Seattle University Collaborative Projects - International Academy of ...

The objectives of recovery focused mental health services differ from the objectives oftraditional, “treatment-and-cure” health services. The latter emphasizes symptom relief andrelapse prevention. In recovery focused services, symptomatic improvement is important, andmay well play a key role in a person’s recovery, but quality of life, as judged by the individual, iscentral. As a consequence, within mental health services shared decision-making is broader thansimply making a decision to take medication or not. Shared decision-making needs to be appliedacross all decisions from treatments and interventions to decisions about where to live andwhether or not to work. The ambition to embed shared decision-making by people who usemental health services along with the attitudes and practices of psychiatrists across the lifecoursewill be presented. Lessons learnt from the application of shared decision-making inroutine practice of a large inner London mental health trust will be discussed.Organisational Change, Recovery and Shared Decision MakingAnne Markwick, Hertfordshire Partnership NHS Foundation Trust, Hertfordshire, UK(anne.markwick@hertspartsft.nhs.uk)In order for mental health services to become Recovery orientated we need to move fromrelationships biased towards traditional professional expertise to more equal relationships biasedtowards the person’s own self knowledge, sense-making and personal goals in the context oftheir whole life. These relationships will be based much more on a coaching and consultativeapproach than that of the traditional medical approach. Professionals will become a resource tobe used rather than the expert at the centre of treatment. Shared decision making is central to thisapproach. The qualities of practitioners who are able to work in this way include curiosity andbelief balanced with an ability to provide opportunity, challenge and encouragement against abackdrop of empathy, humanity and authenticity. This provides the context for “holding thespace” for Recovery. In her experience of leading organisational change towards a Recoveryorientation, and her original research on this issue, Anne Markwick suggests that this processparallels that required of practitioners. Thus in order to develop Recovery orientated practitionersand organisations we need to be able to “hold the professional space” – walking the walk ofRecovery at all levels. This presentation will outline and analyse current key projects in recoveryoriented organisational change in the UKIntroducing Shared Decision Making in Psychiatric Medication Management asPart of a Recovery AgendaElina Baker, Devon Partnership NHS Trust, Exeter, UK (elina.baker@nhs.net)192