A Wellness Model for Personal & Professional Practice June 9,

Transcription

1 A Wellness Model for Personal & Professional Practice June 9,

2 Wellness Model A paradigm for understanding heath Encompasses 8 dimensions 1) Social 2) Emotional 3) Intellectual 4) Occupational 5) Environmental 6) Financial 7) Spiritual 8) Physical six domains habits and routines physical activity sleep and rest healthy food choices medical self-care and screenings stress management and relaxation pswarbrick@cspnj.org 2

3 Many people with mental and substance use disorders (as well as staff providing services) face challenges due to life stressors, reducing effectiveness in life roles, with a negative effect on well-being pswarbrick@cspnj.org 3

4 Professional & Peer providers are poised to address these stressors and to promote wellness through engagement in meaningful occupation and through developing good health habits and routines 4

5 Today s Focus How peers, providers, families, and policy makers can: examine what they are doing now suggest new ways to create and sustain a wellness lifestyle as an effective means of personal self-care pswarbrick@cspnj.org 5

6 Learning Objectives Define the 8 wellness dimensions and 6 physical wellness domains Explain the importance of the physical wellness domains Identify professional and personal applications pswarbrick@cspnj.org 6

7 Overview Factors that contribute to Poor Health Wellness Model Strategies to Address Comorbid Conditions Promising Practices: Wellness for Life Wellness Coaching Personal and Professional Application 7

8 What We Have in Common We want to have meaning and purpose in life, as we define it We have personal and material resources and natural supports to help us experience a better quality life We need compassion, understanding, respect pswarbrick@cspnj.org 8

9 We Can Benefit By bridging our individual and collective experiences to bring about positive change within our multiple communities of identity Work School Neighborhoods Families and friends Citizen - community Citizen - world pswarbrick@cspnj.org 9

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11 Challenges What We Face physical, social, emotional, spiritual After-effects of financial stress, trauma and abuse Poverty and the stigma of poverty poor living conditions Stress and strain associated with family separation 11

12 Influences on People We Serve Income and social status Social support networks Education and literacy (i.e., health literacy) Employment /working Social and physical environments Personal health practices and coping skills Child development Genetic factors Access to health services Gender Culture 12

13 Factors Poverty Illness Behaviors Medication side effects Living Situations Illness-related symptoms Inadequate access to timely and good quality healthcare 13

14 Why Wellness? Model of the Interaction Between Mental Disorders and Medical Illness Taken from Druss BG & Reisinger Walker E (2011). Mental disorders and medical comorbidity. Available online at Based on content in Katon WJ (2003). Clinical and health services relationships between major depression, depressive symptoms, and general medical illness Biological Psychiatry;54 (3) pswarbrick@cspnj.org 14

15 Wellness 1,2,3 is a conscious, deliberate process that requires that a person become aware of and make choices for a more satisfying lifestyle 1 Swarbrick, M. (March 1997). A wellness model for clients. Mental Health Special Interest Section Quarterly, 20, Swarbrick, M. (2006). A wellness approach. Psychiatric Rehabilitation Journal, 29, (4) Swarbrick, M. (2009). A wellness and recovery model for state hospitals. Occupational Therapy in Mental Health, (25), pswarbrick@cspnj.org 15 15

16 High Level Wellness Wellness is not the absence of disease, illness, and stress but the presence of: Purpose in life Active involvement in satisfying work and play Joyful relationships A healthy body and living environment Happiness Dr. Halbert Dunn pswarbrick@cspnj.org 16

17 Wellness Dunn s Viewpoint: Importance of mind/body/spirit connections Need for satisfaction and valued purpose A view of health as more than non-illness Dunn, H.L. (1961). High-Level Wellness. Arlington, VA: Beatty Press; Dunn, H.L. (1977). What High Level Wellness Means. Health Values, 1(1), pswarbrick@cspnj.org 17

18 Wellness is Self-Defined Individual needs and preferences Balance varies from person to person Wellness Institute Collaborative Support Programs of New Jersey Wellness is the process of creating and adapting patterns of behavior that lead to improved health in the wellness dimensions 18

19 A Wellness lifestyle includes a self-defined balance of health habits such as adequate sleep and rest, diet and nutrition, physical activity, participation in meaningful productive activity, and access to supportive relationships. pswarbrick@cspnj.org 19 19

20 Wellness Dimensions

21 8 Wellness Dimensions Adapted from Swarbrick, M. (2006). A wellness approach. Psychiatric Rehabilitation Journal, 29,(4)

