Recovery Approach in Mental Health Field and Psychiatric Social Work

Year 2019, , 231 - 259, 23.01.2019

Aslıhan Nişancı

https://doi.org/10.33417/tsh.516844

Cited By: 5

Abstract

In this article, the historical and
intellectual backgrounds of the recovery approach are presented and the core
elements of the approach are discussed in relation to social work. Besides
presenting a practice model, which is developed on the basis of the recovery
approach, the importance of the approach for psychiatric social work, social
work education, and research is put forward. Social workers specialized in the
area of psychiatric social work can take part in every phase of the psychiatric
treatment process, administer and guide mental health systems and policies.
Social work discipline has also criticized deficit-oriented modern psychiatry
and prepared the ground for the birth of critical psychiatry together with
other sources of criticisms such as the disability movement, women’s movement,
or service user movement. These criticisms led to the emergence of the recovery
approach in mental health. The recovery approach, which has transformed mental
health systems and policies in recent years, is in harmony with the core
principles and values of social work profession. Therefore, the recovery
approach can both guide psychiatric social work practice and pioneer in
transforming mental health systems in harmony with social work perspective.

Keywords

Recovery approach, mental health, psychiatric social work

Ruh Sağlığı Alanında İyileşme Yaklaşımı Ve Psikiyatrik Sosyal Hizmet

Abstract

Bu makalede iyileşme yaklaşımının kısa tarihsel ve
düşünsel arka planı sunulmakta ve yaklaşımın temel unsurları sosyal hizmet ile
ilişkisi bağlamında değerlendirilmektedir. İyileşme yaklaşımını temel alarak
ortaya konmuş bir uygulama modeli ele alınarak, yaklaşımın psikiyatrik sosyal
hizmet uygulamaları, sosyal hizmet eğitimi ve araştırması için önemi ortaya
konmaktadır. Psikiyatrik sosyal hizmet alanında özelleşmiş sosyal hizmet
uzmanları psikiyatrik tedavi sürecinin tüm aşamalarında yer alabilir, ruh sağlığı
sistemlerini ve politikalarını yönetebilir ve yönlendirebilirler. Sosyal hizmet
disiplini patoloji odaklı modern psikiyatriye yaptığı eleştiri ile engellilik
hareketi, kadın hareketi, hizmet alan hareketi gibi hareketlerle birlikte
eleştirel psikiyatri akımının doğmasına zemin hazırlayan kaynaklar arasındadır.
Söz konusu modern psikiyatri eleştirileri ruh sağlığı alanında iyileşme
yaklaşımını ortaya çıkarmıştır. Son yıllarda ruh sağlığı alanındaki
uygulamaları ve ülkelerin ruh sağlığı politikalarını dönüştüren iyileşme
yaklaşımı, sosyal hizmet mesleğinin temel ilke ve değerleri ile örtüşmektedir.
Bu nedenlerle iyileşme yaklaşımı hem psikiyatrik sosyal hizmet alanındaki
sosyal hizmet uygulamalarına yön verebilir, hem de ruh sağlığı sistemlerinin
sosyal hizmet bakış açısına uyumlu şekilde dönüştürülmesine öncülük edebilir. 

