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Celebrating The Art of Recovery

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Celebrating The Art of Recovery PRSANM Annual Conference Albuquerque NM June 13, 2013 – PowerPoint PPT presentation

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Title: Celebrating The Art of Recovery


1
Celebrating The Art of Recovery
  • PRSANM Annual Conference
  • Albuquerque NM
  • June 13, 2013

2
Art- Merriam-Webster
  • A skill acquired by experience, study or
    observation
  • Recovery is a skill that can be learned through
    study, education, example, and experience

3
PSRANM Members
  • As professionals you are central in the fight to
    assure that these SMI achieve the recognition
    that they deserve in our civilization.
  • You are essential components and assets to those
    attempting to create their life art in spite of
    otherwise crippling illness

4
Psychosocial Rehabilitators
  • You are the most important advocates for those
    who suffer from the serious, frequently fatal
    brain conditions that we have coined
    psychiatric or mental illnesses
  • Without you as partners, hope is muted
  • Your advocacy counts more than can be measured

5
Recovery
  • Re-finding of lost meaning in life after the
    symptoms of mental illness have eroded hope,
    goals, future, happiness, and adaptive potential.
  • Survival and stability formerly the goal of
    treatment
  • Recovery transcends mere survival or stability

6
Roxannes Recovery
7
Roxanne
  • 34 y/o woman who epitomizes the possibility,
    goals, and prayers we have for achieving and
    sustaining recovery
  • 40 years ago would have been a ward of the state
    and likely lived out her life in the relative
    safety and confines of a State Hospital
  • 60years ago would have been lobotomized ( in 1955
    55,000 men woman and children in the US alone
    undergo lobotomies)
  • 75 years ago, if living in Europe, would have
    been exterminated in place or sent to death
    camp by Nazis

8
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10
Roxanne
  • 150 years ago would have been held in squalid
    conditions in a prison or jail
  • 300 years ago might well have been burned to
    death as a witch in America
  • 500 years ago the church published a text
    describing the demons in the insane. Instructions
    were provided on how to torture and kill the
    devil in the soul of the mentally ill

11
Recovery
  • The advent of Lithium and Thorazine in the 1950s
    ushered in the Modern Age of treatment that
    provided hope for treatment of those with
    Schizophrenia and Manic Depression
  • Depressive illnesses were found to respond to
    Elavil and ECT in the early 60s

12
New Hope- New Contract
  • By the 1970s a new, revolutionary movement
    gained momentum in the US
  • Community-based treatment seemed feasible and
    more humane than institutionalization
  • Community Mental Health Centers were born across
    the nation
  • For the first time in human history there was
    hope that those with mental illness could lead
    productive, normal lives

13
New Hope- New Contract
  • Community Mental Health Centers were relatively
    well funded and though modalities were
    primitive, progress was made.
  • Centers prospered, modalities matured and
    improved
  • State Hospital Systems deteriorated and closed
    beds by the tens of thousands

14
Recovery
  • Each person in the audience knows someone who is
    achieving this goal. A process that is continuous
  • The challenges of Recovery are similar in some
    ways to that found in the venerable and
    successful substance abuse directed 12 Step
    model
  • Central to Recovery is the concept that the
    victim assume a pivotal role in embracing the
    challenges of life with the illness

15
RECOVERY
  • An expectation or goal beyond mere survival with
    or without overt symptoms of illness
  • A multifaceted goal that amounts to the
    restoration of a meaningful, fulfilling life
    beyond survival
  • Many can now achieve this objective. For the
    first time in the history of mankind

16
What is Recovery
  • Restoration of self esteem
  • Restoration of dreams
  • Restoration of self worth
  • Restoration of pride
  • Restoration of choice
  • Restoration of dignity
  • Restoration of MEANING

17
Recovery- Ten Components
  • Self-Direction
  • Individual and Person Centered
  • Empowering
  • Holistic
  • Non-Linear
  • Strengths Based

18
Recovery- Ten Components
  • Peer Support
  • Respect
  • Responsibility
  • Hope

19
Recovery
  • Recovery from brain disorders such as
    Schizophrenia and Bipolar Disorder is relatively
    rare without family, social, and professional
    partners in recovery
  • Taking medication is not the goal of recovery. It
    is however, for most, an essential foundation
    essential for recovery to be achieved for many
    with mental illness.
  • Treatment and often medications are essential to
    reduce or prevent relapse for those in recovery.
    Relapse prevention is an essential goal of
    treatment.

