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Pilot teams and others such as the Manhattan ACTT team of Visiting Nurses Services note the need for advanced planning and dialogue to support "fit" of medication with the needs of the client in their recovery process.  

  

Manhattan ACTT has developed a Medication Tier assessment that fits well the recovery model and even matches the dual perspective approach of worker/client we use in the Ontario Common Assessment of Need (OCAN).  

 

The medication tier assessment (first file uploaded below) is matched with a Recovery Assessment (2nd file).  These were provided to me by MacDara O'Sullivan.  He notes that this is some kind of Beta model that has not been validated as a clinical practice tool.  For me, it is promising as a resource for ACTT.

 

 

 

 

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A nice summary article on medication in the Recovery model practice approach as it includes the interdisciplinary part of it all.

 

  "our responsibilities as practitioners change from reducing symptoms, cravings, and relapses through a patient's compliance with prescribed medications to promoting and supporting people and families in their active efforts to self-manage long-term conditions. Because current medications do not cure many of the illnesses we treat, it is up to people in recovery and their families to learn how best to manage these conditions, with our assistance and support, between their appointments. Medication becomes one potential tool they may use in doing so, rather than being the primary focus of care. But for people in recovery and families to take on active roles in using self-management tools, practitioners need to do more than provide education, information, and encouragement." 

http://www.dsgonline.com/rtp/e...news_2014_04_24.html

 

 

In practice, on the topic of medication - I find in the everyday scramble of the job, it is sometimes harder to keep the larger therapeutic and client purpose/goals in mind all the time.  

 

 

I sometimes think in the relationship and communication of working together toward a life goal with someone, struggling with medication, "adherence" aka " Compliance," just takes away from what someone wants to achieve in life.  Though also sometimes I wonder if I don't pay enough attention to the medication end of it because I believe clients are motivated to take medication because it will get them to where they want to go. 

 

 

 

 

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