Patients with mental problems are bound to develop some serious issues which should be addressed properly. Such patients should have access to treatment that is more central to their recovery rather than focusing on treatments with medicine and other such interventions. Recover-based interventions include focusing on the individual’s healthy recovery for the stability of their mental and physical health rather than one which uses pharmacology to support the recovery of the patient. This report will demonstrate an understanding of the recovery-oriented practice and its application and implications. The difference between recovery-oriented and traditional medical practice would also be studied in detail. Moreover, the purpose and domains of the Framework set for recovery-oriented practice would be discussed along with the principles that form the basis of Mental Health Act (2014) for the recovery-oriented practice. Using a customer scenario, three recovery-oriented domains would be chosen to understand the implications of these domains on the attitudes, behaviours, skills, and knowledge on the nursing practice.

Recovery-oriented practice is a process or a journey which is unique and different for every person (Chester, et al., 2016). It is initiated through the user movement and is central to any major negative change in a person’s health. The people and the medical professions have their different opinions on how this can be useful in the professional psychiatric practice. The recovery oriented mental health practices seek to apply the sets of potential abilities or capabilities that can help people to recognise and identify the issue and taking the responsibilities of their wellbeing and recovery (Slade, et al., 2014). The capabilities of the mental recovery-oriented practice underly through its core principle, knowledge, skills, behaviours, values, attitudes, abilities. In order to help the recovery of the patients from the mental health issues, the individual or the organisation requires these capabilities so that individual can live more peacefully and have a meaningful life (The Department of Health, 2013). Since recovery is not the straight process for the continued growth and is based on an individual’s own uniqueness, preferences, strength, experiences, needs, and their background, each practice is unique and differs on a person to person basis.

The traditional model of care is more disease-oriented which often requires medication. Biometrical approach is used to identify the problems, the symptoms, and the history of the patients in terms of disease or any type of illness (Rural Health School, 2020). In this model, the patient’s perspective is not taken into consideration and the focus is mainly on the physician’s outcomes and considered as more important (Gilbur et al., 2013). It is more centred towards regulators, whereas the recovery-oriented practice is more focused on the patients. Moreover, the recovery-oriented practice is mutually based as the nurse take both perspective and listens to the patient, then understand to take actions (Gilbur et al., 2013). In the traditional model, the outcomes and prescription are based on the average patients results. Whereas in the recovery practice model, the process is based on the individual patient’s condition, individual treatment is provided (Gilbur et al., 2013). The traditional care can be standardised and replicated whereas the recovery-oriented practice cannot be. Thus, there are major changes in the traditional and recovery-oriented practices.  Recovery-Oriented Practice In Mental Health Example Paper

Traditional Medical Practice

The recovery-oriented practice framework provides a participative attempt and a pre-planned support to all those people working across the organisation of mental health services to provide a high-level quality of recovery (Victoria Health Government, 2015). This framework helps to strengthen the practices and provide the support to the further innovations in the development of recovery-oriented practices (Le Boutillier, et al., 2011). It encourages determination and self-management of mental health along with helping people to define their targets, their goals, and what they wish and aspire for (Le Boutillier, et al., 2011). This leads to influence them, help them to come out of the issues, and the trauma they suffering from (Victoria Health Government, 2015). The purpose of the framework is to approach holistically with the factors which impact directly to the individual’s wellbeing like education, career, family, relationships, society and so on (Victoria Health Government, 2015). It also supports people to come out of the loneliness and be socially inclusive, participating in community and citizenship (Le Boutillier, et al., 2011). This framework gives a structural guidance to the mental health services specialists by using the following nine domains.

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• By promoting the culture of hope in the individuals
• Encouraging them and interacting with positive expectations and giving the messages of early recovery.
• Communicating with them in native language so that they become more familiar with specialists which is required for the fast recovery.
• Individualistic approach to care
• Encouraging autonomy and self-determination.
• Specialists should involve people mutually in their mental health care treatment it can help both to be more engaged and cooperative in the process of recovery.
• Focusing on their strength, their interests and skills they are good in.
• Making people to identify their needs of support so to strengthen that support and building the new support network.
• The framework helps in representing the cooperative impact on both the specialists and workers.

Under the mental health principles, the person who receives the mental health treatment should not be treated forcefully. There should be at some restrictions in place and should be voluntarily assisted (Norman & Ryrie, 2013). The aim of the services should be bringing the best possible outcomes. Therefore, recovery having the full participations of both the patient and specialists is recommended (Victorian Current Acts, 2015). The patients should be involved and aware of all the decisions related to their assessment. The people’s views, perspective, and preferences should also be taken into consideration and should be respected (Victorian Current Acts, 2015). Any of the decisions which involves any amount of risk, the person who receiving the treatment should allowed to make the decision depending upon their concern (Ouliaris & Kealy-Bateman, 2017). Every individual has their own language, culture, disability, gender, and these all should be respected and responded accordingly (Victorian Current Acts, 2015). Treatment of the children, young persons should be done separately from the adults as their interests are different that should be recognised and taken into consideration. The person should be given the mental health service and treatment in regards to the act of the mental health (Victorian Current Acts, 2015).

