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Recovery

Guidance & Tools


See guidance & tools for other inclusive practices and domains


A Compendium of Recovery

Two recovery tools from the Evaluation Center @ HSRI. 

IconCan We Measure Recovery?

This compendium includes a discussion on the conceptualization of and measurement issues related to recovery. Following this general discussion, the compendium is divided into two main sections – Recovery Measures, which covers instruments that purport to measure some aspect of recovery and Recovery-Related Measures which provides information on instruments that measure content that may be related to recovery. The actual instruments and related readings are included in an appendix to the compendium.


Measuring the Promise

IconThis compendium offers an update to Can We Measure Recovery? A Compendium of Recovery and Recovery-Related Instruments (Ralph, Kidder, & Phillips, 2000). Following a discussion of the need for recovery measures, Volume II offers a synopsis of the November 2004 invitational conference Measuring the Promise: Assessing Recovery and Self-Determination Instruments for Evidence-Based Practices. Reviews of the instruments themselves follow this section. The instruments are divided into two categories: measures of individual recovery and measures of recovery-promoting environments. Volume II concludes with recommendations for further developments in the measurement of recovery.

Download recovery tools:

A Literature Review and Documentary Analysis on Recovery Training in Mental Health Practice

IconNHS Education for Scotland/Scottish Recovery Network
Mental Health Recovery Project

AskClyde was commissioned by NHS Education for Scotland to undertake a literature search and documentary analysis on recovery training in mental health practice. This report outlines the work undertaken and findings.

Download report:

A National Framework for Learning and Training in Recovery Focused Practice

IconRealising Recovery

Produced by the Scottish Recovery Network (SRN), this Framework has been developed as one of the actions identified in Rights, Relationships and Recovery: the report of the national review of mental health nursing in Scotland (SEHD 2006). The Framework outlines the knowledge, skills and values mental health nurses require to work in a recovery focused way with people who use mental health services and their friends, family and carers.

Download includes all modules of the learning materials.

Download documents:

Book of Recovery Stories and Images

 

IconBased on requests from the field, Boston University's Center for Psychiatric Rehabilitation has published a second book of personal accounts of the process of recovery as experienced by individuals with serious mental illnesses. Voices of Recovery consists of two different types of "voices."  The first "voice" is in the form of articles on recovery that were published in the Coping With column of the Psychiatric Rehabilitation Journal from the years 2000 through 2008. The second "voice" is a collection of Photovoice works, which includes a photograph with short narrative explaining the consumer photographer's point of view.

 

These inspirational contributions remind us that recovery is not only possible -- recovery is real!  For more information and a preview of this new book, go to: 

Developing Recovery Enhanced Environments Measure (DREEM)

IconUser Guide

The Recovery Enhancing Environment Measure (REE) is a self-report instrument that gathers information/data about mental health recovery from people who receive mental health services.

The REE asks people where they are in their process of mental health recovery, and what markers of recovery they are currently experiencing. People rate the importance of several elements (such as hope, sense of meaning, and wellness) to their personal recovery, and rate the performance of their mental health service on three activities associated with each of these elements. They also rate the service on factors in the system that promote resilience.

Open-ended questions encourage people to share the wisdom they have gained on their recovery journey, and to say how they think staff and systems could be more supportive of their recovery.

Download as a PDF file:

Emerging Best Practices Process Recovery Components

Links to each of the nine Emerging Best Practices in Mental Health Recovery components broken out by the four stages of recovery (dependent/unaware, dependent/aware, independent/aware, interdependent/aware) and the three domains/roles (consumer, clinician, community support).  Each web page has two tables for each component. 

The first table represents descriptors of the consumer's "current status" (book's gray side) and the second table includes examples of "best practices" (book's purple side) for each stage of recovery. 

Clinical Care  
Services that are provided by psychiatrists and other mental health professionals to promote and enhance the recovery process.

Family Support
Persons identified by the consumer as either family members or significant others who provide the necessary support for recovery.

Peer Support & Relationships
Friends, colleagues and other persons who provide the common understanding of issues and experiences impacting recovery.

Work/Meaningful Activity
Meaningful employment that provides both economic and psychological benefits, positively impacting the recovery process.

Power and Control
Active engagement in care and personal decisions that promote recovery.

Stigma  
Stereotypes associated with mental illness that hinder and/or negatively impact the recovery process.

Community Involvement  
Activities and resources provided by the community to maintain consumers' social integration and affiliation with community.

Access to Resources  
Ability to make contact with various people and places; use products, services and technologies that promote recovery.

Education  
Both informal and formal methods of providing information that will result in behavioral changes.

Visit website:

Experts by Experience guidelines

SRN (Scottish Recovery Network) have developed a set of implementation guidelines to support the development of Peer Worker roles in the mental health sector.

