1. SEVEN HABITS OF RECOVERY FOCUSSED SERVICE
DR.M.K.JHA
CONSULTANT PSYCHIATRIST
BOSTON

2. SEVEN HABITS OF RECOVERY ORIENTATED SERVICE
THE 7 HABITS OF HIGHLY EFFECTIVE PEOPLE
STEPHEN R. COVEY, 1989
THE SEVEN HABITS OF RECOVERY ORIENTATED PSYCHIATRISTS: A NON-CLINICAL GUIDE FOR PERSONAL GROWTH AND DEVELOPMENT ARUN, MITHILESH JHA, SEP2012, BJP BULLETIN

3. REFOCUS
STUDIES TO SUPPORT MH SERVICES IN BEING RECOVERY FOCUSED
RECOVERY PROMOTING RELATIONSHIPS
PRACTICE CHANGE

4. Recovery DEFINITIONS DIFFER SYMPTOMPS BASED FUNCTIONALITY EMPHASISED
NEW MODELS -
IN RECOVERY
HOPE
SOCIAL INCLUSION
EMPOWERMENT

5. RECOVERY
CONCEPT: DEEPLY PERSONAL CHANGE - ATTITUDE, VALUES, SKILLS, ROLE, GOAL LIVING-HOPEFUL, CONTRIBUTING AND SATISFYING LIFE WITHIN LIMITATION OF ILLNESS JOURNEY WITHOUT A DESTINATIONS

6. CEMI
SCHIZOPHRENIA AND OTHER SERIOUS ILLNESS SEEN AS “IRRESVERSIBLE ILLNESS”
MH POLICIES AND PROGRAMME
-VE VIEW OF PREDICTED OUTCOME

7. RECOVERY IMPACT ON PERSON AND FAMILY
PARTIAL OR FULL RECOVERY IS POSSIBLE

8. LONG TERM Schz OUTCOME
Bleuler, 1972, Zurich 208/53-66% fully or partially recovered
Huber, 1975, Bonn 502/53% full or significant improvement
Harding et al, 1986 VERMONT, 269/68%
Wikipedia-FEP-GOOD OUTCOME 42%

9. CHIME MODEL MARY LEAMY ET AL, BJP, 2011 NOV, 445-452 SYSTEMATIC REVIEW
NARRATIVE SYNTHESIS

10. CHIME MODEL
CONNECTEDNESS
HOPE
IDENTITY
MEANING
EMPOWERMENT

11. RECOVERY INTERVENTION
ADVANCE DIRECTIVES
PEER SUPPORT
WRAP
INDIVIDUAL PLACEMENT AND SUPPORT
ILLNESS MANAGEMENT
RECOVERY COLLEGE
SUPPORTED HOUSING
STRENGTH MODEL

12. HUMAN RIGHT PERSONS WITH DISABILITIES UN CONVENTION ART 19
INDEPENDENT LIVING
INCLUDED IN THE COMMUNITY
NOT CONTINGENT UPON GETTING BETTER

13. Recovery focussed service
Fit for 21st Century
Recovery is for all
No decision about me, without me

14. REASONS FOR SUPPORTING RECOVERY
BETTER SOCIAL OUTCOMES
POLICY SUPPORT
NEW HORIZON, 2009, Rec Ori
LIBERATING NHS, USER EXP
NO DECISION ABOUT ME, 2010
PROFESSIONAL DEVELOPMENT
COLLABORATIVE, SELF CARE, CHOICE, EXPERT

15. RECOVERY MODEL ARIZONA EXPERIENCE
LENGTH OF IN PT STAY DRASTICALLY REDUCED
RE ADMISSION WITHIN 30 DAYS
OO CAMHS DATA

17. RECOVERY ORIENTATED SERVICES
SERVICE USER
CRISIS INTERVENTION
REHABIILITATION
SELF HELP
SYMPTOMS RELIEF

18. RECOVERY ORIENTATED SERVICES
RECOVERY ORIENTED SERVICE
RECOVERY ORIENTATED SERVICES
SERVICE USER
EMPOWERMENT
RIGHTS PROTECTED
INTERDEPENCE
EMPATHETIC LISTENING

19. RECOVERY FOCUS PARADIGM SHIFT
EINSTEIN: “THE SIGNIFICANT PROBLEM WE FACE CANNOT BE SOLVED AT THE SAME LEVEL OF THINKING WE WERE AT WHEN WE CREATED THEM.”

