Wellness Recovery Action Plan (WRAP)

Wellness Recovery Action Plan (WRAP) A Coexisting Disorders Service Pilot Group Evaluations and Qualitative Outcomes for People with Alcohol and othe...
Author: Matthew Holland
28 downloads 0 Views 649KB Size
Wellness Recovery Action Plan (WRAP)

A Coexisting Disorders Service Pilot Group Evaluations and Qualitative Outcomes for People with Alcohol and other Drugs (AoD) and Mental Health Issues (MH) engaged in the group process Rachael Hervey - Capital & Coast DHB

Wellness Recovery Action Plan (WRAP) Goals Post Triggers Crisis Plans Wellness

Crisis

Toolbox

Plans Daily

Early

Maintenance Plans

Warning Signs

Mary Ellen Copeland Session 1234567-

What is Recovery, Aims, Goals Wellness Toolbox & Daily Maintenance Plans Triggers Early Warning Signs Crisis Plans Post Crisis Planning A review meeting 1 month later

The Wellness Recovery Action Plan process involves empowering each group member to create a personal living document for their recovery and wellbeing over 7 sessions

Number of Groups Evaluations from the first four groups involved in the pilot. ~2 Community mental health settings ~1 Inpatient rehabilitation setting ~1 Early intervention services •  First Phase: 3 Groups, project lead from CEDS, 1 mental health clinician and a consumer cofacilitators. •  Second Phase: (Train the trainer)1 group, CEDS clinician, mental health clinician and consumer co-facilitator.

Method •  Qualitative Methodology •  An Inductive Approach 3 Evaluations: •  Pre evaluations - week 1 •  Post Evaluations - week 6 •  Group Evaluations - 1 month review

Numbers of Evaluations

25 20 15 10 5 0

Pre Evaluations Post Evaluations Group Evaluations

Findings

What is your understanding of Wellness and what does it mean to you? Category 1: Happiness Category Description: Being happy, content, feeling ok or better, good feelings, thoughts, having a satisfying and enjoyable life. Examples of quotes: •  ‘Having a satisfying and enjoyable life’ Number of people out of the group who referenced happiness: 11/21 or 52%.

Pre Evaluations for Wellness 29% of People believe Wellness is about MH, AoD & other Health Issues MH/AoD & health

29%

Happiness, balance & peace Positivity & overcoming challenges 'Buggered if I know' Relationships Activities of Daily Living

Post Evaluations for Wellness 29% of people believe Wellness is about Understanding the Process of Recovery and Positivity

29%

29%

Understanding the process of Recovery Positivity & confidence Having a solid workable plan Keeping grounded in the basics of life Yes/No responses Choosing not to respond

Views of Wellness Changed 57% of Peoples Views have Changed

Changed views

57%

No change No response Inconclusive

Pre Evaluations for Recovery 34% of people believe Recovery means Managing Mental health & Alcohol and other Drug issues MH &AoD

34%

Postivity, spirtual & balance Journey regaining skills Looking after self, family & society Challenges Living healthy & basic needs

Post Evaluations for Recovery 37% of People believe Recovery is having Strategies & Plans

37%

Strategies & plans Positivity Journey & process MH, AoD & emotional No not really'

Views of Recovery Changed 72% of people’s Views on Recovery have Changed

43% 29%

Yes views have changed Sounds like views have changed Views have not changed No response

Evaluations of the Group 9 8 7 6

Yes

5

No

4

Unsure

3 2 1 0 Was the group helpful

Was the group what you expected

Suggested changes to the WRAP course

91% of People Found the Consumer Co-facilitator Role Helpful

91% Yes No response

‘It gave the group a balanced feeling, and a depth because of his own personal experience with mental illness. It also reinforced the partnership concept between clinician and consumers towards Recovery’

Summary of Wellness & Recovery •  Prior to the group people thought that Wellness and Recovery were mainly about MH & AoD use •  Post groups views changed to focus more on understanding the process of Recovery, and the importance of strategies and plans •  Positivity and hope scored high (top 3) in all 4 pre and post evaluations

Conclusions •  The concepts of wellness and recovery expanded •  91% of people found the groups helpful •  91% of people found having a consumer co facilitator role helpful •  Expectations around the group were varied •  Half the group suggested ways of changing the course and half were content with the way it was

References •  • 

•  •  •  • 

Copeland, M.A. (2005)Wellness Recovery Action Plan, Sefton Recovery Group, Liverpool, England U.S. Department of Health and Human Services (DHHS), Substance Abuse and Mental Health Services Administration (SAMHSA), Centre for Mental Health Services (CMHS), Copeland, M.A, Action Planning for prevention and Recovery Thomas DR. A General Inductive Approach for Analyzing Qualitative Evaluation Data. American Journal of Evaluation 2006;27(2):237-46. Brown, C & Lloyd, K, Qualitative methods in psychiatric research, Advances in Psychiatric Treatment (2001) Vol 7, pp.350-356 Higgins, A, et al, Evaluation of the Mental Health Recovery and WRAP Education Programme, Trinity College, Dublin, Ireland Sadaaki, F et al, Effect of Wellness Recovery Action Plan (WRAP) Participation on Psychiatric Symptoms, Sense of Hope, and Recovery, Psychiatric Rehabilitation Journal (2011) Volume 34, No. 3, 214-222

Acknowledgements Rachel Hayes Brad Newnham Dennis Duerr Dennis Lacey Nick Pringle Rachel Tester

Mary Ellen Copeland Tom Flewett Anne Helm Clarissa Broderick John Zonnevylle Sarah Smyth

Summary

•  The consumer co facilitator role is integral to the effective running of WRAP groups •  Views on Wellness and Recovery changed from being focused around Mental Health and Alcohol and other Drug issues to a focus on understanding the process of recovery, staying positive and having strategies and plans in place

Suggest Documents