Medical Model versus Recovery Model

Medical Model	Recovery Model
Established Practices: Harsh restraint methods Sheltered Workshops Long term hospitalization Massive doses of medication Staff directed treatment	Emerging Practices: Consumer and family education Consumer –run initiatives Community-based care Medication to suit the individual Consumer Participation in treatment Self help groups Supported employment
Established Tasks: Stabilization Custodial Care	Emerging Tasks: Education Involvement
Established Beliefs: Will never be able to function in society Impaired judgment and can't trust thinking Needs to be stabilized and cared for Has something wrong with them that someone else needs to fix Do not understand their own needs Will not recover	Emerging Beliefs: Can function well in society with supports Can make a positive contribution to society Can learn ways to cope with symptoms Can use experience of mental illness as a source of knowledge Can learn from and teach other consumers CAN and DO RECOVER
Established Responsibility of Provider: Will provide appropriate Custodial care based on staff wisdom and input	Emerging Responsibility of provider: Provide an environment that is conducive to recovery, based on consumer wisdom and input
Established Responsibly of consumer: Be obedient and learn to comply	Emerging Responsibility of Consumer: Self Advocacy - dialog with the system about what is and is not helpful Take responsibility for one’s own recovery Use self-help