Developing any new worker role is a challenging prospect. This is perhaps even more the case when one element of the job involves sharing your personal experiences to inspire hope and recovery as in the case of developing peer worker roles.

Peer workers are people with experiences of mental health problems who are trained and employed to work in partnership with others to support recovery.

They are increasingly recognised as a key element of a recovery focused service system, bringing as they do unique knowledge and insights and an ability to develop mutually empowering relationships.

SRN have been encouraging the development of peer workers roles in Scotland since 2005 when we ran a conference that introduced the role leading eventually to a number of developments including the piloting of the role in five Health Board areas. The independent evaluation of these pilots reported on the benefits of peer role development but also highlighted a number of challenges, recommending the development of guidance for services interested in creating peer roles.

The Experts by Experience guidelines have been informed by this evaluation, by the experience of peer workers and employers in Scotland and by wider international experience. They have been developed in a way that encourages anyone thinking about developing peer roles to follow a four step process underpinned by an awareness of the values base of recovery focused peer support working.

Our aim in sharing these guidelines is to encourage anyone with an interest in developing peer roles to carefully consider all of the implications from examining initial motivation, through recruitment processes and supporting peer workers to sustaining and developing roles.

The guidelines are available as an editable PDF file that allows you to add your thoughts and comments. We also have a number of printed copies of the guidelines available on request for those seeking to develop peer roles.

The guidelines are dedicated to the memory of Laurence Wilson who had a passion for developing peer worker roles.

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Self Help & Therapist Resources 

Cognitive Behaviour Therapy (CBT) has been proven to help mental health problems.  This website offers CBT self-help information, resources and tools, including therapy worksheets.

Getting back into the world

IconReflections on lived experiences of recovery

This report from Rethink focuses on the opportunities as well as obstacles that can be provided or reduced to assist each person’s own ‘recovery journey’.

Three aspects are highlighted:
1) acceptance;
2) locus of power and control; and
3) dependence, independence and interdependence.

The descriptions are based on findings from a research study where seven people with personal experience of mental illness and treatment interviewed 48 people with similar experiences across England, and used personal insights in the analysis and write-up of findings.

Download report:

Guide from Rethink on mental health recovery

IconRethink have just released a free to download guide to recovery called "100 ways to support Recovery".

This is the first in a series of Rethink reports on mental health recovery. It identifies 100 ways in which people working across the mental health sector can support the recovery of people with mental health problems.

It describes how to support people to:

  • Develop a positive identity
  • Frame the ‘mental illness'
  • Self manage the mental illness
  • Develop valued social roles

The author Mike Slade says:
"Recovery is an idea which has developed out of the experience of people living with, and beyond, mental illness. The mental health system already helps many people to live meaningful and purposeful lives, but we can do better."

Download guide from external website:

Improving the lives of people with psychiatric disabilities

IconPsychiatric Rehabilitation Journal is an international, quarterly publication dedicated to encouraging dialogue and sharing information relevant to improving the lives of
people with psychiatric disabilities.

The journal reports on innovative service programs, new research efforts and outcomes, and current thinking regarding policy and administration.

The journal is intended for, and publishes manuscripts from, mental health and rehabilitation professionals, consumers, and family members.

Download subscription brochure (PDF) or visit website:

Managing Mental Health and Wellbeing

IconWRAP

This leaflet has been developed by the Scottish Recovery Network (SRN). It is intended for people who are interested in learning more about developing their own Wellness Recovery Action Plan, and also for the family members, friends, professionals (and others) supporting them.

Download leaflet and visit SRN's website:

Mental Health Recovery Heroes Past and Present

A handbook for mental health care staff, service users and carers

This book develops the understanding of recovery and aims to inspire professionals working with people with long-term mental health problems, their carers, and most importantly the service users themselves.

There are two parts of this book. The first considers the contribution people like Isaac Newton, Charles Darwin, Florence Nightingale, Winston Churchill and Abraham Lincoln have made to society and how they could be considered to be mental health recovery heroes and how their lives were shaped and in fact enhanced by their mental illnesses.

The second provides narratives from 15 contemporary recovery heroes who have lived experience of mental health problems. Each has contributed to our developing understanding of recovery and each has made a unique contribution to the field. This book aims to inspire readers by offering brief accounts of past and present recovery heroes.

Vital information for carers, practitioners, students, academics, service
providers and service users.

Price: £25

Putting recovery at the heart of all we do

IconWhat does this mean in practice?

A quick guide to values, principles, practices and standards, endorsed by the Devon and Torbay Local Implementation Team, Devon Partnership NHS Trust and the joint commissioners for Devon and Torbay 2008.

