A Model For Recovery The Tidal Model Social Work Essay

A computer simulation For recuperation The tidal homunculus Social Work EssayMy family catch used cordial health attends for three generations. I experienced my original hypo-manic episode in 1981 when I was writing up my doctoral thesis. During the past twenty-four historic period I concord had sixteen episodes that squander led to hospitalisation.I first met Professor Phil Barker in 1983 when he had still taken up the Chair of Psychiatric Nursing Practice at Newcastle University and I had just launched myself as a User Consultant under the name of element 36. During his ten years in Newcastle we field of studyed on several projects and spent galore(postnominal) hours sharing our views on exploiter empowerment, self-management and recuperation. I felt privileged when he asked me to comment on the Tidal present in its early stages. I life equall(a)y privileged and delighted to speak about(predicate) the illustration today.Phil and Poppy Buchanan-Barker co-wro te this Guide on the Tidal simulation for Mental Health Professionals. They live with asked me to consider whether or non the Tidal Model helps assist users on their recoery journey. I will do this largely by edition quotations taken directly from the book. Before we underside do this I feel it necessary to look at the meanings of recovery.Elements of RecoveryThe Chambers 20th ascorbic acid Dictionary definition of recover is to cure. In the context of affable health recovery is generally non accepted as being like with cure. From her work with service users Repper observed thatRecovery does not mean that all suffering has disappeargond, or that all symptoms have been removed, or that functioning has been restored. rap music Deegan, a clinical psychologist with a late childhood-diagnosis of schizophrenia recognized recovery is not a cure only sees no reason for despair. existence in recovery means I know I have certain limitations and things I cant do. But sooner than le tting these limitations be an occasion for despair and giving up, I have learned that in knowing what I cant do, I also open up all the possibilities of all I can do.Acceptance is a divulge factor in the recovery transit. Again, Pat Deegan notes an ever- duncishening acceptance of our limitations. But now, instead than being an occasion for despair, we find our personal limitations be the ground from which derail our sustain unique possibilities. This is the paradox of recoverythat in accepting what we cannot do or be we discover what we can be and what we can do recovery is a process. It is a direction of life. It is an attitude and a way of approaching the days challenges.Simon Champ, a prominent Australian mental health activist, also views recovery as a lifelong process which requires serious variety shows in self I have come to see that you do not simply patch up the self you were before develop schizophrenia, but that you have to actually recreate a imagination of who you argon that integrates the experience of schizophrenia. Real recovery is far from a simple guinea pig of accepting diagnosis and learning facts about the illness and medication. Instead, it is a deep searching and questioning. A journey done unfamiliar feelings, to embrace impertinently concepts and a wider view of self. It is not an event but a process. For many, I look at it is a lifelong journey.Despite painful times Anthony believes that we should always be hopeful as the recovery period brings with it periods of personal growth. Recovery is described as a deeply personal, unique process of ever-changing ones attitudes, values, feelings, goals, skills, and/or roles. It isa way of spirit a satisfying, hopeful and bring life, even with limitations caused by the illness. Recovery involves the development of new meaning and aim in ones life as one grows beyond the catastrophic effectuate of mental illness.The Tidal ModelIn my view, hospitalisation is a coordinate of containment rather than a therapeutic process. Service users are expected to flirt with themselves by talking amongst themselves, watching television, sitting in the smoking room, acting pool or attending occupational therapy. Mental health nurses motif to break out of the mechanistic routine, which restricts their dialogue with service users.When the Tidal Model is in use, each service user undergoes a holistic judgement with a specially trained mental health nurse. All experiences are accepted as true and not dismissed as hallucinations (for example). The mental health nurse discusses with the service user what the person feels may have caused their admission and what they feel they pauperism to do to address these problems. Every service user receives a copy of their assessment, which is recorded in their own words.This process helps to build up trust between the service user and the mental health nurse. They form a partnership whereby the nurse supports the service user thr ough the recovery process. The emphasis is on fondness with rather than caring for. The attitudes, beliefs and expressed needs of the service user are accepted at each stage of the recovery process. The user knows that the advice of the nurse may not necessarily be accepted.The persons story lies at the heart of the Tidal Model..The Tidal Model is a philosophical approach to the recovery or discovery of mental health. It is not a treatment model, which implies that fewthing needs to be done to change the person. Instead the Tidal Model assumes that the person is already changing, albeit in small and subtle ways.In the Tidal Model water system is used as the core metaphor.Following the Holistic Assessment the service user enters