Authors: Mike Slade
Event: 2017 TheMHS Conference
Subject: Making A Sustainable Difference
Type of resource: Conference Presentations and Papers
Abstract: The mental health system globally is undergoing significant change, with an increasing emphasis on citizenship and self-determination, the transition from hospital-based towards community-based infrastructures spreading beyond high-income countries, and a new emphasis on meaningful involvement of people who use services in shaping mental health systems.
These changes bring disruptive transformation, leading to the international spread of innovations such as using lived experience in peer support worker and peer trainer roles, Recovery Colleges, co-design and co-production, digital mental health interventions, trauma-informed support, peer-led services and workforce wellbeing.
A key emerging challenge internationally is how to balance the need for innovation and transformation with other deliverables needed from the mental health system. A centralised system with hierarchical top-down control changes too slowly and is inefficient. A fully decentralised mental health system which encourages un-regulated innovation lacks accountability, quality monitoring and governance capacity.
Using a current study of Recovery Colleges (see researchintorecovery.com/recollect) as an example, approaches to managing innovation will be outlined. Along the way we will cover the evidence base for many recovery-supporting interventions, identify the problems with a recovery orientation, and look beyond the mental health system to identify what wider society needs to learn from recovery research.