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The Tidal Model
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The Tidal Model
By
Jennifer Hawkins
The Tidal Model
Developers
The Tidal Model is a philosophical approach to mental health recovery that was developed in 1998 by Phil Barker and further developed in 2005 by both Phil Barker and Poppy Buchanan-Barker.
Barker, P., & Buchanan-Barker, P. (2005)
Phil Barker is a psychotherapist. He also works as a professor at Trinity College in Dublin. He was the first Professor of Psychiatric Nursing from 1993-2002 at the University of Newcastle.
Poppy Buchanan-Barker worked as a social worker for over 25 years. She is a therapist and a counselor and is currently the Director of Clan Unity, which is a mental health recovery consultancy in Scotland.
Barker, P., & Buchanan-Barker, P. (2005)
The Water Metaphor
Why Water?
- The metaphor of water is used for both the lived experience of the mental health patient as well as the care system.
- The use of water helps to describe:
- the ebbs and flows of our lives, like waves in the water.
- all human life came from the ocean
- water is universal for cleansing the spirit
- overwhelming feelings and experiences represent the concept of drowning.
- water's power cannot easily be contained
- coping with the power of water is to adjust to its force.
- the power of water is unpredictable.
Barker, P., & Buchanan-Barker, P. (2005)
The Four Key Principles
Key Principles
- The natural community is the primary focus of mental health care.
- Change is an ongoing, constant process.
- Empowerment is at the center of the caring process.
- The therapeutic relationship between the professional care giver and person receiving care requires unity. They are to care with the person and not simply about them.
Barker, P., & Buchanan-Barker, P. (2005)
The Holistic Assessment
Holistic
Barker & Buchanan-Barker, 2005 state that by nurses completing a detailed holistic assessment, they will not only learn about how a person came to the position they are in now, including the immediate medical concerns they are facing, but the nurse will also learn how the person can discover their own solutions to their concerns.
Barker, P., & Buchanan-Barker, P. (2005)
The 10 Commitments: Values of the Model
Commitments
1. Value the voice of the person: listen to their story.
2. Respect the person's language: everyone has a unique way of expressing themselves.
3. Be genuinely curious: be interested in their story.
4. Become the learner: the person is the expert of their life story.
Brookes, N., Murata., L, & Tansey, M. (2008)
5. Help them to reveal their personal wisdom
6. Transparency: as a team, you must allow the other into your confidence to truly succeed.
7. Toolkit: the person's story contains tools that have helped and hindered them in the past. Use their toolkit.
8. Develop what is yet to come: work together towards what is to be done
9. Take time: time is valuable and needed for change.
10. Change is constant
R. Canavesi
Brookes, N., Murata., L, & Tansey, M. (2008)
References
Barker, P., & Buchanan-Barker, P. (2005). The
Tidal Model. London: Routledge.
Brookes, N., Murata., L, & Tansey, M. (2008).Tidal
waves: Implementing a new model of mental health recovery and reclamation. Canadian Nurse, 10, 23-27.