The initiation
of recovery may be marked by processes of transformational or incremental
change. The former, which has
been christened "quantum change," involves sudden recovery-inducing
experiences that are dramatic, unplanned, positive, and enduring.
The latter depicts a process of recovery initiation with the following
components (these are not necessarily sequential events but build
on each other):
·
hope and resolution
for change;
·
first steps toward
self-management;
·
a process of
stabilization (ownership and active management of one's own recovery);
·
a mastery of
rituals of daily living (increased comfort and confidence, self-monitoring
and active efforts to prevent relapse, deepened insight about self
in relationship to illness); and
·
a sustained movement
toward health and community integration (increased quality of life
via greater independence, self-acceptance, a safe and pleasant living
environment, satisfying relationships, and meaningful activities).
Within such incremental models, factors required to
initiate recovery are often quite different than the factors that
later serve to maintain and enrich recovery. As a result, interventions
helpful at one stage of recovery may be ineffective or even harmful
at other stages. For example, continuing to provide care taker functions
within an assertive community treatment model could have negative
effects upon individuals who are developmentally ready to take ownership
of their own recovery.