Phil Barker- Tidal Model of Mental Health Recovery
Phil Barker developed the Tidal Model in the 1990s as an alternative to the medical model for mental health recovery. The model focuses on the person’s inner wisdom and resources to direct their recovery journey (Barker & Buchanan-Barker, 2005; Kusdemir et al., 2021). The key concepts are the metaphor of a person’s experience being like the ebb and flow of the tides, empowerment, person-centered care, the story the person tells about their experience, helping the person rewrite their story more positively, the need for the nursing role to shift from expert to facilitator, and the importance of the nurse-patient relationship in facilitating recovery.
If the theorist were caring for mental health patients using the Tidal Model, he would focus on building a collaborative relationship, listening to their stories without judgment, validating their personal experiences, and gently guiding them to discover their inner strengths and ideas for moving forward, rather than telling them what he thinks they should do. In addition, the theorist would encourage them to rewrite their story more positively, focusing on survival and coping rather than illness and diagnosis. In nursing practice, the model could be applied in inpatient and outpatient mental health settings.
I find this model empowering for patients. Instead of the nurse being the expert, it recognizes the patient as the expert in their recovery (Kusdemir et al., 2021; Petiprin, 2023). It offers hope by shifting the focus to the person’s strengths rather than their symptoms and diagnosis. On the other hand, it requires patience and skill for the nurse to facilitate instead of direct the person’s recovery journey. I think it provides a collaborative, person-centered approach that can instill hope.
References
Barker, P. J., & Buchanan-Barker, P. (2005). The tidal model: A guide for mental health professionals. Psychology Press.
Kusdemir, S., Oudshoorn, A., & Ndayisenga, J. P. (2021). A critical analysis of the tidal model of mental health recovery. Archives of Psychiatric Nursing, 36, 34–40. https://doi.org/10.1016/j.apnu.2021.10.012
Petiprin, A. (2023). Barker’s tidal model of mental health recovery – Nursing Theory. Nursing Theory. https://nursing-theory.org/theories-and-models/barker-tidal-model-of-mental-health-
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Question 
o Kristen M. Swanson: Theory of Caring
• Jean Watson: The Philosophy and Science of Caring
5. Search OCLS
(select Nursing, under Article Databases; select CINAHL or ProQuest Nursing & Allied Health) and the internet for information on your chosen theorist/theory.
6. References for various theories are listed on the Course Syllabus and in the files listed in the Resources section above. Some of the best information about the theories is from the 1990s when many of the theories were developed. Therefore, references older than 5 years are acceptable for this assignment.
Phil Barker- Tidal Model of Mental Health Recovery
7. Prepare to discuss the following prompts:
a. Provide a synopsis of the theory you have chosen and include a description of the key concepts of the theory.
b. Include the approach the theorist would take when caring for patients – applying the theory to nursing practice including the types of settings where this theory could be applied.
c. Share how the theory you have researched corresponds to your thoughts about nursing care and nursing practice.
8. Research and select at least two current scholarly sources to support your explanations and insights. Your textbook, the internet resources listed above, and the websites of the nursing theorists themselves are appropriate sources for this assignment. OCLS resources are preferred sources and can be accessed through IWU Resources G. Wikipedia is not permitted, as it is not a peer-reviewed, scholarly source.
9. Whether written or spoken, interactions are expected to:
a. clearly and thoroughly address the prompt with meaningful information that shows critical thinking.
b. introduce your own ideas and questions to add greater depth to the discussion, rather than restating what your classmates have shared. (Include much more than “Great post,” or “I agree.”)
c. refer to relevant course concepts as you discuss your learning together.
d. develop insightful conversation by directly addressing your classmates’ ideas. e. demonstrate professionalism.
10. Based on your educational setting, complete the tasks in the instructions below.