Promoting Resiliency through Peer Support Whole Health

Transcription

1 Promoting Resiliency through Peer Support Whole Health June 27 th, Webinar Series Sponsored by: Magellan Health Services Presented by Tom Lane, CRPS National Director, Consumer and Recovery Services

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3 Confidential Information This presentation may include material non public information about Magellan Health Services, Inc. ( Magellan or the Company ). By receipt of this presentation each recipient acknowledges that it is aware that the United States securities laws prohibit any person or entity in possession of material non public information about a company or its affiliates from purchasing or selling securities of such company or from the communication of such information to any 3 other person under circumstance in which it is reasonably foreseeable that such person may purchase or sell such securities with the benefit of such information. By receipt of this presentation, each recipient agrees that the information contained herein will be kept confidential. The attached material shall not be photocopied, reproduced, distributed to or disclosed to others at any time without the prior written consent of the Company. 3

4 About the Presenter: Tom Lane, CRPS is the national Director of Consumer and Recovery Services for Magellan s Public Sector Division and provides leadership and guidance in promoting the concepts of recovery, resilience, and wellness throughout Magellan Behavioral Health Services systems of care, in addition to providing technical assistance and training to Magellan staff, providers, advocates, and community stakeholders. Currently, he is leading Magellan s Peer Support Whole Health and Wellness initiative. Prior to joining Magellan, he worked as Vice President of Recovery Supports and Forensic Services for New Horizons of the Treasure Coast, a community mental health center in Florida. He has 14 years experience developing and implementing peer operated programs, services, and supports in the community and within publicly funded provider settings, 4 including inpatient and state hospital settings. He contributed to Principled Leadership in Mental Health Systems and Programs, authored by Dr. Bill Anthony and Ms. Kevin Huckshorn, published in 2008 by the Boston University s Center for Psychiatric Rehabilitation. Tom has provided technical assistance and training across the United States about recovery, & resiliency, reducing seclusion, restraint and other coercive practices, as well as social inclusion. He frequently presents at state and national conferences. Tom is a member of the National Advisory Board of the College of Community Inclusion and Recovery, a partnership between Temple University, the University of Minnesota, and Elsevier a world leading provider of scientific, technical and medical information products and services. The mission of the College of Community Inclusion and Recovery is to promote broader participation in community life of individuals with psychiatric disabilities by building the needed attitudes, knowledge, and skills of those who provide them with supports and services in community settings. 4

5 Learning Objectives Discuss the impact co morbid conditions have on people living with psychiatric disabilities Describe the four resiliency domains Identify at least 3 practical approaches to supporting people improve their overall health in the four resiliency domains incorporated into the Peer Support Whole Health and Resiliency model. Discuss the role of trained peer specialists in promoting improved health outcomes in the four resiliency domains. 5

6 In health there is freedom. Health is the first of all liberties Henri Frederic Amiel

7 "Life is short, and we do not have much time to gladden the hearts of those who travel with us, so be quick to love and make haste to be kind." Henri Frederic Amiel

8 Early Death A Public Health Crisis Average life expectancy in the U.S years National Vital Statistics Report (NVSR) Volume 60, Number 3), 2012 People can and do recover from psychiatric disabilities, but the average life expectancy for a man is only 53 years, and only 59 years for a woman because of co morbid conditions! NASMHPD Mortality Report,

9 What s Killing Us? Number one cause: Cardiovascular Disease Other causes: Metabolic Syndrome Chronic Obstructive Pulmonary Disease (COPD) Diabetes 9

10 Did you know? Cardiac events alone account for more deaths than suicide. 10

11 Personal Wellness What contributes to personal wellness? What do you need to be well? 11 11

12 A Wellness Framework 12 Adapted from Swarbrick, M. (2006). A wellness approach. Psychiatric Rehabilitation Journal, 29,(4) (used with permission) 12

13 Aspects of Wellness Wellness is a conscious, deliberate process that requires a person to become aware of and make choices for a more satisfying lifestyle. Johnson,1986; Swarbrick, 1997 Wellness is the process of creating and adapting patterns of behavior that lead to improved health in the wellness dimensions and heightened life satisfaction Johnson,1986 A wellness lifestyle includes a balance of health habits such as: adequate sleep and rest, productivity, exercise, participation in meaningful activity, nutrition, productivity, social contact, supportive relationships Swarbrick,

14 Whole Health and Wellness: Being Wellness informed Core elements of whole health and wellness peer supporter who is wellness informed: understands basic facts about whole health and wellness has access to whole health and wellness education resources is aware of services and supports that promote wellness in their community has experience supporting peers to connect with the recovery and wellness community These are core elements of peers providing support for whole health for individuals based on self determined goals developed and pursued to improve personal health and wellness outcomes! Peer supporters do not focus on illness 14

15 Why Peer Support? Long history of mutual self help groups Experiential knowledge, lived experience, mutually beneficial Peer Support is an Evidence based Practice over 200 studies Peer Support along a continuum grassroots, community based, 15 provider based, restrictive settings, other health care systems/providers (e.g. Integrated Health Homes) Inclusion in the workforce bringing experiential knowledge to organizational culture Emergence of Peer Support for whole health and wellness 15

