Oil and water or oil and vinegar? Evidence-based medicine meets recovery.

Department of Psychiatry, Program for Recovery and Community Health, Yale University School of Medicine, Erector Square 6 West, Suite #1C, 319 Peck Street, New Haven, CT 06513, USA.
Community Mental Health Journal (Impact Factor: 1.03). 09/2009; 45(5):323-32. DOI: 10.1007/s10597-009-9228-1
Source: PubMed

ABSTRACT With the increasing prominence of the notions of "recovery" and "recovery-oriented practice," practitioners, program managers, and system leaders are increasingly asking about the relationship between "evidence-based practices" and recovery. After reviewing the concepts of recovery from mental illness, being in recovery with a mental illness, recovery-oriented care, and evidence-based medicine, the authors argue for a complementary relationship between recovery and evidence-based practices. This relationship is neither simple nor straightforward, but results in a whole that is greater than the sum of its parts through which each element benefits from the influence of the other.

  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: The topics of spirituality and psychotherapy have often been controversial in the literature on schizophrenia treatment. However, current research indicates many potential benefits of integrating issues of religion and spirituality into psychotherapy for individuals with schizophrenia. In this paper, implications are presented for incorporating spiritual and religious issues in psychotherapy for individuals with schizophrenia. A background on the integration of spirituality into the practice of psychotherapy is discussed. The literature on spiritually-oriented psychotherapy for schizophrenia is provided. Clinical implications are offered with specific attention to issues of religious delusions and cultural considerations. Lastly, steps for implementing spiritually-oriented psychotherapy for individuals with schizophrenia are delineated to assist providers in carrying out spiritually sensitive care.
    Religions. 12/2012; 3(1):82-98.
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: The recovery model of mental health has gained momentum in the last three decades as a guiding philosophy for the transformation of traditional mental health institutions into programmes that are more responsive to consumer needs and choices. Recovery has served as a framework for our ongoing efforts to transform a psychiatric institution into a model programme for similar organizations in the state of Georgia. We have taken several significant steps that include ongoing consultation with a state-appointed consultant, a partnership with an academic psychiatry department that espoused the recovery philosophy, transformation of medication-focused treatment teams into multidisciplinary recovery teams and proliferation of evidence-based rehabilitative interventions as a platform for medication management. The Medical College of Georgia Department of Psychiatry and Health Behavior had created the Georgia Recovery-based Educational Approach to Treatment (Project). In the context of its partnership with state psychiatric hospital, the Department of Psychiatry and Health Behavior made its recovery-based training curriculum available to the state hospital's clinical and support staff. As evident in our own experience, recovery-based systems transformation is fraught with challenges, but it also offers clinicians and clinical administrators useful guidelines for successful implementation of recovery framework within state psychiatric institutions.
    International Journal of Mental Health Promotion. 04/2013; 15(2).
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: The advocacy of recovery-oriented practices in mental health care with its emphasis on freedom and choice in care has been gaining considerable traction in recent years. In response to the growing recognition and promotion of recovery-oriented services, several training initiatives have been developed to bring about mental health care system transformation. These initiatives, however, have been primarily focused on broad organizational and procedural changes as well as hospital and clinic staff development. Relatively neglected have been initiatives to educate physicians and doctorally trained psychologists in the concepts and practices of recovery-oriented care. This article describes a case study of the efforts of Project GREAT (Georgia Recovery-Based Educational Approach to Treatment) that has aspired to transform the education and practice of an academic department of psychiatry into a recovery-oriented one with the focus on shaping the recovery knowledge, attitudes, and practices of psychiatry and psychology faculty and trainees. Core issues in the transformation effort were identified and led to the implementation of the following change interventions: (a) administrative leadership and support, (b) consumer mediated interventions, (c) educational presentations/materials, (d) interactive small groups/program champions, (e) reminders/prompts/practice tools, (f) newsletters/pamphlets, and (g) educational outreach visits. It is proposed that this transformation experience provided valuable lessons that are generally applicable to other academic programs for psychiatrists and psychologists attempting to adopt recovery-oriented training and care.
    Professional Psychology Research and Practice 08/2014; · 1.34 Impact Factor

Full-text (2 Sources)

Available from
Oct 6, 2014