2Well Ways MI Recovery‘I have made more progress in 8 weeks so far in this program and working together with PHaMS supporting me than what I have since when I was 8 years old and started seeing counsellors, psychologists, psychiatrists, medication over a 12 year process leading up till now’‘For the first time I acknowledged that I am more than my illness. It is only a small part of who I am’
3Staff Information Session Outline What is Well Ways MI Recovery?Goals and ObjectivesPeer Education ApproachProgram StructureParticipant Recruitment
4WELL WAYS Well Ways Suite FAMILIES & FRIENDS BUILDING A FUTURE DUO SNAPSHOTCONSUMERMI RECOVERY
5What is Well Ways MI Recovery? Developed in 2006 by MIFV it is a research-based peer education program for people who have a mental illnessConsists of an initial information session followed by 9 weekly sessions of up to 3 hoursDelivered nationally by MIFV and in partnership with organisationsTrained facilitators who have lived experience of mental illness, lead the group sessions, normally co-facilitated by 2 facilitatorsSessions involve informal but structured learning, group discussions, videos, practical demonstrations and problem solving
6What is Well Ways MI Recovery? ‘Well Ways MI Recovery is a refreshingly real and thoughtfully designed recovery education program, developed for and by people with a lived experience of being diagnosed with a mental illness. This is not a one size fits all picture of recovery but both a window into and a toolkit for exploring ‘recovery possibilities’ (Flick Grey, Our Consumer Place).
7MI RecoveryMI Recovery offers participants the opportunity to develop:Knowledge about mental illnessA renewed sense of self, with awareness of internal and external resources, and personal potentialAn understanding of stigma and strategies to counteract its influenceKnowledge of, and responsibility for managing triggers and early warning signs, through lifestyle approaches (personal medicine) and relapse intervention strategiesA personal recovery action plan, activating steps towards goals
8Recovery FrameworkMI Recovery’s Goal is to Empower Participants to embrace and live the ‘recovery journey’“Recovery is a deeply personal, unique process of changing one’s attitudes, values, feelings, goals, skills, and/or roles. It is a way of living a satisfying, hopeful and contributing life even within the limitations caused by illness. Recovery involves the development of new meanings and purpose in one’s life as one grows beyond the catastrophic effects of mental illness.”(W.A. Anthony 1993, ‘Recovery from mental illness: the guiding vision of the mental health system in the 1990s, Innovations and Research, 97: )
9Intentional Peer Support The Four Tasks:Connection: being authentic, listening closely and developing trust. Relationship terms are discussed and negotiated.World view: appreciating how we’ve come to know what we know, and accepting peoples’ different backgrounds and experiences, and different world views.Mutuality: mutually working together to learn new knowledge and develop new approachesMoving towards: moving out of what’s comfortable and familiar, towards new ways of being in recoveryThree PrinciplesLearning versus HelpingRelationship versus the IndividualHope and Possibility versus Fear
10MI Recovery facilitators Why Peer Education?A large body of evidence demonstrates that Peer Educators:Provide reputable leadership because they have ‘been there’Are authentic models for recovery, providing inspiration and hopeValidate the experience of mental illnessCreate a culture of camaraderie and support among the groupIncorporates Adult Learning Principles
11Integrates two domains of knowledge and experience Peer EducationIntegrates two domains of knowledge and experienceExpert KnowledgeScientific and Practitioner ResearchPractice experienceProfessional NetworksExternal ResourcesConsumer KnowledgeIndividuals’ experience of illness and lifeInternational consumer literature and dataSelf efficacy in illness and life management , (internal, family and community resources)
12Session OutlinesWeek One: Getting to know each other. History and basic facts about mental illness. What is recovery?Week Two: Renewing a positive sense of self. Mapping our strengths and resources. What is stigma, how does it affect us, and what can we do about it?Week Three: Healthy lifestyle activities that feel good and help us keep well. What are triggers? Learning about the Holistic Health Model.Week Four: Stages of recovery model. Learning to plan and manage our recovery.Week Five: Identifying our early warning signs. Getting organised in case of relapse. Advanced Directive statements.Week Six: Communication skills and practice. How to communicate with doctors and workers so that we can get the best outcomes.Week Seven: What is discrimination? What rights do people with mental illness have? How can I advocate for myself or find advocacy support?Week Eight: What do I want to get out of life and what resources can help me get there? Getting back into work, study, volunteering.Week Nine: Reflecting on our goals and what we’ve learned. Valuing our peers and celebrating how far we’ve come on the recovery journey.
13Participant Requirements To be eligible to participate in MI Recovery a person must be able to:Identify their own willingness and ability to participate in a recovery oriented change-processIdentify hopes, dreams and recovery goalsCommit to full participationAccept assistance from MI Recovery facilitators if there are any needs that may hinder participationNominate a support person
15Support PersonParticipants are required to nominate a support person, who they meet with weekly to share their learnings and experience of the program and review their recovery goals.They will be assisted to identify a support person in the initial sessionsIf participant cannot nominate a community based support person,(e.g. family member, friend) they can nominate a key worker to play this role, as a last resort option or can be given a support person through MIFV’s Helpline
16Participant recruitment 10-12 participants is the optimum number for a MI Recovery programPreferable that the information session hosts aprox. 15+ potential participantsMarketing materials such as brochures and flyers are available through MIFV
17Evaluation OutcomesLa Trobe University’s evaluation of the program in 2011-2012 yielded statistically significant results demonstratingthat the program enables substantial outcomes forparticipants in the areas of illness management,empowerment, general health and stigma reduction.
18Evaluation OutcomesQuestionnaires at four time points, utilising the following scale-Empowerment scale-Internalised stigma of mental Illness scale-Connectedness scale-Illness management and recovery scale-General health questionnaireExploration of psychological constructs contributing to recovery outcomes
19Evaluation outcomes Research shows significant improvement over time No significant change from information session to beginning of session 1Significant change shown from MI Recovery session 1-8Higher scores indicate stronger endorsement of feelings of empowermentSignificant change shown from Questionnaire 2 (Q2)-Questionnaire (Q3)29 items measured subjective experiences of stigma.Subscales included Alienation, Stereotype Endorsement and Stigma ResistanceResearch shows a significant reduction of Internalised Stigma over time, particularly between Q1 & Q2
20Evaluation OutcomesQuestions such as: Have you recently felt under strain?Result shows significant improvement over timeSignificant change occurred from Q2 – Q3A 15 item scale designed to measure illness management, and recovery focused attitudes and behaviors of participantsMeans scores from Q1 – Q4 show significant change.
21Recognition & testimonials In 2013 the Well Ways MI Recovery program was awarded the'Gold Award for a Support Program or Service' underthe‘Australian New Zealand Mental Health Service AchievementAwards’.‘It’s been beneficial in the sense that I have managed to communicate some of my life experiences and not feel embarrassed, ashamed or concerned about negative feedback. I have also been able to listen and learn that with my MI I am with people who understand. It has been positive towards understanding my illness. In some ways accepting and knowing that support is there if needed within the group. Thank you Here's to life and Living’ (MI Recovery Participant)
22Recognition & testimonials ‘I was honoured to facilitate and be part of a group that heldso much information about recovery but just didn’t realisethey held it’ (MI Recovery Peer facilitator)‘My life has changed beyond recognition, it has educated meand inspired me to take control of my illness to some extent,although I know I have more to do. I’ve also realised mypotential to apply myself to becoming a mental health workerin some aspect. I’m more confident and happier in my skin’(MI Recovery Participant).