20
Recovery- Relapse Prevention
  • Even brief periods of active illness may destroy
    previous growth, relationships, goals, and trust
    on the part of all who are affected
  • Brief periods of relatively asymptomatic
    interludes can be imposed by coercion on the
    individual who is ill.
  • Rarely will these efforts lead to recovery
    until the individual has reached bottom, or
    experienced an epiphany that allows the
    realization that the illness is one of the major
    challenges that they must transcend if they are
    to lead a fruitful life.

21
Recovery
  • Those assisting individuals with recovery may
    face similar challenges to those loved ones and
    others attempting to assist a person with
    addictions
  • Helping versus Enabling
  • Recovery is a lifelong process
  • Continuous challenge that will rule the lives of
    the affected if they do not rule it

22
Recovery
  • Family and loved ones
  • Judiciary, city and county, prosecutors, relief
    organizations, faith based groups, neighbors
  • Mental health providers, advocacy groups, support
    groups, therapists, social workers, case
    managers, doctors, CPS, attorneys, peers, many
    others

23
Recovery Happens
  • Early Diagnosis and Treatment is essential to
    maximize potential
  • Avoidance of substance abuse essential
  • Partners are critical to success
  • Access to care paramount

24
Recovery Can and Does Happen
  • You can give hope and the means
  • Few can succeed alone with or without major
    mental illness
  • We can and must work to provide hope and access
    to humane and effective treatment for ours, our
    children, and their children.
  • The economic and societal effects of failure are
    unaffordable and inhumane

25
  • The true measure of a civilization is not the
    people or territory that it has conquered,
    controlled, dominated, or influenced, but how it
    provides for its most vulnerable citizens

26
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28
The Criminalization of Mental Illness
  • We, as a society, have reverted, by default, to
    mental health management approaches that were
    clearly inhumane in the middle of the 1800s.
  • We have closed the refuges, created refugees, and
    imprisoned tens of thousands of people who could
    be effectively treated without danger to the
    community
  • We have a failed mental health system in much of
    the United States. There is no light at the end
    of the tunnel that hasnt been spun to satisfy
    other agenda.

29
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30
Roxanne
  • 1500 years ago thousands of insane were
    murdered to get rid of the evil souls that
    possessed them. The spirits that possessed them
    were allegedly dedicated to deceiving and
    confusing the opposite sex
  • 2000 years ago and as far back as human recorded
    history her illness, schizophrenia, mania and
    melancholia accurately described and essentially
    unchanged from modern descriptions

31
Roxanne
  • ten thousand or so years ago she and her children
    would have likely been eaten by a predator or
    starved as she abandoned her tribe in a deluded
    attempt to protect her children from those who
    she felt intended to victimize them.

32
No Hope- No Contract
  • In the 1980s state and national subsidization of
    Centers began to erode
  • Year after year budgets were cut and cut and cut
  • Policy makers abandoned those with mental illness
  • Programs deteriorated
  • Access to, and quality of care continues to
    backslide

33
The Criminalization of Mental Illness
  • County Jails and TDCJ have become the de facto
    mental hospitals of the modern age.
  • Dorthea Dix, a nurse in the late 1800s was
    reviled by the fact that most mentally ill were
    incarcerated in inhumane conditions our jails and
    prisons
  • Dorthea Dix campaigned tirelessly to establish
    humane treatment for the mentally ill
  • New Jersey, followed by 30 other states
    established hospitals for the insane near the
    turn of the century

34
The Criminalization of Mental Illness
  • In 1861 10,000 of 30 million Americans resided in
    mental hospitals
  • The population of the US has reached over 300
    million.
  • Over 500,000 persons were detained and protected
    in asylums in the US when modern treatment became
    available in the late 1950s

35
Roxanne
  • 500 years ago 1000,000 mentally ill were
    tortured, burned and killed in France alone over
    a thirty year period
  • In Geneva 500 people burned at the stake publicly
    in three months
  • 600 years ago she may have been allowed to live
    in relative freedom if her family could care for
    her

36
The Criminalization of Mental Illness
  • The State Prison System and County Jails are the
    Asylums of the new millennium
  • They provide, routinely, and with few exceptions,
    inadequate, substandard, and often inhumane
    treatment
  • We, as a people, have accepted Out of sight, out
    of mind.
  • We, as a people, should be ashamed as we are
    capable of responding more effectively and
    humanely to this issue

37
No Hope- No Contract
  • Seriously Mentally Ill become homeless, exposed
    to drugs, crime, victimization
  • With no access to community treatment,
    increasingly they are incarcerated
  • Incarceration to protect law abiding citizens
    and more recently for their own good
  • Twenty percent of many jail and penitentiary
    populations across the country are composed of
    severely mentally ill.
  • Some are indeed dangerous, most not if afforded,
    or directed into, appropriate treatment
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