Concepts of Mental Health Nursing 175
Module 1
Chapter 1
Recognize the evidence-based practice (EBP), recovery, and
trauma-informed care models.
Evidence-Based Practice (EBP): Evidence-based focus extends to treatment approaches
in which there is scientific evidence for psychological and sociological treatment
methodologies, as well as evidence related to the neurobiology of psychiatric disorders
and psychopharmacology.
● 1990s “Decade of the Brain”
● Scientific evidence for psychologic and sociologic treatments
● Neurobiology of psychiatric disorders
● Psychopharmacology
● EBP: Increases gap between research and practice
● Medical model
Mental Health Recovery Model: Social model of disability than a medical model of
disability.
● Focus shifts from one of illness and disease to an emphasis on rehabilitation and
recovery
● Originated from the 12-step program of AA and was advanced by a grassroots
advocacy initiative called the Consumer/Survivor/Ex-patient Movement during
the 1980s and early 1990s.
● Focus of the recovery model has the following mandates:
○ Mental health care is to be consumer and family driven.
○ Care must focus on increasing consumer’s ability to be successful in coping
with life’s challenges, facilitating recovery, and building resilience—not
just managing symptoms.
○ An individualized plan of care is to be at the core of consumer-centered
recovery—recovery-oriented services that allow consumers to realize
improved mental health and quality of life.
○ Consumers must be partners in decision making in all aspects of care.
Trauma-Informed Care:
● Trauma is almost universal in mental health patients
● Integration of effects of trauma into clinical programming
● “What has happened to you?” rather than “What’s wrong with you?”
● Avoidance of new trauma in treatment (restraints, coercion)
● Collaborative therapeutic relationship
■ Empowerment, cultural respect
Patient-Centered Care:
● QSEN, IOM, and ANA support patient-centered care as best practice
● Sources:
■Literature
Module 1
Chapter 1
Recognize the evidence-based practice (EBP), recovery, and
trauma-informed care models.
Evidence-Based Practice (EBP): Evidence-based focus extends to treatment approaches
in which there is scientific evidence for psychological and sociological treatment
methodologies, as well as evidence related to the neurobiology of psychiatric disorders
and psychopharmacology.
● 1990s “Decade of the Brain”
● Scientific evidence for psychologic and sociologic treatments
● Neurobiology of psychiatric disorders
● Psychopharmacology
● EBP: Increases gap between research and practice
● Medical model
Mental Health Recovery Model: Social model of disability than a medical model of
disability.
● Focus shifts from one of illness and disease to an emphasis on rehabilitation and
recovery
● Originated from the 12-step program of AA and was advanced by a grassroots
advocacy initiative called the Consumer/Survivor/Ex-patient Movement during
the 1980s and early 1990s.
● Focus of the recovery model has the following mandates:
○ Mental health care is to be consumer and family driven.
○ Care must focus on increasing consumer’s ability to be successful in coping
with life’s challenges, facilitating recovery, and building resilience—not
just managing symptoms.
○ An individualized plan of care is to be at the core of consumer-centered
recovery—recovery-oriented services that allow consumers to realize
improved mental health and quality of life.
○ Consumers must be partners in decision making in all aspects of care.
Trauma-Informed Care:
● Trauma is almost universal in mental health patients
● Integration of effects of trauma into clinical programming
● “What has happened to you?” rather than “What’s wrong with you?”
● Avoidance of new trauma in treatment (restraints, coercion)
● Collaborative therapeutic relationship
■ Empowerment, cultural respect
Patient-Centered Care:
● QSEN, IOM, and ANA support patient-centered care as best practice
● Sources:
■Literature
