Client-Driven Care
Recovery Values in the Adult
System of Care
Using Values in a Cultural Context
Learning Objectives
Discuss the differences between the
medical, psychosocial rehabilitation and
empowerment models.
 Identify the core values and principles of
recovery and resiliency.
 Demonstrate the core values of recovery
and resiliency.
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Models of Treatment
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Initially, treatment services were
delivered utilizing an approach that’s
known as the Medical Model.
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Brainstorm: What are all the words and
phrases that come to mind when you hear
this term?
Evolving Models of Treatment
Psychosocial Rehabilitation (PSR) is the
next model of treatment
 The Goals of PSR are

Recovery
 Community Integration
 Quality of life

Psychosocial Rehabilitation Is..
… a set of tools and
techniques that are used
to help an individual with
a psychiatric disability to
restore his/her ability to
live independently,
socialize and use
effective life
management skills.
Principles and Values of
Psychosocial Rehabilitation

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Choice
Strengths based
All people have the capacity to learn and grow
Respect and dignity
Integrated services
Individualized planning
Community based
Holistic
Cultural Competence
Examples of PSR Programs
Supported employment
 Case management services
 Residential treatment programs
 Supported education programs

The Empowerment Model
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Dan Fisher, PhD, MD
Key beliefs of the Empowerment Model

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Mental illness is not a permanent condition
and people have recovered from it.
It is important to hear about and learn from
people who have recovered and who can
be role models.
The Empowerment Model
Symptoms are expressions of severe
emotional distress
 The model emphasizes the importance of
reestablishing personal connections.
 It's often peers who are the most significant
guides for recovery.

The Recovery Model
The ideas expressed by Dan Fisher’s
Empowerment Model reflect the broader
concept of the Recovery Model - that
recovery from mental illness is possible.
 The values of the Recovery Model are
empowerment, hope, self-determination,
meaningful role and cultural competence.
 Going forward, we’ll refer to these ideas as
the Recovery Model.

Approaches to Working with People

A Chance to Act Out!
Diagnosis is not
a destiny.
Pat Deegan, Ph.D.
Recovery Research
Courtenay Harding’s
research – a
longitudinal study of
people hospitalized
in Vermont and
Maine.
 What’s the research
definition of
“recovered”?

Research Definition of Recovery

Recovered is
Experiencing no psychiatric symptoms
 Having social relationships and support
systems
 Not on benefits
 Not on medication
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“Significantly recovered” is all but one of
the above.
Recovery is a personal journey
Recovery is not something we provide.
 It is defined by the individual in the context
of his/her worldview.
 We walk alongside people who are in the
midst of a unique and personal recovery
journey – and we, too, are on our own
similar journey.

Recovery Values
 Empowerment
 Self-
Determination
 Hope
 Meaningful Role
 Cultural
Competence
Living Out the Values
Culture and Values
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There are cultural differences in values. For
example, in some cultures the word
“empowerment” doesn’t exist. It is not a
concept that everyone necessarily relates to.
 Discussion Time
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From your cultural background, are any of these
values not applicable or problematic?
What strategies might you use with someone
whose worldview regarding values was different
from yours?
SAMHSA’s Recovery Fundamentals
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Self-Direction
Individualized and
Person-Centered
Empowerment
Holistic
Non-Linear
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Strengths-Based
Peer Support
Respect
Responsibility
Hope
Putting Fundamentals into Practice