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Clinical And Personal Recovery Samples †MyAssignmenthelp.com

Question: Discuss about the Clinical And Personal Recovery. Answer: In metal health, setting the term recovery does not always means free from symptoms and signs of illnesses or a complete cure (Health.gov.au., 2017). From the perspective of the mentally ill patient, recovery refers to understanding ones abilities and disabilities, retaining hope, able to find purpose to life, developed a positive sense of self, gaining personal autonomy, active engagement in life and having a social identity (Department of Health, 2017). It means that personal recovery and clinical recovery are two different aspects although they both have same goals. The assignment deals with the case study of Jeremy Oxley a lead singer of the band name The Sunnyboys. He was diagnosed with schizophrenia, lived with it for 30 years, and yet made comeback to his stage after recovery. The aim of the assignment is to use the National Recovery Framework and its six principlesto explore the lived experiences of Jeremy as depicted in the documentary SunnyBoys. The essay investigates the m eaning of personal recovery to client and justifies the need of both clinical and personal recovery. To start with, the case study of Jeremy, the first and the foremost thing to be discussed is his lifestyle as evident from the documentary provided. As per the documentary of Jeremy Oxley, he is a famous guitarist. He was the leader of the popular Australian band, Sunnyboys (The Sunnyboy, 2013). It is evident from the video that Jeremy had remarkable journey with illness of 30 years. At the age of 18, Jeremy became popular as singer and songwriter in Australia. He achieved great success together with his brother Peter who was a bass guitarist in the same band. With his success his schedule became quite hectic with recording sessions and travelling places relentlessly. This increased his stress level so much that it leads to physical burnout and mental distress. The first sign of his health crushing down was evident when he walked out of the the Enmore Theatre on April 2012. No one could comprehend this behaviour but it appears that stress absorbed Jeremy into the tunnel of schizophre nia. In the documentary, it was mentioned that the Jeremy was fun loving person. His childhood friend Bill Bilson (drummer) described him as perfectionist. However, with the increasing level of stress in his life, Jeremy turned to be arrogant, rude, disturbed with paranoid thoughts. He even attended shows in drunken state and was engaged in drug abuse. He continued to give poor performance that gave him negative publicity. This indicates increasing negative impact of Schizophrenia. Even Peter could not comprehend the Bizarre behaviour of Jeremy. Taking the perspective of Jeremy from the video, it was evident that the Jeremy was not able to comprehend his illness. He failed to accept that he was suffering from schizophrenia. He therefore, denied the medical treatment. He was noncompliant to the treatment. Further, he never followed healthy regime despite having unusual heart rhythms and diabetes. He turned out to be a complex personality for people around him. He was experiencing auditory hallucinations. He assumed that people preferred his brother more and that he was stolen of his music. Listening to voices, assuming things and lack of self-care was the classic symptoms of Schizophrenia (Kate et al., 2013). In the video, it was mentioned that Jeremy could hear more than one voice. It is of great diagnostic significance as they are first rank symptoms of Schizophrenia. According to Chandra et al., (2014) people with the psychotic episodes are not willing to understand their illness and remain in state of denial. It consequen tly affects the quality of life of the patient and the recovery process. The same was depicted in the video as well. Clinical recovery and personal recovery are two different aspects. Personal recovery relates to how an individual with mental illness undergo change in terms of attitude, perception, values of life, role play and feelings (McGorry, 2014). This recovery is not based on the clinical treatment (Cavelti, Homan Vauth, 2016). Instead, it is a unique process of change to have fulfilled life and live with purpose despite limitations of illness. Recovery as a whole is recovering from the internal as well as external factors. Internal conditions as described by the person recovering include healing, empowerment, hope and connection. External factors are those conditions t facilitate the recovery of the person. It can include positive culture, implementation of human rights, a positive feelings and recovery oriented service (Chien et al., 2013). These changes are necessary to cope up with the catastrophic events of illness. Personal recovery occurs through mental support, guidance, along with change in ones attitude towards life (Hasson-Ohayon et al., 2014). In case of Jeremy, the personal recovery occurred due to his wife Mary, who accepted him despite illness and supported his throughout his illness. Along with his wife, his two children Kieran and Lachlan also assisted Jeremy in personal recovery. There are six principles of the national recovery framework in mental health practice. These includes uniqueness of the individual, real choices, attitudes and rights, dignity and respect, partnership and communication, and lastly evaluating the recovery (Health.gov.au., 2017). Out of these six principles, Marys care for Jeremy demonstrates the use of fourth of the six principles, which will be discussed in the subsequent sections. The first principle called Uniqueness of the individual in recovery oriented mental health practice. It emphasise on the helping the patient to have meaningful and purposeful life by making them feel the centre of care (Health.gov.au., 2017). Mary helped Jeremy to make healthy choices. She made him a part of her family despite his illness and involved children. This helped him find the meaning in living a life with his family. He earned a social identify due to his wife and two children. This led to