Emerging Best Practices in
Mental Health Recovery
Overview & Guide to Booklet
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This page provides a brief overview of the Emerging Best
Practices and a guide on how to use the Best Practices tool. This page provides
only a summary. To obtain information on how to receive extensive
training on the Emerging Best Practices for your organization or Board area,
please contact the Ohio Department of Mental Health Office of Consumer Services
(614-466-0236).
I. Overview of the Emerging Best
Practices:
This approach involves the use of nine essential recovery
components, three domains and four stages of recovery:
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Essential Components for Consumer Recovery
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Clinical Care |
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Peer Support & Relationships |
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Family Support |
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Work/Meaningful Activity |
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Power & Control |
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Stigma |
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Community Involvement |
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Access to Resources |
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Education |
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Three Domains
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Consumer Status:
This is the consumer's current
status or status goal as
identified by the consumer.
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Clinicians' Role:
These are the clinicians'
roles and best practices for consumers who are
at this stage in recovery.
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Community Supports' Role:
As with the
clinician domain, these are the community supports' role and
best practices for a consumer at this stage in their
recovery process.
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Four Stages of Recovery
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Dependent/Unaware:
Consumer relies on
others and is not aware of his/her own status and needs.
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Dependent/Aware:
Consumer relies on others
but is aware of his/her own status and needs.
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Independent/Aware:
Consumer relies on self
and is aware of his/her own status and needs.
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Interdependent/Aware:
Consumer relies on
self and others in a mutual exchange of beneficial support, services and
resources. |
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II. Guide to Best Practices Book (instructions):
The goal with this approach is for clinicians and/or consumers
to engage consumers in the recovery process. Below is a brief set of
guidelines for how to use the booklet. As with all recovery
activities, this is a process driven by the consumer and facilitated by
the clinician.
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Orient the Consumer:
This involves sharing general information about recovery with the
consumer and then exposing them to the Best Practices approach and the
particular activity in which you will engage.
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Selecting Best Practices:
This involves four activities for the clinician and consumer to work
through.
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Rank recovery components:
Review component definitions.
Rank order the components; both the consumer and
clinician separately rank the components from 1 to 9 based on what they
believe is the most important (1) and least important (9) topic for the
consumer to work on at the present time.
The clinician and consumer discuss their lists and then
choose one to three priority components for which to set goals.
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Identify Current Status:
On the gray side of the book (first table on each component
page), the consumer reviews the
"consumer status" descriptions for their selected priority
components for each of the four stages
(dependent/unaware...interdependent/aware) and indicates which status best
describes their current situation.
Once the consumer identifies the status that best describes
them, he/she then selects the descriptors within that status that reflect
their situation for each priority component. Not all characteristics
within a given status will apply to the consumer.
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Select Status Goal:
The consumer next decides whether his/her goal is to
strengthen their current status or progress to the next stage of
recovery. This decision is based on factors such as Motivation (how
motivated the consumer is), Urgency (how urgent the need for progress is),
Support (consumer's perceived support network) and Ease (how difficult the
component is for the consumer to work on).
At this point, you move to the purple side of the Best
Practices book (second table on each component page).
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If the goal is to strengthen the current status, you go
to the purple side of
the previous status. For example, if a consumer identifies their
status as
being dependent/aware, you would go the the purple side of
dependent/unaware to select best practices. |
Note: Consumers at the dependent/unaware status would use
the Best Practices for that status since there is no previous status.
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If the goal is to progress, go to the Best Practices
(purple side) for the
same status. |
Note: Consumers at the Interdependent/Aware status are
continuously strengthening since there are no further status levels.
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Select Best Practices:
The Consumer reviews the Best Practices descriptors and
chooses the ones they would like to establish goals around.
At this point, you should also document the corresponding
clinician and community support Best Practices/Roles.
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Supporting Consumer Action:
This involves helping the consumer identify specific goals and identify
if they will need assistance achieving these
goals. This process involves the following two steps.
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The consumer modifies the selected Best Practices from B
above to develop personal goals. These goals should be written in a
manner that is observable and measurable.
