Date of Award

7-24-2009

Degree Type

Dissertation

Degree Name

Doctor of Psychology (PsyD)

Committee Chair

Jay C. Thomas, Ph.D., ABPP

Second Advisor

Tamara E. Tasker, Psy.D.

Abstract

This is a study of a proposed theoretical model change to the Oregon State Hospital system. The Oregon State Hospital has proposed to change from the current model of treatment in which the client is viewed as chronically challenged and described by his/her symptoms, to the recovery model. The recovery model is based on continued treatment with collaborative engagement between the patient, hospital and community. The Oregon State Hospital contracted with Pacific University consulting team to examine the current state of the hospital system in an effort to develop a working definition of recovery. This information will also be applicable for implementation of recovery at Oregon State Hospital. The information presented in this report was informed through the process of conducting 31 focus groups on both the Salem and Portland Campuses. These focus groups included staff, consumers, administration and physicians. Both campuses (Portland, Salem) currently have many principles of recovery in various parts of these hospitals. These include hope, respect, nonlinear thinking and approach, self-direction, individualized responsibility, peer support, strengths-based, holistic elements and levels of empowerment. The working definition of recovery, which is determined by administration, must be clearly defined and incorporate information about how recovery can happen given that this is a locked facility with consumers who are mandated to be there. It would likely be beneficial for the organization as a whole, if all information about decisions being made were public. It would also likely be beneficial for the consumer and staff to have some decision-making ability in the future of recovery at Oregon State Hospital.

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