E1142Mental Health6 Recovery oriented services and relationships6.1 Recovery-oriented practice6.1.2 The recovery-oriented modelSupport professionals in the mental health sector must acknowledge what happened in the pastto fully understand current attitudes and the recovery-oriented model of treatment. This meansthat workers need to be able to understand the historical background of mental health care whichreflects the move from a debilitating outcome to empowerment and increased well-being for‘consumers’ and ‘clients’.Current mental health should incorporate the following:social role valorisationsocial inclusion.Social role valorisation (SRV)The word ‘valorisation’ has its origins in the French word ‘veleur’ meaning ‘to give value’.Therefore, social valorisation means ‘to raise the status of people with a disability’. In the past,people with a mental illness were given little value, people did not expect them to behave like‘normal’ people. Today, we realise that our expectations can alter the way we treat others and theway they respond.In the context of mental health services, it is critical to treat all consumers as valued members ofsociety. For this reason, workers need to be aware of the strategies to promote the status ofpeople with a disability such as mental illness.These strategies include:to provide positive images of people with mental illness in the media and in fictionto speak in respectful terms about mental illness and people with a mental illness;demeaning terms such as ‘crazy’ and ‘psycho’ de-humanise people with a mental illnessto overcome barriers to participation – socialising, work, education and recreation areactivities that give people’s lives meaning as well as the chance to show their valueto promote participation in everyday life – people often respond badly to people withmental illness due to fear and ignorance; members of the wider community need to havethe opportunity to mix with people with disabilities, such as mental illness, to give them achance to see the person rather than just the mental illness.Social inclusionMost people need a ‘sense of belonging’. Belonging helps us feel supported and valued.Unfortunately, people with a mental illness are often intentionally or unintentionally made to feel asif they don’t belong. Social inclusion means that consumers can participate fully in all aspects of lifeincluding education and training, work and the community. Autonomy is an important part of socialinclusion. In 2008, the Australian government placed social inclusion high on their agenda when itestablished the Australian Social Inclusion Board.Social inclusion can be promoted by:| Topic – 2 / 7© Open Colleges Pty Ltd, 2020.removing barriers in policies, procedures and practices that prevent participation, such aspractices that do nothing to encourage understanding or those that favour discriminationassisting the consumer to identify and utilise supportshelping people overcome financial barriers by accessing supported employment and/orCentrelink payments as appropriate to their needs and circumstancehelping people with a mental illness develop the skills and confidence needed to participatein all aspects of life.Activity 50572The Power of social inclusionSocial inclusion is essential for everyone in our community to lead full lives .These links detail the importance inclusion plays in our community .Read aboutsocial inclusion and human rights[https://www.humanrights.gov.au/news/speeches/social-inclusion-and-human-rights-australia]. Read aboutsocial inclusion and mental health[https://www.vichealth.vic.gov.au/media-and-resources/publications/social-inclusion-as-a-determinant-of-mental-health-and-wellbeing]. Social inclusion is a powerful and important part of the recovery process. Understanding how andwhy it works is important.Research social inclusion and share what you discover.ACTIVITY 50572 TYPE ContributeSCENARIO The Power of social inclusion | Topic – 3 / 7© Open Colleges Pty Ltd, 2020.Recovery-oriented practiceWatch Dr. Mark Ragins explain the ins and outs of recovery-oriented practice.[https://youtube.com/watch?v=_2SDbSuX3kQ]The concept of recovery came from the mental health consumer movement in the 1970s and1980s, and it continues to be used and further developed by people with lived experience inAustralia and overseas (Anthony 2007; Slade 2009). The recovery-oriented model stands in starkcontrast with a medical model of mental health care that focuses on the person’s deficits or theirdiagnosed condition.Whereas the medical models view people with mental illness as patients who receive treatmentby an expert, the recovery-oriented model is based on collaboration and cooperation betweenthe worker and the consumer. The service user receives acknowledgement and respect as the‘author, definer and director of their own recovery’ and the person steering their recoveryjourney.There is also an expectation that mental health care will be collaborative. Collaborative careoccurs when all stakeholders including health providers, the consumer and their significant otherswork together to develop, implement, monitor and review a care plan to help the individualachieve optimal mental well-being. If stakeholders do not work together there is a risk that| Topic – 4 / 7© Open Colleges Pty Ltd, 2020.services may be duplicated or that critical aspects of care may be overlooked.Recovery-oriented practice follows five key principles:uniqueness of the individualreal choicesattitudes and rightsdignity and respectpartnership and communicationevaluating recovery.In addition to these key principles, definitions of recovery tend toinclude the following aspects:self-direction and self-determinationempowerment of consumersindividualised and person-centred careholistic and integrated carenon-linear journeys of personal growth and healingstrengths-based approachespeer supporthope (US Department of Health and Human Services, 2006).1 2 3 4 5 6| Topic – 5 / 7© Open Colleges Pty Ltd, 2020.Activity 42522Social inclusion and mental healthThis literature review aboutsocial inclusion and mental health[http://www.vichealth.vic.gov.au/media-and-resources/publications/social-inclusion-as-a-determinant-of-mental-health-and-wellbeing.]allows you to gain deeper understanding of this approach and associated concepts.HintsRecovery-oriented practice is a holistic approach, based on empowerment of consumers.ACTIVITY 42522 TYPE ResourceSCENARIO Social inclusion and mental health Working in the best interest of consumers means that workers need to adhere to theseprinciples and apply reflective practice to constantly implement and improve on professionalpractice. Recovery-oriented practice also works from a strong base of values which will bediscussed in the following segment of the learning module.| Topic – 6 / 7© Open Colleges Pty Ltd, 2020. SELF-CHECK 42524From asylums to recoveryHow was mental health seen in ancient times, the middle ages, modernity and now?Name some of the dubious treatment methods people living with mental illness weresubjected to.What is SRV and how can you include this in working with consumers?Name the key principles of the recovery-oriented model.HintsUnderstanding the history of metnal health underpins current practice.ACTIVITY 42524 TYPE SelfcheckSCENARIO From asylums to recovery1 2 3 4| Topic – 7 / 7© Open Colleges Pty Ltd, 2020.
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