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 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; 45(5). DOI:10.1037/a0037705 · 1.34 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Partnership with the mental health service users has recently picked up its momentum in Hong Kong, fueled by managerial impetus and popularity of the recovery movement. Findings of a collaborative research conducted in partnership with stakeholders of a local community mental health service centre uncovers the stakeholders’ mixed attitude toward partnership with the mental health service users in service planning and management. The authors’ experience in facilitating the collaborative research reveals that successful partnership with the mental health service users requires conscientious leadership and communicative capability of the facilitators, apart from an ontological stance embracing multiple realities.
    09/2014; 38:320-335. DOI:10.1080/23303131.2014.896298#.VEhhqfmSx8E
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: The history of the care and treatment of the mentally ill in America for almost four centuries offers a sobering example of a cyclical pattern that has alternated between enthusiastic optimism and fatalistic pessimism.