Working as a nurse to treat Felicity who has trauma and borderline personality disorder, recovery-oriented practices and its theories could be studied. She has suffered many helpless and uncertain days in her life, and now she needs treatment for decreasing the negative effects of her personality disorder. Felicity used to be very good student who was also awarded for the highest achieving students in the whole university. According to her statement, it seems that now she is helpless and has no hope or purpose in life to move on and do things that she is good at. Because of her fluctuating mental health and her personality disorder, she not even focusing on the things she is talented in such as singing which she used to do quite regularly at the university. This all shows that she used to be very talented, focused, and smart student but her situations made her mentally unstable. For her proper treatment, firstly I would work on helping her in implementing and promoting hope in herself by focusing on her strengths and talent. This will help her to see things with a different perspective would increase her self-confidence.

Recovery-Oriented Practice Framework

The culture of hope can be promoted in an individual through their way of communication and language use. As Felicity is comfortable in sharing her story, views, and thoughts, she would have an optimistic attitude indicating an optimistic language. This will help me to create a supportive and friendly environment. By communicating through the culture of hope, it will help in optimising the potential and self-determination of Felicity. The primary thing a mentally suffering person wants is someone who will listen to them Felicity may also want someone to listen her. I will help her by interacting with her, making her comfortable and valuable, and giving her the required training by understanding her behaviour and developing hope. Here, hope is referred to the goal-oriented thinking. I will try to help her to identify and characterise the ability for finding the way that can lead to her desired goals and imagination through motivation, training, and learning abilities (Medicine, 2018). I would also motivate her to interact more with people, especially her closed ones – family and friends. When she sees people believing in her progress and supporting her, it might have a positive effect on her mental health.

Another domain is to focus on her strengths, which would foster a positive self-confidence and self-esteem. Firstly, I will help her in identifying and then building her unique and individual strength which she already possesses. Through them, she can recover faster from her mental disorder. As stated, she used to be achieve highest in all students at university and as a singer, she used to sing at the university. She has a lot of talent which is now getting ignored as she is not confident and has lost hope. This may be gained again by reminding and assuring her of her strengths and interests. This strength-based approach is required for the Felicity’s recovery because she is not finding herself worthy and feeling neglected and alone. It is imperative that she focuses on her self-worth and talent in order to bring value for herself rather than depending on others. I will help her develop her self-worth by organising an activity in which there will be more people and all will be given the opportunity to discuss their interests, and the things which they used to do in their alone period. This activity will let people to think of them and identify their interests. It will also help Felicity to decide and aim her goals as now her mind will be more attuned to her needs for a faster recovery. The purpose of the strength-based approach is to focus on the positive aspects and attributes of an individual rather than the negative thoughts and mindset. It would be better to build on their will and self-determination so that they can work on replacing their negative thoughts with positive ones.

To check whether each domain of framework is getting properly implemented, it is necessary for both professionals and the patient to access the service or treatment. This can be addressed by Felicity’s feedback about her treatment and approach that I will use to improve her mental health. I will approach her for a regular period of time to identify her recovery rate. I will also actively pursue and learn different strategies and approaches to build knowledge and improve the quality of treatment. To assist her in making more efforts on the approaches and the practices which can make impact in her recovery, it is important to supervise her regularly (Jayatilleke & Mackie, 2013). Regular supervising would support and mentor her approaches and the degree to which they are helping in the recovery process (Jayatilleke & Mackie, 2013). It would also indicate her efforts and progress in terms of her mental work which could indicate a positive result. Also, by taking the daily reviews would ensure that she is feeling focused, and hopeful rather than hopeless and conservative.

Conclusion

This report demonstrates that the recovery-oriented practices can be more useful and impactful when both the specialist and person are engaged in the process. The patient feels more comfortable by friendly environment than traditional model care approach as it is more of professional based. In the tradition model, the decisions are taken by the organisations and does not consider the patient’s opinion. The mentally unhealthy person needs someone who can listen them and help them out rather than just providing the medication. Supporting them and using interventions to increase their self-worth and focusing on their strengths can lead to a faster recovery. It is imperative to consider and follow the principles which underly the mental health Act 2014.

References

Chester, P., Ehrlich, C., Warburton, L., Baker, D., Kendall, E., & Crompton, D. (2016). What is the work of recovery oriented practice? A systematic literature review. International Journal of Mental Health Nursing, 25(4), 270-285. https://doi.org/10.1111/inm.12241

Gilburt, H., Slade, M., Bird, V., Oduola, S., & Craig, T. K. (2013). Promoting recovery-oriented practice in mental health services: a quasi-experimental mixed-methods study. BMC psychiatry, 13(1), 1-10. https://doi.org/10.1186/1471-244X-13-167

Jayatilleke, N., & Mackie, A. (2013). Reflection as part of continuous professional development for public health professionals: a literature review. Journal of Public Health, 35(2), 308–312.

Le Boutillier, C., Leamy, M., Bird, V. J., Davidson, L., Williams, J., & Slade, M. (2011). What does recovery mean in practice? A qualitative analysis of international recovery-oriented practice guidance. Psychiatric services, 62(12), 1470-1476. https://doi.org/10.1176/appi.ps.001312011

Medicine. (2018). Hope as a behavior and cognitive process: A new clinical strategy about mental health’s prevention. (T. Massimo, Ed.) Clinical trail/ experimental study, 97(36). https://journals.lww.com/md-journal/fulltext/2018/09070/hope_as_a_behavior_and_cognitive_process__a_new.43.aspx

Norman, I., & Ryrie, I. (2013). The art and science of mental health nursing: Principles and practice: A textbook of principles and practice. McGraw-Hill Education. Recovery-Oriented Practice In Mental Health Example Paper