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Contents

Contributors ix 1 Introduction: The Emergence of Recovery as a Key Concept 1 Stephan D. Kirby, Angela Hall and Mike Wren The chapters 10 2 Experiencing Recovery 18 Aidan Moesby and Sandra Cleminson 3 Recovery as a Framework for Care Planning 25 Jim Campbell, Theo Stickley, Sarah Bonney and Nicola Wright Introduction 25 Recovery debated 27 Historical context 28 Recovery concepts in the literature 30 The social construction of recovery 39 Models for recovery 40 Conclusion 45 Section 1: Surviving 53 4 Discovering the Person 55 Angela Hall and Donna Piper Introduction 55 Conclusion 67 5 Parity of Esteem 71 Mike Wren and Natalie Iley Introduction 71 Parity of esteem considerations 72 Personalising parity of esteem 75 6 Holistic Care: Physical Health, Mental Health and Social Factors 84 Teresa Moore and Scott Godfrey Recovery 85 Promoting health and recovery 86 Physical considerations for quality of care 87 Medical considerations for quality of care 88 Emotional considerations for quality of care 89 Social consideration for quality of care 90 Lifestyle considerations for quality of care 90 Educational considerations for quality of care 91 Practice-related considerations for quality of care 92 Emergency department and mental health 92 Preventative considerations for quality of care 94 Conclusion 96 7 Strengths and Diversities: A Substance Misuse Perspective 100 Julie Wardell Introduction 100 Background to substance misuse 101 Approaches to substance misuse 102 Government strategy and substance misuse 103 Recovery and substance misuse 104 Evaluating recovery from substance misuse 110 Conclusion 111 Section 2: Managing 115 8 The Legal and Ethical Landscape 117 Charlotte Chisnell and Gordon J. Mitchell Review of the Mental Health Act 1983 118 The Mental Health Acts 1983 and 2007 120 Supervised Community Treatment (SCT)/Community treatment: section 17A-section 17G 120 Mental Health Tribunal (MHT) 121 Age-appropriate services 122 Electro-convulsive therapy 122 Advocacy and rights 122 Revised Code of Practice and principles 123 Changes to the Mental Capacity Act 2005 123 The Mental Capacity Act 2005 124 The authorisation of Deprivation of Liberty safeguards 127 Urgent authorisation 129 Conclusion 129 9 Enabling Risk to Aid Recovery 132 Angela Hall Introduction 132 Risk and regulation 134 Impact of inquiries 134 Exploring risk issues 136 Enabling risk 138 Risk management cycle 139 Conclusion 143 Acknowledgement 144 10 Collaborating Across the Boundaries 146 Mike Wren, Stephan D. Kirby and Angela Hall Introduction 146 Collaborating across professional boundaries 152 Policy drivers 155 Conclusions 157 Section 3: Thriving 161 11 Relationships and Recovery 163 Stephan D. Kirby The therapeutic alliance 168 A model of therapeutic alliance in mental health recovery 172 Conclusions 175 12 Holistic Care Planning for Recovery 179 Devon Marston and Jenny Weinstein The recovery approach 179 Holistic person-centred care planning 180 Barriers to person-centred care planning 181 What would good care planning look like? 181 How can change be achieved? 182 A holistic response at admission to hospital 182 Experiences of people from BME communities 183 Risk assessment and keeping women safe 187 Continuity of care planning 190 Recognising skills and potential to aid recovery 190 Planning a return to work 191 Personalisation 192 Conclusions 193 13 Recovery-Orientated Practice in Education 197 Mike Fleet Introduction 197 Challenges to implementing recovery in education 198 The quality of experience for both nurse and service user 199 Redefining service user involvement 204 Transforming the workforce to deliver service user-led education 205 Establishing a 'Recovery Education Centre' 205 Changing the way we approach risk assessment and management 206 Increasing opportunities for building a life 'beyond illness' 207 Increasing 'personalisation' and choice 207 Conclusion 209 14 The Recovery Journey 217 Stephan D. Kirby Survive (domain) 219 Manage (domain): 'reconstruction' 219 Thrive (domain) 220 'Deconstruction' 221 'Consolidation' 222 15 Conclusions: Reflection on the Future (Again) 223 Stephan D. Kirby, Mike Wren and Angela Hall ...And in closing 225 Index 229

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