a vision for a recovery model in irish mental health services

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A Qualitative Analysis of Submissions to the Mental Health Commission on the Discussion PaperA Vision for a Recovery Model in Irish Mental Health ServicesQuestion 7: Any other comments on the discussion paper?∆ In total 27 (39.7%) submissions offered additional comments. The additional commentssection was mostly used by respondents from each category to offer their praisefor the discussion document and to emphasise their support for the promotion andimplementation of the recovery model in the Irish mental health services. Comments onthe paper included:“It [the recovery model] challenges professionals to share their humanity throughprofessional supports and interventions and forcefully argues for a greater and moremeaningful entitlement to take risks by service users”.“It…[the discussion paper” is a very timely and welcome document and supports theneed for a change in direction… In the interest of service users, carers and mental healthprofessionals the vision and principles identified in the model need to be embraced”.∆ The need for ‘an ongoing critique’ of the recovery model was emphasised as a numberof respondents reiterated the requirement of establishing a sound evidence base forthe recovery model. A call for research that develops theory about recovery practice asan interpersonal process (as described in the paper) was also made∆ Some concern was expressed over the difficulties that may arise with translating therecovery philosophy into practice. Respondents expressed a hope that the discussionpaper signals a commencement of an initiative that will be fully realised (“Whether [therecovery model] will be viewed as just a need for a fundamental attitude change orwhether the notion of recovery will be supported by realistic social structures will bethe challenge to incorporating this model in its fullest sense”). A suggestion was madefor “… a team to be appointed to monitor [the recovery model’s] implementation… theMental Health Commission needs to consult with the Departments of Health, Finance,Education, Justice and Social Welfare to ensure that it doesn’t become one more reportthat isn’t properly implemented”.∆ In relation to translating the recovery philosophy into practice, a suggestion was madeto consider the Partnership in Coping system 7 (a system of mental health nursingbased on the Recovery Model in Australia) as a guide for translating the philosophy ofrecovery into practice.∆ The Commission is referred to a submission from an organisation that wishes to beactively involved in the national planning of the recovery model 64)7Eamonn Shanley, School of Nursing and Midwifery, UCD.23
A Qualitative Analysis of Submissions to the Mental Health Commission on the Discussion PaperA Vision for a Recovery Model in Irish Mental Health ServicesAdditional Suggestions or Criticisms∆ The Commission is referred to a “commendable” article by Sowers (2005).∆ Disparate aspects of the service provision (HSE/Independent Provider as well asvocational, voluntary bodies etc) should meet in a non-hierarchical exploratory contextof equality. One respondent 8 expressed a particular interest in hosting or co-hosting aforum of this kind.∆ Opportunities should be created for HSE/Independent Provider professionals to meetwith professionals who are working with the recovery model.∆ The “membership” of the committee and authors involved in the preparation of thisdiscussion paper should be provided.∆ The Commission is referred to two notable submissions 9 that provide quite a detailedcritical review of the discussion paper.∆ The juxtaposition of the recovery model with the medical model was criticised 10 . (“Whycompare the recovery model only to the medical model? The paper disappoints inconspicuously ignoring contemporary models of care notably the bio-psycho-socialmodel the established model in the training and practice of many mental healthprofessionals, the psychosocial rehabilitation model among others. Juxtaposed withany of the aforementioned examples, the claimed uniqueness and radical nature of therecovery model is no longer apparent”).∆ Systematic research and evaluation of the recovery model should proceed and aim totease out the model’s ingredients and to what extent they are unique to the recoverymodel or shared with others. A caution was offered that we need to be wary of“premature marketing of any particular model”.∆ The document refers mainly to schizophrenia and psychotic illness. A query was maderegarding the applicability of the model across all of the illness spectrum including: careof the older person, children and adolescents, organic illnesses, personality disorders,dual diagnosis etc.8Roslyn Park College.9PNA (group response) & the Central Mental Hospital.10IMO,24
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Page 30: ISBN 978-0-9553994-5-9Mental Health

a vision for a recovery model in irish mental health services

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