Programme details

Plenary 2 - Co-producing health in partnership between professionals and patients
Thursday, June 11, 2015 09:00-10:30


Plenary 2 - Co-producing health in partnership between professionals and patients

Venue: Room Sonja Henie

Empowering people for recovery

David W. COVINGTON, Recovery Innovations, Inc. (USA)

About David W. Covington, LPC, MBA

As CEO & President of Recovery Innovations, Inc., I have the privilege to lead a behavioral healthcare team committed to creating recovery opportunities for everyone. The Company focus on "what’s strong," not "what’s wrong" and clinical quality is transformative at a time the field is demanding an approach grounded in relationship and recovery. RI helps individuals and families succeed in accomplishing their goals and to reconnect to themselves, others, and to meaning and purpose in life.

Recovery Innovations projects revenues of $65 million in 2015 with recovery programs in six states (Arizona, California, Delaware, North Carolina, Texas, and Washington) and Auckland, New Zealand. Our programs are grouped into crisis response, integrated health homes, peer support and self-help, recovery education, peer training, and community living.

Previously, as Vice-President Clinical & Program Outcomes for Magellan Health, I led the team that provided administrative, financial, programmatic and clinical oversight for the $750 million annual RBHA health plan contract with the Arizona Department of Health Services to deliver integrated care for more than 80,000 adults and adolescents with mental health and substance abuse issues.

I have served on several national community mental health boards, including the American Association of Suicidology, National Council for Behavioral Health, SAMHSA National Suicide Prevention Lifeline, Relias Learning and the National Action Alliance for Suicide Prevention. I am also a licensed professional counselor and have an MBA from Kennesaw State and a Master of Science from the University of Memphis.

I’ve been fortunate to lead many award-winning, innovative projects including suicide care, performance management dashboards, integrated care, peer supports, and data analytics/software solutions. My behavioral health care management history also includes CEO of Behavioral Health Link and Director of Public Sector Quality Management at APS Healthcare.

Abstract summary:

It was a humble beginning in 1990 when Gene launched META Services out of his Mesa garage, but the Company grew and became successful delivering crisis services in the Phoenix East Valley. However, by the end of its first decade, this traditional behavioral healthcare Company was shifting its focus to a new paradigm. The influence of Dan Fisher from the National Empowerment Center and RI peer leaders Lisa St. George, Marianne Long, and many others led Gene to announce META Services would become a "recovery organization." The name was changed in 2006.
Recovery is a ubiquitous word in the behavioral health community today, and it is easy to forget how landmark it was when RI began employing hundreds of peers in the early 2000s. The Company created opportunities and environments that empower people to recover; built crisis facilities known for recovery, opportunity, Welcoming Environments, and "No Force First;" and generated meaningful jobs for peer support specialists.

Peers would change Recovery Innovations, and the Company changed its focus.

  • RI adopted a service framework and practice built on the belief that recovery is possible for everyone;
  • RI created the discipline of peer support with one of the largest integrated peer workforces in the world (more than half of its nearly 800 employees);
  • RI focused on eliminating violence within crisis services through the practice of no-force-first and healing spaces;
  • RI created the Recovery Education Center where education is a pathway to recovery;
  • RI created the Wellness City as an alternative to outpatient services where people seeking recovery are citizens of the City with full ownership over their services in pursuit of a better life.

In the 1970s, activist Judi Chamberlin was fond of saying, "End psychiatric oppression by Tuesday." But, decades later it wasn’t clear how this could be accomplished in the real world. Today, we know that hiring a critical threshold of certified peers and integrating them into a behavioral healthcare workforce to drive recovery concepts fundamentally changes systems of care and the outcomes they achieve.
RI’s focus on "what’s strong," not "what’s wrong" and clinical quality is transformative at a time the field is demanding an approach grounded in relationship and recovery. It’s the mission and the composition of the teams that make the difference, helping individuals and families to succeed in accomplishing their goals and to reconnect to themselves, others, and to meaning and purpose in life.

