Care Planning in Mental Health : Promoting Recovery (2nd Edition)

Care planning and delivery are essential parts of everyday practice for all mental health practitioners. This new edition of Care Planning in Mental Health: Promoting Recovery moves away from a professionally-oriented model of care planning towards the active promotion of the personal narrative as being central to planning effective mental health care. It outlines essential concepts linked to the recovery process which is carried out in partnership with people with mental health problems and those closest to them. New to this edition: A stronger, more explicit focus on recovery A unique interpretation and explication of the recovery process A greater promotion of the centrality of personhood Examples drawing on a range of international perspectives and experiences Enhanced user-friendly pedagogy, including practical case illustrations and first-hand accounts throughout Care Planning in Mental Health: Promoting Recovery is an ideal resource for anyone involved in the field of mental health care. It is also a valuable learning resource for students studying mental health care and the qualified and experienced practitioner wishing to gain a fresh approach to planning recovery-focused care. Care Planning in Mental Health 5 Copyright 6 Contents 7 Contributors 11 1 Introduction: The Emergence of Recovery as a Key Concept 17 The chapters 26 References 32 2 Experiencing Recovery 34 Recommended reading 40 3 Recovery as a Framework for Care Planning 41 Introduction 41 Recovery debated 43 Historical context 44 Recovery concepts in the literature 46 The social construction of recovery 55 Models for recovery 56 Conclusion 61 References 62 Section 1 Surviving 69 4 Discovering the Person 71 Introduction 71 Conclusion 83 References 84 5 Parity of Esteem 87 Introduction 87 Parity of esteem considerations 88 Personalising parity of esteem 91 References 99 6 Holistic Care: Physical Health, Mental Health and Social Factors 100 Recovery 101 Promoting health and recovery 102 Physical considerations for quality of care 103 Medical considerations for quality of care 104 Emotional considerations for quality of care 105 Social consideration for quality of care 106 Lifestyle considerations for quality of care 106 Educational considerations for quality of care 107 Practice-related considerations for quality of care 108 Emergency department and mental health 108 Preventative considerations for quality of care 110 Conclusion 112 References 112 7 Strengths and Diversities: A Substance Misuse Perspective 116 Introduction 116 Background to substance misuse 117 Approaches to substance misuse 118 Government strategy and substance misuse 119 Recovery and substance misuse 120 Evaluating recovery from substance misuse 126 Conclusion 127 References 128 Section 2 Managing 131 8 The Legal and Ethical Landscape 133 Review of the Mental Health Act 1983 134 The Mental Health Acts 1983 and 2007 136 Supervised Community Treatment (SCT)/Community treatment: section 17A–section 17G 136 Mental Health Tribunal (MHT) 137 Age-appropriate services 138 Electro-convulsive therapy 138 Advocacy and rights 138 Revised Code of Practice and principles 139 Changes to the Mental Capacity Act 2005 139 The Mental Capacity Act 2005 140 The authorisation of Deprivation of Liberty safeguards 143 Urgent authorisation 145 Conclusion 145 References 146 9 Enabling Risk to Aid Recovery 148 Introduction 148 Risk and regulation 150 Impact of inquiries 150 Exploring risk issues 152 Enabling risk 154 Risk management cycle 155 Conclusion 159 Acknowledgement 160 References 160 10 Collaborating Across the Boundaries 162 Introduction 162 Collaborating across professional boundaries 168 Policy drivers 171 Conclusions 173 References 174 Section 3 Thriving 177 11 Relationships and Recovery 179 The therapeutic alliance 184 A model of therapeutic alliance in mental health recovery 188 Conclusions 191 References 192 12 Holistic Care Planning for Recovery 195 The recovery approach 195 Holistic person-centred care planning 196 Barriers to person-centred care planning 197 What would good care planning look like? 197 How can change be achieved? 198 A holistic response at admission to hospital 198 Experiences of people from BME communities 199 Risk assessment and keeping women safe 203 Continuity of care planning 206 Recognising skills and potential to aid recovery 206 Planning a return to work 207 Personalisation 208 Conclusions 209 References 210 13 Recovery-Orientated Practice in Education 213 Introduction 213 Challenges to implementing recovery in education 214 The quality of experience for both nurse and service user 215 Redefining service user involvement 220 Transforming the workforce to deliver service user-led education 221 Establishing a ‘Recovery Education Centre’ 221 Changing the way we approach risk assessment and management 222 Increasing opportunities for building a life ‘beyond illness’ 223 Increasing ‘personalisation’ and choice 223 Conclusion 225 References 225 14 The Recovery Journey 233 Survive (domain) 235 Manage (domain): ‘reconstruction’ 235 Thrive (domain) 236 ‘Deconstruction’ 237 ‘Consolidation’ 238 References 238 15 Conclusions: Reflection on the Future (Again) 239 ...And in closing 241 References 243 Index 245