Recovery from mental illness: the guiding vision of the mental health service system in the 1990s
Abstract
he implementation of deinstitutionalization in the 1960s and 1970s, and the increasing ascendance of the community support system concept and the practice of psychiatric rehabilitation in the 1980s, have laid the foundation for a new 1990s vision of service delivery for people who have mental illness. Recovery from mental illness is the vision that will guide the mental health system in this decade. This article outlines the fundamental services and assumptions of a recovery-oriented mental health system. As the recovery concept becomes better understood, it could have major implications for how future mental health systems are designed. The seeds of the recovery vision were sown in the aftermath of the era of deinstitutionalization. The failures in the implementation of the policy of deinstitutionalization confronted us with the fact that a person with severe mental illness wants and needs more than just symptom relief. People with severe T CHANGING TOWARD THE FUTURE
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Recovery is a deeply personal process of changing one's attitudes, values, feelings, goals, skills, and roles to develop a satisfying, hopeful, and contributing life, even within the limitations caused by illness.
“(22) describes recovery as a deeply personal process of changing one’s attitudes, values, feelings, goals, skills, and roles to develop a satisfying, hopeful, and contributing life, even within the limitations caused by illness.”
From Anti-stigmatizing: a collaborative autoethnography on recovery from depression (2024) · cites this paper as [22]
Finding new meaning and identity after disruptive experiences is a key aspect of the process of personal recovery from schizophrenia and other forms of severe mental illness.
“Previous qualitative research inquiring these perspectives identified that finding new meaning and identity after disruptive experiences is a key aspect of the process of personal recovery from schizophrenia and other forms of severe mental illness (24–26).”
From Making meaning of trauma in psychosis (2023) · cites this paper as [24]
The group of interviewed participants was heterogeneous, which is important when exploring recovery.
“The group of interviewed participants was heterogeneous, which is important when exploring recovery (Anthony, 1993).”
From "What an eye-opener" - a qualitative study of vulnerable citizens participating in a municipality-based intervention. (2018) · cites this paper as Anthony, 1993
Since the 1990s, the focus in the field of recovery has shifted to personal recovery, derived from literature led by mental health service users/survivors, focusing on attitudes toward life, personal growth and abilities, contribution to the community, and life satisfaction.
“Since the 1990's, the focus in the field of recovery has shifted to an approach derived from literature led by mental health service users/survivors. This has been referred to as personal recovery, it stems from and focuses on attitudes toward life, personal growth and abilities, contribution to the community, and life satisfaction (8, 9).”
From Recovery from Severe Mental Health Problems: A Systematic Review of Service User and Informal Caregiver Perspectives (2021) · cites this paper as [9]
Service users' perspectives overall resonated with the more established models and definitions of recovery mentioned in the introduction and identified as paradigms 1 and 2 in Table 1.
“Service users' perspectives overall resonated with the more established models and definitions of recovery mentioned in the introduction (8, 9) and identified as paradigms 1 and 2 in Table 1.”
From Recovery from Severe Mental Health Problems: A Systematic Review of Service User and Informal Caregiver Perspectives (2021) · cites this paper as [9]
The ACT model is compatible with conceptualisations of recovery from severe mental illness and well-suited for people with psychosis.
“The ACT model is compatible with conceptualisations of recovery from severe mental illness (defined as 'living a satisfying, hopeful and contributing life even with limitations caused by the illness', Anthony, 1993; and 'having a sense of purpose and direction', Deegan, 1988), and therefore well-suited for people with psychosis.”
From The feasibility and acceptability of a brief Acceptance and Commitment Therapy (ACT) group intervention for people with psychosis: The ‘ACT for Life’ study (2016) · cites this paper as Anthony, 1993
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Davidson, L., Borg, M., Marin, I. C., Topor, A., Mezzina, R., & Sells, D. (2005) · American Journal of Psychiatric Rehabilitation · doi:10.1080/15487760500339360 · Cited by 185 · see citing works
Vanderplasschen, W., Colpaert, K., Autrique, M., Rapp, R. C., Pearce, S., Broekaert, E., & Vandevelde, S. (2013) · The Scientific World JOURNAL · doi:10.1155/2013/427817 · Cited by 183 · see citing works
Davidson, L., & White, W. (2007) · The Journal of Behavioral Health Services & Research · doi:10.1007/s11414-007-9053-7 · Cited by 181 · see citing works
Remission and Recovery in Schizophrenia: Practitioner and Patient Perspectives
Davidson, L., Schmutte, T. J., Dinzeo, T. J., & Andrés-Hyman, R. C. (2007) · Schizophrenia Bulletin · doi:10.1093/schbul/sbm122 · Cited by 178 · see citing works
Lith, T. V., Schofield, M. J., & Fenner, P. (2012) · Disability and Rehabilitation · doi:10.3109/09638288.2012.732188 · Cited by 178 · see citing works
Uses of strength-based interventions for people with serious mental illness: A critical review
Tse, S. S.-K., Tsoi, E. W. S., Hamilton, B. E., O’Hagan, M., Shepherd, G., Slade, M., Whitley, R., & Petrakis, M. (2016) · International Journal of Social Psychiatry · doi:10.1177/0020764015623970 · Cited by 178 · see citing works
"Simply to be let in": Inclusion as a basis for recovery.
Davidson, L., Stayner, D. A., Nickou, C., Styron, T., Rowe, M., & Chinman, M. (2001) · Psychiatric Rehabilitation Journal · doi:10.1037/h0095067 · Cited by 175 · see citing works
`Recovery' and current mental health policy
Pilgrim, D. M. (2008) · Chronic Illness · doi:10.1177/1742395308097863 · Cited by 174 · see citing works
Frese, F. J., Knight, E., & Saks, E. R. (2009) · Schizophrenia Bulletin · doi:10.1093/schbul/sbn175 · Cited by 174 · see citing works
- Authors
- Anthony, W. A.
- Affiliations
- Boston University (US)
- Corresponding author
- Anthony, William A.
- Venue
- Psychosocial Rehabilitation Journal
- Published
- 1993-04
- Volume
- 16
- Issue
- 4
- Pages
- 11-23
- ISSN
- 0147-5622 (ISSN-L)
- OpenAlex
- W1977117783
- Cited by
- 3,700
- References
- 12
- Citations by year
- 2026: 156 · 2025: 173 · 2024: 168 · 2023: 184 · 2022: 174 · 2021: 269 · 2020: 243 · 2019: 229 · 2018: 173 · 2017: 221 · 2016: 182 · 2015: 173 · 2014: 180 · 2013: 152 · 2012: 160
- FWCI
- 10.39
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychosocial Rehabilitation Journal (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Mental Health and Patient Involvement
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Social Sciences › Psychology › Clinical Psychology › Historical Psychiatry and Medical Practices
- Keywords
- mental health recovery, deinstitutionalization, community support systems, psychiatric rehabilitation, severe mental illness, mental health service delivery, mental health policy
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