Download guide (PDF):

Reading, self-help and recovery resources

This list by Dr Anne Wright contains examples of some of the reading, self-help and recovery resources available in shops and on the internet.

Many of the books can be obtained from http://amazon.co.uk

Alternatively you can take the details of any books that interest you to a bookshop or your local library. If the library does not have the book on the shelf, they might be able to order it for you from another library, if they have it in stock.

Recovery and Rehabilitation Resources

IconFrom the Boston University's website Center for Psychiatric Rehabilitation, a list of references and resources including "e-casts", videos and articles.

Visit the website:

Recovery Assessment Scale

IconSeries of questions to assess the extent of the recovery of the service user.

Download as a PDF file:

Resiliency and Recovery E-Learning Centre

IconMagellan has partnered with national experts in behavioral health recovery and resiliency to offer e-courses for providers, consumers, family members and other stakeholders. These trainings are free of charge and were developed in collaboration with Recovery Innovation, Child Family Support Services, the Family Involvement Center, and consumers and family members.

Each e-course opens in a separate window where you will be asked to complete a very brief demographic survey before the course begins. Navigating the course is easy through use of navigation "buttons" and left-menu headings. After viewing a course, you will be asked to answer a brief set of post-course questions.

Open website:

Self Management: Wellness Recovery Action Planning (WRAP)

IconThis WRAP booklet is a loose guide for you to find your own way to monitor uncomfortable or distressing symptoms.

The WRAP helps you to plan the responses you can make to those symptoms, so you can reduce, modify or eliminate them.

The WRAP also gives you the means to plan the responses of others, if the symptoms have made it impossible for you to continue to make decisions.

A useful tool to use to use yourself or with the support of a care co-ordinator or other mental health worker. 

Resources:

South Somerset Mind Bookshop

IconAn excellent resource of books and DVDs from South Somerset Mind, available to purchase from the accompanying pricelist.

Titles include "Art of Recovery" in bookform and "Stepping off the Map", available as a DVD.

Resources:

Support Time and Recovery Workers: Final Handbook

IconThis handbook is for people and organisations in health and social care, including the voluntary sector, who have responsibility for or are involved in the implementation of Support, Time and Recovery Workers.

ST&R workers are often involved in supporting people with mental health problems to access ordinary opportunities in a supportive way as part of reclaiming their lifestyle and relationships. In Bromley Community Options employs a group of ST&R workers to support people at home and in getting around and about.

Download as a PDF file:

Support Time and Recovery Workers: Personal Portfolio

IconThis portfolio is designed to provide structure and direction to support personal & professional development and to compliment organisations life long learning policies.

The portfolio contains templates and examples of specific documentation and processes which can be adapted to fit the requirements of individual organisations existing systems and processes.

The contents are not intended to replace existing national or local documentation but to complement them.

This portfolio is available as a single PDF file:

Support Time Recovery Workers: Implementation Guide

IconMental Health Policy Implementation Guide

The purpose of this guidance is to provide a framework for local health and social care systems to introduce Support, Time and Recovery (STR) workers into the mental health workforce.

Download guide (PDF):

The Empowerment Scale

IconFrom the Center for Psychiatric Rehabilitation at Boston University, the Empowerment Scale mesures the personal construct of empowerment as defined by users of mental health services.

Download scale and analysis:

The Outcomes Star and The Recovery Star

IconThe Outcomes Star is an approach to measuring change in the lives of vulnerable people. These measurable changes are usually referred to as outcomes. The Outcomes Star can be used as part of the key working process and is easliy integrated with mental health assessment, planning and review processes.

This approach is described in the Outcomes Star.

The Outcomes Star and a newer development, called the Recovery Star, are being compared in Bromley by several Develop partner organisations. To find out more see Develop's Research & Development pages in due course. 

Copyright 2008 Mental Health Providers Forum and Triangle Consulting

Design copyright 2008 Jellymould Creative

Resources available as PDF files:

The Recovery Style Questionnaire

IconMeasuring Psychological Adjustment to Psychosis

Easy reference questionnaire produced between the University of Birmingham and Wolverhampton Healthcare NHS Trust.

Download as a PDF file:

Three Keys to a Shared Approach in Mental Health

IconThis document draws together examples of best practice in multidisciplinary assessment in mental health and social care from both practitioner and service user groups representing voluntary as well as statutory sectors.

The Three Keys are the common elements of:

  1. person-centrednesss.
  2. multidisciplinary approach
  3. recovery orientation

Download document (PDF):

Top Ten Tips for recovery oriented practice

IconProduced by the Sainsbury Centre for Mental Health, this is a checklist for service professionals working in conjunction with their policy guidance Making Recovery a Reality.

Download document:

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