Everyday Solutions for Everyday Problems: How Mental Health Systems Can Support Recovery

King’s College London, Health Service and Population Research Department, Institute of Psychiatry, Denmark Hill, Box P029, London SE5 8AF, United Kingdom.
Psychiatric services (Washington, D.C.) (Impact Factor: 2.41). 07/2012; 63(7):702-4. DOI: 10.1176/
Source: PubMed


People who experience mental illness can be viewed as either fundamentally different than, or fundamentally like, everyone else in society. Recovery-oriented mental health systems focus on commonality. In practice, this involves an orientation toward supporting everyday solutions for everyday problems rather than providing specialist treatments for mental illness-related problems. This change is evident in relation to help offered with housing, employment, relationships, and spirituality. Interventions may contribute to the process of striving for a life worth living, but they are a means, not an end. Mental health systems that offer treatments in support of an individual's life goals are very different than those that treat patients in their best interests. The strongest contribution of mental health services to recovery is to support everyday solutions to everyday problems.

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    • "In the past two decades we have seen many advances in the pharmacological treatments available for mental health patients. At the same time we have also witnessed the move towards shared decision making, with patients becoming increasingly involved in decisions concerning their treatment and recovery [Dassori et al. 2003; Mahone, 2008; Slade, 2012]. "
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    ABSTRACT: Objective: To assess the acceptability, content validity and usability of the My Medicines and Me (M3Q) self-report side effect questionnaire. Methods: Eight focus groups consisting of mental health patients, carers, general practitioners, psychiatrists, mental health nurses and pharmacists were conducted involving 78 participants. Two researchers independently examined the transcriptions and analysed the data thematically using an inductive method. Results: The findings supported changes to the formatting, length and phrasing of questions in the original version of the questionnaire. Although the groups provided differing views on the usability of the M3Q in clinical practice, the patient and carer groups were unconditionally in favour of such a tool to be used systematically to describe patients’ subjective experiences with side effects. Conclusion: The differing contribution made by all groups involved in the administration and completion of the M3Q assisted with content validity of the questionnaire. The acceptability and usability of this novel side effect questionnaire was also explored with many participants agreeing it was a necessary tool for a patient centred approach to treatment. Following implementation of the changes to the current format of the questionnaire, investigation into the uptake and use in clinical practice should be carried out.
    Therapeutic Advances in Psychopharmacology 08/2015; 5(5). DOI:10.1177/2045125315598466 · 1.53 Impact Factor
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    • "The recovery paradigm clearly requires a reconceptualization of how social services are (re)organized and delivered [1] [2]. "
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    ABSTRACT: Over the last few decades, research, policy, and practice in the field of mental health care and a complementary variety of social work and social service delivery have internationally concentrated on recovery as a promising concept. In this paper, a conceptual distinction is made between an individual approach and a social approach to recovery, and underlying assumptions of citizenship and interrelated notions and features of care and support are identified. It is argued that the conditionality of the individual approach to recovery refers to a conceptualization of citizenship as normative, based on the existence of a norm that operates in every domain of our society. We argue that these assumptions place a burden of self-governance on citizens with mental health problems and risk producing people with mental health problems as nonrecyclable citizens. The social approach to recovery embraces a different conceptualization of citizenship as relational and inclusive and embodies the myriad ways in which the belonging of people with mental health problems can be constructed in practice. As such, we hope to enable social services and professionals in the field to balance their role in the provision of care and support to service users with mental health problems.
    The Scientific World Journal 12/2012; 2012:496579. DOI:10.1100/2012/496579 · 1.73 Impact Factor
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    ABSTRACT: The prevalence of mental health problems is high and causes profound health, social, cultural, and economic problems worldwide [1, 2]. Most psychiatric disorders are characterized by a chronic and complex nature and recurring episodes of acute symptoms. For decades, the treatment of mental health problems was primarily situated in residential services. Criticism of the so-called “total institutions” led to the downsizing or even the total close of institutions in favor of community mental health care [3]. Still, the number of psychiatric beds and hospitalizations remains high in several countries. Moreover, the treatment of mental health problems has traditionally been guided by a cure-oriented approach followed by rehabilitation efforts to reinsert individuals in society after substantial periods of hospitalization.
    The Scientific World Journal 03/2013; 2013:Article ID 926174. DOI:10.1155/2013/926174 · 1.73 Impact Factor
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