Welcome to the WRAP

1. Welcome to the WRAP Wellness Recovery Action Plan by Richard Brabrook July 2006

2. Health and Safety Supporters WRAP Smoking Fire Exits Fire Alarm Cables Refreshments Toilets

3. 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: • Name • Something they like in their life • Something they dislike in their life • A dream they would like to come true Supporters WRAP

4. Group Contract • What would you like in our Group Contract / Group Agreement? E.g. • Confidentiality • Mobiles - off, silent or vibrate Supporters WRAP

5. 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. Supporters WRAP

6. Organisations leading the WRAP in Devon: Supporters WRAP

7. 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 Supporters WRAP

8. Who can the WRAP help? • Anyone who wants to take control of their recovery, create positive change and increase their enjoyment of life. Supporters WRAP

9. What Makes a WRAP? Wellness Toolbox Supporters WRAP

10. 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. Supporters WRAP

11. 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 Supporters WRAP

12. 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. Supporters WRAP

13. 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 Supporters WRAP

14. 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 Supporters WRAP

15. 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 Supporters WRAP

16. AdvancedDirective • Created to enable small sheet with key points to be kept on the person • Also states where crisis plan is kept Supporters WRAP

17. 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; Supporters WRAP

18. Post Crisis Plan • 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 Supporters WRAP

19. Some ways to look after yourself: These will differ depending on your circumstances and what you like to do. Supporters WRAP

20. 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 Supporters WRAP

21. 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 Supporters WRAP

22. Skills for Life • 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 Supporters WRAP

23. www.recoverydevon.co.uk • Launched at the 2nd Recovery Conference in April 2006 • Created by the Partnerships in Mental Health Recovery Group Supporters WRAP

24. Help and Support • There is lots of help and support around: • STR network • Books & Publications • Websites • Colleagues • Information Advice and Guidance (skilled workers course) at Level 3 – course info at CVS’s, colleges, internet Supporters WRAP

25. 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. Supporters WRAP

26. Thank you for attending Any questions / comments?? Email: richard@brabrook.fsworld.co.uk or training@mindeastdevon.org.uk