May 06, 2005

Ways to encourage recovery

An empirical conceptualization of the recovery orientation.
Resnick SG, Fontana A, Lehman AF, Rosenheck RA
Northeast Program Evaluation Center, Yale University School of Medicine, VA Maryland Healthcare System and University of Maryland School of Medicine

In the scientific literature, “recovery” is described as “process representing the belief that all individuals, even those with severe psychiatric disabilities, can develop hope for the future, participate in meaningful activities, exercise self-determination, and live in a society without stigma and discrimination”. Helping people with schizophrenia move towards this recovery orientation is an important part of grass-roots movements and mental healthy advocacy by groups including NAMI ( National Alliance for the Mentally Ill), state mental health systems and the President's New Freedom Commission on Mental Health (click here for more info)

In this article, the authors propose an empirical (research based) way to think about people’s recovery orientation. They used data from the Schizophrenia Patient Outcomes Research Team (PORT) Client Survey which is the largest systematic survey of the treatment of schizophrenia ever conducted. The PORT asked people with schizophrenia in Ohio and Georgia questions about many different things including measures of clinical status, community adjustment and attitudes about different things. There was a total of 1076 participants.

Based on the analysis of the results, they suggest a way of encouraging recovery attitudes by focusing on 4 areas: the capacity to feel empowered in one's life; self-perceptions of knowledge about mental illness and available treatments; satisfaction with quality of life; and hope and optimism for the future.

For the goal of empowerment, it helps to promote self-esteem and help individuals discover and reach their goals. This involves helping the person to feel empowered to take responsibility to make one's own decisions and take responsibility for treatment, as well as encouraging the feeling that one's treatment and treatment providers match your own treatment goals.

They also talk about the importance of fostering hope - hope for the future, hope for achieving one's goals and the importance of being surrounded by treaters, peers and family members who share realistic optimism and hope.

Knowledge about one's illness, the range of available treatments and ways to navigate the service system is another way that can help people improve their confidence in coping with mental illness. It can help people with schizophrenia attend to their own personal experiences, manage symptoms, and achieve greater independence and less dependence on the mental health system.

Satisfaction with family, social networks, living arrangements, community and safety are also important. These can be encouraged by family psychoeducation that can help with improving communication with family members. Case management services such as assertive community treatment may also help those with schizophrenia maximize their housing opportunities and create housing stability.

Overall, the authors suggest that the evidence-based practice (EBP) movement in science, which promotes treatments that are supported by clinical trials, can help to identify interventions that promote these recovery orientations in people with schizophrenia. These EBPs can help by providing a mechanism for identifying treatments that promote recovery orientations.

Overall, this article highlights the importance of people with schizophrenia and caregivers to be well informed of current advances/treatments that are continuously being introduced, so as to encourage recovery in their loved ones.

Schizophr Res. 2005 Jun 1;75(1):119-28.
Click here to find this article on PubMed


plz tell me,
what precautions should be take to handle such such patients recover effectively.
how we behaved to them.
reply soon
best regards

we all together will help
to improve the patient
it is necessary
plz.& plz. contact on my id

Posted by: gautam at March 29, 2006 05:14 AM

pl contact me, you need help

Posted by: gautam at March 29, 2006 05:16 AM

In my opinion, we all need to keep our minds active -especially those whom are ill. A mental health patient can't take a pill; sit and watch television and wait for "The medication to 'Work'". This applies to even those with mental illnesses whom work a full work week. It is Spare time which are the keys to all things greater than boredom! ...Keep a journal, meditate on daily affirmations, create poetry (Don't throw it away because it could land you a job in Literature one day!) Document your thoughts. This is how our Founding Fathers entertained themselves (Religion, poetry, plays, creation-creation-creation) If L. Davinci, Socrates, or Frederick Douglas had seen the greatest Television Movie in the 21st Century -they'd be bored to tears! It takes absolutely no IQ to sit and watch hour after hour of television. This is what is so shocking to me! And no wonder America has one of the lowest success rates concerning Schizophrenia; simply because, our youth are raised -not by parents or diaries- rather by T.V. This transends into adulthood. And if you're addicted (Most don't know or won't admit it) ...try turning it off. Or at least the sound. You'll be amazed at what the mind is really capable of.

Posted by: Chris at August 28, 2006 03:05 PM

Looking for info for my sibling about support groups, and how to basically start your life over. He is being released from the hospital and was recently diagnosed

Posted by: Epierre at December 20, 2006 08:58 AM

very good info thanks

Posted by: james carter at May 26, 2008 10:24 AM

What if your person with Sz refuses medical attention and thinks that the doctors are trying to poison them? Where to turn then?

Posted by: Dawn at June 4, 2008 01:54 PM

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