ELD MFT 5105 Week 4

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Northcentral University *

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5105

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Sociology

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Jan 9, 2024

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Uploaded by nenelovell

1 Interpret the Recovery Model in MFT School of Social Behavior Science, Northcentral University MFT- 5105: Recovery-Oriented Care and Postmodern Family Therapy Dr. Benjamin Evans April 24 th , 2022

2 Interpret the Recovery Model in MFT "Recovery" for those with mental illnesses is nothing new. For many years, the phrase has been used to refer to symptom decrease or remission. The term "recovery" was first used in England in the 1830s. The Prime Minister's son, John Perceval, authored a memoir on his personal recovery from the psychosis that he experienced (IMHCN, 2022). Professionals did not take the recovery concept seriously in the 1930s. Abraham Low was a psychiatrist who worked in Illinois mental health hospitals. In 1937 he started "Recovery Inc," an organization dedicated to organizing self-help groups to provide after-care for newly discharged hospital patients. The purpose of recovery inc was to help people avoid relapses by teaching them social coping skills, goal setting, and increasing self-confidence. The group failed to gain acceptance (McCranie, 2011). Until fifty years later, in the 80s, rehabilitation counselors began exploring the concept of recovery as it relates to substance abuse. By the 1990s, the model was recognized by mental health arenas due to the outcome of decades worth of research (Gehart, 2012). According to the international journal of mental health systems, the recovery movement has attracted widespread interest over the last decade. It has become part of the broader change and improvement processes across mental health systems in many industrialized countries (Pincus, Spaeth-Rublee, et al., 2016). Define the Recovery Model Mental health recovery was described by the United States Department of Health and Human Services in 2004 as "a process of healing and transformation that enables a person with a mental health problem to live a meaningful life in a community of his or her full potential" (Gehart, 2012). The SAMSHA has amended the concept of recovery since then, in 2012. The

3 new edition covers both mental and substance abuse disorders (Ellison, Belanger, et al., 2018). "A process of transformation through which individuals enhance their health and wellness, live a self-directed life and aspire to attain their full potential," according to the revised definition (SAMSHA, 2012). A life in recovery is supported by four primary dimensions: health, home, purpose, and community. Health- Is overcoming or managing one's diseases or symptoms Home - A stable and safe place to live Purpose - Meaningful daily activities, e.g., jobs, schools, etc. Community - Relationships and social networks that provide support. The distinction between the terminology made it difficult to expand health insurance coverage for treatments and recovery support services before the modification. The new definition helps advance recovery opportunities for all Americans. The major concepts According to SAMHSA, there are ten guidelines for recovery. Hope, relational, person- centered, cultural, numerous pathways, trauma-informed, holistic, strength/responsibility, peer support, and respect are some of the healing principles. Hope- is the concept that rehabilitation sends an important and encouraging message about a better future, that people can overcome internal and external problems, barriers, and obstacles. Hope can be fostered by peers, families, and others. Relational- The presence and involvement of others who believe in the person's potential to heal, offer hope, support, and encouragement, and suggest solutions and resources for change are critical factors in the recovery process. Support networks include family members, peers, providers, church groups, community members, and other allies.

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4 Person-centered - Recovery requires self-determination and self-direction. This aid assists the person in defining their life objectives and developing their paths to those goals. Culture- Culture and cultural background, including values, customs, and beliefs, play a critical role in determining a person's recovery journey and route. Culturally appropriate, attuned, sensitive, harmonious, and competent services should be provided and individualized to fit each individual's specific needs. Numerous pathways - Individuals differ in terms of their needs, strengths, preferences, goals, culture, and backgrounds — including trauma experience — all of which influence and determine their recovery path(s). Individual capacities, strengths, talents, coping abilities, resources, and intrinsic value all play a role in recovery. Pathways to recovery are extremely customized. Trauma-informed - Trauma (physical or sexual abuse, domestic violence, war, disaster, and other events) is frequently a prelude to or associated with alcohol and drug addiction, mental health difficulties, and other problems. To encourage safety (physical and emotional), trust, and promote choice, empowerment, and collaboration, services and supports should be trauma informed. Holistic- Recovery refers to a person's entire existence, including mind, body, spirit, and community. Strength/responsibility - Individuals, families, and communities all have strengths and resources that can help them get back on their feet. Individuals are also responsible for their own self-care and rehabilitation journeys. Families and significant others, especially for children and youth in recovery, have a responsibility to help their loved ones. Communities must give opportunities and tools to combat discrimination while fostering social inclusion and healing.

