Exploring Recovery Models
A one day workshop
October 29th, 2009
Introduction
Vale of Clwyd Mind is piloting the Recovery Star as a person centred assessment, planning and outcomes tool through its CADROS project - the Conwy and Denbighshire Rural Outreach Service. Interim reports on the Recovery Star were presented by CADROS to the Denbighshire AMH Planning Group and the Conwy AMH Management and Policy Group.
The groups felt that it would be useful for the Recovery Star to be compared with other Recovery Models currently in use in Conwy and Denbighshire and requested CADROS to facilitate an event for this purpose.
CADROS invited Hafal, The Mental Health Foundation, the BCULHB and Vale of Clwyd Mind to present on the Recovery Models they are using and invited Jane Jones and Geoff Lees to facilitate workshops on them. Julie Mountford was also invited to introduce the day and to present an overview of Recovery in the new context of the BCULHB
CADROS sent invitations to statutory and third sector service providers, planners and commissioners and to service users and carers in Conwy and Denbighshire.
Presentations
In the morning session presentations were given by Geoff Lees, Vale of Clwyd Mind on the Recovery Star, Theresa Petrokowski and Janet Randles on Hafal's Recovery Models, Gaynor Gaskell of BCULHB on the Model of Human Occupation and Jane Wycherley and Sue Goodwin on the Mental Health Foundation's Self Management Programme. These were followed by a lively Q and A session.
The programme for the day, list of participants and the presentations and other associated documents are attached to this document.
Case studies
Next, participants divided themselves in to groups and each group was given case studies to consider. Their task was to explore which recovery models best fitted each case, using the information gleaned from the earlier presentations.
For the second part of this exercise, groups were requested to explore ways of creating integrated pathways through the four models for the same cases.
Conclusion
The discussion at the end of the day reflected the usefulness of the exercise for all participants.
Ø It was felt that the Recovery Models currently used by different agencies in Conwy and Denbighshire do not conflict with one another.
Ø There were a remarkable number of similarities between them and it was felt that service users could navigate through them quite seamlessly, as they mostly share concepts, meanings and underpinning philosophy.
Ø The Model of Human Occupation currently used by Occupational Therapists within Community Mental Health Teams was thought to reflect the more clinical aspects of working in that context, while the other 3 models were felt to be more person centered and responsive to individual service user needs.
Ø However, training on the using the Recovery Star is currently being rolled out within statutory service contexts, i.e. Nant y Glyn and Roslin and it is already being used at Tan y Castell.
Ø Hafal's Recovery Model lacks an evaluation element
Ø The Recovery Star and Hafal's Recovery Model are clearly more appropriate for working individually with service users while the Mental Health Foundation's Programme is based on groupwork.
Ø CADROS's Recovery Star and Hafal's Recovery Model are targeted at different groups - CADROS will work with people with mild to moderate anxiety and depression and other categories of "less than flourishing" people as well as people with more severe mental health problems. Hafal's service users are limited to those who have a diagnosis of a severe mental illness and their carers
Ø People accessing the Recovery Star and Hafal's Recovery Model who fit the referral criteria can be later referred on to the Mental Health Foundation's Group Programmes
Next Steps
Julie Mountford has asked Vale of Clwyd Mind to arrange a series of regular half day informal follow up events to keep the momentum going and to continue to keep Recovery high on the agenda in Conwy and Denbighshire. It is important that we continue to explore how we can all develop our Recovery work in partnership with service users and carers and each other. We have an excellent opportunity to integrate our working and to share and develop best practice.
The event highlighted the importance of networking with each other regularly.
Ideally the Conwy and Denbighshire Recovery Network will feed in to a wider North Wales Recovery Network; we are already making arrangements with North East Wales to feed in to their first Recovery event in the New Year.
A suggestion was made that each C & D Network meeting addresses a particular Recovery theme. The work from these meetings needs to be captured - is there scope for a Recovery Network website to be set up under the Betsi Cadwaladr Health Board umbrella?
Carol Evans, CADROS, Vale of Clwyd Mind, has agreed to organize the next C & D Recovery Network meeting for the New Year. Details to follow.
Key Recovery themes emerged from all the group discussions when considering how to analyse with the case studies presented to them.
Ø Workers must be vigilant for Child Protection and POVA issues
Ø All approaches must be person centered i.e. based on the wishes and aspirations of the service user not the recovery worker
Ø The person must be ready to make changes in their lives ; the emphasis is on strengths not weakness; ability not disability
Ø Goals and action plans must emerge from the service user not the recovery worker
Ø The recovery worker's role is to support the service user to explore their wishes and desires, to consider options, formulate goals and support them through their individual recovery process
Ø Goals must be SMART - specific, measurable, achievable, realistic and time-limited
Ø The person does not exist in isolation of the social context he inhabits; all Recovery Models must be truly holistic to succeed.
Ø The relationship between the service user and recovery worker is key to the success of any Recovery Model - the relationship must be person centered, the agenda set by the service user, the worker needs to create an atmosphere of safety, optimism, respect, genuineness, trust and empathy
Pathways
As the participants felt that the models under consideration mostly complemented each other, a number of "pick and mix" pathways were created, e.g.
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