Presentation on theme: "Wellness Recovery Action Plan"— Presentation transcript:
1Wellness Recovery Action Plan An Overview of WRAP
2BackgroundMary Ellen Copeland, creator of WRAP, first went to a psychiatrist for a deep depression. She fully expected to be fixed so she took his advice without question. She had a negative experience with lithium poisoning. She then began to ask others what they were doing to stay well, and from that information she developed WRAP.
3Her Key Message Is This: “You have to take responsibility for your own well being.” Mary Ellen Copeland
45 Key Recovery Concepts Hope Personal Responsibility Education Self-AdvocacySupport
5Key Elements of WRAP A Wellness Toolbox Daily Maintenance Plan Identifying Triggers/Action PlanIdentifying Early Warning Signs/Action PlanWhen Things are Breaking Down/Action PlanCrisis PlanningPost Crisis Planning
6Wellness ToolsThese are the things you do to keep yourself well, and the things you do to help yourself feel better when you don’t feel well. You may have discovered them by yourself or learned them from others. Remember, most wellness tools are:SimpleSafeFree
7Daily Maintenance Plan Describe how you feel when you feel wellMake list of things you MUST do for yourself every day to keep feeling wellWrite a list of things you SHOULD doWrite a list of long term goals you CHOOSE to work towards, andSmall steps to take
8Triggers TRIGGERS are EXTERNAL EVENTS which may cause symptoms or unwanted emotions or reactions,whether from the past or present.
9Triggers Action PlanWe are going to develop an Action Plan for when Triggers happen to you.An Action Plan is a list of things you decide ahead of time to do when Triggers cause you to start feeling symptoms or ill.You can divide your action plan into:Things I MUST do when triggers happenThings I MIGHT do if they feel right
10Triggers Action plan Things I MUST do: Do everything on Daily Maintenance PlanCall a supporter and ask them to listenThings I MIGHT do:Talk to counselor or sponsorVigorous exercise
11Early Warning SignsEARLY WARNING SIGNS are INTERNAL FEELINGS in response to triggers and how you perceive them. Early Warning signs can happen for no reason. This may be because many smaller triggers have happened. Even if you feel like there was no trigger, work through your action plan to deal with these feelings.
12Early Warning Signs Action Plan We are going to develop an Action Plan for when you are experiencing Early Warnings Signs. Your Wellness Toolbox is an excellent place to find things that help you feel better. You can divide your action plan into:Things I MUST do when Early Warning Signs are happening andThings I MIGHT do if they feel right
13Early Warning Signs Action Plan Things I MUST do:Do everything on Daily Maintenance PlanCall a supporter and ask them to listenThings I MIGHT do:Talk to counselor or sponsorVigorous exercise
14When Things Are Breaking Down This section will be a list of ways that you, AND OTHERS, can tell when you might need more help and support than when you are well. These are Feelings and Actions that you have experienced just before a time of Crisis. This is the last opportunity you have to take action for yourself before Crisis
15When Things Are Breaking Down Some Symptoms that others have experienced are listed below.Circle the ones that apply to you:Feeling very oversensitive or fragileBizarre behaviorsParanoiaNot feeling, numbDisassociation
16When Things Are Breaking Down Action Plan When Things Are Breaking Down, it may be necessary to rely on your supporters for more help than usual. Your Action Plan should have clear instructions for yourself and your supporters in this time. This may be your last chance to make decisions for yourself before Crisis.
17When Things Are Breaking Down Action Plan Below are some steps that others have listed for their Action Plan.Circle the ones that you think will help you:Take 3 days off of work and call DoctorMake yourself accountable to someone to do everything on your Daily Maintenance List and to stay with you through the nightGive car keys, meds, checkbook and cash to supporter for safe keeping
18Crisis Plan Part 1: What I Am Like When I Am Well: Describe yourself when you are feeling well.You may want to look back at your Daily Maintenance Plan for ideas about what to put in this section. Descriptive words might include: TalkativeQuietEnergeticCircle the words that are right for you
19Crisis Plan Part 2: Symptoms Describe your symptoms that would indicate to others that they need to take over full responsibility for your care and make decisions on your behalf
20Crisis Plan Part 3: Supporters List those people you want to take over for you when symptoms you listed above are present.They can be family members, friends or health care professionals.Have at least five people on your list of supporters.You may want to name some people for certain tasks like taking care of your cat.
21Crisis Plan Part 3: Supporters Name:_______________________ Connection/Role:_______________ Phone Number:________________
22Crisis Plan Part 3: Supporters There may be health care professionals or family members that have made decisions that were not according to my wishes in the past. I do not want the following people involved in my treatment care: Name:_________________________ Why I do not want them involved in my treatment:______________________
23Settling Disputes Between Supporters Describe how you want possible disputes settled between supporters. You may want the majority to agree on your treatment plan or someone to make the determination.
24Crisis Plan Part 4: Medication List Medications you currently take, why you are taking them and which Doctor prescribes them.List Meds you would prefer to take…List Meds that would be acceptable to you if Meds became necessary and why…List Meds that MUST be avoided and you DO Not want to take and why…
25Crisis Plan Part 5 and 6: Part 5: Treatments: List treatments that help…List treatments that should NOT be used…Part 6: Community Care/Respite CareSet up a plan so that you can stay at home or in the community and still get care you need.
26Crisis Plan Part 7 and 8: Part 7: Treatment Facilities List where you prefer to be treated orHospitalized if that becomes necessaryList the places you wish to avoidPart 8: Help from OthersList things others can do for youList what needs done/Who to do it
27Crisis Plan Part 9 and 10 Part 9: Inactivating The Plan Describe symptoms, lack of symptoms or other actions…Part 10: If I Am In DangerIf I endanger me or others, I want…
28Durable Power of Attorney You can help assure your Crisis Plan will be followed by signing it in the presence of two witnesses…..Date of plan…With the help of…Signed…Attorney…Durable Power of Attorney…Phone…
29Post Crisis Plan: Timetable to resume responsibilities… I will know I am out of crisis…How I would like to feel when…Post Crisis Supporters List…If discharged, do you have a safe place…If not, where can you go…I would like ____ to take me home…I would like ____ to stay with me….
30Post Crisis Plan Things I need to take care of…. Things I can have someone else do…People and things I need to avoid…Signs I may be beginning to feel worse…Medical, Legal, Financial issues ….People I need to thank…People I need to apologize to…Signs that post crisis is over…
31Post Crisis Plan Changes in the first 4 sections of my WRAP Changes in crisis plan…Changes in post crisis plan…Changes in life goals…What did I learn from this crisis?Are there changes I need to make ….If so, how will I make these changes…
32Timetable for Resuming Responsibilities Responsibility_____ Who has been doing this?_____ While I am recovering, ______ can do… When can I resume this….
33The Key Message Is This: “You have to take responsibility for your own well being.” Mary Ellen Copeland