Keywords

İyileşme yaklaşımı, ruh sağlığı, psikiyatrik sosyal hizmet

References

• Adams N, Compagni A, Daniels A. (2009). International pathways to mental health system transformation: Strategies and challenges. International Journal of Mental Health, 1, 30-45.
• Anthony, W. A. (2000). A recovery-oriented service system: Setting some system level standards. Psychiatric Rehabilitation Journal, 24, 159–168.
• Arslan-Özkan, Okumuş, (2012). Bakım ve İyileşmenin Kesiştiği Bir Model: Watson’un İnsani Bakım Modeli. Turkish Journal of Research & Development in Nursing, 14(2), 61-72.
• Bag, B. (2018). Toplum ruh sağlığı hemşireliğinde uygulamaya yönelik bir model örneği: “Recovery”. Psikiyatride Güncel Yaklaşımlar-Current Approaches in Psychiatry, 10(4), 471-483 doi:10.18863/pgy.375814
• Başer, D., Kırlıoğlu, M., Aktaş, A. M. (2013). Sosyal hizmet mesleğinin bir uygulama alanı olarak toplum temelli ruh sağlığı sistemi ve güncel değişimler. Toplum ve Sosyal Hizmet, 24(2), 179-192.
• Beresford, P. (2002) Thinking about 'mental health': Towards a social model. Journal of Mental Health, 11(6), 581-584, DOI: 10.1080/09638230020023921
• Bracken, P., Thomas, P. (2001). Postpsychiatry: a new direction for mental health. Br Med J, 322(7288), 724–727
• Bulut, S. (2014). Yaşam öyküsü araştırması. Journal of Human Sciences, 11(1), 880-895.
• Carpenter, J. (2002). Mental Health Recovery Paradigm: Implications for Social Work. Health & Social Work, 27(2), 86–94, https://doi.org/10.1093/hsw/27.2.86
• Corrigan, P., McCorkle, B., Schell, B., & Kidder, K. (2003). Religion and spirituality in the lives of people with serious mental illness. Community Mental Health Journal, 39(6), 487–499.
• Council of Social Work Education, (n.d.). Retrived July 2, 2018, from https://www.cswe.org/Centers-Initiatives/Initiatives/Recovery-to-Practice-Initiative/Recovery-Curriculum-Support-Materials
• Council of Social Work Education, (n.d.). Retrived June 26, 2018, from https://www.cswe.org/getattachment/Centers-Initiatives/Institutional-Research/Recovery-to-Practice-Initiative/AdvancedSocialWorkPracticeCompetenciesinMentalHealthRecovery.pdf.aspx
• Çam, O., Yalçıner, N. (2018). Ruhsal hastalık ve iyileşme. J Psychiatric Nurs 9(1):55-60, DOI: 10.14744/phd.2017.49469.
• Çam, O., Çuhadar, D. (2011). Stigma Process and Internalized Stigma among Individuals with Mental Illness. Psikiyatri Hemşireliği Dergisi, 2(3), 136-140
• Davidson L., Tondora, J., Lawless, M. S., O’Connell, M. J., Rowe, M. (2009). A practical guide to recovery-oriented practice: Tools for transforming mental health care. Oxford University Press.
• Deegan, P. E. (2008). Recovery and empowerment for people with psychiatric disabilities. Social Work in Health Care, 25(3), 11-24, DOI: 10.1300/J010v25n03_02
• Deegan, P. E. (1988). Recovery: The lived experience of rehabilitation. Psychiatric Rehabilitation Journal.
• Dünya Sağlık Örgütü (2017). Promoting recovery in mental health and related services. Retreived December 2, 2017, from http://apps.who.int/iris/bitstream/handle/10665/254810/WHO-MSD-MHP-17.10-eng.pdf;jsessionid=925B761BBD5D1EE7639740F5EC59D796?sequence=1
• Dünya Sağlık Örgütü (2014). Mental health: A state of well-being. Retreived June 27, 2018, from http://www.who.int/features/factfiles/mental_health/en/
• Farone, D. W. (2006) Schizophrenia, Community Integration, and Recovery. Social Work in Mental Health, 4(4), 21-36
• Frese, F. J., Davis, W. W. (1997). The Consumer-Survivor Movement, Recovery, and Consumer Professionals. Professional Psychology: Research and Practice, 28(3), 243-245.
• Frost, B. G., Tirupati, S., Johnston, S., Turrell, M. Lewin, T. J., Sly, K. A., Conrad, A. M. (2017). An Integrated Recovery-oriented Model (IRM) for mental health services: evolution and challenges. BMC Psychiatry, 17(22), DOI 10.1186/s12888-016-1164-3
