Cited by 3,700Mental Health and Patient InvolvementPsychiatric care and mental health servicesHistorical Psychiatry and Medical Practices

Recovery from mental illness: the guiding vision of the mental health service system in the 1990s

Anthony, William A.·1993·Psychosocial Rehabilitation Journal

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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Crossref · 10.1037/h0095655

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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.”
  • 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).”
  • 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).”
  • 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.”

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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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