Allegany Rehabilitation Associates Personalized Recovery Oriented Services Title of Service: Nutrition and Physical Health

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Title of Service: Nutrition and Physical Health Total Number of Sessions: 12 Source: Solutions For Wellness. Eli Lilly. 2002. Duration of each session: 45 minutes PROS Service: CRS Wellness Self Management Target population: Diagnoses: Mood Disorders, Bipolar Disorder, Schizophrenia, Schizoaffective Disorder, Anxiety Disorders, Substance Abuse Disorder, Personality Disorders Barriers to be overcome: Low self esteem Metabolic syndrome Implementing a healthy lifestyle Symptom Management Service Goal: To increase participants knowledge of healthy and unhealthy lifestyles and choices that impact their overal general health. Participants will be given handouts and opportunity to ask questions and give feedback to peers. Service Objectives: Understand what a healhty body weight is Know how to monitor resting and target heart rates Understand benefits of regular exercise Know to start and maintain an exercise program Know different types of exercose programs Learn health problems that can be reduced or avoided with a healthy diet and lifestyle Learn dietary guide lines Learn ways to reduce food costs Learn how to develop support systems to maintain a healthy diet and life style Nutrition and Physical Health Session Outlines Page 1 of 13

Session: 1 What is a Healthy Lifestyle Develop a personal concept of what it means to have a healhty lifestyle Verbalize 3 aspects that are needed to have healthy lifestyle Verbalize 3 areas of life that a healthy lifestyle impacts Identify 2 roadblocks that prevent people from exercising Page 3 Open discussion of what a healhty lifestyle is Discuss 3 areas in life that a healhty life impacts Discuss roadblocks that prevent people from exercising Nutrition and Physical Health Session Outlines Page 2 of 13

Session: 2 Evaluating Your Body Weight Clients will learn how to calculate a healhty body weight for their height and gender Clients will learn their weight also calculates bones, muscles, organs, blood and fat. Learn about the importance of balancing calories in and out to maintain a healhty body weight or lose weight Page 6 Discuss what healhty body weight means and how to calculate it Discuss body composition in regards to weight Decide if your weight is in a healthy range and how that impacts your health Nutrition and Physical Health Session Outlines Page 3 of 13

Session: 3 Symptoms of Being Out Of Shape Identify 4 symptoms of being out of shape Learn how to measure a resting pulse rate Identify 2 benefits to regular exercise Page 8 Discuss symptoms of being out of shape and which ones apply to you Practice measureing your resting heart rate Evaluate the results of your resting heart rate and what impact it has on your healht Discuss benefits from regular exercise Take the Fitness Self-Assessment Nutrition and Physical Health Session Outlines Page 4 of 13

Session: 4 Benefits of regular exercise Allegany Rehabilitation Associates Identify 3 benefits to regular exercise Identify 2 physical benefits Identify 2 mental health benefits Discuss the 8 benefits of exercise Clients will discuss any benefits they receive from exercise that is not lised in this program Nutrition and Physical Health Session Outlines Page 5 of 13

Session: 5 Types of exercises Identify 3 majopr types of exercise Identify the benefits of cardiovascular, flexibility and strength developing exercises Identify your target heart rate Page 26 Discuss the 3 major types of exercise Discuss the benefits of cardiovascular, flexibility and strength-developing exercises Discuss target heart rates and its importance Discuss how walking is an ideal exercise for beginners Nutrition and Physical Health Session Outlines Page 6 of 13

Session: 6 Body Mass Index Learn how to calculate your BMI Learn what a healthy BMI is for your body Identify what a BMI calculates Page 2-c Discuss what BMI stands for Practice calculating your BMI Discuss healhty ranged for BMI Discuss healht risks for having a high BMI Nutrition and Physical Health Session Outlines Page 7 of 13

Allegany Rehabilitation Associates Session: 7 Health Problems Associated With a Poor Diet Identify 2 medical risk factors associated with poor diet Verbalize the difference between overweight, obese and morbid obesity Discuss risk factors of having an unhealhty weight Discuss the difference between being over weight, obese and morbidly obese Discuss obesity being a public health problem and why Discuss how exercise program and a well balanced diet is the most effective treatment for obesity Discuss how obesity is reversable Nutrition and Physical Health Session Outlines Page 8 of 13

Allegany Rehabilitation Associates Session: 8 Dietary Guidelines for Americans Participants will identify ways the Dietary Guidelines for Americans (DGA)will help them. They will be able to identify difference between old Food Pyramid and the new MyPyramid. Participants will recognize how MyPyramid can help them make healthier food and activity choices. MyPramid Handout Discuss portion/serving sizes Discuss healthy food options Discuss what it means to have a balanced diet Paricipants will research at www.mypyramid.gov and discover which eating pattern fits their lifstyle. Nutrition and Physical Health Session Outlines Page 9 of 13

Allegany Rehabilitation Associates Session: 9 Fiber, Grains, Vegetables, Fruits, Saturated fat vs Unsaturated fat Identify the difference between unsaturated and staurated fat Identify a diet high in fiber Identify 2 food that contain fiber Identify 2 benefits of fiber Discuss the benefits of fiber Discuss 2 different types of fiber Discuss the difference between saturated and unsaturated fats Discuss the risks of a high fat diet Nutrition and Physical Health Session Outlines Page 10 of 13

Allegany Rehabilitation Associates Session: 10 Choosing a Diet Moderate in Sugars and Salt Identify the number one additive food Identify 3 different names used for sugar on labels Identify 2 risks of a high sugar diet Identify the daily recommended intake of salt Identify 1 risk of a high salt diet Discuss the risks of a high sugar diet Discuss risks of a high salt intake Discuss multiple names for sugar Discuss foods high in sodium Discuss foods high in sugar Participants will apply what they have learned by not adding salt when cooking and not have salt on the dinner table. Nutrition and Physical Health Session Outlines Page 11 of 13

Session: 11 Avoiding Alcohol and Increasing Your Water Intake Identify 3 health risks of consuming alcohol Ientify 2 benefits to drinking water Discuss the risks of consuming alcohol Discuss benefits of drinking water Discuss the recommended water intake Discuss your own water intake Nutrition and Physical Health Session Outlines Page 12 of 13

Session: 12 Strategies to Improve Eating Habits Identify 3 tips to improving your eating habits Identify 2 benefits to improving your eating habits Identify your worst eating habit Discuss tips to improving eating habits Identify health benefits to improving eating habits Discuss ways to improve your worst eating habity Discuss what are the risks to your worst eating habit Nutrition and Physical Health Session Outlines Page 13 of 13