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• Anonymous commented  ·  August 26, 2011 1:40 p.m.  ·  Flag as inappropriateFlag as inappropriate  ·  Delete

  SAMHSA should use the suggestions in the Summer 2005 Focal Point article, "The concept of recovery: Value added for the children's mental health field." The term recovery, its definition and principles just do not fit children, youth and transitioning adults. Perhaps developing Resiliency as its own term with definition and principles would be the best route.

• Bridget Ruiz commented  ·  August 18, 2011 8:58 a.m.  ·  Flag as inappropriateFlag as inappropriate  ·  Delete

  I agree that family should be inserted into the definition for children (and adults for that matter -- family doesn't necessarily have to be biological it can be family of choice). I also agree that the term "recovery" for children (18 years or younger) and transistional-aged youth (18-24 or 25) does not quite fit. I encourage SAMHSA to use its report entitled "Designing a Recovery-Oriented Care Model for Adolescents and Transistional Age Youth with Substance Use or Co-Occuring Mental Health Disorders" November 13-14, 2008 (http://www.chestnut.org/LI/downloads/SAMHSA_Recovery_Report_on_Adolescents_and_Transitional_Age_Youth.pdf ) as an additional resource for defining recovery for youth. I prefer the term wellness as, in my opinion, it encompasses a whole person perspective. I appreciate SAMHSA opening this up for discussion - thanks for asking for opinions.

• Cynthia Undesser MD commented  ·  August 18, 2011 8:25 a.m.  ·  Flag as inappropriateFlag as inappropriate  ·  Delete

  I agree that "family" should be inserted into this definition, because whether child or adult, family more specifically than the community at large should be part of recovery. And in the case of minors, "sef-directed" is family directed. I as others will cotninue to sturgle with how the wor "recovery" applies to children, but that at present is a point of semantics.

• Ruth Fennelly commented  ·  August 18, 2011 6:49 a.m.  ·  Flag as inappropriateFlag as inappropriate  ·  Delete

  Here is why I and others have struggled with using terms like recovery for children. In this definition alone it does not address the need for children to have family to assist them to improve their health and well-being, achieve their full potential and most concerning they do not live self-directed lives at 5 yrs old and some struggle as teens. Are children ever considered in recovery given this definition?