WELLNESS RECOVERY ACTION PLAN®

WRAP®

What is WRAP®? Purpose: assist individuals in identifying

what makes them well and create a culture that encourages them to be active participants in their care

How: creating and utilizing “Wellness Tools” Each client creates their own WRAP®

Booklet that fits in with their practical day to day living with the intent of getting them and helping them stay well

WRAP® is NOT replacement for traditional treatment it IS a compliment to other treatment options

Pillars of WRAP®

Hope

Personal Responsibility

Self Advocacy

Support

Education

I. Developing a Wellness ToolboxII. Daily Maintenance PlanIII. TriggersIV. Early Warning SignsV. When Things are Breaking DownVI. Crisis PlanningVII. Post Crisis Plan

WRAP ® Worksheet

What is the worksheet for?

WHAT IT IS Guide for

discussions Creation of an

action plan relevant to the patient

Compliment for treatment continuing after discharge

WHAT IT IS NOT Script Fill in the blank

worksheet Substitution for

treatment (medication, psychotherapy)

I. Developing a Wellness Toolbox Wellness Toolbox: list of things you

have done in the past, or could do, to help you feel and stay well

In practice “When was the last time you felt happy?” “What was your routine like during that

time?”/ “What was happening in your life?” “Describe yourself when you were at your

happiest.”

II. Daily Maintenance Plan Writing things down to serve as daily reminders A) What I’m like when I’m feeling well

In practice: “When you are at your best, describe yourself?” / “How would others describe you?” / “That happy moment we spoke about earlier, tell me more about how you felt during that time?”

B) What I need to do daily to maintain my wellness In practice: “What sorts of things do you need in your daily

routine to continue to be well?” / “What kinds of tings do you do daily to stay well?”

C) Things I should consider doing to maintain my wellness/recovery In practice: “What are some things that you think would help

other people feel well?” / “What are some new things you could try?” / “What would your family/friends suggest?”

III. Triggers Triggers: external events that may be

uncomfortable A) Identifying triggers

In practice: Explain the importance of identifying triggers “When are some times where you feel

uncomfortable?” / “Anything in particular relating to work/family/physical ailments?”

B) Triggers action plan (coping skills) In practice: “When you begin to feel

uncomfortable, what are some things you can do?” / “Who can you turn to?... What can they do for you?”

IV. Early Warning Signs Early warning signs: internal feelings that

may be unrelated to stressors May experience these even if the trigger action

plan is followed A) Identifying early warning signs

In practice: “How do you feel physically when you begin to not feel well?” / “How do you know things are not right?”

B) Early warning signs action plan In practice: “What can you do when you begin to

notice these feelings?” / “How can you use your Wellness Toolbox?”

V. When Things are Breaking Down Even with best efforts, you may continue to feel

worse and need to take steps to prevent crisis A) Signs which indicate things are breaking

down In practice: “When you’ve tried your coping skills and

they do not need to work, what is going on in your life/ how are you feeling?” “Are you turning to substances, isolating, engaging in criminal

activity, etc?” B) Action plan for when things are breaking

down In practice: “What are things you can do during this

time?”/”Who can you reach out to?... What can they do for you?”

VI. Crisis Planning Crisis planning: a time when someone else will

need to take over responsibility for you care A) Supporters

In practice: “Who would you want to be responsible for you in the event you cannot care for yourself?” Encourage the patient to share their WRAP ® with these

individuals (i.e. family meetings) B) Medication

In practice: Have the patient, if able, fill this in with lists of medications and prescribers

C) Treatments In practice: “What types of treatments inpatient,

outpatient, partial hospital, etc help you feel better?” / “When should these treatments be used?”

VI. Crisis Plan continued D) Home/Community Care/Respite

Care In practice: “If leaving home or the

community is not an option for treatment, what can be done at home?” / “Who can support you and care for you?” Ensure all parties are informed

E) Treatment Facilities In practice: If able, have the patient list

which treatment facilities they prefer Not all patients will be able to identify

VII. Post Crisis Plan Always changing, revisit after each crisis

Daily activities will change from time of crisis to time of wellness

A) How I would like to feel when I have recovered from this crisis? In practice: “After your crisis, what will you be doing/

how will you feel?” This may be similar to I. Daily Maintenance Plan

B) Timetable for resuming responsibilities In practice: “Things that other people would have

been doing for you during that time of crisis, when can you get back to doing these things?” / “What things do you need to do right away, what things can wait?”

Examples- putting into practice

Case management meetings Provide increased structure to group/individual CM

meetings Works across the lifespan In groups vs. individual

Can learn from others and group as well as individually Review during discharge and family/provider meetings

In place for when patient returns to community Safety crisis plan vs. WRAP®

WRAP – work on during stay Safety crisis – one component

Comments/Concerns?Room for improvement?How do you see this being implemented?

Questions/Discussion