a vision for a recovery model in irish mental health services

A Qualitative Analysis of Submissions to the Mental Health Commission on the Discussion PaperA Vision for a Recovery Model in Irish Mental Health Servicesconcept achieves its potential and can satisfy the national requirements for accountabilityand value for money”). The Commission is referred to Q 4 & 5 of a particular submission 4 fora significant contribution on the topic of measurement and recovery.Establishing clear guidelines for best practice on implementing the recovery model wasidentified as another key theme (“Any proposed Recovery Model would require cleardefinition and guidelines”). Respondents recommended that a “step-by-step” frameworkbe established to guide service providers through implementation of the proposed model(“Expand the framework of the model to provide more detailed direction to staff regardingthe facilitation of recovery through this process”; “The model needs to specify whatstructures, therapies and skills are required to make this framework operational”).While not a major theme of the overall group of transcripts, the need for fundingto implement the recovery model was a dominant theme in the Advocacy/VoluntaryOrganisation category (“The percentage of the health budget allocated to mental healthshould be brought in line with the best in the world not the worst”).The theme of effective leadership on the ground was suggested as a facilitative factor forthe recovery model. One suggestion made was to “Appoint people to leadership positionswithin multidisciplinary teams on the basis of their capacity to implement the recoveryapproach. Team leadership should be based on recovery orientation skills and leadershipskills, not whether a person is trained in a particular discipline as is currently the case”.The role of Advocacy Groups as a facilitative factor to promoting the recovery modelwas predominant in the HSE/Independent Provider categories compared with the otherrespondent categories (“Involvement of the Advocacy network in promoting this model”).There was clear recognition of the work already being carried out by advocacy and voluntarygroups in the recovery model and an emphasis placed on the merit of consultation withsuch organisations in the promotion and implementation of the recovery model.Effective interdisciplinary communication emerged as another facilitative factor (“Clearcommunication between disciplines regarding client need, status and means of intervention”).A final theme that occurred in the transcripts was Health professionals reducing clinicaldistance (“Decisions are made as a team where there is more equality of power: client/family input is crucial part of care planning and evaluation”).4Eastern Vocational Enterprises Ltd.18