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   Carol's Corner - July 2009

   By Carol Ziolo

Evidence-Based Practices:

Wellness Recovery Action Plan

Recently, I went to the 2nd Annual Evidence-Based Practice Illinois Conference, which was sponsored by the Illinois Department of Human Services Division of Mental Health (DHS). This two-day seminar was loaded with information about implementing and sustaining evidence-based practices for Recovery, Resilience and Hope. There were many speakers reporting on the latest research on recovery and how we must continue the movement towards recovery.

Practices that have been used and are supported by evidence include Supported Employment, Family Psychoeducation, Permanent Supported Housing, Assertive Community Treatment, Illness Management and Recovery, and Integrated Dual Diagnosis Treatment. These programs have been studied and research shows a positive correlation with recovery for a person with a mental illness. Unfortunately, not everyone has access to these programs mainly due to funding and knowledge of the services.

However, DHS has adopted a program created by Mary Ellen Copeland named Wellness Recovery Action Plan (WRAP). A DHS program called Recovery Support Services works with the WRAP program. People are trained to be Recovery Support Specialists and one of their roles is to assist people in developing individual WRAP plans. This will encourage each person to take a role in his/her journey to recovery and maintain good health.

A WRAP can help a person navigate the process of recovery, stay healthy, deal with challenging times and reach individual goals. The WRAP is individualized for each person and is his/her guide to maintaining recovery from day to day. The WRAP is not a substitute for medical care, but complements it. Each part of a WRAP should include identification of signs and developing a plan on coping with the issues. The components of WRAP are:

1. Key Concepts of Recovery

Hope

Personal Responsibility

Support

Education

Self-Advocacy

Spirituality

2. Wellness Toolbox

Includes an individualized list of coping skills that a person can use to maintain wellness or assist in helping him/herself feel better. Included is:

Adequate sleep

Journaling

Talking to a support person

Exercise

3. Daily Maintenance Plan

A description of a person at his/her best. This helps the person to be focused on wellness and includes skills to help him/her stay the best he/she can be on a daily basis.

4. Triggers

This is a list of things that may affect a person’s wellness if he/she does not use skills from the wellness toolbox when they occur.

5. Early Warning Signs

Individualized internal thoughts and feeling that a person can recognize that his/her health may be compromised.

6. Signs That Things are Breaking Down

Signs that a person is having difficulties that can be recognized by other people.

However, the person still has capability to help him/herself.

7. Crisis Planning

Plan that has been developed by a person while in recovery that can be used by other people if assistance is needed.

8. Post Crisis Planning

Activities a person will use after the crisis has subsided to assist in moving towards recovery.

WRAP is an avenue that all people may use for healthy self-care. It is voluntary and guided by self-determination. This allows people to be in control of their care and make decisions to remain healthy. Remember, recovery is possible and you should expect it.

For more information on the Recovery Services from the State of Illinois go to:  www.DHS.State.IL.US or www.IllinoisMentalHealthCollaborative.com

I’m on my way to the NAMI National Convention in San Francisco for the 4th of July. I’m sure I’ll have lots of new research to tell you about.

Have a great holiday!

Carol Ziolo, RN, LCPC

References:   

Richmond, Raymond Lloyd. (2009). Progressive Muscle Relaxation.

Found online: www.GuidetoPsychology.com