Over the last few decades, research, policy, and practice in the field of mental health care and a complementary variety of social work and social service delivery have internationally concentrated on recovery as a promising concept. In this paper, a conceptual distinction is made between an individual approach and a social approach to recovery, and underlying assumptions of citizenship and interrelated notions and features of care and support are identified. It is argued that the conditionality of the individual approach to recovery refers to a conceptualization of citizenship as normative, based on the existence of a norm that operates in every domain of our society. We argue that these assumptions place a burden of self-governance on citizens with mental health problems and risk producing people with mental health problems as nonrecyclable citizens. The social approach to recovery embraces a different conceptualization of citizenship as relational and inclusive and embodies the myriad ways in which the belonging of people with mental health problems can be constructed in practice. As such, we hope to enable social services and professionals in the field to balance their role in the provision of care and support to service users with mental health problems.
Societal and political developments in European welfare states challenge the core principles of social justice, human rights, collective responsibility and respect for diversity that underpin social work. At the same time, however, in many European countries, there is a revival of a more transformative social work discourse aimed at the fight for social justice and the realisation of human rights. Gaining insight into the implementation of this human rights approach in social work requires that it be studied in everyday practice, since rights are not rigid structures but social and political constructions. In Flanders a two-year research process was therefore set up with frontline social work practitioners to explore the common ground of diverse social work practices in realising a rights-based practice. Through a qualitative analysis of these frontline perspectives, complemented with input from diverse stakeholders, we identified five building blocks as the DNA of a strong social work focusing on the realisation of a rights approach: (1) politicising work, (2) proximity, (3) process logic, (4) generalist practice, and (5) working in a connecting way.
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