Personal recovery is a deeply personal, unique process of changing one's attitudes, values, feelings, goals, skills and roles.
It is a way of living a satisfying, hopeful and contributing life even with limitations caused by the illness.
Recovery involves the development of new meaning and purpose in one's life,
gaining and retaining hope,
understanding one's abilities and disabilities.
→ Recovery refers to both the internal conditions (hope, healing, empowerment & connection) as well as the external conditions (human rights, positive healing culture, recovery-oriented services).
'Clinical recovery is an idea that has emerged from the expertise of mental health professionals.
It involves getting rid of symptoms, restoring social functioning, in other words 'getting back to normal'
→ Clinical recovery may sometimes miss aspects that are important to consumers (pursuing own/self interventions)
Example 1: Media-based intervention
Man Up documentary on ABC explores relationship between masculinity and suicide
Men dominate suicide statistics → because they are less likely to seek help → face societal pressures to solve problems themselves and not show weakness
Documentary questions masculine norms and normalises expression of emotion and help-seeking
Impact: randomised controlled trial demonstrated SIGNIFICANT increase in help seeking intentions in those that watched the documentary.
Example 2: Intervention at hotspots
Suicide hotspot: specific, accessible and usually public site which is frequently used as a location for suicide
E.g. bridges, cliffs, railway sites, rural or secluded locations
Methods used at these sites have a high fatality rate, cause distress to bystanders, receive prominent media coverage
Most common interventions at hotspots
- Restricting access to means e.g. installing barriers = UNIVERSAL
- Encouraging help seeking e.g. signs and crisis telephone lines = SELECTIVE/INDICATED
- Increasing likelihood of 3rd party intervention eg. training for staff working near hotspots, surveillance to alert police = SELECTIVE/INDICATED
Example: Gap Park, Sydney
All three interventions: barriers, phones, signs, improved amenities (more people around) and CCTV
Site-specific suicides per year:
Restricting access to means - 91% reduction in suicides
Encouraging help-seeking - 51% reduction
Increasing likelihood of 3rd party intervention - 47% reduction