into a period of Individual tutorship and separate Care. whizz to one Individual Care sessions are arranged on a daily basis., The process of Individual Care involves developing a cooperative relationship inwardly which the person can convey to develop knowingness of the resources that (s)he currently possesses, which might be used to address the problem of living what additional resources (support) might be needed and what needs to happen next, to begin to move off on the recovery journey.Three forms of group work provide a supportive social structure for the Individual CareThe husking concourseThe randomness GroupThe Solutions GroupThe Discovery Group brings together service users to discuss a set of pre-prepared questions that aim to aim simple reflection and light-hearted as well as meaningful conversation. both members of the professional person team normally lead the Discovery Group, but over time group participants may take turns in leading the session.The Discovery Group therefore aims to provide a setting within which heap might experience a boost to their self-esteem, reclaiming in the process some of the personhood that has been lost, either as a function of the experience of mental ill-health, or of the experien ce of psychiatric heraldic bearing and treatment, or both. The Discovery Group provides an fortune within which members may reclaim and develop further their ability to fortune with others, on a simple yet mutually rewarding basis, through simple question and answer sessions.The Information Group aims to provide working advice to people about serve they are presently using, or services that they might consider using. This advice is delivered in plain language, preferably in an entertaining, interest or otherwise accessible way.Francis Bacons dictum that knowledge itself is power is the primary motivation behind the Information Group. Without knowledge we are not all ignorant, but also powerless.The people who lead the Information Group should have in-depth knowledge of specific topic areas who can comfortably answer thinking(a) and searching questions from people in care and perhaps also lag members.There are an infinite number of possible topics for the Information Group, but experience of the Tidal Model projects around the world suggests that the following are most popularMedicationCurrent care and treatment mental hygiene and counsellingNutrition and well-beingSocial security benefitsCommunity supports specializer mutual support groupsHousing and supported accommodation.The potential contribution to Information Groups that might be made by user/consumer-advocates, psychiatric survivors, or others who have navigated the recovery journey, is inestimable. Apart from special knowledge of the recovery journey, such(prenominal) people come carrying a huge beacon of hope. Their very battlefront signals the possibility of recovery, but also frames this within a realistic storyline.The Tidal Model emphasises the necessary search for solutions. Given that the problems of living which people experience determines the need for help, both lay and professional, it follows that we should be focused on solutions to these problems.However, remote some other therapy models or treatment systems, we do not believe that the professionals have the answers to the persons problemsthe Tidal Model needs to be tailored to wooing every person in the programme. Everyone needs a theory of their own to explain how they got there, and how they might move off again, back onto the ocean of experience. So the pragmatic focus on finding solutions is carried over into the work of the Solutions Group.The Solutions Group is part of the heavy work of care-helping people to learn more about themselves and their problems and instilling hope in the recovery process.The Solutions Group is highly virtual(a) and focuses on conversations about change that is already taking place within individual members. What subtle examples of change is the person already becoming awake(predicate) of? Alternatively the group will focus on conversations about what change might be like how participants will know change when they merging it.The Tidal Model focuses upon the unison betwe en the service user and the professional helper. However..the Tidal Model is an anti-professional approach to mental health care . It does not believe that there is special knowledge concerning mental health, cognize only to the professional, that can bring about the resolution of serious problems of world living, or speed the persons recovery. The Tidal Model proposes that only the person can ever own such knowledge..However, the person needs the civilise support to plan and execute the process of recovery.Finally the book offers us Ten Commitments which distil the essence of the practice of the Tidal Model.Value the component part the persons story is the beginning and endpoint of the whole helping encounter. The persons story embraces not only the account of the persons distress, but also the hope for its resolution. This is the voice of experience. We need to guard it well, as the voice begins to help the person to make her or himself anew.There is no doubt in my mind that t he Tidal Model promotes the process of recovery. The key features that set it aside from other models areIt is found on the personal stories of service users.It is based on caring with rather than caring for.It is a holistic model of care.It recognises that knowledge is power.It focuses upon solutions rather than problems.It promotes self-management and empowerment.It promotes the concept of therapeutic experience rather than containment.In this sense, the Tidal Model is very groundbreaking.