The Theory of Recovery Psychology/The Recovery Model/Chapter Four - Revision history

wikademia>Wikademia: moved Beta:The Theory of Recovery Psychology/The Recovery Model/Chapter Four to The Theory of Recovery Psychology/The Recovery Model/Chapter Four over redirect

2009-06-28T18:45:39Z

moved Beta:The Theory of Recovery Psychology/The Recovery Model/Chapter Four to The Theory of Recovery Psychology/The Recovery Model/Chapter Four over redirect

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wikademia>Wikademia: moved The Theory of Recovery Psychology/The Recovery Model/Chapter Four to Beta:The Theory of Recovery Psychology/The Recovery Model/Chapter Four

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wikademia>Wikademia: moved Archive:The Theory of Recovery Psychology/The Recovery Model/Chapter Four to The Theory of Recovery Psychology/The Recovery Model/Chapter Four over redirect

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wikademia>Wikademia: moved The Theory of Recovery Psychology/Unit 1/Chapter Four to The Theory of Recovery Psychology/The Recovery Model/Chapter Four

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wikademia>Wikademia: moved A Textbook on Recovery Psychology/Unit 1/Chapter Four to The Theory of Recovery Psychology/Unit 1/Chapter Four

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wikademia>The Book Saver at 00:38, 29 April 2009

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	== Lawrence Kohlberg's Theory on the developmental phases of ethics and how this relates to the evolution of the mental health system ==		== Lawrence Kohlberg's Theory on the developmental phases of ethics and how this relates to the evolution of the mental health system ==
	Lawrence Kohlberg developed the concept of the stages of moral development moral development where he describes a human beings mental capacities for moral reasoning and establishment of ethical values through stages of progressing growth. The view in the recovery movement is that society as well as the mental health system is not unlike a child maturing to an awakening of adult responsibility.		Lawrence Kohlberg developed the concept of the stages of moral development moral development where he describes a human beings mental capacities for moral reasoning and establishment of ethical values through stages of progressing growth. The view in the recovery movement is that society as well as the mental health system is not unlike a child maturing to an awakening of adult responsibility.
			[[Category:The Theory of Recovery Psychology]]
	*<u>Preconventional Morality</u>		*<u>Preconventional Morality</u>
	*Stage 1-Punishment and Obedience Orientation (Might makes right orientation)		*Stage 1-Punishment and Obedience Orientation (Might makes right orientation)

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	According to the Congressional Research Service, the commission did not specifically recommend a nationwide screening program for mental illness, although it did discuss the need to identify mental illness in certain settings (juvenile detention facilities, foster care) where research has shown that very high proportions of youth have these disorders. The commission also recommended deeper study of the safety and effectiveness of medication use, especially among children.		According to the Congressional Research Service, the commission did not specifically recommend a nationwide screening program for mental illness, although it did discuss the need to identify mental illness in certain settings (juvenile detention facilities, foster care) where research has shown that very high proportions of youth have these disorders. The commission also recommended deeper study of the safety and effectiveness of medication use, especially among children.

			== Reducing Stigma ==

			The reducing of stigma is the work of those who support the recovery movement. This is because to many, the concept of recovery encompasses the notion that society must also recover from prejudice and discriminatory attitudes and behaviors. Mental illnesses (depression, anxiety, bipolar disorder, schizophrenia, etc.) are widespread. According to Substance Abuse and Mental Health Services Administration(SAMHSA) in 2005 there were an estimated 21.4 million adults aged 18 or older with serious psychological distress (SPD). Among 18-25 year olds, the prevalence of serious mental health conditions is high (almost double that of the general population) yet this age group shows the lowest rate of help-seeking behaviors. Additionally, those with mental health conditions in this segment have a high potential to minimize future disability if social acceptance is broadened and they receive the right support and services early on.

			The final report of the President’s New Freedom Commission on Mental Health identifies stigma as one of the most pervasive barriers “to understanding the gravity of mental illnesses and the importance of mental health.” The report states that stigma is widespread in the United States and refers to stigma as “a cluster of negative attitudes and beliefs that motivate the general public to fear, reject, avoid, and discriminate against people with mental illnesses. Stigma leads others to avoid living, socializing, or working with, renting to, or employing people with mental disorders - especially severe disorders, such as schizophrenia. It leads to low self-esteem, isolation, and hopelessness. It deters the public from seeking and wanting to pay for care. Responding to stigma, people with mental health problems internalize public attitudes and become so embarrassed or ashamed that they often conceal symptoms and fail to seek treatment.” To many mental health recovery is a journey of healing and transformation enabling a person with a mental health problem to live a meaningful life in a community of his or her choice while striving to achieve his or her full potential.

	== CATIE Study ==		== CATIE Study ==

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	== The President's New Freedom Commision on Mental Health ==		== The President's New Freedom Commision on Mental Health ==
			The controversial New Freedom Commission on Mental Health was established by U.S. President George W. Bush in April 2002 to conduct a comprehensive study of the U.S. mental health service delivery system and make recommendations based on its findings. The commission has been touted as part of his commitment to eliminate inequality for Americans with disabilities.

			The President directed the Commission to identify policies that could be implemented by Federal, State and local governments to maximize the utility of existing resources, improve coordination of treatments and services, and promote successful community integration for adults with a serious mental illness and children with a serious emotional disturbance. The commission, using the Texas Medication Algorithm Project (TMAP) as a blueprint, subsequently recommended screening of American adults for possible mental illnesses, and children for emotional disturbances, thereby identifying those with suspected disabilities who could then be provided with support services and state-of-the-art treatment, often in the form of newer psychoactive drugs that entered the market in recent years.

			A broad-based coalition of mental health consumers, families, providers, and adovcates has supported the Commission process and recommendations, using the Commission's findings as a launching point for recommending widespread reform of the nation's mental health system.

			Opponents of the plan have questioned the motives of the commission, largely from a civil liberties perspective, asserting the intitiative campaign is little more than a thinly veiled proxy for the pharmaceutical industry, which, in its pursuit of profits, is too eager to foster psychotropic medication interventions. Some opponents contend that its objectives are to foster chemical behavior control of American citizens. However, no commission recommendations specifically call for increased drug use and the commission did call for closer scrutiny of psychiatric drug treatment, months before the Food and Drug Administration (FDA) started taking these steps in the wake of reports of increased rates of suicide, especially during the first months of drug use. On July 22, 2003, the President's commission returned a report containing nineteen formal recommendations, organized under six proposed national goals for mental health. The report of the commission was viewed favorably by most major consumer, provider and other mental health interest groups. Much of the support for the program has centered on the commission's emphasis on recovery from mental illness, its call for consumer and family-centered care, and its recommendation that states develop a more comprehensive approach to mental health.

			The commission reported that "despite their prevalence, mental disorders often go undiagnosed," so it recommended comprehensive mental health screening for "consumers of all ages," including preschool children, because "each year, young children are expelled from preschools and childcare facilities for severely disruptive behaviors and emotional disorders."

			According to the Congressional Research Service, the commission did not specifically recommend a nationwide screening program for mental illness, although it did discuss the need to identify mental illness in certain settings (juvenile detention facilities, foster care) where research has shown that very high proportions of youth have these disorders. The commission also recommended deeper study of the safety and effectiveness of medication use, especially among children.

	== CATIE Study ==		== CATIE Study ==