Using the tidal model of mental health recovery to plan primary health care for women in residential substance abuse recovery

Issues Ment Health Nurs. 2010 Sep;31(9):569-75. doi: 10.3109/01612840.2010.487969.


Women currently are 30% of the substance abuse recovery population in North America and have gender specific treatment needs as they enter the difficult work of recovery. Important among women's specific needs as they enter recovery is the need for a focus on primary health care. Few models designed to guide the provision of health care for this population are available in the literature. The Tidal Model of Mental Health Recovery and Reclamation is based on the concept of nursing as "caring with" persons in the experience of distress. Given the emphasis in this model on developing a partnership between caregiver and client, it is especially appropriate for women in recovery for substance abuse. The Tidal Model, integrated with the United States Substance Abuse and Mental Health Services' CSAT model for comprehensive alcohol and other drug (AOD) abuse treatment, is used to guide planning for delivery of primary health care in a residential women's substance abuse recovery center in the Midwest. This article describes the Tidal Model, and identifies how the model can improve the delivery of primary care to women in residential substance abuse treatment. Strategies for implementation of the model are proposed. Evaluation and outcome criteria are identified.

Publication types

  • Review

MeSH terms

  • Adult
  • Alcoholism / nursing*
  • Alcoholism / rehabilitation*
  • Delivery of Health Care / organization & administration
  • Female
  • Health Planning Guidelines*
  • Humans
  • Models, Nursing*
  • Nurse-Patient Relations*
  • Outcome and Process Assessment, Health Care
  • Power, Psychological
  • Primary Health Care / organization & administration*
  • Residential Treatment / organization & administration*
  • Substance Abuse Treatment Centers / organization & administration*
  • Substance-Related Disorders / nursing*
  • Substance-Related Disorders / rehabilitation*