MODULE 28 The Wellness Recovery Action Plan 1

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MODULE 28 The Wellness Recovery Action Plan 1

MODULE 28 The Wellness Recovery Action Plan 1

OBJECTIVES 1) Describe what the Wellness Recovery Action Plan (WRAP) is 2) Identify the

OBJECTIVES 1) Describe what the Wellness Recovery Action Plan (WRAP) is 2) Identify the goals of the WRAP 3) Define needed support network 2

WHAT IS WRAP? Watch Video 3

WHAT IS WRAP? Watch Video 3

WRAP IS… The Wellness Recovery Action Plan® or WRAP®, is a self-designed prevention and

WRAP IS… The Wellness Recovery Action Plan® or WRAP®, is a self-designed prevention and wellness process that anyone can use to get well, stay well and make their life the way they want it to be. It was developed in 1997 by a group of people who were searching for ways to overcome their own mental health issues and move on to fulfilling their life dreams and goals. It is now used extensively by people in all kinds of circumstances, and by health care and mental health systems all over the world to address all kinds of physical, mental health 4 and life issues.

WRAP CAN HELP WITH… • Discovering simple and individualized Wellness Tools • Developing a

WRAP CAN HELP WITH… • Discovering simple and individualized Wellness Tools • Developing a list of daily activities that keep people well • Identifying triggers and early warning signs that things have worsened 5

WRAP CAN HELP WITH… • Developing a an action plan using Wellness Tools •

WRAP CAN HELP WITH… • Developing a an action plan using Wellness Tools • Developing a Crisis Plan or Advance Directive • Creating a Post Crisis Plan 6

GOALS OF WRAP Teach participants recovery and self-management skills and strategies for dealing with

GOALS OF WRAP Teach participants recovery and self-management skills and strategies for dealing with psychiatric symptoms so as to: • Promote higher levels of wellness, stability and quality of life • Decrease the need for costly, invasive therapies 7

GOALS OF WRAP • Decrease the incidence of severe symptoms • Decrease traumatic life

GOALS OF WRAP • Decrease the incidence of severe symptoms • Decrease traumatic life events caused by severe symptoms • Increase understanding of these illnesses and decrease stigma 8

GOALS OF WRAP • Raise participants’ level of hope and encourage their actively working

GOALS OF WRAP • Raise participants’ level of hope and encourage their actively working toward wellness • Increase participants’ sense of personal responsibility and empowerment 9

WRAP OVERVIEW • Wellness Toolbox • Daily Maintenance Plan • Triggers • Early Warning

WRAP OVERVIEW • Wellness Toolbox • Daily Maintenance Plan • Triggers • Early Warning Signs • When Things are Breaking Down • Crisis Plan • Post Crisis Plan 10

WELLNESS TOOLBOX You develop your Wellness Toolbox by making a list of things that

WELLNESS TOOLBOX You develop your Wellness Toolbox by making a list of things that you have done in the past that have helped make you feel better. 11

EXAMPLES OF WELLNESS TOOLS • Talk to a friend or health care provider •

EXAMPLES OF WELLNESS TOOLS • Talk to a friend or health care provider • Meet with CHW/CRS • Relaxation and stress reduction exercises • Journaling • Physical exercise 12

SUPPORT SYSTEM What qualities make a supportive person? (What is important to you may

SUPPORT SYSTEM What qualities make a supportive person? (What is important to you may not matter to someone else. ) • Good listener • Respects privacy • Similar interest 13

WHO DO YOU INCLUDE IN YOUR SUPPORT SYSTEM? • Family and Friends • Co-workers

WHO DO YOU INCLUDE IN YOUR SUPPORT SYSTEM? • Family and Friends • Co-workers • Religious Leaders • Therapist • Pets 14

DAILY MAINTENANCE PLAN The purpose of the Daily Maintenance Plan is to help you

DAILY MAINTENANCE PLAN The purpose of the Daily Maintenance Plan is to help you recognize things you need to do every day that help you remain well. 15

DAILY MAINTENANCE PLAN The Daily Maintenance Plan is created by making these three lists.

DAILY MAINTENANCE PLAN The Daily Maintenance Plan is created by making these three lists. 1) What I’m Like When I’m Feeling Well 2) What I Need to Do Daily To Maintain My Wellness 3) Things I Should Consider Doing To Maintain My Wellness/Recovery 16

TRIGGERS Triggers are outside events or circumstances that may produce feelings that are uncomfortable.

TRIGGERS Triggers are outside events or circumstances that may produce feelings that are uncomfortable. 17

TRIGGERS WRAP has individuals make two lists to help them address their triggers. 1)

TRIGGERS WRAP has individuals make two lists to help them address their triggers. 1) Identifying Triggers 2) Triggers Action Plan 18

EARLY WARNING SIGNS Early Warnings Signs are internal, often subtle, signs that things are

EARLY WARNING SIGNS Early Warnings Signs are internal, often subtle, signs that things are getting worse, and that further action may be warranted. 19

EARLY WARNING SIGNS The two lists below are generated to help recognize and cope

EARLY WARNING SIGNS The two lists below are generated to help recognize and cope with Early Warnings Signs. 1) Identifying Early Warning Signs 2) Early Warning Signs Action Plan 20

EXAMPLES OF EARLY WARNING SIGNS • Anxiety • Nervousness • Forgetfulness • • •

EXAMPLES OF EARLY WARNING SIGNS • Anxiety • Nervousness • Forgetfulness • • • Impulsivity • Aches and pains • Over or under eating • Not answering the phone • Compulsive behaviors Inability to experience pleasure Lack of motivation Avoiding others or isolating Increased smoking • 21 Easily frustrated

