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CHIME

CHIME

The CHIME factors were developed based on a literature review (Leamy, 2011) of individuals with lived experience of mental health when looking at what they viewed as important for their recovery. From this the authors mapped recovery processes and found that the CHIME factors were prevalent across the research. The descriptions of the processes involved in each factor is shown below. Expand the sections below to learn more about each process.

Connectedness

  • Peer support and support groups.
  • Relationships.
  • Support from others.
  • Being part of the communities.

Hope

  • Belief in possibility of recovery.
  • Motivation to change.
  • Hope-inspiring relationships.
  • Positive thinking and valuing success.
  • Having dreams and aspirations.

Identity

  • Dimensions of identity.
  • Rebuilding or redening a positive sense of identity.
  • Overcoming stigma.
  • Acceptance of who you are.

Meaning

  • Meaning of experiences.
  • Spirituality.
  • Quality of life.
  • Meaningful life and social roles.
  • Meaningful life and social goals.
  • Rebuilding life.

Empowerment

  • Personal responsibility.
  • Control over life.
  • Focusing upon strengths.

Connectedness

Connectedness is having a feeling of being connected to others. Having relationships with family or friends might be how we feel connected. Support from people who have shared similar experiences to our own may also help us to feel connected – sometimes this is called ‘peer support’ . We might also get a sense of connectedness from relationships with the professionals who support us, if they work in a way that makes us feel listened to and valued.

Many individuals emphasise the signicance of feeling connected not only to their neighbours and local community but also to various aspects of their lives. For some, this connection takes a spiritual dimension, as they seek a sense of connection with a higher power of some sort. Others nd a profound sense of connection through the companionship of a pet, which provides them with a source of unconditional love, companionship, and emotional support within the home.

Additionally, individuals often discover a strong sense of connection through engaging in hobbies or passions that resonate with their interests and values. These activities can encourage a deep sense of fullment and connectedness as people immerse themselves in creative expression, physical activities, or intellectual pursuits. Additionally, connecting with the natural environment, such as spending time in nature or cultivating a garden, allows individuals to tap into a sense of awe, tranquility, and interconnectedness with the world around them.

Research has consistently highlighted the detrimental effects of loneliness and isolation on both physical and mental health. In contrast, building connectedness through meaningful social interactions can have a profound positive impact on wellbeing. When individuals have the opportunity to spend time with supportive, non-judgmental, and accepting people, they often experience a sense of belonging, validation, and emotional nourishment, which can significantly improve their overall emotional state and contribute to a healthier and more fulfilling life.

Hope

Building and maintaining a sense of connectedness becomes even more crucial to recovery and wellbeing when individuals have experienced distress and despair, as it provides them with the reassurance and hope that things can and will improve in their lives.

Our connections can be vital to having a sense of hope. Relationships which promote a sense of hope can help to prevent us feeling helpless and hopeless. These relationships could be with family, friends, peers, professionals or spiritual beliefs.

On the other hand, some relationships may not promote hope at all, and some may even reduce it. If other people say things like ‘you’ll probably never work again’ or ‘you’re ill, you can’t do that’, then our own sense of hope can be quashed.

Because there’s really good evidence that people can and do recover from mental health issues, and that wellbeing is achievable no matter what diagnosis you may be deemed to have, hope reducing messages are not helpful. When we find people using them we need to think if relationships with the people who give them are helping us or not.

In the following, TEDx video Chan Hellman discusses the concept of hope. He looks at the outcomes of increasing hope, how trauma and adversity can rob us of our capacity to hope and how we can nurture and restore hope.

'When the world says, Give up, Hope whispers, Try it one more time.'

Unknown

Identity

Many people say that developing or rediscovering an identity beyond that of being ‘a patient’ is the most important part of recovery.

For some, returning to former roles such as work is important, and for others, developing a new identity is the goal. Most people say that they need to be seen as more than ‘just one thing’ . This is true for everyone, we all have unique identities shaped by our gender, culture, ethnicity, beliefs, interests and values.

Again, having relationships where other people treat us as individuals is really important, and this includes professionals, who should get to know the people they support as people, not as a set of problems.

The issue of stigma can be difcult, and it can be said that society needs to recover from its misunderstandings and prejudices about mental health.

'It's like everyone tells a story inside their own head. Always. All of the time. That story makes you what you are. We build ourselves out of that story. '

Patrick Rothfuss

Meaning

The way in which we create meaning not only differs from one person to another, but we ourselves may have a different life purpose at each stage of life. The important thing is for each goal to give us satisfaction and encouragement to get up in the morning and ght for what we want. For some people it might be about volunteering or working, for others it might be going for walks, going to the shop, ringing a friend etc. A meaningful activity does not have to be about big, life changing events (although it might be).

