[[Paper - Overview of post-discharge predictors for psychiatric re-hospitalisations - a systematic review of the literature]] ----- However, readmission is not the opposite of [[Recovery MOC]] - One may have recovery despite readmissions # There is personal and clinical recovery [The Relationship Between Clinical and Personal Recovery in Patients With Schizophrenia Spectrum Disorders: A Systematic Review and Meta-analysis - PMC (nih.gov)](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5890469/) **Clinical Recovery** - **Focus:** Symptom reduction and improved functioning. - **Measurements:** Diagnostic tools, scales assessing symptom severity, and assessments of daily living skills (e.g., ability to work, maintain relationships). - **Goals:** - Alleviation of psychiatric symptoms (e.g., hallucinations, delusions, depression, anxiety) - Improvement in social and occupational functioning - Reaching a state considered "normal" by traditional psychiatric standards ==**Personal Recovery**== - **Focus:** The individual's journey, experiences, hopes, and goals. - **Measurements:** Subjective and based on self-assessment by the individual. Tools like questionnaires may be used. - **Goals:** - Developing hope, optimism, and a sense of agency - Rebuilding a positive sense of identity - Living a meaningful and fulfilling life despite ongoing challenges from mental illness - Finding purpose beyond the confines of psychiatric diagnosis **The Relationship Between Personal and Clinical Recovery** - **Not Mutually Exclusive:** While these concepts are distinct, they importantly overlap. They often support and influence each other. - **Clinical Recovery Can Promote Personal Recovery:** Improvement in symptoms and functioning can provide a foundation for a feeling of greater control and self-direction. - **Personal Recovery Can Facilitate Clinical Recovery:** As individuals develop meaning and purpose in their lives, this sense of hope can strengthen motivation for adhering to treatment and seeking continued improvement. **Why Recognizing Both Matters** Mental health treatment shouldn't focus solely on eliminating symptoms. Truly effective care prioritizes the individual's unique perspective and emphasizes: - **The Lived Experience:** Each person defines their own recovery in ways that resonate with them, not as just a checklist of objective outcomes. - **The Whole Person:** Treatment plans that acknowledge personal recovery support emotional well-being beyond just illness management. - **Strength-Based Approaches:** Recognizing personal recovery encourages psychiatrists and professionals to view individuals for their potential and not be limited by diagnosis. --- A person can experience readmissions to a psychiatric facility and still feel positive about their personal recovery journey. Here's why: - **Personal recovery isn't linear:** It's a process, not a single destination. Setbacks, including readmissions, are common. It's crucial to remember that setbacks don't erase any previous progress made. - **Readmissions can be a learning experience:** While difficult, a readmission can prompt reflection, identifying new coping strategies, or adjusting treatment plans for greater support. This contributes to an ongoing understanding of oneself and a growing resilience for future challenges. - **Different measures of success:** For individuals focusing on personal recovery, success is defined not just by the absence of hospitalization, but by increased: - **Hope:** They might maintain a strong belief in their capacity to improve and create a meaningful life. - **Agency:** Their readmission could reinforce the ability to take proactive steps when setbacks occur. - **Self-awareness:** Understanding triggers and vulnerabilities contributes to increased management of their overall condition. **Importantly:** Frequent readmissions might still indicate that more needs to be done for their clinical recovery **But,** if that individual's mental health framework focuses on personal growth, these experiences don't automatically negate a positive overall sense of recovery. **Integration and Implications**: - **Complementary Approach**: Clinical and personal recovery are not mutually exclusive. They can coexist and reinforce each other. - **Balancing Act**: While clinical recovery addresses symptoms, personal recovery focuses on overall well-being, self-empowerment, and life satisfaction. - **Collaboration**: Mental health practitioners can enhance clinical recovery by incorporating personal recovery principles. [Supporting individuals in their unique journeys toward recovery involves acknowledging their agency and aspirations](https://www.cambridge.org/core/journals/advances-in-psychiatric-treatment/article/understanding-recovery/3A0C7688B4D65F45D40596F4565BBBB2) [Understanding ‘recovery’ | Advances in Psychiatric Treatment | Cambridge Core](https://www.cambridge.org/core/journals/advances-in-psychiatric-treatment/article/understanding-recovery/3A0C7688B4D65F45D40596F4565BBBB2) - Guiding principles of recovery oriented practice