This is a repeat of an earlier post I messed up. I apologize if it is a repeat for you.
Recovery and Recovery Support | SAMHSA
【from Next Browser】
It is as important to know what Representative Murphy and his guys are against as it is to know what they are for. They are against Samsha. Really, really against Samsha. If you listen to the passion with which they talk about Samsha you get the feeling they almost regard it as demonic and their proposal as being something akin to an exorcism. One of Samsha’s largest sins according to them is the notion of recovery which they view as the source of all things wrong.
The link above is to Samsha’s description of recovery. Below is a major part of that description. Lets look at what Murphy and guys hope to save us from:
The adoption of recovery by behavioral health systems in recent years has signaled a dramatic shift in the expectation for positive outcomes for individuals who experience mental and/or substance use conditions. Today, when individuals with mental and/or substance use disorders seek help, they are met with the knowledge and belief that anyone can recover and/or manage their conditions successfully. This is the crux of it. Dr. Torrey has made a career of arguing against the idea that people get better. If it is possible on a regular basis for people with mental health issues to get better his niche, his territory is diminished. The notion of coercion and hope just don’t go together.The value of recovery and recovery-oriented behavioral health systems is widely accepted by states, communities, health care providers, peers, families, researchers, and advocates including theU.S. Surgeon General, the Institute of Medicine, and others. Recovery is not a fad, not a fanciful construction. It is not the creation of an out of touch elite. It is not something without evidence and factual basis. It is the core notion of a system of mental health care based on care. The old notions of chronicity led us to a system that was an obscenity to those trapped in it. Murphy and the guys don’t offer a step into a better future but a fall back into an awful past. You should at least understand what you got before you get rid of it. They don’t.
SAMHSA has established a working definition of recovery that defines recovery as a process of change through which individuals improve their health and wellness, live self-directed lives, and strive to reach their full potential. A process of change through which people improve… A process, not a product, not something you have but a way you live. It does not mean life is not hard. It means it is better. If you believe in recovery you believe life can get better. Again millions of people, even those with the most severe diagnoses have shown that it can and does. The Murphy straw man notion of recovery has as much relationship to reality as a horse drawn court has to drag racing. Recovery is built on access to evidence-based clinical treatment and recovery support services for all populations. Recovery is not built upon the nefarious efforts of “psychiatric survivors” to hijack the system. Evidence. It is the result of following the facts and not desperately clinging to an ideology desperately lacking in ideas. Learn more about SAMHSA’s Working Definition of Recovery — 2012.
SAMHSA has delineated four major dimensions that support a life in recovery:
Health—overcoming or managing one’s disease(s) or symptoms—for example, abstaining from use of alcohol, illicit drugs, and non-prescribed medications if one has an addiction problem—and, for everyone in recovery, making informed, healthy choices that support physical and emotional well-being. Rep. Murphy, as the only living psychologist in the US Congress, do you, can you, seriously quarrel with this??
Home—having a stable and safe place to live. Abundant research says all the medication in the world, all the psychiatric hospitals in the world don’t substitute for having a place to live. Homelessness is not a defiency in treatment. It is a defiency in having a home.
Purpose—conducting meaningful daily activities, such as a job, school volunteerism, family caretaking, or creative endeavors, and the independence, income, and resources to participate in society. If you would tell me that people with “mental illness” cannot find and live a life of purpose I have to wonder how many “mentally ill” people you have actually known. Trying to tell anyone that accepting the fact that they will never find a meaningful and purposeful life because of their illness is the only realistic thing they can do is neither factual or realistic. It is one of the most hurtful lies they can be told and one of the underpinnings of the old hospital system which simply locked people up to die.
Community—having relationships and social networks that provide support, friendship, love, and hope. In reality there is no us vs them. There is only we. To try to say, that in any way, that community doesn’t matter or should not be extended to those with “serious mental illness” ignores the facts and disregards their rights as human beings.
Health, home, meaning and community….How exactly has this led us astray Rep Murphy?? Don’t tell me tales of fruit smoothies. Really how???
Hope, the belief that these challenges and conditions can be overcome, is the foundation of recovery. A person’s recovery is built on his or her strengths, talents, coping abilities, resources, and inherent values. It is holistic, addresses the whole person and their community, and is supported by peers, friends, and family members. You seem to argue against hope. It is almost like you believe giving people hope is unkind. I have a friend who survived 24 years in a state institution. Against all odds he left as a person. He clung to hope in a system designed to kill it. He gives me hope. I am so glad he did not listen to you.
The process of recovery is highly personal and occurs via many pathways. It may include clinical treatment, medications, faith-based approaches, peer support, family support, self-care, and other approaches. Recovery is characterized by continual growth and improvement in one’s health and wellness that may involve setbacks. Because setbacks are a natural part of life, resilience becomes a key component of recovery. This is another key point of attack for you. Psychiatrists may play a helpful role in recovery, but recovery is ultimately not a medical notion or monopoly. In fact, from everything I can see the field of psychiatry has more and more marginalized itself as it has become more and more less and less about anything other than medication management. You argue for and defend a monopoly that never has and never can exist.
Resilience refers to an individual’s ability to cope with adversity and adapt to challenges or change. Resilience develops over time and gives an individual the capacity not only to cope with life’s challenges but also to be better prepared for the next stressful situation. Part of the notion of recovery is that we get better at getting better. People can and do regularly learn as much from what goes wrong as what goes right. The absence of difficulty is not recovery. Recovery is what you do with difficulty. Optimism and the ability to remain hopeful are essential to resilience and the process of recovery. Visit SAMHSA’s Partners for Recovery Initiative’s Resilience Annotated Bibliography – 2013 (PDF | 531 KB).
Because recovery is a highly individualized process, recovery services and supports must be flexible to ensure cultural relevancy. What may work for adults in recovery may be very different for youth or older adults in recovery. For example, the promotion of resiliency in young people, and the nature of social supports, peer mentors, and recovery coaching for adolescents and transitional age youth are different than recovery support services for adults and older adults. Learn more aboutCultural Awareness and Competency.It is not a one note song. AOT is not the only tune worth playing.
The process of recovery is supported through relationships and social networks. This often involves family members who become the champions of their loved one’s recovery. They provide essential support to their family member’s journey of recovery and similarly experience the moments of positive healing as well as the difficult challenges. Families of people in recovery may experience adversities in their social, occupational, and financial lives, as well as in their overall quality of family life. These experiences can lead to increased family stress, guilt, shame, anger, fear, anxiety, loss, grief, and isolation. The concept of resilience in recovery is also vital for family members who need access to intentional supports that promote their health and well-being. The support of peers and friends is also crucial in engaging and supporting individuals in recovery. The notion of recovery is not an attack on family. This is one of your greatest and most hurtful lies.
This is only a small part of what is in the Samsha document linked above. No one is saying that the mental health system is anywhere close to okay. But neither is it what Murphy and the guys say it is. Whatever Samsha is it is not the demon Murphy says it is. And whatever it needs or we need the Murphy exorcism is not it.
Life can get better. And the lie that it cant might be a better focus of exorcism if exorcism is what is truly needed.