social inclusion and eventually improved the quality of his life. He felt empowered with love of his children and wife and he felt important to have this life. He felt that his life has a unique purpose because with his wife he felt like a valued member of the community. The second principle refers to the real choices, which emphasise on supporting the patients to empower them to make choices for healthy living. The caregiver should support the patient to gain strength and be more responsible for their lives. This principle emphasise on balancing the support and the duty of care so that the patient can take risks. It will help the individuals to use the new opportunities (Health.gov.au., 2017). In case of Jeremy, Mary helped to become more responsible for life. Jeremy was engaged with his children in teaching them guitar. Fulfilling the role of father made him feel more responsible in his life. It improved his self image which is the sign of personal recovery (Shanks et al., 2013). He was engaged in painting so that he can vent out his feelings. It gave him strength by expressing his emotions and philosophy. Involving in painting gave him new opportunity to deal with stress. The fourth principle called, Dignity and respect in recovery process refers to being courteous with the patient. Being respect and honest in all the interactions. This principle emphasises on being sensitive to all the needs of the patient and respects the same. The caregiver must respect the values, beliefs and culture of the patient (Health.gov.au., 2017). Mary respected Jeremy and maintained his dignity as family person. Both the children engaged in active conversation with Jeremy. His children too gave him sufficient time for supporting him. He thus felt that his values and beliefs are respected. He felt that he was given autonomy. Mary also used the fifth principle of the national recovery framework, which deals with the partnership and communication (Health.gov.au., 2017). It emphasises on caring an individual in a manner that will make sense to them. Mary had partnership with the clinicians and gave Jeremy person centered care. She did not rely solely on the medication. Involving her husband in family interaction made him realise his goals and aspirations. She communicated with him all the relevant information that helped him accept his illness and deal with it. It was found from the video that Jeremy was able to gain confidence to join back his stage and pop-music industry. It is a measure of good recovery orientation process (Williams et al., 2017). He is still seeking meaning to his illness and yet is hopeful about his future. He is more optimistic about life. This is the perfect example of application of National Recovery Framework. Conclusion It can be concluded from the paper that the personal recovery is different from the clinical recovery. Although both have same goals, it is difficult to define recovery, as it is different for each customer. It is necessary for the mental health professionals to understand to two different aspects of recovery and design the care plan accordingly. The lived experiences of one patient may not be same as other mentally ill patient. Patients with lived experiences also encounter stigma, social isolation. Therefore, it is essential to be sensitive to their needs and provide collaborative care for full personal recivery. In conclusion applying this framework will help the mental health care providers to assist the patients in new way so that they can live contributing life. The framework is useful in fostering new service design for the patients living with complex mental illnesses. It is recommended to all the Australian jurisdictions to take the responsibility of promoting and implementi ng the framework. References Cavelti, M., Homan, P., Vauth, R. (2016). The impact of thought disorder on therapeutic alliance and personal recovery in schizophrenia and schizoaffective disorder: An exploratory study.Psychiatry research,239, 92-98. Chandra, I. S., Kumar, K. L., Reddy, M. P., Reddy, C. M. P. K. (2014). Attitudes toward medication and reasons for non-compliance in patients with schizophrenia.Indian journal of psychological medicine,36(3), 294. Chien, W. T., Leung, S. F., Yeung, F. K., Wong, W. K. (2013). Current approaches to treatments for schizophrenia spectrum disorders, part II: psychosocial interventions and patient-focused perspectives in psychiatric care.Neuropsychiatric disease and treatment,9, 1463. Department of Health | Principles of recovery oriented mental health practice. (2017).Health.gov.au. Retrieved 17 September 2017, from https://www.health.gov.au/internet/publications/publishing.nsf/Content/mental-pubs-i-nongov-toc~mental-pubs-i-nongov-pri Hasson-Ohayon, I., Mashiach-Eizenberg, M., Elhasid, N., Yanos, P. T., Lysaker, P. H., Roe, D. (2014). Between self-clarity and recovery in schizophrenia: reducing the self-stigma and finding meaning.Comprehensive psychiatry,55(3), 675-680. Health.gov.au. (2017).Department of Health | Principles of recovery oriented mental health practice.Health.gov.au. Retrieved 20 September 2017, from https://www.health.gov.au/internet/publications/publishing.nsf/Content/mental-pubs-i-nongov-toc~mental-pubs-i-nongov-pri Kate, N., Grover, S., Kulhara, P., Nehra, R. (2013). Relationship of caregiver burden with coping strategies, social support, psychological morbidity, and quality of life in the caregivers of schizophrenia.Asian journal of psychiatry,6(5), 380-388. McGorry, P. (2014). Film review The Sunnyboy.Australasian Psychiatry,22(5), 503-503. Shanks, V., Williams, J., Leamy, M., Bird, V. J., Le Boutillier, C., Slade, M. (2013). Measures of personal recovery: a systematic review.Psychiatric Services,64(10), 974-980. The Sunnyboy. (2013). Retrieved from https://edutv.informit.com.au.ezproxy1.acu.edu.au/watch-screen.php?videoID= 655842. Williams, J., Leamy, M., Bird, V., Harding, C., Larsen, J., Le Boutillier, C., ... Slade, M. (2012). Measures of the recovery orientation of mental health services: systematic review.Social psychiatry and psychiatric epidemiology,47(11), 1827-1835

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