COLLABORATIVE RECOVERY MODEL
C.R.M.
Introduction
• Background
• Neami National
• PDRS - MHCS
Phil Watson – Neami Service Manager
Recovery?
Anthony (1993) defines recovery as
"a deeply personal, unique process of changing
one’s attitudes, values, feelings, goals, skills
and roles. It is a way of living a satisfying,
hopeful, and contributing life even with
limitations caused by the illness. Recovery
involves the development of new meaning and
purpose in one’s life as one grows beyond the
catastrophic effects of mental illness."
What is The Collaborative
Recovery Model?
The Collaborative Recovery Model (CRM) is a practice model
designed to incorporate evidence of practices that have
previously assisted people living with enduring mental illness,
designed to be consistent with the values of the recovery
movement.
Developed by the University of Wollongong
Recovery
Movement:
Power &
Autonomy
Coaching Style
Relationship
Consumer
Participation
Movement
Collaborative
Recovery
Psychosocial
Rehabilitation
Recovery
Movement:
Experiential,
psychological,
narrative
Positive
Psychology
eg hope,
Strength,
wellbeing
Evidence Based
Practice
Organisational
& workforce
development
The Guiding Principles of CRM
1) Recovery as an Individual Process
2) Collaboration and Autonomy Support
These guiding principles provide the foundations for the LifeJETs
and govern all interactions employed in providing recovery support.
Collaboration and Autonomy Support
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Working alliance
Coaching style relationships
Working with relationship dynamics
Power and empowerment
Concept of mutuality
Relationship ruptures
Building resilience
Building Agency/Autonomy
Barriers to collaboration
Components of Working Alliance
• Coaching style relationship – you provide the structure,
they provide the content
• A learning environment not a helping environment
• Permission to challenge
LifeJET
• What is it?
A staged life planning process incorporating values and strengths
clarification, visioning, goal setting and action planning.
• Involves
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Possible identification of personal life vision.
Life vision and goals oriented by the person’s values and strengths.
Goal selection may be initiated from needs or strengths assessment.
Rating the relative importance of goals (consumer perspective).
Selection and construction of 3 attainment levels.
Monitoring of progress using success coordinates.
Steps to follow with skills to use flexibly within each step.
Objective:
• To develop an attractive and feasible striving protocol for use in
mental health contexts based on evidence-base, established
literatures and recent feedback based on CGT, homework and
implementing the CRM and congruence with values of recovery
movement- and consistent with the developing evidence within
coaching psychology
Feasibility:
• Brevity, relevance, attractiveness (to client, worker, managers and
researchers), ease of use, trainability, addition of value to current
practice
Tenets:
• Metaphors will (a) assist communication and training (b) make the
steps to the process seem more light hearted and tangible
• Should be seen as three modular instruments which can be used
consecutively, or on an at needs basis. There is an additional
reflective and integrative exercise.
THE METAPHOR:
• Recovery/life is a journey- people often take a
camera, a compass and a map on a journey
• Together the outputs of these tools (e.g. photos)
forms a personal album of the journey- the good life
album
• The title of the album is the life vision
PURPOSE OF JOURNEY
ENHANCEMENT TOOLS
The Camera: To bring into focus important values and strengths. Drawing from
literature on values clarification, life planning, ultimate strivings, Acceptance
Commitment Therapy.
The Compass: To identify ones ultimate destination (true north) in terms of a life
vision and track one’s progress along valued directions- i.e. goal progress.
Modified version of Collaborative Goal Technology, drawing on literature from
goal setting, recovery, motivational interviewing, health behaviour change.
The Map: To plan the next step, taking the terrain (barriers) and social support into
account. Modified version of homework sheets, drawing on literature from
homework and health behaviour change action planning and social support
The Good Life Album: To bring together outputs of the Camera, Compass and
a
MAP [i.e. photos] and create an album of the journey from which one develops
Life Vision. Drawing on literature from gratitude diaries, life visioning.
HOW THE JOURNEY
FITS TOGETHER
• A person, by use of the Camera becomes clear on their
personal values and strengths. Using the Compass they are
enabled to identify a future oriented life vision- a collection of
their values and strengths, recorded separately as valued
directions that one uses to orient themselves. The person can
set personal goals consistent with these important valued
directions.
• Using the MAP the person can develop action plans to
achieved the goals. Overtime they can gain feedback on their
progress- ie their level of progress (referred to as
coordinates). The reflective exercise of the Good Life Album
enables people to put it all together.
RELATIONSHIP BETWEEN LIFE VISION, VALUES,
GOALS AND ACTION PLAN
Life Vision (Album title)- Why
Provides motivation, meaning and purpose, and preferred identity
Values of Life (Camera) – What is important
Important life directions that infuse the person’s life
with more meaning and hope.
3 Month Goals (Compass)- What
More specific goals. Still considered “large” steps,
hence the three month time frame.
Action Plan (Map)- What, When, Where, Frequency, Duration
Techniques to increase the probability of goal/task attainment,
done in natural environment
Life vision – purpose
Ongoing
Values – Strengths
As need or 6 monthly
Goals (3 monthly)
Actions
(weekly)
Thank-you
Questions?
Phil Watson – Neami National
Service Manager - Thomastown
phil.watson@neaminational.org.au
http://socialsciences.uow.edu.au/iimh/
collaborativerecoverymodel/index.html