Transcript Copeland Wellness Recovery Action Plan (WRAP)

CALSWEC II Mental Health
Initiative February 2010
Wellness Recovery Action Plan®
Introduction for System Leaders
www.copelandcenter.com
Matthew R. Federici, M.S., C.P.R.P
Executive Director Copeland Center for Wellness & Recovery
[email protected]
Objectives
Through this workshop participants will be able to:
1. Describe the origin, approach and structure of
WRAP®
2. List at least 5 key benefits of WRAP® for
professional supporters of people in recovery
3. Identify barriers, resources and initial steps to
implementing WRAP® curriculum and education
into their system of behavioral health supports to
people
WRAP®: WELLNESS RECOVERY ACTION PLAN
was developed by a group of people who had been dealing with
difficult feelings and behaviors for many years, people working to
feel better and get on with their lives.
WRAP will:
1. Help you stay as well as possible.
2. Help you keep track of difficult feelings and
and develop action plans to help you feel better.
behaviors,
3. Tell others what to do for you when you are feeling so badly
that you can’t make decisions, take care of
yourself and keep
yourself safe.
There Are 4 Parts to this study of
Mental Health Recovery
1. Key Recovery Concepts
2. Wellness Toolbox
3. Wellness Recovery Action Planning
4. Recovery Topics
Five Key Recovery
Concepts
• Hope
• Personal Responsibility
• Education
• Self-Advocacy
• Support
WRAP is all about…
• Instilling Hope
• Promoting Personal Responsibility
• Encouraging Critical Thinking and
Ongoing Education
• Fostering and Facilitating Self-Advocacy
• Supporting and Promoting the
Development of Networks of Supporters
Five Key Recovery Concepts
• Inform us in how to implement
WRAP
• i.e.
– Personal Responsibility: to implement
WRAP in the lives of others we must live
the concepts ourselves
– Support: we must model seeking
support to promote the importance of
support
Five Key Recovery Concepts
• Ground WRAP® in a unique way of
living
• Action plans evolve out of concepts
• Are values based, not a model
• Can guide us individually &
collectively
• Guide us as role models
IT’S ABOUT SYSTEMS
CHANGE
• “The significant problems
we face cannot be solved
at the same level of
thinking we were at when
we created them.”
» Albert Einstein
WRAP Comes From
An Organic Way of Seeing and Doing
• Living Breathing
Process
• Not A Part To A
System
Core Set Of Values and Ethics
•Guides WRAP® Implementation and mentorship based
on seeing people not illness or diagnosis.
•How we view mental health challenges can shape how
we see ourselves and “act” in the world.
•When we view people through their strengths and
what’s working we see ourselves and act from our
strengths and what works for us.
•When people focus on illness and deficits people may
define their experiences and abilities by those labels and
act accordingly.
Focus on Wellness…
•Through the lens of Wellness I see a
hopeful world of limitless opportunity.
I see that I have the freedom and
power to write my own story…
•So, I use my freedom and power.
I choose my responses to whatever life
throws at me, and I gather those supports
that help me create the future I want…
•I am supported in moving
toward the life I want as someone
who is fully human and deserving
Seen through a lens of
Wellness, Recovery can simply
mean…
• Developing or restoring a positive and
meaningful identity apart from my
diagnosis, symptoms, condition or even
my behavioral history…
• Building a rich, meaningful and satisfying
life despite my diagnosis, symptoms,
condition, history or presumed limitations
The Wellness Toolbox
This is a list of
things you do that
help you feel well
and/or help you
feel better when
struggling.
Take a walk
Listening to
classical music
Change my setting
Index cards
Use my planner
Relaxation techniques
WRAP® Includes:
1. Daily Maintenance Plan
2. Triggers and Action Plan
3. Early Warning Signs and Action
Plan
4. When Things are Breaking
Down and Action Plan
5. Crisis Plan
6. Post Crisis Plan
The Daily Maintenance Plan• The daily maintenance
plan has three parts:
1. What you ‘look’ like when well
2. Things you need to do
everyday to keep yourself as
well as possible
3. Things you may choose to do
or need to do on occasion to
keep yourself as well as
possible.
Triggers and Action Plans
• We then discuss those
external events that
may cause a person to
feel ‘big’ and develop
action plans to reduce
the intensity of one’s
feelings caused by
these events.
Early Warning Signs• These are internal indicators that
things are not going as well as we
want them to.
