illnesses. Qualitative Health Research, 22(3), 304–319.
Rose, D., Thornicroft, G., & Slade, M. (2006). Who decides what evidence is? Developing a multiple perspectives paradigm in mental health. Acta Psychiatrica Scandinavica, 113(Suppl 429), 109–114.
Sabatello, M., & Schulze, M. (2014). Human rights and disability advocacy. University of Pennsylvania Press.
Schulze, M. (2010). Understanding the convention on the rights of persons with disabilities, Handicap International. http://hiproweb.org/uploads/tx_hidrtdocs/HICRPDManual2010.pdf.
SAMHSA. Recovery Support. Retrieved August 29, 2016, from www.samhsa.gov/recovery.
Saxena, S., Thornicroft, G., Knapp, M., & Whiteford, H. (2007). Resources for mental health: scarcity, inequity, and inefficiency. Lancet, 370(9590), 878–889.
Slade, M., Amering, M., Farkas, M., Hamilton, B., O’Hagan, M., Panther, G., et al. (2014). Uses and abuses of recovery: Implementing recovery-oriented practices in mental health systems. World Psychiatry, 13(1), 12–20.
Slade, M., Leamy, M., Bacon, F., Janosik, M., Le Boutillier, C., Williams, J., et al. (2012). International differences in understanding recovery: Systematic review. Epidemiology and Psychiatric Sciences, 21(4), 353–364.
Stratford, A., Brophy, L., Castle, D., Harvey, C., Robertson, J., Corlett, P., et al. (2016). Embedding a recovery orientation into neuroscience research: involving people with a lived experience in research activity. Psychiatric Quarterly, 87(1), 75–88.
U.S. Presidential Commission on Mental Health. (2003). Achieving the promise: transforming mental health care in America. Final Report. DHHS Pub N: SMA-03-3832. Rockville, Maryland: Department of Health and Human Services.
van Os, J., Burns, T., Cavallaro, R., Leucht, S., Peuskens, J., Helldin, L., et al. (2006). Standardized remission criteria in schizophrenia. Acta Psychiatrica Scandinavica, 113, 91–95.
Wallcraft, J. (2012). Consumer models of recovery: can they survive operationalism? World Psychiatry, 11(3), 166–167.
Wallcraft, J., Amering, M., Freidin, J., Davar, B., Froggatt, D., Jafri, H., et al. (2011). Partnerships for better mental health worldwide: WPA recommendations on best practices in working with service users and family carers. World Psychiatry, 10(3), 229–236.
Wallcraft, J., Schrank, B., & Amering, M. (2009). Handbook of service user involvement in mental health research. Chichester: Wiley-Blackwell.
Warner, R. (2004). Recovery from schizophrenia. Psychiatry and political economy. 3rd edn. Brunner-Routledge, New York.
WHO (2013) Mental Health Action Plan 2013–2020. Retrieved August 7, 2016, from www.who.int/mental_health/action_plan_2013/bw_version.pdf.
www.bpe-online.de/english/dorotheabuck.htm Retrieved October 30, 2016.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Take Away Messages
Take Away Messages
-
Recovery-orientation is here to stay. The emerging evidence base for recovery-orientation includes the urgent call for a partnership approach to psychiatric practice and service developments.
-
The current WHO Mental Health Action Plan and the World Psychiatric Association’s (WPA) recommendations on best practices in working with service users and family carers formulate essential suggestions for shared efforts. Data clearly show that cooperative efforts together with service users and carers offer the best chances to reduce stigma, discrimination, and social exclusion, currently seriously limiting efforts toward recovery (Gaebel et al. 2016).
-
Scientific consequences of recovery-orientation include not only novel approaches to data on the long-term perspectives of people experiencing common as well as severe mental health problems, but also demand new research policies, methods, and topics around recovery and resilience.
-
Current challenges essentially include the integration of different perspectives as well as different methodologies.
-
Recovery policies and the human rights movement share important features and goals. A central paradigm is the need for collaborative efforts between people with a lived experience of mental health problems and services, their friends and loved ones, people, who work in the mental health field and the wider community as well as society at large.
-
Recovery -oriented collaborative models of care including policy-making and system transformation efforts, practice, and evaluation of care, training, supervision, and research are supported by new rules of law, such as the UN-Convention on the Rights of Persons with Disabilities (CRPD) and the obligation to implement person-centered care in the community in a framework of empowerment , non-discrimination and citizenship.
-
The necessary transformation processes bring about opportunities for changes of the role of all people involved with the vision of a new place of mental health within the health system as well as within a society striving for better mental health for all.
Rights and permissions
Copyright information
© 2017 Springer International Publishing AG
About this chapter
Cite this chapter
Amering, M. (2017). Promotion of Mental Health—Recovery. In: Bährer-Kohler, S., Carod-Artal, F. (eds) Global Mental Health . Springer, Cham. https://doi.org/10.1007/978-3-319-59123-0_10
Download citation
DOI: https://doi.org/10.1007/978-3-319-59123-0_10
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-59122-3
Online ISBN: 978-3-319-59123-0
eBook Packages: Behavioral Science and PsychologyBehavioral Science and Psychology (R0)