Recovery Goals — MRCPsych Paper B MCQ
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Correct answer: E — Support personally chosen goals, meaningful participation and optimal independence
The correct answer is E. Recovery-orientated rehabilitation is person-centred: it builds on strengths and supports the person to pursue goals based on their own aspirations, undertake meaningful activities, participate in the community and achieve their optimum level of independence. Recovery can occur despite persistent symptoms and is not synonymous with cure or total symptom elimination, excluding C and D. Rehabilitation should generally promote progression towards less restrictive support, rather than regarding lifelong inpatient care as the default, so A is incorrect. Some people continue to need supported accommodation or specialist community input; therefore, recovery does not require discharge from all services, excluding E.
Reference: National Institute for Health and Care Excellence. Rehabilitation for adults with complex psychosis, NG181, sections 1.2 and 1.6 and definition of recovery-orientated approach. 2020. https://www.nice.org.uk/guidance/NG181/chapter/recommendations