Welcome to the WRAP

Wellness Recovery Action Plan

by Richard BrabrookJuly 2006

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Health and SafetySmoking

Fire Exits

Cables

Toilets

Refreshments

Fire Alarm

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Introductions

To help us get to know each other, I would like you to get in a pair with someone you preferably don’t know very well:NameSomething they like in their lifeSomething they dislike in their lifeA dream they would like to come true

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Group Contract

What would you like in our Group Contract / Group Agreement?

E.g.ConfidentialityMobiles - off, silent or vibrate

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Session Plan / Learning Objectives By the end of the workshop, you will be able to:

Create a WRAP for yourself Understand and state the principles of the WRAP State how the WRAP fits in to the Recovery

framework State the stages of the WRAP Identify ways to support someone creating a WRAP

for themselves.

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Organisations leading the WRAP in Devon:

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Introduction to the WRAP

Created in 1997 Mary Ellen Copeland – “John Beard Award” Comes from the US Good results with Physical & Mental Health Brought to Devon in 2003 at Devon

Partnership NHS Trusts 1st Recovery Conference

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Who can the WRAP help?

Anyone who wants to take control of their recovery, create positive change and increase their enjoyment of life.

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What Makes a WRAP?Wellness Recovery

Action Plan

Daily MaintenancePlan

Crisis Plan

Post Crisis Plan

Wellness Toolbox

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Recovery is….. Capability that defines the process that service users and providers

engage in to enable self-empowerment and self-determination. Recovery is about recovering what was lost: rights, roles,

responsibilities, decision making, capacity, potential and mental well-being.”

Recovery is what people experience themselves as they become empowered to achieve a meaningful life and appositive sense of belonging in the community.

A return to a state of wellness Achievement of a personally acceptable quality of life A process of recovering A process of gaining or restoring something An act of obtaining useable resources for apparently unusable

sources To recover optimum quality of life and have satisfaction with like in

disconnected circumstances.

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Recovery is…..

To promote recovery you need to: Understand that recovery is a process that is unique to each

person Understand the essential role of hope in the recovery process Accept that recovery is not about the elimination of symptoms or

the notion of cure Understand that the key element to the recovery process is the

service user is both the driver and coordinator of services

Department of Health 2004 the Ten Essential Shared Capabilities

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Recovery is…..

Basically to help recovery, you need to be able to help service users and carers deal with their mental health problems and to keep a sense of hope for the future. Helping them to find a way of life that is rewarding to them whether or not they continue to have mental health problems.

The Wellness Recovery Action Plan is part of the process of helping people manage their mental health & can help them start down the road to recovery.

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Daily Maintenance Plan

When I feel well I am (or what I would like to feel when well) What I need to do for myself each day What I need to do for myself not necessarily every day Identify my triggers Manage / Avoid triggers Identify Early Warning Signs Manage / Avoid Early Warning Signs When I am reaching a crisis Ways to reduce the signs of a potential crisis

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Crisis Plan What I am like when I’m feeling well Symptoms Supporters Medication Treatments Home / Community Care / Respite Centres / Hospital Treatment Facilities – GP, Hospital, Pub, Home,

Neighbours Help from others If I’m in Danger I would like ……………. to happen Inactivating this Crisis Plan

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Crisis Plan – In the video Mary Ellen said…. that creating her Crisis Plan took her several months. It’s

important to allow time for plans to be created Give a copy of the Crisis Plan to your supporters – up to the

Client, but very useful when the Client enters crisis Encourage Clients to write in simple terms especially in the

crisis plan – this helps to ensure their wishes are understood Encourage the client to discuss and consider how they want to

be treated, medication etc., before they write things down – this is to help them make informed choices about their care

Encourage Clients to update their plan as the continue down their road to recovery

This Plan wont remove the crisis, but it can help to reduce the level of the crisis

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AdvancedDirective Created to enable

small sheet with key points to be kept on the person

Also states where crisis plan is kept

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Post Crisis Plan I know when I am out of crisis when….. How I would like to feel when I have recovered from my

crisis; Discharge from Hospital Plan; What do I need to do each day? What might I need to do each day? What may I need to avoid while I’m recovering? Signs I may not be recovering as planned; Tools I can use to help me in my recovery; What can I do to prevent further crisis during recovery; People I need to thank, apologise and make amends to; Things I need to consider and make plans for; Timetable for resuming responsibility;

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Like the Crisis Plan, it is important to allow enough time to create a Post Crisis Plan

Encourage Clients to update their plan and to learn form each time they use this plan

Consider different ways that you can help and support your Clients

Try and ensure that the client has control, can make choices about their recovery as this is proven to help in their recovery

Clients need Support and Time in order to help them in their road to Recovery

Post Crisis Plan

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Some ways to look after yourself:

These will differ depending on your circumstances and what you like to do.

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Wellness Toolbox

Need to create tools that you can do to relax and distract you / your clients from the unpleasant feelings, situation you are experiencing.

Good to have lots of things so you have choice

Try to have things that will enable laughter

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Skills for Life Used to be called Basic Skills 3 areas within the Skills for Life Literacy – Reading, Writing, Communication Numeracy – Mathematics for daily life ESOL – English for Speakers of Other Languages National Tests and certificates are awarded upon completion

Level Equivalent Standard The Government wants everyone to

have the opportunity to gain a level 1 or 2

certificate in

Skills for Life

Level 2 GCSE grades A to C

Level 1 GCSE grades D to G

National Curriculum Levels 4 & 5

Entry 3 National Curriculum Level 3

Entry 2 National Curriculum Level 2

Entry 1 National Curriculum Level 1

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Training is provided FREE to anyone screened and a Skills for Life need identified.

  Lots of agencies provide the training including:

Adult Education Colleges Local CVS – Exeter Council for Voluntary Service plus many others in all areas

Website: http://www.dfes.gov.uk/readwriteplus

Skills for Life

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www.recoverydevon.co.uk

Launched at the 2nd Recovery Conference in April 2006

Created by the Partnerships in Mental Health Recovery Group

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Help and Support

There is lots of help and support around:STR networkBooks & PublicationsWebsitesColleagues Information Advice and Guidance (skilled

workers course) at Level 3 – course info at CVS’s, colleges, internet

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Summary

WRAP = Wellness Recovery Action Plan 3 Stages

Daily Maintenance Plan } Crisis Plan } Wellness Toolbox Post Crisis Plan }

A WRAP is for the individual and one person’s WRAP won’t work for another

A good WRAP takes time to create.

Thank you for attending

Any questions / comments??

Email: richard@brabrook.fsworld.co.uk or training@mindeastdevon.org.uk