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Our National Goal

AgrAbility Neighbor-to-Neighbor Peer Support Training (NNPST): Be a Best Friend By Robert J. Fetsch November 8, 2005 AANNPSTNAP.PPT (Rev. 10.2505a).

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Our National Goal

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  1. AgrAbility Neighbor-to-Neighbor Peer Support Training (NNPST): Be a Best FriendBy Robert J. FetschNovember 8, 2005AANNPSTNAP.PPT (Rev. 10.2505a)

  2. AgrAbility Neighbor-to-Neighbor Peer Support Training (NNPST): Be a Best FriendBy Robert J. FetschColorado State UniversityDepartment of Human Development & Family Studies970-491-5648fetsch@cahs.colostate.edu

  3. Our National Goal To mobilize rural volunteer resources, including peer counseling among farmers with disabilities and their families and rural ingenuity networks promoting cost-effective methods of accommodating disabilities in farming and farm-related activities.

  4. Our National Goal: New RFP Priority 2. Networking. Networking will eventually make AgrAbility sustainable. Partners include customers, peer supporters…. Delivery formats include the donation of goods and services of direct benefits to AgrAbility customers.

  5. Our AANNPST Goals 1. To increase the number of farmers and ranchers who use AgrAbility information, education, and service.

  6. Our AANNPST Goals To increase the number of farmers and ranchers who volunteer to provide peer support to farmers/ranchers with newly acquired disabilities.

  7. Our Training Objectives • To learn what effective peer support is and is not. • To learn effective ways to connect well with and to establish rapport with other farmers/ranchers who have newly acquired disabilities. • To practice and enhance active listening skills.

  8. Our Training Objectives • To practice and enhance problem-solving skills. • To learn how to spot signs of high stress, anger, depression, and suicidal thinking. • To practice and enhance skills at making effective referrals to appropriate professionals.

  9. Our Training Objectives 7. To learn how to screen well, to choose farmers, ranchers, and caregivers who are ready to provide effective peer support.

  10. Our Training Objectives 8. To assess the effectiveness of the AgrAbility Peer Support Volunteer Training Workshop in helping workshop participants to accomplish the above 6 objectives via self-reported pretest-posttest changes.

  11. 3 Keys to Effective AANNPST Training: • Screen Well! • Teach Well! • Assess Well!

  12. to “AgrAbility Neighbor-to-Neighbor Peer Support Training: Be a Best Friend.”

  13. What we want to do hereis work with those who are ready to take steps to become as healthy as you can be and to take good care of yourself, so that you can “Be a Best Friend.”

  14. What does a Best Friend do well? • What does a Best Friend not do?

  15. Support systems are groups and individuals who help us meet our needs (physical, occupational, intellectual, spiritual, emotional, and social).

  16. Peer support has been used with: • Blind people • Women with breast cancer • Expectant mothers • Mothers with newborns • People in conflict

  17. Peer support has been used with: • Parents of sexually abused children • Victims of AIDS • People who have experienced mental, physical, or sexual abuse. • Students with disabilities

  18. Peer support has been used with: • People with alcohol or other drug problems • And now with farmers, ranchers, and caregivers with disabilities

  19. Peer support is beginning to be used with: • Farmers, ranchers, and caregivers with disabilities in CA, CO, DC, IA, IL, IN, KS, MI, NE, OK, PA, SD, and WI.

  20. What is peer support? • Being a best friend and providing peer support are similar. • Peer support is “a system of giving and receiving help founded on key principles of respect, shared responsibility, and mutual agreement of what is helpful.” Mead, Hilton, & Curtis, 2001, p. 135.