• Gray, M. (2011). Back to Basics: A Critique of the Strengths Perspective in Social Work. Families in Society, 92(1), 1-7. doi: 10.1606/1044-3894.4054
• Guidelines for Recovery-Oriented Practice [Mental Health Commission of Canada] (2015). Guidelines for Recovery-Oriented Practice. Retreived June 18, 2018, from https://www.mentalhealthcommission.ca/sites/default/files/MHCC_RecoveryGuidelines_ENG_0.pdf
• Heller, N. R., Gitterman, A. (2011). Introduction to social problems and mental health/illness. In Heller and Gitterman ed., Mental Health and Social Problems: A Social Work Perspective. Routledge.
• Ho, R. T. H., Chan, C. K. P., Lo, P. H. Y., Wong, P. H. Chan, C. L. W., Leung, P. P. Y., Chen, E. Y. H. (2016). Understandings of spirituality and its role in illness recovery in persons with schizophrenia and mental-health professionals: a qualitative study. BMC Psychiatry, 16, 86 DOI 10.1186/s12888-016-0796-7
• Hyde, B., Bowles, W., Pawar, M. (2014). Asia Pacific Journal of Social Work and Development, 24, (1-2), 5–16, http://dx.doi.org/10.1080/02185385.2014.885205
• Karban, K. (2016). Social Work and Mental Health. Polity Press.
• Khoury, E., del Barrio, L. R. (2015). Recovery-Oriented Mental Health Practice: A Social Work Perspective. The British Journal of Social Work, 45, 27–44, https://doi.org/10.1093/bjsw/bcv092
• Kirsh, B. (2000). Work, workers, and workplaces: A qualitative analysis of narratives of mental health consumers. Journal of Rehabilitation, 66(4), 24-30.
• Lacasse, J. R., & Gomory, T. (2003). Is graduate social work education promoting a critical approach to mental health practice? Journal of Social work Education, 39(3), 383–408.
• Leung, J. T. Y. (2015). The strengths model: a recovery-oriented approach to mental health services. China Journal of Social Work, 8:1, 84-86, DOI: 10.1080/17525098.2015.1009138
• Mulvany, J. (2000). Disability, impairment or illness? The relevance of the social model of disability to the study of mental disorder. Sociology of Health and Illness, 22(5), 582-601.
• National Association of Social Workers [NASW]. (2017). Code of ethics of the National Association of Social Workers. Retreived June 15, 2018, from https://www.socialworkers.org/About/Ethics/Code-of-Ethics/Code-of-Ethics-English
• Nişancı, A. (2018). Kimler psikoterapi yapabilir? ABD örneğinde sosyal hizmet ve danışmanlık meslekleri üzerine bir değerlendirme. Retreived July 3, 2018, from https://sosyalhizmetseruveni.wordpress.com/2018/06/11/kimler-psikoterapi-yapabilir-abd-orneginde-sosyal-hizmet-ve-danismanlik-meslekleri-uzerine-bir-degerlendirme/
• Onken, S. J., Craig, C. M., Ridgway, P., Ralph, R. O., & Cook, J. A. (2007). An analysis of the definitions and elements of recovery: A review of the literature. Psychiatric Rehabilitation Journal, 31(1), 9-22. http://dx.doi.org/10.2975/31.1.2007.9.22
• Ochocka, J., Janzen, R., & Nelson, G. (2002). Sharing power and knowledge: Professional and mental health consumer/survivor researchers working together in a participatory action research project. Psychiatric Rehabilitation Journal, 25(4), 379-387.
• http://dx.doi.org/10.1037/h0094999
• Oral, M., Tuncay, T. (2012). Ruh sağlığı alanında sosyal hizmet uzmanlarının rol ve sorumlulukları. Toplum ve Sosyal Hizmet, 23(2):93-114.
• Organizing Recovery-Oriented Systems [Substance Abuse and Mental Health Services Organization (SAMHSA)] (2012). Retreived June 17, 2008, from https://www.samhsa.gov/sites/default/files/expert-panel-05222012.pdf
• Piat, M., Sabetti, J. (2009). The Development of a Recovery-Oriented Mental Health System in Canada: What the Experience of Commonwealth Countries Tells Us. Can J Commun Ment Health, 28(2), 17–33. doi:  10.7870/cjcmh-2009-0020