Motivational dialogue in health promotion – a method in advanced practice nursing

Lisbeth FAGERSTRØM, Buskerud and Vestfold University College (NOR)

Institute of Nursing Science, Faculty of Health Sciences, Buskerud and Vestfold University College, Norway
Affiliated Professor at Åbo Akademi University, Finland and at Örebro University, Sweden

Abstract summary:

Introduction: Many Nordic and international studies have demonstrated that Advance Practice Nursing (APN) can contribute to the improvement of access to healthcare services, not only for patients with less acute health problems but also for those with long-term health conditions. The Nordic APN model emphasizes the importance of focusing on health, ethos, a caring relationship, and a holistic approach. This model comprises eight core competencies: direct clinical practice, ethical decision making, coaching and guidance, consultation, co-operation, case management, research and development, and leadership.

Purpose and methods: The purpose of the presentation is to present motivational dialogue as an evidence based method for health promotion in APN. The design of the study is theoretical and a systematic research review was conducted based on included studies.

Results: Health promotion in APN has been defined in literature and research as an interpersonal, “expert” coaching and guidance during transitional life stages: for example, illness or disease, childbirth, grief, bereavement, or painful loss. “Empowerment” and a person-centered patient approach have emerged as key concepts in coaching. Motivational dialogues are a useful and viable method for coaching and guidance, and several studies demonstrate good results when this method is applied.

Conclusion: To be responsible for, lead and coordinate health promotion and health promotive work is a central responsibility in APN, and the need for such has become increasingly evident because the number of patients with long-term health conditions is increasing in society. Through the use of motivational dialogue, the patient’s health and wellbeing can be promoted.

Co-producing health – the role of children's rights

Gerison LANSDOWN, Freelance international child rights consultant (GBR)

Gerison Lansdown was the founder director of the Children’s Rights Alliance for England, and is now an international children’s rights consultant and advocate who has published and lectured widely on the subject of children’s rights.
She is co-director of Child Rights Education for Professionals, through which she has developed curricula on child rights for health workers in many countries.
She was actively involved in the negotiations for the Convention on the Rights of Persons with Disabilities, is a senior associate of the International Institute for Child Rights and Development in Victoria, and Chair of the Child-to-Child Trust. She is on the editorial advisory board of the Canadian Journal of Children’s Rights and was formerly Vice Chair of UNICEF-UK.
Publications include: The Evolving Capacities of the Child, UNICEF, 2005; A Human Rights Based Approach to Education for All, UNICEF/UNESCO, 2007; Every Child’s Right to be Heard: A Resource Guide on the UNCRC General Comment 12, Save the Children/UNICEF, 2011; A Toolkit for Monitoring and Evaluating Children’s Participation, Save the Children/UNICEF/Plan International/ World Vision/The Concerned for Working Children.

Abstract summary:

The UN Convention on the Rights of the Child establishes the right of every child to express their views on all matters of concern to them and to have those views given due weight.  It also recognizes that children are entitled to respect for their evolving capacities in the exercise of their rights. Together these two provisions have profound implications for the role of children in their own health care, and the way in which health services are delivered. This session will explore how the concept of participation and evolving capacities have been interpreted since the adoption of the Convention in 1989 and the ways in which that interpretation needs to influence the work of health care professionals at the clinical level, at the institutional or systems level and at the level of public policy impacting on children’s health and well being.


CEO of the International HPH Secretariat, Copenhagen (DNK)

Hanne Tønnesen’s work centres on evidence-based clinical health promotion. She started her early career working with addiction and later, in 1996, she became a specialist of surgery. In 1999, she became Head of the Clinical Unit of Health Promotion at Bispebjerg Hospital in Copenhagen, and in 2003 she finished her dissertation on the increased risk of surgical complications among alcohol abusers. Since  2004 she has been Director of the WHO-CC in Copenhagen, and from 2005 also CEO of the International HPH Secretariat. She is a professor at Lund University in Sweden and the University of Southern Denmark. Her research focuses on effective interventions and programs in the area of clinical health promotion regarding tobacco, alcohol, nutrition, physical inactivity and co-morbidity.

Frode Stang, Conference facilitator

Frode Stang is a former TV news anchor and reporter at the Norwegian Broadcasting Corporation. Today he runs his own company as a communications advisor, conference facilitator and film producer with a variety of corporate customers in both the private and public sector in Norway.