WHEN THINGS ARE BREAKING DOWN Even though you may have done all the right

WHEN THINGS ARE BREAKING DOWN Even though you may have done all the right things to care for yourself, you may continue to feel worse. Make a list of signs that let you know that you are feeling a lot worse 22

WHEN THINGS ARE BREAKING DOWN These are the two lists that are created to

WHEN THINGS ARE BREAKING DOWN These are the two lists that are created to address when Things Are Breaking Down. 1) Signs Which indicate Things Are Breaking Down 2) Action Plan for When Things are Breaking Down 23

CRISIS PLANNING Identify the signs that let others know they need to take over

CRISIS PLANNING Identify the signs that let others know they need to take over responsibility for your care and decision making. *A WRAP Crisis Plan is similar to a Psychiatric Advance Directive (PAD), but it is not legally binding like a PAD 24

CRISIS PLAN COMPONENTS 1) What I’m Like When I’m Feeling Well 2) Signs I

CRISIS PLAN COMPONENTS 1) What I’m Like When I’m Feeling Well 2) Signs I Need My Supporters to Take Over 3) Supporters 4) Medications/Supplements/Health Care Preparations 25

CRISIS PLAN COMPONENTS 5) Treatments and Complementary Therapies 6) Home/Community Care/Respite Center 7) Hospital

CRISIS PLAN COMPONENTS 5) Treatments and Complementary Therapies 6) Home/Community Care/Respite Center 7) Hospital or other Treatment Facilities 8) Help from Others 9) Inactivating the Plan 26

THINGS TO CONSIDER WHEN MAKING A CRISIS PLAN • Made by you when you

THINGS TO CONSIDER WHEN MAKING A CRISIS PLAN • Made by you when you are feeling well • Write plan so that support person will know what you want and need • Describe self when well so that doctor that doesn’t know you knows what you are like when well 27

MORE THINGS TO CONSIDER WHEN MAKING A CRISIS PLAN • Describe symptoms that you

MORE THINGS TO CONSIDER WHEN MAKING A CRISIS PLAN • Describe symptoms that you feel require another person taking over your care instead of you • Develop a list of support people you trust to include relationship and contact information • List person or persons you do not wish to be involved in your care 28

EVEN MORE THINGS TO CONSIDER WHEN MAKING A CRISIS PLAN • Include physician names

EVEN MORE THINGS TO CONSIDER WHEN MAKING A CRISIS PLAN • Include physician names and contact info • Include medications and allergies • List treatments that are ok and treatments you refuse • List treatment facilities that are preferred and those you wish to avoid 29

YET EVEN MORE THINGS TO CONSIDER WHEN MAKING A CRISIS PLAN • List what

YET EVEN MORE THINGS TO CONSIDER WHEN MAKING A CRISIS PLAN • List what others can do or your needs and who you would like to do complete the action • List anything you do not want others to do • List reason for stopping the crisis plan • Write out what you want to happen if you are in danger because of your behavior 30

POST CRISIS PLAN This can be a combination of things you write down in

POST CRISIS PLAN This can be a combination of things you write down in advance of a crisis and things you write down as you are beginning the recovery process 31

POST CRISIS PLAN COMPONENTS • How I would like to feel when I have

POST CRISIS PLAN COMPONENTS • How I would like to feel when I have recovered from the crisis • Post Recovery Supporters List • Arriving at Home (if you have been hospitalized or away form home) 32

POST CRISIS PLAN COMPONENTS • Issues to consider • Timetable for Resuming Responsibilities •

POST CRISIS PLAN COMPONENTS • Issues to consider • Timetable for Resuming Responsibilities • Other issues I may want to consider 33

CONCLUSION In this module we: • Discussed what the Wellness Recovery Action Plan is

CONCLUSION In this module we: • Discussed what the Wellness Recovery Action Plan is • Identified the goals of WRAP • Defined the needed support networks 34

EVALUATION Please complete the module evaluation. 35

EVALUATION Please complete the module evaluation. 35

REFERENCES • Copeland, Mary Ellen. Wellness Recovery Action Plan: A System for Monitoring, Reducing

REFERENCES • Copeland, Mary Ellen. Wellness Recovery Action Plan: A System for Monitoring, Reducing and Eliminating Uncomfortable or Dangerous Physical Symptoms and Emotional Difficulties. West Dummerston, VT: Peach, 2011. Print. • • • Retrieved from http: //mentalhealthrecovery. com/ • • • http: //www. edupics. com/coloring-page-shake-hands-i 11321. html http: //www. giraffeworlds. com/giraffe-anatomy/ http: //www. amazon. com/Fisher-Price-Handy-Mannys-Talkin. Tool/dp/B 001 FFZ 9 LY https: //blog. itriagehealth. com/health-trivia-exercise/ http: //www. forwardmid. org. uk/newsletters 2012_february. html 36

REFERENCES • http: //dvbic. dcoe. mil/audience/family-friends • http: //www. fccb. org/events/meet-middle-blessing-animals • http: //www.

REFERENCES • http: //dvbic. dcoe. mil/audience/family-friends • http: //www. fccb. org/events/meet-middle-blessing-animals • http: //www. clipartlord. com/category/home-clip-art/tools-clip-art/page/2/ • http: //www. iwco. com/blog/2013/05/29/business-continuity-and-disaster-recoveryplan/ • deco-szuflada. blogspot. com • Personal Crisis Plan Handout retrieved from http: //mentalhealthrecovery. com/wpcontent/uploads/2015/07/Crisis. Plan 2012 Manual. pdf • Post Crisis Plan Handout retrieved from http: //mentalhealthrecovery. com/wpcontent/uploads/2015/07/postcrisisplan. pdf 37