| MAINTENANCE MODEL |
RECOVERY MODEL |
| Faulty brain - chemical imbalance, lifelong management |
Hope and realistic optimism |
| Symptom management |
Coping strategies |
| Categorisations - SMI, EMI, Schizophrenia |
Unique, person orientated |
| Pathology, deficits, vulnerabilities, limitations |
Strengths, resilience, self righting capacities |
| Fragmented models biological /psychological /oppression |
Integrated holistic models, complementary therapies |
| Professional assessment of needs and 'best interests' |
Self definition of needs, goals |
| Professional control and expertise |
Self help, mutual support, experiential wisdom, partnership with professionals |
| Compliance, coercion, force, low expectations |
Empowerment, choice, person taking control, high expectations |
| Reliance of formal (statutory) supports, lower expectations of leaving service |
Emphasis on 'natural' or chosen supports, including other users. Higher expectation of leaving service |
| Social segregation, artificial settings |
Community integration |
| Risk management and avoidance |
Active growth, new skills, increased knowledge, informed risk taking |
| Patient, client, user roles |
Ordinary normative roles |
| Helplessness, apathy, passivity, dependency |
Self efficacy, self sufficiency, self reliance |
Wirral Carers
