Week 4: The Recovery Paradigm Pt. 2 Flashcards
What are examples of recovery-promoting interventions?
Peer Support
Wellness Recovery Action Planning (WRAP)
Illness Management and Recovery
Individual Placement and Support
Emerged from the survivor movement in the 1970s.
Has evolved into a formal intervention within mental health services.
Peer Support
Involves individuals with similar experiences helping each other.
People with lived experience are considered experts on their own recovery.
Peer Support
Is a social movement that emerged in the 1970s to advocate for the rights of people with mental illness.
It was a response to the paternalistic, oppressive, and dehumanizing practices that were common in mental health services at the time.
People with lived experiences of mental illness began to advocate for their rights and support one another in their recovery journeys.
Survivor Movement
People with a lived experience of mental health condition supporting others with a lived experience.
Peer Workers / Peer Providers / Peer Support Providers / Peer Supporters / Peer Support Specialists
Perform a role otherwise performed by a mental health professional.
Peer
Share their own lived experience and their recovery to support others with a similar lived experience. This role cannot be performed by a professional without a lived experience.
Peer
Can be offered to assist in facilitating a therapy OR a standalone intervention.
Peer Support
Peer Workforce (Cronise et al., 2016)
Direct Peer Support (w/ lived experience)
Rehabilitation Role (doesn’t require lived experience)
Challenges of Peer Workers (Cronise et al., 2016)
Dissatisfaction (pay and recognition)
Discrimination (non-peers and leadership)
Stigma from individuals they supportedf
Internalized Stigma
Inequality in compensation, job advancement opportunities, and hiring practices
Peer Support VS Professional Support
Experiential Knowledge: Peer support is based on the lived experience of the provider, while professional support is based on formal education and training.
Reciprocity: Peer support often involves a reciprocal exchange of experiences and support.
Bi-Directionality: Both the provider and receiver share their lived experiences, which is not always the case in traditional clinician-patient relationships.
What do peer support specialists do?
- Share and encourage recovery stories
- Actively listen and provide trauma-informed emotional support
- Identify beliefs and values
- Self-Disclosure
- Self-Care
- Goal setting and motivation
- Shared decision-making
- Advocate rights
A collaborative process between a healthcare provider and a patient where they work together to make decisions about the patient’s treatment or care.
Shared Decision-Making
When offered as an autonomous intervention, can improve empowerment and personal recovery.
Peer Support
Peer Support as an Adjunct Intervention
The studies comparing peer workers with other mental health workers performing a similar role have not contributed data for the analysis showing positive benefits in terms of recovery and empowerment.
Peer Support VS Professional Support
No significant differences between peer support and professional support in terms of quality of life, mental health symptoms, and crisis service use.
Is a self-management tool developed by people with lived experience of mental health conditions.
It emerged from a desire to find more effective and empowering ways to manage mental health.
Developed by people who were dissatisfied with traditional mental health services.
Wellness Recovery Action Plan (WRAP)
It is an evidence-based intervention (Recognized by the U.S. Substance Abuse and Mental Health Services Administration)
Wellness Recovery Action Plan (WRAP)
Has benefits in:
- symptom reduction
- increased quality of life
- hopefulness
Cook et al., 2012
Wellness Recovery Action Plan (WRAP)
Limitations of Wellness Recovery Action Plan (WRAP)
Primarily focused on personal recovery and may not always lead to significant reductions in clinical symptoms.
Who developed the Wellness Recovery Action Plan (WRAP)?
Mary Ellen Copeland and Jane Winterling (1997)
Key Features of the Wellness Recovery Action Plan (WRAP)
Group Intervention (8-10 sessions)
Safe and non-judgmental environment
Recovery Plan
Wellness toolbox
What is included in a personalized recovery plan (WRAP)?
Reflection on what was helpful in the past
Consideration of strategies used by others
What is included in a wellness toolbox (WRAP)?
- Tools that promote wellbeing
- Tools that help recognize triggers and stressors
- Tools that help deal with triggers and stressors
Is a clinician-led intervention that focuses on teaching individuals strategies to manage their mental illness and achieve personal recovery goals.
Illness Management and Recovery (IMR)
Key Features of Illness Management and Recovery (IMR)
- Clinician Led
- Teaches strategies to manage symptoms and improve functioning
- Helps individuals set and achieve recovery goals
- Curriculum-based
- Duration (6-12 mos.)
- Group or Individual Format
Modules that compose IMR
1) Recovery
2) Practical facts about mental illness
3) The stress-vulnerability model
4) Building social support
5) Using medication effectively
6) Drugs and alcohol
7) Reducing relapses
8) Coping with stress
9) Coping with persistent symptoms
10) Getting your needs met in the mental health system
11) Living a healthy lifestyle
What is covered in the Recovery module of IMR?
Goal Setting
Addressing Lack of Goal Orientation: Provides strategies for clients who may be hesitant to set goals.
What is covered in the Facts about Mental Illness module of IMR?
Symptom Discussion
Myth-Busting
Success Stories
What is covered in the Stress-Vulnerability module of IMR?
Understanding Symptoms
Treatment Options
What is covered in the Building Social Support module of IMR?
Strategies for Increasing Support
Social Skills Training
What is covered in the Using Medication Effectively module of IMR?
Benefits and side effects
Decision-making
What is covered in the Drugs and Alcohol module of IMR?
Interactions
Sobriety Plan
What is covered in the Coping with Stress and Coping with Persistent Symptoms modules of IMR?
Stress Management
What is covered in the Reducing Relapses module of IMR?
Predictability and Preventability
Recognizing Triggers
What is covered in the Getting your Needs Med in the mental Health System module of IMR?
Advocating for Rights
What is covered in the Living a Healthy Lifestyle module of IMR?
Lifestyle Factors
What are some strategies to teach IMR effectively?
Educational Handouts
Connecting Goals and Skills
Role-Playing
Cognitive Behavioral Strategies: reinforcement, modeling, behavioral rehearsal, and shaping
Completing the program and delivering it with high fidelity may be associated with better outcomes.
Can improve illness self-management and self-esteem.
Illness Management and Recovery (IMR)
Refers to the extent to which an intervention is implemented as intended or how closely the program is delivered according to its established protocol.
Model Fidelity
Is an evidence-based approach that helps individuals with mental illness find and maintain employment in mainstream competitive jobs.
Individual Placement and Support (IPS)
Individual Placement and Support (IPS) Principles
1) Competitive Employment
2) Zero Exclusion
3) Attention to Clients’ Preferences
4) Rapid Job Search
5) Targeted Job Development
6) Integration of Employment Services with Mental Health Treatment
7) Personalized Benefits Counseling
8) Individualized Long-Term Support
