Hodges' Model: Welcome to the QUAD: Editorial: ".. Situating ‘illness narratives’ in recovery and mental health treatment"

- learn about the conceptual framework Hodges' model. A tool that can help integrate HEALTH and SOCIAL CARE, INFORMATICS and EDUCATION. The model is situated, facilitates person-centredness, integrated - holistic care and reflective practice. A new site using Drupal is an ongoing aim - the creation of a reflective workbench. Email: h2cmng @ yahoo.co.uk Welcome

Friday, February 19, 2021

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
HUMANISTIC----------------------------------------------- MECHANISTIC
 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
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:


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.