20. RECOVERY FOCUSED HABITS
KNOWLEDGE
SKILL
DESIRE

21. HABIT KNOWING THE NEED HOW TO EXECUTE
MOST IMPORTANTLY WANTING TO CHANGE

22. CURRENT PARADIGM MEDICAL MODEL NOT UNDERSTOOD NOT LISTENED TO STIGMA
PERCEIVED INDIFFERENCE
SOCIAL EXCLUSION
STATE DEPENDENT

23. RECOVERY ORIENTATED SERVICES
POSITIVE CULTURE
(INCLUSION/HUMOR/RESPECT/DIGNITY
SOCIAL FAITH
HOPE)
AND
TOLERANCE
COMPASSION
SAFETY
TRUST
EMPOWERMENT
INSTIL HOPE
POSITIVE RISK TAKING
RANGE OF OPTIONS
COLLABORATION

24. RECOVERY ORIENTATED SERVICE 1ST HABIT
CULTURAL SHIFT
SINGLE MOST IMPORTANT PARADIGM SHIFT
TRUST ME, I AM DOCTOR!!!!!!
LEARN AND PRACTICE COLLABRATION
EMPATHIC LISTENING
BETTER QUALITY OF EXPERIENCE

26. RECOVERY ORIENTATED SERVICES
RISK POLICIES
POSITIVE RISK TAKING
ENHANCE PERSONAL RECOVERY
INTERVENE WHEN LIFE IS IN DANGER
HR POLICIES TO CREATE BETTER JOB OPP.
2ND

27. CULTURAL SHIFT 2ND HABIT
ORG OUTCOME BASED ON RECOVERY ORIENT
CO-PRODUCTION
COMMISSIONERS
PROVIDERS
SERVICE USER
POSTION PAPER,

28. RECOVERY ORIENTATED SERVICES 4TH HABIT
EVALUATION OF SERVICE:
INDIVIDUAL EXPERIENCES GUIDE QUALITY IMPROVEMENT ACTIVITIES
RECOVERY BASED OUTCOME
4TH

29. RECOVERY FOCUSSED SERVICES
EVALUATING RECOVERY
REPORTING ON RECOVERY BASED KEY INDICATORS
INDIVIUAL EXP GUIDE QUALITY IMPROVEMENT
IND AND CARERES CAN TRACK OWN PROGRESS
6TH

30. RECOVERY FOCUSED SERVICES 4TH HABIT
EVALUATING RECOVERY
REPORTING ON RECOVERY BASED KEY INDICATORS
INDIVIUAL EXP GUIDE QUALITY IMPROVEMENT
IND AND CARERES CAN TRACK OWN PROGRESS

31. RECOVERY FOCUSSED SERVICE
ATTITUDES AND RIGHTS
PROMOTES AND PROTECTS ALL RIGHTS
INSTILS HOPE
EMPATHETIC COMMUNICATION

32. RECOVERY ORIENTATED SERVICES 5TH HABIT
STRONG STRATEGIC RELATIONSHIP
HOUSING
EMPLOYMENT
COMMUNITY NETWORK

33. PEER SUPPORT 5TH HABIT TO SUPPORT AND FACILITATE
HOPE AND POSSIBLITY OF RECOVERY
REDUCTION IN ADMISSIONS
J.RIPPER N T. CARTER, JOURNAL OF MEN HEALTH2011, 20(4)
SAMHSA-EVIDENCE

34. RECOVERY ORIENTED SERVICES 5TH HABIT
PROMOTING INTERDEPENDENCE DEPENDENCE INDEPENDENCE

35. RECOVERY FOCUS ROBERTS AND COLLEAGUES J, MHTR ED, PRACTICE 2011
MORE IMPACT ON 3RD SECTOR

36. PERSON OF THE PRACTITIONER
AWARENESS
QUALITIES
SKILLS
UNDERSTANDING

37. Recovery focused services 6TH HABIT
HOPE
AGENCY-SENSE OF CONTROL
OPOURTUNITY

38. RECOVERY FOCUSED SERVICES 6TH HABIT
OFFERING REAL CHOICES
SUPPORT AND EMPOWER
CULTURALLY COMPETENT
ENCOURAGE TAKING RESPONSBILITY
5th

39. RECOVERYFOCUSED SERVICE 7TH HABIT
DIGNITY AND RESPECT
COURTEOUS, HONEST AND RESPECTFUL
RESPECT DIVERSITY
CHALLENGES DISCRIMINATION
7TH

41. RECOVERY ORIENTED SERVICES
PROMOTING INTERDEPENDENCE DEPENDENCE INDEPENDENCE
10TH

43. THANK YOU