• We identify some of these internal
indicators and develop action plans
for taking personal responsibility for
overcoming these early warning signs
and getting back to wellness.
When Things Break Down• Despite our best efforts
sometimes things get worse.
• At this point it is important that a
person take immediate and
assertive action steps.
• We develop action plans to take
care of our safety and health
during these times.
Crisis Plan• the Crisis Plan of WRAP is similar to a Psychiatric
Advanced Directive. In spite of your best planning and
assertive action, you may find yourself in a crisis
situation where others will need to take over
responsibility for your care. You may feel as though you
are totally out of control.
• Your plan will instruct others about how to care for you when
you are not well. It keeps you in control even when it seems
like things are out of control.
Post Crisis Plan
• This is a time for addressing
certain issues that may have
played a part in your crisis and
creating a Timetable for Resuming
Responsibilities
The concepts, skills and strategies of
WRAP are complementary to mental
health care treatment:
• WRAP is not a replacement for other
treatment programs
• When used together, WRAP helps
people get more out of their current
treatment programs
22
WRAP Facilitators do not counsel or
give any advice except to say clearly:
• NEVER stop taking medications without
careful consideration and without
getting the advice of your physician and
other supporters
• NEVER abruptly stop any medication.
There are protocols which must be
followed for stopping or changing
medications
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WRAP is the only truly PersonCentered/Driven Planning Process
•
•
•
•
•
WRAP is entirely self-directed
Every aspect of WRAP is voluntary
It is 100% individualized
It contains only what the person chooses to put in it
The planning process is facilitated by trained peers
who are ethically constrained from giving advice
• It can be changed as often and as much as the person
chooses
Not Just For Mental Health
Challenges
•
•
•
•
Addictions
Losing weight
Burn Out
Chronic Pain
conditions
•
•
•
•
Diabetes
Changing Careers
Providing trainings
Leading a team of
behavioral heath
care professionals
Team Leadership & WRAP®
• WRAP can provide peer support groups
for people in recovery
• WRAP can help with symptoms of “burn
out” for Professionals and Students
• WRAP can be used for organizational
team building
• WRAP is not just for people with a mental
health diagnosis
• It has been used by children, teens and
adults
Organization
•Facilitate wellness planning team plans for
agency team building and problem solving
•Offer WRAP groups to people served
•Support all employees need to be role
models
•Policies to use self disclosed recipients
plans
•Quality Improvement plans
• Improved customer satisfaction
and success with service
•Improve employee satisfaction and
success
•Increase consumer input
Provider/
Caretaker
•Develop wellness work plans
•Become a facilitator/peer supporter
•Referral for participants
•Improve satisfaction and success in
job
•Increased resource to assist
participants with goals and self
direction
•Improved leadership mentor skills
People
served
•Develop wellness plans for personal
challenges
•Become a facilitator/peer supporter
•Improved quality of life and
personal control
•More input into treatment decisions
•Increase opportunities for
leadership
By Matthew R. Federici, M.S.,CPRP
Benefits Of WRAP® for Us
CALSWEC II – MENTAL HEALTH
COMPETENCIES
• Student demonstrates understanding of therapeutic 'use
of self ' as an intervention tool for delivery of effective
services.
• Student demonstrates knowledge of the principles
underlying recovery supportive practice.
• Student has a knowledge of the different types of groups
(i.e. psycho-educational, psychodynamic, self-help) and
formats for group structure (i.e. open ended vs. closed,
directive vs. non- directive).
• Student will understand strategies that improve
adherence to group participation
CALSWEC II – MENTAL
HEALTH COMPETENCIES
• Student understands and supports the consumer
movement, including issues of patient's rights, peer
support, self-help and advocacy.
• Student understands the development and resource
Potential of the self-help movement such as reciprocal
help and family advocacy for children, youth, adults and
older adults.
• Student is aware of potential work-related
stress factors and is able to develop selfcare and organizational strategies to
minimize their impact.
5 Tips to Implementing WRAP
1. Support at least 2 Certified WRAP® facilitators
to organize a presentation or group with their
peers.
2. Develop a WRAP® for yourself with a certified
WRAP facilitator
3. Use your plan as much as you can
4. Take the five day WRAP® Facilitator training
5. Organize a WRAP® group where you can help
others use WRAP®. (work, organization,
personal challenges, team building etc…)
By Matthew R. Federici, M.S.,CPRP
®
Only those who have
helped themselves know
how to help others, and to
respect their right to help
themselves
-George Bernard Shaw, 1891