“De-institutionalisation through joint learning” Bodil Øster & Jørn Ditlev Eriksen

Joint learning The need for new values, culture and thinking Reducing the impact of the institution Un-learning and new learning Together we'll find the way New roles, challenging the experts Control your life with Person centred planning Making plans for recovery Structuring time Being a student Centre for Knowledge about Mental Health in Lyngby Reducing stigma Creating choice Integrating with the community

Slotsvænget Residential rehabilitation unit for 40 people Home support 12 people WorkEducation

Living at Slotsvænget isn´t the solution! Living at Slotsvænget – Living in your own home – Work – Citizenship - Learning

The good ”news” 46 – 68% recover from serious mental illnesses ! Bleuler 1972 Huber et al Harding et al Tsuang et al Ciompi & Muller 1976

What is the recovery rate for staff? Can staff recover?

Learn knowledge Unlearn knowledge Both residents and staff members have the need to learn and unlearn knowledge

Change the thinking Change the practice Change the system The Whole Life – Whole System process

Knowledge Choices Meaning Recovery Empowerment

Together we will find the way Together we will find the way A development project for residents and staff members

Process The implementation of new competences and opinions via common development processes Work individually with voice-hearers, life stories, path….…. Redevelop procedures in the organisation to cope with new knowledge/work processes

PATH Developed by Marsha Forest, Jack Pearpoint and John O’Brien 2 Goal 3 Foundat ion 5 Building strengths 9 First step 8 Plan Three months 4 Who to involve? 7 Plan Six months 1 Dream 6 Nightmare

“You have a chronic illness” “Your dreams are silly”

Training together in pairs: Learning the tools, testing the tools, and making the plans Roles as students – together (breakfast) Structuring the time (getting the work done, getting to know each other better) Reflecting and giving back CONTROL YOUR LIFE with Person Centred Planning The project  Knowledge of recovery is spreading  How to fascilitate the proces? Need for new tools  PCP: people in the centre and in control Training in one context and practising in another Institutional invironment The 'experts' define the problems and the solutions

Anti stigma Lessons held in the community Contribution to community Centre for Knowledge about Mental Health in Lyngby Institutions and hospitals with experts Struggles between sectors Separate training Different knowledge base and values Whole system Across organisations and community limits Collaborating on a set of values Network across organisation Respect of different knowledge New roles Users and professionals as students Choosing between paradigms Putting together a meaningful support