1	From Dream to Reality: How Consumers are Driving the Recovery Transformation Daniel B. Fisher, MD, PhD National Empowerment Ct. www.power2u.org
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3	Creating a Culture of Recovery The New Freedom Commission vision: “ a future when everyone labeled with mental illness will recover” and to do so “care must focus on increasing the consumers’ ability to successfully cope with life’s challenges, ….not just on managing symptoms.”
4	"Long-term studies:" Long-term studies: people can recover from schizophrenia
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7	Seven Characteristics of a Person Who has Recovered from Mental Illness Make their own decisions Fulfilling network of friends Major social role other than consumer Copes with severe emotional distress “Most untrained persons would not consider him/her sick”(GAF= 61 and above) Primary supports outside MH system Medication one tool among many
8	WHAT THE VERMONT SUBJECTS SAID MADE THE MOST DIFFERENCE IN THEIR STRUGGLES TOWARD RECOVERY “SOMEONE BELIEVED IN ME” “SOMEONE TOLD ME I HAD A CHANCE TO GET BETTER” “MY OWN PERSISTENCE” Translates to hope and hope connects with natural self-healing capacities
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13	Principles of Recovery Trust Self-determination Hope: believing you’ll recover Believing in the person Connecting at a human level
14	Principles of Recovery People are always making meaning Having a voice of one’s own All feelings are valid Important to follow dreams Relating with dignity and respect
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20	Where did Psychology Stray
21	Tenets of Positive Psychology
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26	Clinical Advantages of a Recovery Culture Becoming Part of System Transformation Risk Reduction Alliance instead of Compliance Improved Motivation Improves Team Building Decreased Burnout Improved Cultural Competence and Community Integration Improves work with people with substance abuse Reduces stigma and discrimination Improves recruitment into the field
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28	BUILDING A RECOVERY-BASED SYSTEM Educating Staff, Consumers, and Families about the Recovery Model Consumers teaching PACE (PERSONAL ASSISTANCE IN COMMUNITY EXISTENCE) and giving oral evidence which will also: reduce stigma, enhance cultural competence Finding Our Voice lessons in public speaking for consumers using community resources such as toastmasters
29	BUILDING A RECOVERY-BASED SYSTEM Recovery-based services and supports Person-driven recovery planning Person-driven PACE team: supported employment, education, housing Self-determination recovery accounts Spectrum of peer support Consumer-run organizations Peer specialists and peer bridgers Peers as providers
30	BUILDING A RECOVERY-BASED SYSTEM Recovery-based administration Meaningful consumer participation in planning and policy development Training all board members Consumer-directed evaluation teams Evaluate staff: Recovery Oriented Systems Indicators (ROSI, Onkin, 2004) Evaluate consumers: Recovery Measurement Tool (RMT, Ralph, 2004)
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32	Daniel Fisher, MD, PhD, The National Empowerment Center www.power2u.org
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34	References 1. Ahern, L., & Fisher, D. (2001). PACE/Recovery Curriculum (Manual and video). Lawrence, MA. National Empowerment Center. 2. Ahern, L. & Fisher, D. (2001). Recovery at your own PACE. Journal of Psychosocial Nursing. 39(4): 22-31. 3. Fisher, D. and Chamberlin, J. (2004). PACE/Recovery through Peer Support, Lawrence, MA. NEC. 4. Fisher, D., Langan, T. and Ahern, L. (2004). A PACE/Recovery Reader. Lawrence, MA. NEC.