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Promotion of Mental Health—Recovery

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Global Mental Health
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Abstract

Recovery-orientation as the guiding principle of mental health policy is reshaping our scientific and clinical responsibilities. In contrast to a deficit model of mental illness recovery-orientation includes a focus on health promotion, individual strengths, and resilience. Patient self-determination, individual choice of flexible support in the community and opportunities, interventions to promote empowerment and hope also in the long-term are new indicators of quality of services. New tools and new rules for a partnership approach emerge allowing to tap the full potential of diverse experiences and forms of evidence. Cooperations outside therapeutic relationships concern participatory and user-led engagement in service development and evaluation as well as in mental health research. Recovery shares central elements and goals with those of human rights, particularly the UN-Convention on the Rights of Persons with Disabilities (CRPD), which specifically includes persons with disabilities from mental health problems.

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Correspondence to Michaela Amering .

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Take Away Messages

Take Away Messages

  • Recovery-orientation is here to stay. The emerging evidence base for recovery-orientation includes the urgent call for a partnership approach to psychiatric practice and service developments.

  • The current WHO Mental Health Action Plan and the World Psychiatric Association’s (WPA) recommendations on best practices in working with service users and family carers formulate essential suggestions for shared efforts. Data clearly show that cooperative efforts together with service users and carers offer the best chances to reduce stigma, discrimination, and social exclusion, currently seriously limiting efforts toward recovery (Gaebel et al. 2016).

  • Scientific consequences of recovery-orientation include not only novel approaches to data on the long-term perspectives of people experiencing common as well as severe mental health problems, but also demand new research policies, methods, and topics around recovery and resilience.

  • Current challenges essentially include the integration of different perspectives as well as different methodologies.

  • Recovery policies and the human rights movement share important features and goals. A central paradigm is the need for collaborative efforts between people with a lived experience of mental health problems and services, their friends and loved ones, people, who work in the mental health field and the wider community as well as society at large.

  • Recovery -oriented collaborative models of care including policy-making and system transformation efforts, practice, and evaluation of care, training, supervision, and research are supported by new rules of law, such as the UN-Convention on the Rights of Persons with Disabilities (CRPD) and the obligation to implement person-centered care in the community in a framework of empowerment , non-discrimination and citizenship.

  • The necessary transformation processes bring about opportunities for changes of the role of all people involved with the vision of a new place of mental health within the health system as well as within a society striving for better mental health for all.

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Amering, M. (2017). Promotion of Mental Health—Recovery. In: Bährer-Kohler, S., Carod-Artal, F. (eds) Global Mental Health . Springer, Cham. https://doi.org/10.1007/978-3-319-59123-0_10

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