5 Individuals in recovery also have a social responsibility and should be able to unite with peers to discuss their strengths, needs, wants, desires, and aspirations collectively. Peer support - Includes various activities and interactions with others who have dealt with mental health problems similarly. Clients feel a sense of belonging, supportive relationships, valued responsibilities, and a sense of community when they receive peer assistance. Respect - Acceptance and appreciation for those impacted by mental health and substance use disorders in the community, systems, and society—including safeguarding their rights and eradicating discrimination—is critical in attaining recovery. It's essential to recognize that taking steps toward rehabilitation might take a lot of guts. Self-acceptance, the development of a positive and meaningful sense of identity, and the re-establishment of self-belief are critical. Postmodernism and Social Constructionism relate to the recovery model Postmodern and social constructionist approaches to all psycho-family therapies is directly related to rehabilitation. Using a postmodern lens, the recovery model examines the sociopolitical impact of diagnostic discourses and how they inform and constrain an individual's identity story, limiting their perceived alternatives and opportunities (Gehart, 2012). Both postmodernism and social constructionism are concerned with assisting persons in their advancement. The way we learn about the world around us and how language and discourse define our world is referred to as social construction. Our concept of postmodernism is that each person we interact with has a unique set of social constructions. When we compare that concept to the recovery model, we see that they are mutually exclusive. The importance of the recovery model in MFT practice

6 Rather of focusing on pathology, the recovery model emphasizes strengths-based traditions. Both are important in the field since they capitalize on our assets. It's also necessary due of the field's many implications, including funding, scope of practice, context of practice, ethics, and boundaries. Applications of concepts and how it relates to me So far, I've gained a lot of knowledge from the recovery model. I used to believe that persons with certain mental conditions couldn't get better without medicine until attending this class. In this line of work, I've learned to be open-minded; not only does it benefit me, but it also benefits the clients. Learning about the recovery paradigm gave me a better understanding of what is happening in other people's lives.

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7 References Gehart, D. (2012). The Mental Health Recovery Movement and Family Therapy, Part I: Consumer-Led Reform of Services to Persons Diagnosed with Severe Mental Illness https://onlinelibrary.wiley.com/doi/10.1111/j.1752-0606.2011.00230.x O'Hagan, M. (2019). History of Recovery Movement. Retrieved from https://imhcn.org/bibliography/history-of-mental-health/history-of-recovery-movement/ McCranie, A. (2011). Recovery in mental illness: the roots, meanings, and implementations of a “new” services movement. In D. PilgrimA. Rogers, & B. Pescosolido The SAGE handbook of mental health and illness (pp. 471-489). SAGE Publications Ltd, https://dx.doi.org/10.4135/9781446200988.n23 Pincus, H. A., Spaeth-Rublee, B., Sara, G., Goldner, E. M., Prince, P. N., Ramanuj, P., Gaebel, W., Zielasek, J., Großimlinghaus, I., Wrigley, M., van Weeghel, J., Smith, M., Ruud, T., Mitchell, J. R., & Patton, L. (2016). A review of mental health recovery programs in selected industrialized countries. International Journal of Mental Health Systems , 10 , 1–9. https://doi.org/10.1186/s13033-016-0104-4 Marsha, L. E., Belanger, L. K., Niles, B. L., Evans, L. C., & Bauer, M. S. (2018). Explication and definition of mental health recovery: A systematic review. Administration and Policy in Mental Health and Mental Health Services Research, 45 (1), 91-102. http://dx.doi.org/10.1007/s10488-016-0767-9

8 SAMHSA (2012). SAMHSA’s WORKING DEFINITION OF RECOVERY. https://store.samhsa.gov/sites/default/files/d7/priv/pep12-recdef.pdf

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