Editorial: ".. Situating ‘illness narratives’ in recovery and mental health treatment"

"Models that put patients’ narratives at the core could perform as a connecting mechanism that provides a process to take account of ‘personalisation’, which is likely to create a better fit with individual context, structure and the complex diverse realities of recovery-oriented practice and routinely provided interventions." p.1.

 

Khan, N., & Tracy, D. (2021). The challenges and necessity of situating ‘illness narratives’ in recovery and mental health treatment. BJPsych Bulletin, 1-6. doi:10.1192/bjb.2021.4

 

INDIVIDUAL

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INTERPERSONAL : SCIENCES

HUMANISTIC----------------------------------------------- MECHANISTIC

SOCIOLOGY : POLITICAL

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GROUP - COMMUNITY - POPULATION

co-concepts: 'recovery' & ‘illness narratives’-  ‘Person-directed’ - Define 'recovery' psychologically (my understanding of this?) - Acceptability of terms 'service user', 'patient'... - Patient autonomy* - CHIME framework: Connectedness, Hope - - Identity, Meaning values - - Symptom reduction & individual recovery? - Measuring Recovery - reflection and critical thinking - personal individual storylines - 'Access' to information - personal narratives & construction of meaning - ‘narratives on social reality’ - 'Lived experience' Peer Support - Advanced planning: IF  THEN ... for me ... - ‘palliative psychiatric care’ -

- co-concepts 'recovery' & ‘illness narratives' - 'Professionally directed’ treatment - Define ''recovery' clinically (my understanding  of this?) - Conceptual Framework: CHIME - - Connectedness, Hope – optimism, Identity, Meaning – purpose, and Empowerment. - Symptom reduction & individual recovery? - pathology, clinicians as ‘chemotherapists' Px pad - Measuring Recovery - Mental Health (Min) Dataset (decades) Data? - h2cm: as simple/complicated as needed? - - a measure of holism, integration ...recovery? - - can conceptually encompass all 'spaces' - h2cm remains a response to legacy issues - - person-centred care - - holistic care/ ['holistic bandwidth'] - - integrated care - COVID-19 a corollary in ‘long-COVID’? - 'Biology' coercive and  impersonal

Practitioner Socialisation - (learned paternalism?) CHIME framework: Connectedness, Hope, Meaning - values ‘Person-directed’ Patient/Carer experience of CPA collaboration - care planning - - case formulation - - and small group work - - Meaningful illness narratives are a gift exchange: providing meaning, emotive steadiness - - narration & collective experience - - Anthropological models of Recovery - 'Illness behaviour' - pre-existing underlying relationship between the person and their illness - - healthspan, health career, career span - dialogues remain contested: patiency, recovery - ‘authentic alliances’ -

- 'Professionally directed’ treatment - 'Recovery' spans Quality and Quantity - Professionals ‘mainstream’ recovery concepts to their advantage? - Recovery-orientated practice guidelines for service provision include: --personal recovery --recovery-oriented services --provider competencies - *Patient autonomy: can it be 'exercised' here? - CHIME framework: - - Empowerment, Identity (am I seen/heard here?) - Care Programme Approach as Policy c.1991... - - Assessment, Care plan, Review, Care Coord. - - Role in Personalisation & Recovery? - ‘Illness management’ 'Illness problems' - ‘corporate’ recovery/criticism

  

My source: Twitter

'Recovery' on W2tQ:

https://hodges-model.blogspot.com/search?q=recovery

Jones (2014) Using a conceptual framework to explore the dimensions of recovery and their relationship to service user choice and self-determination. Int J. of Person Centered Med. 3,4,305-311.