One of the initiatives of McLean Hospital’s senior leadership team is to shift the practice and delivery of behavioral health services from a traditional model to a recovery-oriented model. The primacy of recovery-oriented practices (ROPs) is that services are person-driven, allowing each person to choose his or her pathway to recovery. Interventions are concentrated on assisting the individual build on his or her strengths. Such a shift, challenges the long standing, traditional medical model that directs attention to deficiencies or failing, and holds the needs of the institution and clinician as primary. A metamorphosis of practice and delivery of health care services is a laborious process, involving cultural changes at the macro, meso,
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The medical model or acute care has its roots in pathophysiology, looking at the disease process or deficits that the individual experiences rather that the whole person (Pearson, 2013, p.1). This writer became aware of the ROP approach three years ago, although involvement started with the beginning of practicum.
Root Cause of Issue The root cause of the issue is usually a complex and multi-faceted, and such is the case for an individual with a lived experience in behavioral health. The historical structure of health care delivery is one of fundamental reasons that care continues to be focused on deficits. Other reasons are stigma and discrimination that these individuals still face from society and the system itself (Yale University Program for Recovery and Community Health, 2006). Having worked in behavioral health, this reader has been aware of these core issues, and has appreciated them to a fuller extent during this practicum experience.
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The astounding results has meant the there a public health approach is needed to prevent, recognize, and treat abuse. Within this understanding is the knowledge that clinicians and organizations can re-traumatize individuals. Trauma-informed care (TIC) is about creating an organizational culture that is knowledgeable about the impact and commonness of trauma, and seeks to incorporate that awareness into all aspects of care, carefully avoiding any thing that re-traumatizes an individual. It is not the same as trauma specific care, which is designed to directly address the symptoms of current or past trauma, with the goal of facilitating safety, empowerment, and recovery (SAMHSA,
The medical model or acute care has its roots in pathophysiology, looking at the disease process or deficits that the individual experiences rather that the whole person (Pearson, 2013, p.1). This writer became aware of the ROP approach three years ago, although involvement started with the beginning of practicum.
Root Cause of Issue The root cause of the issue is usually a complex and multi-faceted, and such is the case for an individual with a lived experience in behavioral health. The historical structure of health care delivery is one of fundamental reasons that care continues to be focused on deficits. Other reasons are stigma and discrimination that these individuals still face from society and the system itself (Yale University Program for Recovery and Community Health, 2006). Having worked in behavioral health, this reader has been aware of these core issues, and has appreciated them to a fuller extent during this practicum experience.
Summary of …show more content…
The astounding results has meant the there a public health approach is needed to prevent, recognize, and treat abuse. Within this understanding is the knowledge that clinicians and organizations can re-traumatize individuals. Trauma-informed care (TIC) is about creating an organizational culture that is knowledgeable about the impact and commonness of trauma, and seeks to incorporate that awareness into all aspects of care, carefully avoiding any thing that re-traumatizes an individual. It is not the same as trauma specific care, which is designed to directly address the symptoms of current or past trauma, with the goal of facilitating safety, empowerment, and recovery (SAMHSA,