1. Recovery to Practice and American Association of
American Psychiatric Association
and
American Association of
Community Psychiatrists
Recovery to Practice

2. Recovery to Practice - Psychiatrists
Presenters:
Gina N. Duncan, MD
Assistant Professor
Department of Psychiatry and Health Behavior
Georgia Health Sciences University
Jackie Pettis, RN, MSN Prevention, Education and Outreach Manager
ValueOptions Maryland
Member, APA/AACP Recovery to Practice Advisory Group
Recovery to Practice - Psychiatrists

3. Recovery to Practice - Psychiatrists
The goal of the Recovery to Practice Project is to equip psychiatrists with the knowledge, skills and attitudes to provide recovery-oriented psychiatric care in which they will work in partnership with people in recovery to assist them in achieving their goals and living a fulfilling life in the community.
Recovery to Practice - Psychiatrists

4. Recovery to Practice - Psychiatrists
Project Partners
Advisory Group
people in recovery
psychiatrists in recovery
psychiatrists
other mental health professionals
Work Group – APA staff and community psychiatrists
Recovery to Practice - Psychiatrists

5. Year 1 - Gathering Information
Literature
Face-to-face Dialogues
People in recovery/family members
Psychiatrists/mental health professionals
Facilitated conference calls
People in recovery
Targeted diverse groups of psychiatrists
Facilitated calls
Community psychiatrists
Inpatient psychiatrists
State mental health program directors
Psychiatry residents
Residency training directors
Addiction psychiatrists
Psychiatrists in recovey
VA psychiatrists
International medical graduates
Psychiatrists working with:
Women
African Americans
Asian Americans
American Indians
Hispanics
LGBT populations
Youth/young adults
Recovery to Practice - Psychiatrists

6. SAMHSA 10 Recovery Components
Hope
Self-direction
Individualized and
person-centered
Empowerment
Holistic
Non-linear
Strengths-based
Peer support
Respect
Responsibility
Recovery to Practice - Psychiatrists

7. From People in Recovery
Psychiatrists hinder recovery by “viewing crises as something to be medicated away or restrained away instead of opportunities for people to learn and grow.” “It’s no good when things feel clinical, when it is all about the medications and symptoms, and not about the rest of my life.” “Psychiatrists must not lose sight of how fearful it is for someone to lose control of their mind.” “The most powerful thing anyone said to me was ‘I have so much hope for you.’’’
Recovery to Practice - Psychiatrists

8. Recovery to Practice - Psychiatrists
From Psychiatrists
“Change the goal of services from treating illness to helping people rebuild lives.”
Recovery oriented practice for psychiatrists: “We’re talking about a fundamental change in values, not just a change in techniques.”
“Believing in the possibility of recovery is key;
I want psychiatrists to believe that consumers
can recover and to have a positive attitude.” (Consumer psychiatrist)
Recovery to Practice - Psychiatrists

9. Recovery to Practice - Psychiatrists
Target Audience
1) Direct service providers, including:
Residents/very early career psychiatrists
Public/community psychiatrists
2) Trainers/supervisors, including
Residency program supervisors and lecturers
Medical student educators
Recovery to Practice - Psychiatrists

10. Recovery to Practice - Psychiatrists
Goals of Training
Familiarize psychiatrists with:
Principles of recovery oriented care
Benefits for individuals in recovery
Benefits for psychiatrists
Practical strategies for clinical settings
Recovery to Practice - Psychiatrists

11. Recovery to Practice - Psychiatrists
Training Modules
1. Introduction and Rationale
2. Engagement and Welcoming Environment
creating an environment of hope for recovery where all people feel valued and respected
3. Person-Centered Planning and Shared
Decision-Making
Recovery to Practice - Psychiatrists

12. Recovery to Practice - Psychiatrists
Modules, cont.
4. The Role of Medication in Recovery
collaborative medication management; discussing
options (including not taking medication)
5. Health and Wellness Focused Care
integrated approach to recovery and well-being
(mental, physical, spiritual, social, etc.)
6. Building Living Skills and Achieving Goals
self-sufficiency and meaningful activity; building emotional skills to deal with adversity
Recovery to Practice - Psychiatrists

13. Recovery to Practice - Psychiatrists
Modules cont.
7. Culturally Appropriate and Trauma Informed Care
incorporate understanding of beliefs, cultural identity
spirituality, and experiences into recovery planning
8. Developing Peer Supports and Working
with Peer Specialists
9. Developing Natural Supports and Facilitating
Community Integration
family members, peer support groups, strategies
to strengthen support systems
Recovery to Practice - Psychiatrists

14. Recovery Training for Psychiatrists
All training presented jointly by a psychiatrist and a person in recovery
Online training  
Recovery Toolkit of materials
Recovery to Practice - Psychiatrists

15. Ongoing opportunities for feedback
All of the materials will be pilot tested before they are finalized. We will seek review and comment from people in recovery as part of that process.
Recovery to Practice - Psychiatrists

16. Recovery to Practice - Psychiatrists
Project Directors: Annelle Primm, MD, MPH American Psychiatric Association Wes Sowers, MD American Association of Community Psychiatrists Questions/comments, contact: Debbie Cohen,
Recovery to Practice - Psychiatrists