For example, one of the best practices for the Clinical Care
component at the dependent/aware status is "attends and participates in
self-help group meetings." The consumer may create the goal of
attending a bipolar support group meeting twice a month, and speak at least
twice at each meeting. By identifying the specific number of meetings
and times the consumer will participate, the consumer and clinician can
monitor progress.
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Explore consumer preference for support in reaching these
goals for each identified Best Practice. For some goals, the
consumer may not want/need support; for other goals, they may desire/need
support.
If the consumer prefers support, help them identify who will
fulfill what roles to help the consumer meet his/her goal.
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For example, the goal is to talk to friends and family
when discouraged.
The "who" might be the clinician and consumer and the
"what" might be
to practice the skill of requesting assistance and developing a list
of
personal cues to ask for input from family and others. |
If the consumer does not need support, the "who"
is the consumer and the "what" can be pulled from the consumer's
personalized best practice.
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For example, from the bipolar support group example, the
"what" would
be to attend at least two meetings/month and speak at least twice per
meeting. |
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Linking to Credible Supports:
If the consumer desires/needs support from the community
(individual or organization) to
achieve their goal, the next step is to help the consumer get linked to
credible supports. This would involve the following process:
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Brainstorm with the consumer to develop a list of
potential community supports.
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Assist the consumer in determining if the identified
community supports would be willing and able to provide the needed
support.
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Identify a strategy to use to elicit support from the
chosen individual or community organization. For example,
highlighting consumer strengths, point out to the individual/organization
the benefit of providing support and how the consumer can benefit them.
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As was done above (supporting consumer action), identify
the "who" and "what" for the selected best practice.
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Formulate the Recovery Management Plan:
In short, this is the combination of all the steps above. It's the
process of putting the information collected in A-D above on paper and
identifying timelines for each of the goals. Below is an example of a
completed Recovery Management Plan.
Status Goal
| Component: Family Support |
| Current Status: Independent/Aware Status |
| Status Goal: Progress to Interdependent/Aware Status |
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Best Practices |
Action Steps |
Start Date |
Completion Date |
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Consumer |
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Asks parents and close friends to talk over
problems when feeling discouraged about the future.
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Who: Consumer &
Clinician
What: Practice skill of requesting assistance and develop
list of personal cues to ask for input from family and others.
When: Tuesday at 3:00 PM
How Long: 1 hour
How Many: 3 sessions
Where: Second Harvest Social Club
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4/12/01 |
4/30/01 |
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Writes letters to legislators to encourage
"pro-mental health consumer" votes.
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Who: Consumer
What: Ask consumer group to be informed of upcoming
legislation.
When: N/A
How Long: N/A
How Many: N/A
Where: N/A
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4/15/01 |
Open ended |
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Clinician |
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Re-evaluates with consumer her/his Recovery
Management Plan with respect to family/significant others
involvement and establishes next steps.
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Who: Consumer &
Clinician
What: Discuss progress with asking family for assistance
and identify new goal and best practices if needed. Meet with
family if needed.
When: Tuesday at 3:00 PM
How Long: 1 hour
How Many: 6 sessions
Where: Clinician’s Office
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4/12/01 |
5/15/01 |
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Community Support |
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Conducts dialogues that focus on importance
of establishing collaborative relationships that result in
effective dissemination of educational materials focused on
family involvement in the recovery process.
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Who: Social Club
President
What: Conduct a forum on "Recovery and the
Family" as part of Guest Night Program.
When: Tuesday at 7:00 PM
How Long: 1 hour
How Many: 6 Sessions
Where: Second Harvest Social Club
Who: Bridgeway House Residence Manager
What: Meet with consumer’s family to talk about how the
family can be helpful in supporting consumer’s recovery.
When: Thursday at 6:00 PM
How Long: 1 hour
How Many: 1 – 3 Sessions
Where: Bridgeway House Conference Room
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5/2/01
5/23/01 |
6/3/01
5/23/01 – 6/15/01 |
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