Rutgers, The State University of New Jersey ICMS Principles & Methods of Psychiatric Rehabilitation Session 3 Developed by: Ann Reilly, MA, MSW, CPRP Brittany Stone, MS, CRC, CPRP

Department of Psychiatric Rehabilitation & Counseling Professions Learning Objectives Describe the relationship between the 8 Dimensions of Wellness and goal setting Utilize the Wellness Assessment Explore & practice using tools to break down goals into critical components Practice personal goal setting Use the KSR to identify needed skills and resources

Department of Psychiatric Rehabilitation & Counseling Professions Review from Sessions 2 Communication and counseling techniques to promote engagement –Describe one technique you have practiced since the last session Rehabilitation Readiness –How did you assess Readiness? –What strategies have you employed to promote Readiness?

Department of Psychiatric Rehabilitation & Counseling Professions (Swarbrick, 2012)

Department of Psychiatric Rehabilitation & Counseling Professions Health disparities that exist between those who are diagnosed with mental illness and those who are not Life situations that contribute to poor health Mind/Body Connection (Druss & Reisinger, 2011; Schroeder, 2007)

Department of Psychiatric Rehabilitation & Counseling Professions (Druss & Walker, 2011) (Druss & Reisinger, 2011)

Department of Psychiatric Rehabilitation & Counseling Professions Balance of Strengths & Needs NeedsStrengths SupportsAbilities Preferences Med and Psych Sx. Functional limitations 7

Department of Psychiatric Rehabilitation & Counseling Professions Strengths Real strengths that will support goal attainment Not a generic laundry list that never makes it to the IRP or intervention phases of rehabilitation 2 friends Family in area Likes animals Is kind May not be “packaged” as a strength –Non compliant? May indicate self determined and self-advocacy –Pays drug dealer regularly? Is able to budget –History of homelessness? Resilient and resourceful

Department of Psychiatric Rehabilitation & Counseling Professions

WELLNESS ASSESSMENT

Department of Psychiatric Rehabilitation & Counseling Professions Group Activity – Wellness Assessment *Facilitators will role play first Choose a partner Each person completes the assessment with their partner (30 min) Identify 2 or 3 areas that they would like to work on for change (5min) Provide each other with feedback on conducting the assessment: How did it work for you? (10min)

Department of Psychiatric Rehabilitation & Counseling Professions GOAL SETTING

Department of Psychiatric Rehabilitation & Counseling Professions Goal Setting Goal assessment assures service/rehabilitation is driven by the individual’s perception of important needs (Corrigan, et al, 2001) Goals… Provide clear vision Offer direction Stimulate hope Provide a sense of accomplishment Are developed by the individual

Department of Psychiatric Rehabilitation & Counseling Professions The Goal Setting Process Engagement/ Begin building relationships –Discussion of hopes, dreams, aspirations –Personal Values –Valued life roles How do you define yourself?

Department of Psychiatric Rehabilitation & Counseling Professions Meaning Words Meaning Three Places Communication Can Go Wrong SpeakerListener 2 13

Department of Psychiatric Rehabilitation & Counseling Professions The Goal Setting Process Continued… Comprehensive Assessment –Needs –Strengths –Supports/Resources –Wellness Dimensions Select a goal –Must be meaningful (dreams, hopes, aspirations) –Connected to valued life roles and community integration –SMART (more on this later)

Department of Psychiatric Rehabilitation & Counseling Professions Exploration Leads To Interventions Knowledge –What does the person need to KNOW Skills –What does the person need to DO Resources –What does the person need to HAVE

Department of Psychiatric Rehabilitation & Counseling Professions Example – Budgeting money KnowledgeSkillsResources Basic math and money concepts Completing basic math formulas Money! What your monthly expenses are Identifying expenses and needs Bank accounts When and where to pay bills Prioritizing use of moneyTransportation to bank, payment locations Consequences of not paying bills Making decisionsRepresentative payee if unable/uninterested in paying bills with/without support Difference between cash, check, money order Writing out a check, filling out a money order Space to store bills, checkbook, etc.

Department of Psychiatric Rehabilitation & Counseling Professions Example – Making friends KnowledgeSkillsResources Qualities you want in a friend Conversational skillsOpportunities to meet and interact with other people General role and expectations of a mutual friendship Recognizing positive qualities in someone (as well as potentially harmful qualities) Support to discuss issues that may arise with friends and how to address Personal benefits to having friends Negotiation skillsTransportation to get together with friends Self awareness of interests, needs and expectations Expressing interest in someone else’s experiences, etc. Money to do things like go to movies, out for a meal, etc.

Department of Psychiatric Rehabilitation & Counseling Professions KNOWLEDGE SKILLS RESOURCE ASSESSMENT

Department of Psychiatric Rehabilitation & Counseling Professions Activity Work with a partner Select one goal from your Wellness Assessment Utilizing effective communication skills, brainstorm an extensive list of what is needed for successful attainment of the selected goal (10mins) Use the KSR template, place your list into the appropriate category (15mins): –Knowledge: What would you need to know –Skills: What would you need to do –Resources: What would you need to have Once in the appropriate categories, identify if the item is something you already have or something you need to work on (10mins)

Department of Psychiatric Rehabilitation & Counseling Professions The Importance of the Goal Setting Process Groundwork for development of Recovery Plans Critical collaboration Strengthens the therapeutic relationship (both gain insight) Transformation from Illness Id to valued life role Roadmap for provision of supports and service Enhances readiness for change

Department of Psychiatric Rehabilitation & Counseling Professions Coming up next… SMART goals and documentation Breaking down goals into measurable, time bound objectives and interventions Documenting service provision in progress notes

Department of Psychiatric Rehabilitation & Counseling Professions QUESTIONS, COMMENTS…