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

2. 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

3. 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

4. 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

5. 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

6. 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