OT 460A Week 2: 9/4/12 Client and family perspectives (Notes are based on Cara & MacRae [2013], Chapter One)

Recovery Models Paradigm shift Definition is individualized: What does it mean to “recover?” Is it scary? Is it overwhelming? Hope: everyone can strive to find meaning and purpose in their lives Lack of research on recovery Studies mid-70s to late 90s: 45%-70% of people with schizophrenia experience partial to complete remission of symptoms

Personal Perspective Role of Community and Family Family relationships can be complex Hope is for empathy and support and proactivity Those without family may find surrogate family Drop-in centers, peer support programs Peer Counseling/Support People with history of mental illness provide support and teaching

Recovery Models Substance Abuse and Mental Health Service Administration’s (SAMHSA) (2004)definition of the Components of Recovery (Cara & MacRae, 2013, p. 17) Hope Self-Direction Individualized and Person-Centered Empowerment Holistic Nonlinear Strengths-based Peer Support Respect Responsibility

Recovery Models WRAP (Wellness Recovery Action Program) “Structured system for monitoring uncomfortable and distressing symptoms, and through planned responses, reducing, modifying, or eliminating those symptoms. It also includes plans for responses from others when your symptoms have made it impossible for you to continue to make decisions, take care of yourself, and keep yourself safe” (Cara & MacRae (2013), p. 16

Recovery Models Decreased presence of OT involvement Roles of OT Decreased presence of OT involvement SAMHSA’s Model aligns with OT principles and focus Collaborative partnerships with client centered care Advocacy AOTA position papers Membership in community organizations