Health Promotion, Recovery, and Community Integration
Health Promotion
- Screening and early intervention: depression, substance use, suicide risk.
- Education: medication adherence, healthy lifestyle, stress management, sleep hygiene.
- Stigma reduction: person-first language, advocacy.
- Social determinants: housing, employment, food security, transportation.
Recovery Model
- Principles: hope, person-centered, empowerment, holistic, strengths-based, peer support, cultural responsiveness.
- Shared decision-making: collaborate on goals and treatment.
- Advance directives: psychiatric advance directives for future crises.
Community Integration
- Assertive community treatment (ACT): multidisciplinary, intensive, for severe mental illness.
- Case management: coordinate services, link to resources.
- Supported employment/education: help patients obtain and maintain roles.
- Peer support specialists: lived experience; role modeling.
- Family psychoeducation: reduce relapse, improve communication.
- Transitional care: follow-up after discharge to prevent readmission.
Traps in Questions
- Confusing recovery (a process) with cure.
- Overlooking patient autonomy in goal setting.
- Missing community resources (e.g., clubhouse, drop-in centers).
- Ignoring cultural preferences in care planning.
Worked Example
A patient wants to return to work but feels stigmatized. What is the best nursing action? Answer: Refer to supported employment and provide psychoeducation on rights-recovery-oriented care addresses functional goals. Rule of thumb: recovery is about meaningful life roles, not just symptom reduction.