prevention and recovery conference 2014 oklahoma city, ok
TRANSCRIPT
Holding the Hope in Healthcare
Prevention and Recovery Conference 2014
Oklahoma City, OK
Why are we here?
To want or wish for with a feeling of confident expectation
A wish or desire accompanied by expectation of it’s fulfillment
Webster's II New Riverside Dictionary
The realistic expectation that things can get better
Somebody way smarter than me
Hope Webster's II New Riverside Dictionary
People with mental illness Recover
All over the world
Possibilities for Recovery:Vermont & Maine Three Decade StudyCourtney Harding 1981
269 patients from back wards of Vermont State Hospital in the 1950’s
97% of the Vermont group was located and assessed during the follow-up study in the early 1980’s
Vermont subjects were matched by age, gender, diagnosis, and chronicity to those from the back wards of the Augusta State Hospital in Maine
94% of the Maine group was located
Recovery Parameters for Maine/Vermont study
The definition for Recovery used was quite narrow—
They no longer experienced symptoms of mental illness
They were no longer taking medication They were working Carrying on multiple social relationships;
and Taking sole responsibility for their self-care
ConclusionVermont results are attributed to:
Model Psychiatric Rehabilitation Program
Policy allowing earlier release to community life
Outcome of All Studies
Multiple analyses have looked for a variable that predicts who will and who will not recover.
To date, none has been found.
Outcome of All Studies Indicates
Since we cannot predict who will and who will not recover…
We must approach every person as if they are the one who will recover.
New Freedom Commission
Self Directed Individualized &
Person Centered Empowerment Holistic Non-linear
Strengths Based Peer Support Respect Responsibility Hope
SAMHSA components of Recovery
It’s the same thing only different
As a process of discovery…
Defining Recovery
What We Know About Recovery Recovery is a common human
experience Recovery is a process not a model Recovery is a process of self-discovery,
transformation, and renewal Recovery happens in the context of a
relationship Recovery is NOT a linear process
Holistic
The health of an individual and, ultimately, of society mirrors a complex relationships of mental, physical, spiritual, family, community and environmental factors.
When peers talk about recovery, we typically take into consideration all aspects of an individuals life.
One picture of “Holistic”Physical
Mental
Social
Spiritual
Cultural
Environmental
And another picture of “ Holistic”
Mental Health
AddictionsPhysical Health
Individualized & Person Centered
Self-Direction
SELF – According to Webster’s II New Riverside Dictionary:
1. The essential being of 1 person as distinct from another
2. A particular aspect of a person
The essential being of 1 person as distinct from another What are the assumptions here?
There are other people around you. You are unique.There is a part of your “being” that is
essentially different than anyone else.Anyone who ever was or ever will be.
Direct: Webster’s II
1. To regulate the affairs of: Manage2. To take authoritative charge of: Control3. To Order: command4 a) To guide (someone) toward a goal
b) To show the way to
WRAP: A Brief Overview
Wellness Planning Learning Triggers Learning Early Warning Signs Forming a pre-crisis self-care plan Forming a crisis plan
Handout 6
The Wellness Recovery Action Plan (WRAP) includes:
Empowerment
Encourage problem-solving techniques
Utilize psycho-education tools such as medication logs and mood charts
Build a lending library of self-help & mutual support aids
Non-Linear
The path to recovery is not
direct
Hope & Health
The health of every human body is enormously influenced by the state of its mind. ◦ This means that people with an optimistic outlook
are less likely to be ill, both mentally and physically.
◦ Once people are ill the course of their disorder can be strongly influenced by the way they think about it.
Hope & Health
Because each of US play a key role in giving ourselves and our friends or clients the information they have to go on…
Each one of you can help inoculate each other with optimism and help us all avoid defeatism and learned helplessness simply by changing the words we use .
We must think differently and talk differently about our abilities.
RESPECT
Be aware of The Spread Effect
PromotingPerson First Language
Respect & partner
Ensure the inclusion and full participation of consumers in all aspects of their lives
Consider staff boundaries
physical
•Diagnosis, Medicine, Therapies, Health Coaches & Navigators•Surgery, Hospitalization
Mental
• Diagnosis, Medicine, Counseling, Case Management, Peer Support [Housing & Employment]
• Hospitalization;
Addiction
s
•Treatment services, counseling•Inpatient treatment
Things with Billing Codes
Strengths Based
Recovery focuses on valuing and building on the multiple capacities, resiliencies, talents, coping abilities, and inherent worth of individuals.
