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Table 1 Program: collaborative pathways to recovery, resilience and independence, utilising MHRS framework

From: Implementation of a recovery-oriented model in a sub-acute Intermediate Stay Mental Health Unit (ISMHU)

Client priorities

Assessment a

In situ and individual interventions

Client and family/carer groups

Community support linkages

• Mental health & self-reliance

• Physical health & self-care

• Daily living skills & self-management

• Social networking & community participation

• Access to education & employment

• Healthy meaningful relationships

• Coping strategies to reduce risk of addictive behaviours

• Skills to self-manage daily responsibilities

• More satisfying sense of self

• Improved sense of hope & trust

• Insight, coping skills, situational factors/capacity

• Stage-of-change

• Physical health/status

• Personal self-care skills (eg, diet, lifestyle, dental, podiatry & medical)

• Domestic self-care & community skills

• Social skills

• Vocational & educational support needs

• Sexual health

• Cognitive functioning

• Psychological health

• Comorbidity issues

• Addictive behaviours

• Adherence skills

• Quality of relationships

• Day-to-day functioning

• Positive recovery focus reinforces strengths

• Encourages coping strategies, self-advocacy & positive risk taking

• Service provision promotes self-reliance, self-care & positive role modelling

• Milieu encourages self-respect & maintenance

• Supportive culture reflects individual & social values

• Facilitates trusting relationships with staff

• Motivational interviewing

• Cognitive behaviour therapy & counselling

• Skills development & cognitive remediation

• Behavioural interventions

• Relapse prevention

• Self-esteem building

• Social activities

• Education: mental health, medication & lifestyle

• Managing mental health b

• Medication

• Goal setting/review b

• Shopping/meal planningb

• Healthy lifestyles

• Budgeting

• Relaxation/stress management b

• Social skills, community access BBQ, hobby startersb

• Wellness plan

• Drug & alcohol education

• QUIT interventions

• Vocational education training & employment

• Recovery Star discussion

• Discharge planning

• Family connection c

• Mental health education c

• Accommodation services (eg, supported housing)

• Education & employment services

• Community, family & welfare services (eg, Community access, Centrelink, relationship & financial counselling, meals on wheels, ARAFMI, clubs, volunteer programs)

• Mental health & substance use services (eg, Supported Recovery, Community Managed and Non-government Organisations, community mental health, early psychosis, psychiatrists, allied health)

• Health services (eg, GP, dietary, dental, sexual health, recreational & cultural)

• Internet services (eg, SANE Australia, Black Dog Institute)

  1. Note: MHRS Mental Health Recovery Star, ARAFMI Association of Relatives And Friends of the Mentally Ill
  2. aConducted to assist in building a comprehensive recovery plan
  3. bGroup programs offered on repeat occasions per week
  4. cGroup programs offered outside of usual business hours to facilitate optimal carer/family involvement
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BMC Health Services Research

ISSN: 1472-6963

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