Kris A McLoughlin, DNP, APRN, BC, CADC-II Recovery to Practice Project: American Psychiatric Nurses Association Update Kris A McLoughlin, DNP, APRN, BC, CADC-II APNA RTP Steering Committee Member and Curriculum Committee Co-Chair The APA Institute for Psychiatric Services October 28, 2011 San Francisco, CA

Situational Analysis Method - Facilitated Discussions: Consumers Practicing Psychiatric RNs / APRNs PMH Leaders / Administrators @ local, state, national level Nurse Educators from Associate degree through Doctoral programs Findings - Focus for Curriculum Development Need for Integration of Education Need for Recovery Champions Need for Recovery Experts Need for Consistency in Systems Need for Recovery Skills

Curriculum Development Target Audience: In-patient acute care psychiatric RNs Findings from the situational analysis were used as a foundation to develop the curriculum outline. A curriculum workgroup was formed & chaired by Drs. Jeanne Clement, Mary Moller, & Kris McLoughlin Members from the RTP Steering Committee and the Curriculum Workgroup met for a 2-day summit to identify priorities of the RTP curriculum.

CURRICULUM Draft - Module I What is recovery, where and when does and who does it happen to? Introduction / Brief History of Mental Health Recovery / Definitions Recovery: From Model to Principles Recovery as a lived experience Recovery in the context of inpatient settings Can recovery happen in an in-patient setting? Language Recovery Approaches: Challenges and Promises You and Recovery: Attitudes and Relationships Attitudes and beliefs Relationships How the nurse as a professional and as a person counts in developing and enhancing recovery oriented practice. Societal stigma on both consumer and providers: Particularly relevant  

CURRICULUM Draft- Module 2 Relationship between the recovery approach to care and the PMH - Scope and Standards of Practice PMH-Scope and Standards of Practice Davidson (2003) recovery components & self-care continuum Integrating Recovery Principles into Nursing Interventions Recovery Oriented Inpatient Therapeutic Milieu Development of a recovery-oriented therapeutic environment Care and understanding to the importance of trauma -informed care Nurse as an advocate v. traditional care provider Recovery focused approach to care: language and stigma/ engagement / peer support / patient self-assessments Davidson, L., O’Connell, M., Sells, D., & Stacheli, M. (2003). Is there an outside to mental illness? In L. Davidson, Living Outside Mental Illness. Qualitative Studies of Recovery in Schizophrenia. New York University Press, New York, p. 31-60.

Field Testing / Implementation Finalize Curriculum Video-taping mental health consumers and RNs who have lived in both recovery and non-recovery oriented environments Pilot program (curriculum) in 3 hospital sites, Spring 2012 Present final program next fall, 2012 at APNA national conference / meetings

Impact on RN and Nursing Practice Provide clarity and support for the importance of Psychosocial Nursing Interventions Support the nursing philosophy that we care for and assist the person with the disease or disorder. Provide the RN basic tools to assist people in their own individualized recovery efforts. For some, nothing will change (although they may feel more system support for their work.)

Impact on RNs’ role in the Interdisciplinary Team We may be better able to describe our practice and how it compliments other discipline practices. At least if our U.S. policy directive stays the course, we will be on the cutting-edge of systemic change…and be active leaders with team members of other disciplines. It is going to give us a consistent language and understanding of how we see our patients as “people-first”.

Questions? Comments .