Responsibility
It's up to each individual to take responsibility for their own wellness
We know that ALL PEOPLE GROW THROUGH TAKING POSITIVE RISKS
This, however, does not mean that we abandon folks when they err...
Peer SupportPeer support provides… Practical resources Reciprocal & experience based support Less formal & rigid relationships Altruism Alternative interpretations
Handout 11
“Behavioral Health”◦ Substance abuse
treatment, mental health care, problem gambling treatment
Health Care Reform◦ Medicaid expansions◦ Health Benefit
Exchanges Integrated Health
Care ◦ Health homes◦ Health Care Authorities
So, what’s new now?
You may be thinking: Why me?
In this environment: we are all
advocates. We are the
experts We can dispel
myths and anticipate assumptions.
We are there.
No one else can tell your story the way you do.
Teach people not to equate the person with the illness. Encourage person first language.
People are not an illness. So if someone refers to a patient by your illness say “They have bipolar disorder, I’m not bipolar." Or “They’re not a schizophrenic, they are a person with schizophrenia."
People with Mental Illness and Addiction are capable of managing their treatment◦ Include strengths as part
of any treatment◦ Make sure to discuss the
impact treatment may have on employment, if a change is being considered .
◦ Build on prior successes.◦ Share the WRAP plan
Seize the opportunity to realign attitudes and perceptions
Recovery is a reality. It can, will, and does happen – ◦ Make a believer out of
Every Dr., policy maker, janitor, landlord, employer
Help them see their part◦ Prescribing peer support,
alternative approaches, language changes;
◦ Messages of HOPE in every conversation
Examining barriers – External
Discussion groups what are the external barriers to bring
recovery practices into an integrated care setting?
Solutions?System wide?Personal?
External Barriers
Empowerment is the process of increasing the capacity of individuals or groups to make choices and to transform those choices into desired actions and outcomes. – The World Bank
Hope Leads to Empowerment
Same skill different office – peer support abides!
We still have a voice, but now we’re part of the choir.◦ Advisory Councils consist of representatives from
all health issues That doesn’t mean we can’t get a solo now
and again.◦ Mental health delivery systems still need your
voice.
Do what we do, with a twist
Skills & Techniques What happens when difficult thoughts or
emotions come from your participation◦ Rely on your preparation skills, both emotionally
and for issues Using critical thinking as well as your
instinct to determine your position Articulating your interest rather than a
specific solution Listening in order to understand
Critical thinking Critical thinkers: distinguish between fact and opinion; ask
questions; make detailed observations; uncover assumptions and define their terms; and make assertions based on sound logic and solid evidence.
Ellis, D. Becoming a Master Student, 1997
Critical thinking is best understood as the ability of thinkers to take charge of their own thinking. This requires that they develop sound criteria and standards for analyzing and assessing their own thinking and routinely use those criteria and standards to improve its quality.
Elder , L. and Paul, R. "Critical thinking: why we must transform our teaching." Journal of Developmental Education, Fall 1994.
What Does Articulating Require? Listening Thinking
◦ Understanding the information being presented and how it fits with your interest
◦ Being clear on your interest Then make your interest known to others
Be who you are, where you are and know that everyone
else is doing the same
During Skills & Techniques What happens when difficult thoughts or
emotions come from your participation◦ Rely on your preparation skills, both emotionally
and for issues Using critical thinking as well as your
instinct to determine your position Articulating your interest rather than a
specific solution Listening in order to understand
This is what Recovery looks like
ACTION• I have many tools to manage my wellness and my participation.
HOPE•Things will get better and better and better - for me and for the system I’m involved with
EMPOWERMENTI have a voice & I use it. I teach others how to do the same
You really do know what you’re talking about.You really can change the world - individually & CollectivelyPeople depend on your authenticityBe afraid together
Examining the barriers - Internal
To find out more about Mary Jadwisiak’s workshops on Recovery, Hope, and Suicide Prevention/Intervention contact her:
Mary JadwisiakHolding the HopePO Box 1314Battle Ground, WA 98604(360) [email protected]
Let me know if I can help