• Rapp, C. A., Goscha, R. J. (2012). The strengths model: a recovery-oriented approach to mental health services, 3rd ed., New York, Oxford University Press.
• Recovery Oriented Mental Health Models [Sax Institute] (2016). Retreived June 17, 2018, from https://www.aci.health.nsw.gov.au/__data/assets/pdf_file/0019/395002/Recovery-oriented-community-mental-health-models-SAX-REPORT.pdf
• Repper, J. and Carter T. (2011). A Review of the literature on peer support in mental health services. Journal of Mental Health, 20(4), 392-411.
• Russinova, Z., Blanch, A. (2007). Supported spirituality: A new frontier in the recovery-oriented mental health system. Psychiatric Rehabilitation Journal, 30 (4), 247–249
• Sağlık Bakanlığı (2018). 2018 Yılı Bütçe Sunumu TBMM Plan ve Bütçe Komisyonu. Retrieved November 27, 2018, from https://sgb.saglik.gov.tr/Shared%20Documents/2018_Yili_Plan_Butce_Sunumu_14_11_2017.pdf
• Sağlık Bakanlığı (2011). Ulusal Ruh Sağlığı Eylem Planı 2011-2023. Retrieved June 28, 2018, from https://www.psikolog.org.tr/doc/ulusal-ruh-sagligi-eylem-plani.pdf
• Saleebey, D. (1996). The strengths perspective in social work practice: Extensions and cautions. Social Work, 41(3), 296–305 DOI https://doi.org/10.1093/sw/41.3.296
• Saleebey, D. (2011). Some basic ideas about the strengths perspective. Social Work Treatment: Interlocking Theoretical Approaches pp. 477-485. Oxford: Oxford University Press.
• Soygür, H. (2016). Türkiye’de Toplum Ruh Sağlığı Merkezleri: Quo Vadis? Arch Neuropsychiatr, 53, 1-3 DOI: 10.5152/npa.2016.15022016
• Starnino, V. R. (2009). An Integral Approach to Mental Health Recovery: Implications for Social Work. Journal of Human Behavior in the Social Environment, 19(7) 820-842. doi: https://doi.org/10.1080/10911350902988019 Staudt, M., Howardw, M. O., & Drake, B. (2001). The operationalization, implementation, and effectiveness of the strengths perspective. Journal of Social Service Research, 27(3), 1-21.
• Şenocak, S. Ü., Arslantaş, H., Yüksel, R. (2019). Psikiyatrik iyileşmede yeni bir yönelim: İyileşme odaklı yaklaşım. Archives Medical Review Journal, 28, 1-1.
• Tew, J. (2005). Chapter 1: Core themes of social perspectives. In J. Tew. (Ed.), Social perspectives in mental health (pp. 13-32). London and Philedelphia: Jessica Kingsley Publishers.
• Tuncay, T., Erbay, E. (2006). Sosyal Hizmetin Temel Hedefi: Sosyal Adalet. Toplum ve Sosyal Hizmet, 17(1), 53-69.
• Whitley, R., Strickler, D., Drake, R. E. (2012). Recovery Centers for People with Severe Mental Illness: A Survey of Programs. Community Ment Health J, 48, 547–556. doi: 10.1007/s10597-011-9427-4
• Yanardağ, M. Z., Özmete, E. (2017). Bir mesleki uygulama alanı olarak geçmişten geleceğe klinik sosyal hizmet. Toplum ve Sosyal Hizmet, 28(1), 203-226.
• Yanos, P. T., Roe, D., Lysaker, P. H. (2011). Narrative Enhancement and Cognitive Therapy: A New Group-Based Treatment for Internalized Stigma Among Persons with Severe Mental Illness. International Journal of Group Psychotherapy, 61, (4): 576-595. https://doi.org/10.1521/ijgp.2011.61.4.576
• Yılmaz, V. (2012). İnsan Hakları ve Karşılaştırmalı Sosyal Politika Yaklaşımı Işığında Türkiye'de Ruh Sağlığı Politikaları: Tespitler ve Öneriler. Ruh Sağlığında İnsan Hakları Girişimi (Rusihak) Raporu. Retrived June 17, 2018, from http://aciktoplumvakfi.org.tr/pdf/RUSIHAK_Turkiye_de_Ruh_Sagligi_Politikalari.pdf
• Young, S., & Ensing, D. (1999). Exploring recovery from the perspective of people with psychiatric disabilities. Psychiatric Rehabilitation Journal, 22 (3): 219–239.
• Zastrow, C. (2013). Sosyal Hizmete Giriş (A. Aykara, Trans.). Ankara: Nika Yayınları.