Recovery Model — MRCPsych Paper B MCQ
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Educational content. Not a substitute for clinical judgement or local policy.
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Correct answer: B — Base the plan collaboratively on the person's own recovery goals and values
Explanation lettering: D = shown as C · C = shown as D
The correct answer is B. Personal recovery is an individual, person-centred process in which the person's values, priorities and personally meaningful goals guide collaborative rehabilitation planning. It is not synonymous with clinical recovery or cure. Persistent symptoms therefore do not automatically preclude discharge (A), provided risks and support needs can be managed. Professional expertise remains important, but clinicians should work in partnership rather than routinely override the person's preferences (C). Recovery may involve developing a satisfying life that differs from premorbid functioning, so exact restoration is not required (D). Employment can promote social inclusion and may be a valued goal, but it is neither universally desired nor a prerequisite for community discharge (E).
Reference: National Institute for Health and Care Excellence. Transition between inpatient mental health settings and community or care home settings (NG53), recommendations 1.1.1–1.1.4 and 1.5.15–1.5.20. 2016. https://www.nice.org.uk/guidance/NG53/chapter/recommendations