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Organizational Change Toward Recovery-Oriented Service Provision. A Provider’s Perspective
EDYE SCHWARTZ INTRODUCTION BY LISA DIXON
President Obama’s New Freedom Commission on Mental Health challenged the system to provide recovery-oriented programs that promote person-centered care. Consumer advocates have demanded that mental health systems both recognize and support recovery. In these dialogues, recovery is not akin to cure, but rather is defined as:1 “A process of change through which individuals improve their health and wellness, live a self-directed life, and strive to reach their full potential” (SAMHSA, 2011). Four dimensions support a life in recovery:
Supporting a recovery-oriented system does not mean avoiding medication. Nor does it prevent or discourage using findings from research on developing treatments and understanding mechanisms of illness. A recovery-oriented system of care joins with consumers and families in embracing and considering all treatment options and strategies. It uses shared decision-making to help consumers consider how treatments can help them achieve their goals in life.
Implementing a person-centered model of care requires change at the provider and organizational levels. The purpose of this chapter is to hear the story of a leader in organizational change. Edye Schwartz is currently Director of Systems Transformation at the New York Association of Psychiatric Rehabilitation Services, Inc. (NYAPRS), a statewide coalition of people who use and/or provide recovery-oriented, community-based, mental health services. NYAPRS is dedicated to improving services and social conditions for people with psychiatric disabilities or diagnoses and those with trauma-related conditions by promoting their recovery, rehabilitation, and rights so that all people can participate freely in the opportunities of society. The NYAPRS Board of Directors and staff comprised a mix of recovering people and professionals dedicated to the people, principles, and programs that make up New York’s mental health recovery and rehabilitation community.
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