Contributors ix
1 Introduction: The Emergence of Recovery as a Key Concept 1
Stephan D. Kirby, Angela Hall and Mike Wren
The chapters 10
2 Experiencing Recovery 18
Aidan Moesby and Sandra Cleminson
3 Recovery as a Framework for Care Planning 25
Jim Campbell, Theo Stickley, Sarah Bonney and Nicola Wright
Introduction 25
Recovery debated 27
Historical context 28
Recovery concepts in the literature 30
The social construction of recovery 39
Models for recovery 40
Conclusion 45
Section 1: Surviving 53
4 Discovering the Person 55
Angela Hall and Donna Piper
Introduction 55
Conclusion 67
5 Parity of Esteem 71
Mike Wren and Natalie Iley
Introduction 71
Parity of esteem considerations 72
Personalising parity of esteem 75
6 Holistic Care: Physical Health, Mental Health and Social Factors 84
Teresa Moore and Scott Godfrey
Recovery 85
Promoting health and recovery 86
Physical considerations for quality of care 87
Medical considerations for quality of care 88
Emotional considerations for quality of care 89
Social consideration for quality of care 90
Lifestyle considerations for quality of care 90
Educational considerations for quality of care 91
Practice-related considerations for quality of care 92
Emergency department and mental health 92
Preventative considerations for quality of care 94
Conclusion 96
7 Strengths and Diversities: A Substance Misuse Perspective 100
Julie Wardell
Introduction 100
Background to substance misuse 101
Approaches to substance misuse 102
Government strategy and substance misuse 103
Recovery and substance misuse 104
Evaluating recovery from substance misuse 110
Conclusion 111
Section 2: Managing 115
8 The Legal and Ethical Landscape 117
Charlotte Chisnell and Gordon J. Mitchell
Review of the Mental Health Act 1983 118
The Mental Health Acts 1983 and 2007 120
Supervised Community Treatment (SCT)/Community treatment: section 17A-section 17G 120
Mental Health Tribunal (MHT) 121
Age-appropriate services 122
Electro-convulsive therapy 122
Advocacy and rights 122
Revised Code of Practice and principles 123
Changes to the Mental Capacity Act 2005 123
The Mental Capacity Act 2005 124
The authorisation of Deprivation of Liberty safeguards 127
Urgent authorisation 129
Conclusion 129
9 Enabling Risk to Aid Recovery 132
Angela Hall
Introduction 132
Risk and regulation 134
Impact of inquiries 134
Exploring risk issues 136
Enabling risk 138
Risk management cycle 139
Conclusion 143
Acknowledgement 144
10 Collaborating Across the Boundaries 146
Mike Wren, Stephan D. Kirby and Angela Hall
Introduction 146
Collaborating across professional boundaries 152
Policy drivers 155
Conclusions 157
Section 3: Thriving 161
11 Relationships and Recovery 163
Stephan D. Kirby
The therapeutic alliance 168
A model of therapeutic alliance in mental health recovery 172
Conclusions 175
12 Holistic Care Planning for Recovery 179
Devon Marston and Jenny Weinstein
The recovery approach 179
Holistic person-centred care planning 180
Barriers to person-centred care planning 181
What would good care planning look like? 181
How can change be achieved? 182
A holistic response at admission to hospital 182
Experiences of people from BME communities 183
Risk assessment and keeping women safe 187
Continuity of care planning 190
Recognising skills and potential to aid recovery 190
Planning a return to work 191
Personalisation 192
Conclusions 193
13 Recovery-Orientated Practice in Education 197
Mike Fleet
Introduction 197
Challenges to implementing recovery in education 198
The quality of experience for both nurse and service user 199
Redefining service user involvement 204
Transforming the workforce to deliver service user-led education 205
Establishing a 'Recovery Education Centre' 205
Changing the way we approach risk assessment and management 206
Increasing opportunities for building a life 'beyond illness' 207
Increasing 'personalisation' and choice 207
Conclusion 209
14 The Recovery Journey 217
Stephan D. Kirby
Survive (domain) 219
Manage (domain): 'reconstruction' 219
Thrive (domain) 220
'Deconstruction' 221
'Consolidation' 222
15 Conclusions: Reflection on the Future (Again) 223
Stephan D. Kirby, Mike Wren and Angela Hall
...And in closing 225
Index 229
