Recovery model, psych exam II

1)how did the traditional medical model view mental illness recovery?

2) what changed with the recovery model?

1) it focused on symptom treatment (often with psychotropic medications) and assumed individuals with mental illness did not fully recover

2) focus shifted from symptom elimination to improved quality of life and functioning.

how is recovery defined in mental health?

improvement in health and quality of life, rather than simply the absence of symptoms

what are the four dimensions that support life in recovery (subjective)? explain

- health: overcoming disease and living in a healthy way

- home: stable and safe housing

- purpose: meaningful daily activities (ex. job, school, volunteering), independence, income

- community: supportive relationships, friendship, love, hope

what is the tidal model?

a recovery model developed by nurses that uses water as a metaphor for life's changing challenges

what does the water metaphor represent?

emotional, physical, and spiritual "shipwreck." life's tides constantly change and individuals have to learn to navigate challenges rather than control them

what is the focus of the tidal model?

the individual's personal story (where problems began and where recovery and growth can be found)

XX what is the nurse's role in the tidal model?

- help patients identify strengths and weaknesses

- collaborate on first recovery steps

- build a therapeutic relationship

- encourage self-confidence

- promote awareness of change

- maintain transparency in care plans

what is the wellness recovery action plan (WRAP)?

a stepwise self-management tool that helps individuals monitor and manage distressing symptoms

who benefits most from WRAP?

individuals with serious long-term mental illness (ex. schizophrenia, bipolar disorder)

what is unique about WRAP?

it emphasizes self-administration and empowerment (with assistance from others)

how is psychological recovery defined? what are the 4 components of recovery?

- "the establishment of a fulfilling, meaningful life and positive sense of identity founded on hopefulness and self-determination"

- hope, responsibility, self and identity, meaning and purpose

list the 5 stages of recovery. explain

stage 1 (moratorium): despair, confusion

stage 2 (awareness): realization recovery is possible

stage 3 (preparation): decision to begin recovery work

stage 4 (rebuilding): active recovery work

stage 5 (growth): ongoing life growth and development

what criticism exists about the recovery model?

some individuals (ex. schizophrenia with anosognosia) may struggle with self-determination

what is anosognosia?

lack of awareness of illness

what national initiative promoted recovery-focused care?

president's new freedom commission on mental health, which recommended transforming mental health care toward recovery-based approaches

what is the nurse's role in recovery?

- support hope

- encourage strengths

- promote self-determination (when possible)

- address trauma

- protect patient rights

- reduce stigma

- assist in crisis planning

- foster community connections