Recovery-oriented Medical Training: An Informational Rapid Literature Review for the University of Recovery as a New Concept of Co-learning between Patients and (Future) Healthcare Providers

Abstract

Recovery has undoubtedly gained traction throughout the world, and much effort is going into the transformation of mental health policies and systems to achieve recovery-oriented outcomes. There is also a growing argument that emphasizes the interconnectedness of mental and somatic health dimensions, with one dimension affecting the state of the other, and the recovery vision has thus also begun to influence chronic physical illness management. As mental and physical health integration may include colocation, by which the mental health specialist sees patients with various physical health conditions in the same primary care setting, it has been suggested that this colocation could also be conceptual and, in fact, favored by the sharing of a common and global recovery vision for a genuine holistic and person-centered approach. A rapid review of literature was performed to inform the development of a series of workshops to train psychiatry residents and medical students to recovery. Although a plethora of writings exists on ways to transform existing practices to make them more recovery-oriented, not much is known about training techniques meant to inculcate recovery values and principles within the initial training of doctors and other professionals. Through this review, we could not find any faculty of medicine-based class with official institutional credentials specifically and explicitly meant to train future professionals to recovery. The University of Recovery emerged as a new approach to training, not only on recovery, but more importantly for training in recovery. In effect, at the 'with-no-walls' University of Recovery, professors learn from students and conversely through a 'flipped classes' approach by which patients and (future) providers experiment with recovery together, for example, with inversed role plays and other small group techniques of co-learning, as discussed in this paper.

Clinical Governance to Enhance User Involvement in Care: A Canadian Multiple Case Study in Mental Health

“…47 To deal with some of the issues involved with peer-support, clinical managers need to demystify the roles and responsibilities of PSWs to benefit the providers. 48,49 Interestingly, in case 2, the program manager considers the introduction of a PSW as a way to enhance the users' adherence to treatments, which underlies the idea of recovery as symptom relief and management. In the literature, two representations of recovery are commonly found: a way to restore functioning or a process to deepen wellness.…”

Online and Recovery-Oriented Support Groups Facilitated by Peer Support Workers in Times of COVID-19: Protocol for a Feasibility Pre-Post Study

“…The CanMEDS are commonly used by medical boards in Canada and elsewhere to create competency-based medical training programs [72]. With permission from the Royal College of Physicians and Surgeons of Canada, we have adapted the CanMEDS for the training and supervision of our PSWs [73,74]. PSWs will be recruited and hired in the form of service contracts through the Association des pairs aidants du Québec because the job title of PSW is not yet recognized in the nomenclature of job titles, labels, rates, and salary scales of the health and social services network.…”

Implementing Psychiatric Rehabilitation in the Mental Health System Services: From Theory to Practice

“…Another major challenge lies in training of the professionals in the field of psychiatric rehabilitation [17]. There are very few countries where comprehensive training programmes are offered to the mental health professionals in different areas of PSR [18]. With the changing needs, it is becoming imperative to emphasize the importance of training in the field of rehabilitation.…”