22 8 Wellness Dimensions Adapted from Swarbrick, M. (2006). A wellness approach. Psychiatric Rehabilitation Journal, 29,(4)

23 8 Wellness Dimensions Adapted from Swarbrick, M. (2006). A wellness approach. Psychiatric Rehabilitation Journal, 29,(4)

24 8 Wellness Dimensions Adapted from Swarbrick, M. (2006). A wellness approach. Psychiatric Rehabilitation Journal, 29,(4)

25 8 Wellness Dimensions Adapted from Swarbrick, M. (2006). A wellness approach. Psychiatric Rehabilitation Journal, 29,(4)

26 8 Wellness Dimensions Adapted from Swarbrick, M. (2006). A wellness approach. Psychiatric Rehabilitation Journal, 29,(4)

27 8 Wellness Dimensions Adapted from Swarbrick, M. (2006). A wellness approach. Psychiatric Rehabilitation Journal, 29,(4)

28 8 Wellness Dimensions Adapted from Swarbrick, M. (2006). A wellness approach. Psychiatric Rehabilitation Journal, 29,(4)

29 8 Wellness Dimensions Adapted from Swarbrick, M. (2006). A wellness approach. Psychiatric Rehabilitation Journal, 29,(4)

30 Why Focus on Physical? Health-related problems (sedentary lifestyle, co-occurring medical conditions, obesity, symptom burden, smoking status, etc) Address medication side effects Prevent future illness and disease Reduce early mortality Improve quality of life

31 Physical Wellness Domains Physical activity Nutrition Sleep and rest Relaxing activities Self care practices Medical care, screenings, preventative care 32

32 Habits and Routines 33

33 Activities that bring purpose, balance, and pleasure, become part of our habits and routines 34

34 Health & Wellness Wellness Coaching Wellness for Life Smoking Cessation programs Health & Lifestyle 35

35 Professional Applications: What We Can Transform 36

36 Personal Applications Your Face Here 37

37 Peggy Swarbrick, PhD, OT, FAOTA Associate Professor Rutgers University Collaborative Support Programs of New Jersey Wellness Institute 38

38 Wellness Legere, L., Nemec, P., Swarbrick, M. Swarbrick. (2006). A wellness (2013). Personal Narrative as a Teaching approach. Psychiatric Rehabilitation Tool. Psychiatric Rehabilitation Journal, Journal, 29(4) (4), Swarbrick, D Antonio, & Nemec,. Swarbrick, M. (2012). A Wellness (2011). Promoting staff wellness. Approach to Mental Health Recovery. In Psych Rehab Journal (34) Recovery of People with Mental Illness. Swarbrick & Moosvi (2010). Wellness: A.Rudnick (ed). Oxford Press. A practice for our lives and work. J of Swarbrick, M. (2011). Expertise from Psychosocial Nursing, 48(7), 2-3. Experience: Mental Health Recovery and Swarbrick, Hutchinson, & Gill. (2008). Wellness. In Graham, Thornicroft, The quest for optimal health: Can Szmukler, Mueser, & Drake (eds). Oxford education and training cure what ails Textbook of Community Mental Health. us? Int J of MH, 37(2), Oxford University Press. Swarbrick, & Burkhardt. (2000). The Swarbrick, M. (2011). The lived spiritual domain of health. MH Special Experience: Narratives through the Lens Interest Section Quarterly, 23, 1-3. of Wellness. In Serious Mental Illness: Patient Centered Approaches. Rudnick & Swarbrick, M. (1997). A wellness Roe (eds.). Radcliffe Publ. model for clients. MH Special Interest Section Quarterly, 20, 1-4. pswarbrick@cspnj.org

39 Wellness Coaching/Screenings Swarbrick, M. (2013). Wellness-oriented peer approaches: A key ingredient for integrated care. Psychiatric Services, 64(8), Swarbrick, M., Murphy, A., Zechner, M., Spagnolo, A., Gill, K. (2011). Wellness coaching: A new role for peers. Psychiatric Rehabilitation Journal, 34(4), Brice, G., Swarbrick, M., & Gill, K. (2014). Promoting the health of peer providers through Wellness Coaching. Psychosocial Nursing Journal, 52(1), Swarbrick, M., Cook, J., Razzano, L., Yudof, J., Cohn, J., Fitzgerald, C., Redman, B., Costa, M., Carter, T. Burke, K., & Yost, C. (2013). Health screening dialogues. Psychosocial Nursing Journal, 51(12), pswarbrick@cspnj.org 40

40 Resources Wellness Resource Healthy People National Prevention Strategy Wellness Campaign aspx#1 Million Hearts Campaign 41