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Filling the gap: creating models of care for people with long-term, complex, non-psychotic mental health problems
Published in April Russello, Severe Mental Illness in Primary Care, 2018
Perhaps the most important range of initiatives for which there is currently growing support is that of patient-led recovery tools. One particular example is the ‘wellness recovery action plan’ (WRAP) (Copeland, 2005). This is a system of care defined by users to identify ways to help themselves towards recovery and inclusion in social activities; it also details plans for relapses and crisis. Currently these tools are little used in primary care. However, there is no reason why the techniques, principles or simplified versions of the original tools should not be used across a series of primary care consultations.
The person who experiences depression
Published in Chambers Mary, Psychiatric and mental health nursing, 2017
In order to help the person to feel involved in his/her own care it is a useful approach to employ a Wellness Recovery Action Plan (WRAP).25 This consists of three components: a daily maintenance plan, a crisis plan and a post-crisis plan. The daily maintenance plan helps the person to develop what works for him/her to maintain wellness on a daily basis. The crisis plan is an advanced plan whereby the person identifies what s/he would want to happen if things become critical. The post-crisis plan encourages the person to identify what has been learned from the crisis and what needs to change. More information on crisis assessment and resolution can be found in chapter 46.
Integration of Alcohol and Other Drug, Trauma and Mental Health Services
Published in Bonita M. Veysey, Colleen Clark, Responding to Physical and Sexual Abuse in Women with Alcohol and Other Drug and Mental Disorders, 2012
Bonita M. Veysey, Rene Andersen, Leslie Lewis, Mindy Mueller, Vanja M. K. Stenius
Peer Resource Advocates. Peer Resource Advocates (PRAs) combine strength-based case management with an empowerment model. The “consumer-driven” strengths model focuses on improving each woman’s quality of life by identifying and enriching her individual strengths, and accessing resources needed for community integration (Stanard, 1999). PRAs are women with similar AOD, trauma and mental health experiences who are further along in their healing and interested in reaching out to other women. This model is inherently empowering for both women in the partnership: the advocates represent a source of hope, possibility and capacity for women coming into the project; at the same time, the PRAs experience themselves as competent and contributing to someone else’s well-being. The approach is highly individualized, focusing on concrete supports and specific skill-building. PRAs help women articulate their own strengths, needs and goals, and then access resources in the community that foster healing and growth. Recognizing the unique barriers faced by poor, rural women, PRAs are mobile. They can meet with women in their homes, at the Drop-in Centers or other locations. Staffing consists of one full-time Volunteer Coordinator, based at the Survivor’s Project, who handles recruitment, training, supervision, and support of the 15–20 trained volunteer PRAs. In addition, staff at the other two Centers provides support and coordination for PRAs at these sites. PRAs work with individual women for 1–3 hours/week over a period of 16 weeks and, at a minimum, help them develop an individual Wellness Recovery Action Plan (WRAP).
Pilot Effectiveness of a Stress Management Program for Sheltered Homeless Adults With Mental Illness: A Two-Group Controlled Study
Published in Occupational Therapy in Mental Health, 2019
Sharon A. Gutman, Sara Barnett, Lauren Fischman, Jamie Halpern, Genni Hester, Colleen Kerrisk, Travis McLaughlin, Ezgi Ozel, Haisu Wang
Once participants were enrolled in the intervention and control groups, they were administered the PSS and WHOQOL-BREF 1 week prior to intervention. Intervention was then carried out over 6 weeks, once per week for 1.5-hour sessions. Intervention consisted of a psychoeducation group of six modules: (a) anger management and conflict negotiation; (b) meditation and breathing techniques; (c) diet and nutrition; (d) exercise, leisure, and recreation; (e) sleep hygiene; and (f) wellness recovery action plan (WRAP) construction (Copeland, 2002) (see Figure 1). WRAPs are written documents in which participants identify stress response strategies consisting of appropriate activities, intervention, and contact with counselors, family, and friends. WRAP documents also enable participants to identify which specific types of intervention, service providers, and family members should not be involved in a client’s care should he or she no longer be able to make self-determining decisions. Modules were run by facilitators in an interactive way that allowed for role-play, practice of newly learned skills in real-life occupations, and group discussion. All modules were manualized with written scripts, PowerPoint slides, an appendix of practice activities, and facilitator fidelity checklists. A 20-minute meditation followed each module, in which the facilitator provided guided instruction on breathing and visualization techniques against background music.
Service User Perception of and Satisfaction with Programs Having Higher Education and Employment Goals for People Diagnosed with Mental Illness
Published in Occupational Therapy in Mental Health, 2018
Another area of service user perception and satisfaction addresses effective methods of assessment (Gerber & Prince, 1999). Program specific measures are more sensitive to dissatisfaction than general satisfaction questionnaires. General questionnaires used to evaluate specific programs provide only general measures of perception and satisfaction and may not capture areas of dissatisfaction. Additionally, qualitative approaches are vital to further explore significant sources of satisfaction and dissatisfaction. For example, Wilson and Hutson (2013) assessed satisfaction with the Wellness Recovery Action Plan (WRAP). Quantitative findings demonstrated that satisfaction was strongly related to autonomy, services, and length of program participation. Qualitative findings provided a depth of perspective for each of these areas.
The Mindful Twenty-Something: Life Skills to Handle Stress … and Everything Else
Published in Occupational Therapy in Mental Health, 2018
The many principles and meditation techniques discussed in Roger’s book could be used by occupational therapy practitioners, occupational therapy students, or clients for purposes of stress relief, calming anxiety, or gaining a novel and enriched perspective on life. These practices can be taught to individuals seeking lifestyle changes or for clients with chronic health conditions or mental health diagnoses. For example, diaphragmatic breathing, better known as belly breathing, is a technique utilized to induce a natural calming response to one’s body. Dynamic breathing is another technique described to use when feeling tired and when needing energy to focus on a task. Many more examples of methods to integrate mindful practices into daily routines are offered. Occupational therapy practitioners can help clients explore what is most effective for the individual. Such techniques can be incorporated in occupational therapy practice with clients for stress management strategies, coping mechanisms, and increased overall quality-of-life and daily participation in needed or desired activities. Mindfulness could easily be incorporated into a Wellness Recovery Action Plan (WRAP), which is a prevention and wellness tool designed by an individual to be well and stay well (Copeland, 2002). Meditation and balance of life concepts can be introduced within employee in-service training. Mindfulness benefits can be experienced by professionals to enhance work climates, resulting in better assistance given to clients. Since occupational therapy is grounded in promotion of meaningful living, the same philosophy applies for clinicians to live in the present and benefit from opportunities for living positive lives.