A Recovery Oriented System of Care促进了面向恢复的系统的护理课件.ppt

Promoting A Recovery Oriented System of Care Arthur C. Evans, Ph.D. Director City of Philadelphia Division of Social Services Office of Behavioral Health/Mental Retardation Services The Guiding Principles of the Philadelphia System of Care “The time is always right to do what is right.” Martin Luther King, Jr. Overview Historical context and Background Various Viewpoints on Recovery Principles, Core Values of Definition Program and Practice Models Implications for the System System Change Strategies and Next Steps Philadelphia Office of Behavioral Health/Mental Retardation Services Division of Social Services CAVEATS Recovery is not throwing the baby out with the bath water. [Reorientation] Recovery is not panacea – it will not solve larger societal problems (i.e. inadequate housing, poverty, stigma, budget problems, etc.) Reorientation is a process. It is not something that will happen overnight. Public Sector Challenges are Real It takes a consensus process to move the system in the direction of recovery. HISTORICAL CONTEXTandBACKGROUND Factors Influencing the New Recovery Movement Recovery-Oriented Providers Addiction self-help movement Mental Health consumer/survivor movement Family movement - NAMI Advances in treatment approaches Recovery oriented research Mental health and addiction advocates What has Been our Orientation? Focus primarily on symptom reduction or sobriety “Client” viewed passively as recipient of services Focus on “fitting into a program” Focus on client pathology and deficits Minimal individual and family voice or input in system Responsibility for change and control largely owned by programs Person’s growth and sense of self is “constrained by “illness” Relevant Mental Health Research Vermont Psychiatric Hospital Study Studied outcomes for 269 severely disabled patients discharged in mid-1950’s 34% had achieved full recovery additional 34% had improved significantly in social functioning and psychiatric status findings replicated