1. Chapter 43 Recovery Model
Terry Krupa

2. Objectives Define recovery in the context of mental illness
Identify common elements of recovery
Consider how recovery is evaluated
Describe intervention tools to support recovery
Discuss the relationship between occupational therapy and recovery

3. Defining recovery
Recovery has gained prominence internationally as a guiding vision for the development of mental health systems and services
Yet, there can be confusion and a lack of shared agreement about the definition of recovery

4. Conflicting Perspectives on Recovery
Clinical perspective * Personal perspective

5. Defining Recovery – Conflicting Perspectives
A clinical definition of recovery –
Focuses on reducing mental illness, symptom reduction
Recovery as cure
Illness management as determined by experts is central to recovery

6. Defining Recovery – Conflicting Perspectives (Continued)
A personal perspective on recovery
Recovery as a personal life journey
Living a life of meaning and purpose beyond the illness
People with mental illness do the “recovering”
service providers and others can enable or interfere with recovery process

7. The importance of the definition
The personal perspective on recovery has gained influence as the guiding vision for mental health service delivery systems
It has required a significant transformation of mental health services and systems which historically have been predominantly medical and clinical

8. Elements of the recovery process

9. Elements of the Recovery Process
Hope – Believing in possibilities and potentials
Redefining self – mental illness as one aspect of a multi- dimensional identity
Incorporating illness – acknowledging and accepting limitations of illness
but moving beyond to discover personal potentials, strengths, capacities

10. Elements of The Recovery Process
Being involved in meaningful activities – engaging in social roles and making contributions
Overcoming stigma – developing resilience to stigma
Assuming control – taking responsibility for the personal transformations of recovery

11. Elements of the Recovery Process (Continued)
Becoming empowered and exercising citizenship
Managing symptoms – active participation in approaches and treatments to control symptoms
Being supported by others – being autonomous but connected to others

12. The Recovery Process Applied
Think of people who have mental illness you have met or somehow had contact with.
Did they experience any of these elements of the recovery process? Describe this experience.

13. How can service providers enable the recovery process?
Support self-direction
Identify and build individual strengths, potentials while attending to illness
Provide and support access to options, opportunities, resources
Communicate hope
Enable access to peer support
Support well-being across all aspects daily life

14. Enabling Recovery
What practices meant to enable recovery have you heard about or witnessed?
Are there any recovery-enabling practices that you would like to learn more about?

15. Recovery Tools
Evidence-based interdisciplinary intervention approaches
The Recovery Workbook (Spaniol, Koehler & Hutchinson, 1994)
Wellness Recovery Action Plan (WRAP; Copeland, 1997)
Illness Management and Recovery (Gingerich & Mueser, 2005)

16. Recovery and Occupational Therapy
How can OT contribute to the knowledge and practice base of recovery?
Knowledge related to occupation and well-being
Expanding understanding of the relationship between engagement in activity/occupation and elements of recovery
Ensuring that the focus on meaningful activities is maintained in services and service systems
Client-centred tools
Others??

17. Recovery and Occupational Therapy
How can OT be informed by recovery?
Remaining sensitive to the factors that constrain the ability to practice in a recovery enabling way