16 Peer Support Whole Health This model was in created in consultation with the Benson Henry Institute for Mind Body Medicine (MGH) and Stanford University by Appalachian Consulting Group (ACG) and the Georgian Mental Health Consumer Network under a SAMHSA/NASMHPD grant. Developed specifically for people living with psychiatric disabilities 16 16

17 PSWH&R Training PSWH&R training is also built on a Person Centered Planning (PCP) process that focuses on ten health lifestyle domains Healthy Eating Physical Activity Restful Sleep Stress Management Service to Others Support Network Optimism based on Positive Expectations Cognitive Skills to avoid Negative Thinking Meaning and Purpose Spirituality 17

18 Many, many failures equals success. Thomas Edison

19 Definitions Resilient: Capable of returning to an original shape after being bent, stretched, or compressed; elastic. American Heritage Dictionary, Second Edition Resilience: The capacity to spring back, rebound, successfully adapt in the face of adversity, and develop social competence despite exposure to severe stress. Marilyn Colby Rivkin and Mary Hoopman Resiliency: All people have qualities that enable us to rebound from adversity, trauma, tragedy, threats, or other stresses and to go on with life with a sense of mastery, competence and hope. Magellan Health Services Resiliency: The innate ability to learn, renew and recreate oneself in the face of change, challenge, opportunity and/or adverse conditions, in order to move adaptively and successfully into the future. 19

20 Resilience is the ability of individuals to remain healthy even in the presence of risk factors. National Center for Mental Health Promotion 20

21 Resiliency Wheel Building resiliency in the environment Mitigating risk in the environment High Expectations Meaningful Participation Caring & Support Pro Social Bonding 21 Life Skills Clear & Consistent Boundaries 21

22 PSWH&R: Describing Resiliency Domains Optimism based on Positive Expectations Cognitive Skills to avoid Negative Thinking Meaning and Purpose Spirituality 22

23 Unique Supports for Promoting Resilience 23 23

24 Values and Practices, Not Programs Helping others build resilience is about relationship Everyone has something to contribute Research has shown that HOPE is an important component of recovery Be wellness informed and make building resilience part of 24 organization culture Recognize the importance of spirituality in people s lives, and cultivate practices that appropriately integrate spirituality into services, supports, and community partnerships 24

25 Strategies That Promote Resiliency Truly person centered services and supports, paying attention to individual needs and wishes, especially hopes and dreams Leverage peer, family, and community supports to help people find meaningful opportunities to participate and be included; more than integration Build a workforce that is inclusive of people with lived experience who are equipped to offer supportive relationships and share their recovery stories, paying special attention to the 4 resiliency domains Use Life Planning decision support tools and other resources that build confidence and provide new ways to identify goals and expectations 25 25

26 PSWH and R: Three Beliefs 1.People cannot be forced to change their unhealthy lifestyle habits. People volunteer to take part in the training. Participants acknowledge that they have health issues that they are thinking about. 2.People are more likely to create a healthier lifestyle when they focus on their interests, strengths, supports and what they see as possible. Therefore, the training helps 26people focus on what they want to create in their lives, not on what they need to change. 3.People find it easier to create new habits than to change or stop old habits. Therefore, the training focuses on creating new habits or disciplines each week. It also monitors how well individuals are doing and accepting support from their peers. 26

27 The Unique Role of Peer Supporters Peer supporters trained in whole health and resiliency (PSWH&R) or Whole Health Action Management (WHAM) learn specific skills to help build individual s resilience through self directed whole health goals Stresses creating new health life style habits and disciplines through self determined strategies and choices 27

28 The Unique Role of Peer Supporters Weekly support groups Additional peer support from others participating in whole health/resiliency activities Peer accountability and support Daily whole health logs Ratings relevant to resiliency domains Confidence scale Personal Health Journal 28

29 They say that time changes things, but you actually have to change them yourself. Andy Warhol

30 Q&A and CE Credit Instructions We will take questions that have first been submitted via the Q&A pod. We will attempt to answer as many questions as possible during the time allocated for Questions and Answers. For those seeking CE credits for today s live presentation, please use the link below to access the post test/course evaluation. Please 30 plan to complete the post test/course evaluation by Friday, June 28 th by 9 p.m. Eastern. If you have difficulties accessing the CE credit link, please contact Tom Lane at Tlane@Magellanhealth.com. CE credits are not offered for participants viewing the archived webinar. 30

31 Citations Johnson, J. (1986). Wellness: A context for living. Thorofare, NJ: Slack. Nan Henderson and Mile Milstein. Resiliency in Schools: Making it Happen/or Students and Educators. Thousand Oaks, CA: Corwin Press, National Association of State Mental Health Program Directors Council (NASMHPD). (2006). Morbidity and Mortality in people with serious mental illness (Thirteenth in a Series of Technical Reports). Alexandria, VA. National Vital Statistics Report (NVSR) Volume 60, 31 Number 3), 2012 Swarbrick, M. (1997, March). A wellness model for clients. Mental Health Special Interest Section Quarterly, 20, 1 4. Swarbrick, M. (2006). A wellness approach. Psychiatric Rehabilitation Journal, 29,(4)