While having a sense of purpose can contribute to a meaningful life for many individuals, it is not the only way of nding meaning. Purpose can provide direction and a sense of fullment by aligning one’s actions and goals with their values and passions. However, meaning can also be derived from various other sources, such as personal relationships, engaging in activities that bring joy and contentment, contributing to the wellbeing of others, self-discovery, spiritual or philosophical contemplation, or even embracing the present moment fully. Ultimately, the pursuit of meaning is a deeply personal and subjective journey, and different individuals may nd it through different paths and aspects of life.

For many people, nding meaning in the experiences they have had is also important. The experience of mental distress can be seen by some as a spiritual experience, as a medical issue, as a response to stressful life events or a whole other range of things. For personal recovery, finding a meaning that is personally helpful is key and a choice we can make.

'The meaning of life is to give life meaning. '

Viktor Frankl

Empowerment

There are different parts to empowerment, but it’s basically about choice and control.

Empowerment can come from being involved in decision making, such as care and treatment decisions, and can also be about being supported to make choices that might not be completely without risk (such as coming off medication). We may also feel empowered when standing up to someone who has treated us unfairly, make decisions that we would usually avoid or campaign for something that we believe in.

Empowerment is also about having a feeling of being in control and being able to get on with day to day life, taking responsibility for our personal health and wellbeing but knowing when to ask for support.

Supportive connections are those that are with people who are hopeful, compassionate and realistic about recovery and what it means. This can be really helpful in building our sense of empowerment. They can see our strengths and help us to build on them. We all feel good when we do something well, whether it be tidying the house or running a marathon. Of course there are times when we all need support and we may need someone to ‘take over responsibility for a time’ . But for recovery, we need to take back control, even if it is a slow process.

Know your strengths and limitations

One way of promoting empowerment is acknowledging your strengths and limitations. Recognising your strengths may be something that you don’t do regularly, however it could really boost your condence, self-esteem and affect how empowered you feel. If you are aware of your limitations, you are unlikely to put yourself in situations that knock your condence and make you feel disempowered. You will also be aware of situations that will help you to grow and put yourself in these more to promote self-improvement.

Find the information that you need

Knowledge is also linked to empowerment. The more knowledge that you have, the more empowered you are likely to feel. If you feel unsure of a situation or event, you are unlikely to feel confident in your abilities and may worry about the outcome of a situation or how you will cope in it. Increasing your knowledge can consequently increase your confidence and self-esteem. On the flip side of this, it is impossible to know everything and comparing your knowledge to others isn’t always helpful. If you work together to compile your knowledge and the knowledge of others, this could lead to empowerment for all parties involved.

Trust yourself and take you time

Disempowerment is often linked to low self-condence and self- esteem. If you don’t believe you are good enough or convince yourself that you can’t do something, you aren’t likely to feel empowered to make changes in your life or strive to achieve your goals. Gaining trust in yourself and your abilities can be a helpful way to build-up confidence and esteem which can over time increase empowerment.

Asking for help

Asking for help is sometimes viewed as a weakness but this isn’t the case. Asking for help can represent empowerment. It involves you gaining the condence to ask for support with something that you are struggling with. This can be very difcult at times. The support could be in the form of guidance, advice, assistance or even in the terms of seeking professional support. It involves you recognising that you would like things to change in your life and asking others to help you to make this change happen.

Achieve goals and make use of set backs

Achieving goals is often an empowerment boost for many people. It can increase your confidence in your abilities and can be a form of evidence of your achievements. This can help to empower you on to do new things and push yourself further out of your comfort zone in order to learn. Seeing setbacks in a different way can also foster empowerment. If you can view setbacks as opportunities to learn and grow this can promote empowerment and increase your motivation and determination to reach your goals.

'You control your own life. Y our own will is extremely powerful. '

J K Rowling


CHIME in action

Sometimes it can be easy to understand ideas, but much more difcult to act on them. It’s useful to have some tips on how to start putting the CHIME factors into use.

Some people need practical support as a starter, such as support to get out of the house, use public transport or nd courses and groups to attend.

Information is really important. This could be information about wellbeing, mental health, diagnosis, treatments, options, local resources, online resources, etc. Being informed can help us make better choices. It’s really important to get good information from reliable sources, so asking questions of people with knowledge can help.

Focusing on the relationships that matter the most can help us to think about which are helpful and which are more difcult. Focusing on activities that have personal meaning or are meaningful to someone else (such as volunteering) can also be helpful. Identifying strengths can help us to reconnect with important parts of our identity and can remind others that we’re all lots of different things at different times.

This doesn’t mean we lack integrity or a sense of wholeness, rather it acknowledges and accepts what we are all complex individuals. Sharing experiences with others who have been through something similar can be very powerful and can help us to make sense of our lives, as well as helping to build a sense of hope.

If you would like to nd out more about the CHIME factors and explore them in greater detail sign up to our site and enrol on our Recovery: The New Me course which is based on them which you can access via the main courses page.