forum.psychlinks.ca/showthread.php?s=ec2dd83c6efc5ad8c0 -
[Cached Version]
Published on: 1/10/2008
Last Visited: 8/23/2008
Jacqueline M. Feldman, MD, Patrick A Linton Professor of Psychiatry and Behavioral Neurobiology at the University of Alabama at Birmingham and Vice Chair, Scientific Program Committee, IPS Conference, gave a lecture defining, evaluating, and supporting recovery in the public sector/community mental health setting, entitled "Recovery Is in the Eye of the Beholder."[6] She started by stating that, "when I started working with people with schizophrenia 17 years ago, things were not very hopeful. . .," but now that the field is on the cusp of a real paradigm shift to the recovery model, the picture is quite different.Dr. Feldman suggested that, "if you choose to work with this wonderful patient population, then you are obliged to embrace recovery."
After a brief quiz for the audience to provoke thought about each clinician's own treatment programs (e.g., "Do you believe that people with schizophrenia can recover?"and "What do you think needs to be in place for a person to recover?"), Dr. Feldman discussed "recovery in evolution."She contrasted treatment approaches that focus on symptom remission/reduction vs those centered on skills expansion.The former has a deficit focus (eg, isolation, being out of control, noncompliance) that tends to present the patient and his or her illness as hopeless.
...
Dr. Feldman discussed some basic principles of incorporating the recovery model in community mental health settings.She described recovery as:
Consumer-empowered -- e.g., the patient decides how frequently to follow up; An enhancer of natural supports in managing life; and Inherently consumer-centered.Recovery, Dr. Feldman said, "is sitting down, being quiet, and asking the patient what he or she wants from treatment."
Remission has been defined as "a state in which patients have experienced an improvement in core signs and symptoms to the extent that any remaining symptoms are of such low intensity that they no longer interfere significantly with behavior and are below the threshold typically utilized in justifying an initial diagnosis of schizophrenia."[7] A number of general definitions and operational definitions for recovery in schizophrenia have been proposed.[8]
Dr. Feldman noted that the President's New Freedom Commission on Mental Health suggested that, "care must focus on increasing consumers' ability to successfully cope with life's challenges. . . ."[9] Important principles of recovery include hope and optimism that one can get better, self-help, wellness, and learning how to keep symptoms from disturbing one's overall sense of well-being.In her presentation, Dr. Feldman commented on the Recovery Oriented Services Evaluation (ROSE), which clinicians and administrators can use to see if their programs are truly recovery-oriented.[10]
39 online sources [ view sources ]
Profile is not claimed [ claim profile ]