  21. What is peer support? • It’s about sharing one’s story with a good listener. • It’s having one’s story validated by another. McLeod, 1997

  22. What does peer support do? • It helps individuals improve functioning. • Increases life satisfaction. • Restores self-esteem. • Provides healthy interactions with others. Bedard, Felteau, Mazmanian, Fedyk, Klein, Richardson, Parkinson, & Minthorn-Biggs, 2003

  23. What does peer support do? • It reduces isolation. • Increases optimism about the future. • Helps a person reach personal goals. Bedard, Felteau, Mazmanian, Fedyk, Klein, Richardson, Parkinson, & Minthorn-Biggs, 2003

  24. What is peer support? • It is about listening carefully. • Encouraging the person to find ways to solve problems by affirming his or her ideas and plans of action. Akridge, Farley, & Rice, 1987

  25. When is peer support effective? • When we connect well. • When we have already dealt well with the stress, pain, and suffering of our own disability. • When we model healthy acceptance and joy of life with our disability. Byers-Lang & McCall, 1993

  26. When is peer support effective? • When we model our own good skills at managing anger, blame, and depression. • When we model our own good skills at dialogue, acceptance, and joy of life. • When we model our own good skills at goal-setting, problem-solving, & listening.

  27. We’re looking for Peer Support Volunteers who: • Do not tell other adults what to do. • Do not provide counseling, therapy, or technical advice. • Listen well without judgment.

  28. We’re looking for Peer Support Volunteers who: • Connect well with farmers and ranchers with a newly acquired disability. • Assist with problem solving. • Make effective referrals to appropriate professional resources.

  29. How do we provide effective peer support? • Take good care of ourselves. • Be healthy and happy. • Be well balanced. • Affirm their story rather than tell them what to do.

  30. How do we provide effective peer support? • Suspend judgment. • Be empathic. (Walk a mile in their boots.) • Listen as they deny, get mad, blame, get depressed. • Listen well, accept them, and provide an environment in which they can grow.

  31. How do we provide effective peer support? • Listen to their story. It’s in the telling of the story to a good listener that they heal from their pain and loss. • Eventually they too will come to an acceptance and joy of life. • Listen as they blow off steam.

  32. How do we provide effective peer support? • If their emotions get too intense, back off and refer them to professional counselors. • If their stress, anger, depression levels are too high for us to handle, we can refer them to professional counselors.

  33. How many of us have started and grown a plant? • What all did you do to provide a healthy space for that plant to grow, bloom and mature?

  34. Feed a person a fish;s/he eats for a day.Teach a person to fish;s/he eats for a lifetime.

  35. Our job is not to keep our child dependent on us. It is to provide a growing environment in which s/he can bloom and grow into being a healthy, self-sufficient young adult.

  36. Our job as Neighbor-to-Neighbor peer support people is to provide a growing environment in which farmers, ranchers, and caregivers with a newly acquired disability can grow into being their healthy, self-sufficient selves again.

  37. Research findings • People with congenital disabilities adjusted better. • People with acquired disabilities are likely to experience severe psychological trauma from personal loss and the changes from their former state. Li & Moore, 1998

  38. Research findings • People require greater effort and more time to adjust to acquired disabilities than people with congenital disabilities. • Family and friends may have more difficulty adjusting to later acquisition, which makes the adjustment more difficult. Li & Moore, 1998

  39. It takes time to adjust. • People need time to adjust. • They need to feel the sadness, anger, blame, depression, etc. • People need others with whom they can talk and tell their story to heal from their losses.

  40. It takes time to adjust. • At some point people need to reassess and reaffirm themselves. • People need to find new coping strategies and mobilize themselves. • They need to dialogue, talk, and converse.

  41. It takes time to adjust. • It may take a couple of years to heal from the emotional wounds. • It can be as tough or tougher than coping with a divorce.

  42. Research findings • The adjustment process has been described as “Learning to accept the reality of a condition and then finding suitable ways to live with that condition.” Acton, 1976, p. 149.

  43. Research findings • Adjustment is not linear or hierarchical. • A phase does not need to be accomplished before an individual moves on to a new phase. • People usually experience each phase partially, one at a time, to be revisited and experienced more fully during other encounters. Dover, 1959

  44. Research findings • We bounce around from anger to depression to dialogue and back to anger. • It takes time and conversation with a trusted family member, friend, peer support, or therapist. • It’s like peeling the layers of an onion to get to the core. Gomez, 2004

  45. Research findings • Individuals move through each phase at different paces. • Some may stop at a particular phase for a long time or even remain there the rest of their lives. • Often family members experience a similar adjustment process. Gomez, 2004

  46. HANDOUT: Denial-Acceptance Continuum

  47. John Gottman’s Research

  48. How do individuals cope?

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