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Personal Workbook PDF

210 Pages·2015·1.48 MB·English
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Wellness Self-Management Personal Workbook Hope Choice Involvement Recovery New York State Office of Mental Health Michael F. Hogan, Ph.D., Commissioner Rr Personal Workbook | 1 Wellness Self-Management Personal Workbook Developed by The New York State Office of Mental Health (NYSOMH) The Urban Institute for Behavioral Health (UIBH) SM Center for Practice Innovations (CPI) New York State Psychiatric Institute Workbook Development Team $QWKRQ\6DOHUQR3K'Ī&KDLUSHUVRQī (YLGHQFHĥ%DVHG3UDFWLFHV 1HZ<RUN6WDWH2ɷFHRI0HQWDO+HDOWK 3DXO0DUJROLHV3K'$VVRFLDWH'LUHFWRU IRU3UDFWLFH,QQRYDWLRQDQG,PSOHPHQWDWLRQ &HQWHUIRU3UDFWLFH,QQRYDWLRQV 1HZ<RUN6WDWH3V\FKLDWULF,QVWLWXWH $QGUHZ&OHHN3V\''LUHFWRU 8UEDQ,QVWLWXWHIRU%HKDYLRUDO+HDOWK ‹1HZ<RUN6WDWH2ɷFHRI0HQWDO+HDOWKUG(GLWLRQ$OOULJKWVUHVHUYHG 2 | Wellness Self-Management A C K NOWLEDGEMENTS 7KHGHYHORSPHQWDQGVXSSRUWIRUWKHZLGHVSUHDG %HQMDPLQ56KHU0$/06:'LUHFWRURI LPSOHPHQWDWLRQRIWKH:HOOQHVV6HOIĥ0DQDJHPHQW 7UDLQLQJ,&/ Ī:60īSURJUDPZDVPDGHSRVVLEOHE\WKHDFWLYH 7RQ\7UDKDQ2ɷFHRI5HFLSLHQW$ɱDLUV1<ĥ OHDGHUVKLSRI0LFKDHO)+RJDQ3K'&RPPLVVLRQĥ 620+ HURIWKH1HZ<RUN6WDWH2ɷFHRI0HQWDO+HDOWK &DUHQ:HLQJDUW/&6:&OLQLFDO6XSHUYLVRU 6SHFLDODSSUHFLDWLRQLVH[WHQGHGWR5REHUW0\HUV 7KH3RVWJUDGXDWH&HQWHUIRU0HQWDO+HDOWK 3K'$VVRFLDWH&RPPLVVLRQHUIRU$GXOW6HUYLFHV IRUKLVKLJKO\YLVLEOHGLUHFWDQGFRQWLQXRXVVXSSRUW 6KHHWDO5D\DQFKD8,%+$GPLQLVWUDWLYH$VVLVĥ RIWKH:60DQGUHODWHGLQLWDWLYHVWKURXJKRXW1HZ tant York State. 7KHLQLWLDOYHUVLRQRIWKH:60ZRUNERRNZDVSLĥ )XUWKHUPRUHWKH&HQWHUIRU3UDFWLFH,QQRYDWLRQVDW ORWHGDWWHQDJHQFLHVDɷOLDWHGZLWK8,%+DQGDW 1HZ<RUN6WDWH3V\FKLDWULF,QVWLWXWHXQGHUWKHGLĥ +XGVRQ5LYHU3V\FKLDWULF&HQWHULQ3RXJKNHHSVLH UHFWLRQRI6XVDQ(VVRFN3K'KDVEHHQLQVWUXPHQĥ 1HZ<RUN7KH:RUNERRNKDVEHHQVKDSHGE\IHHGĥ WDOLQSURYLGLQJWKHQHFHVVDU\WHFKQLFDODQGHYDOXDĥ EDFNSURYLGHGE\WKHFRQVXPHUVVWDɱDQGOHDGHUV WLRQUHVRXUFHVDQGH[SHUWLVHWRLQVXUHVXFFHVVIXOGHĥ RIWKHVHRUJDQL]DWLRQV:LWKRXWWKHLUHɱRUWVWKH YHORSPHQWLPSOHPHQWDWLRQDQGHYDOXDWLRQRIERWK :RUNERRNFRXOGQRWKDYHEHHQGHYHORSHG WKH$GXOW:60DQG.(<LQLWDWLYHVLQ1<6 7KH:RUNERRNLQFOXGHVPDWHULDOWKDWKDVEHHQUHĥ $SSUHFLDWLRQLVH[WHQGHGWR6KDURQ&DUSLQHOOR SULQWHGRUPRGL¿HGZLWKSHUPLVVLRQIURP 3K'IRUPHU&RPPLVVLRQHURIWKH1<620+ 20+2ɷFHRI5HFLSLHQW$ɱDLUVĪī5HFĥ ZKRVHOHDGHUVKLSZDVWKHFDWDO\VWIRUWKHGHYHORSĥ RPPHQGDWLRQV,QIXVLQJ5HFRYHU\3ULQFLSOHVLQ PHQWRIWKH:60SURJUDP WKH,OOQHVV0DQDJHPHQW 5HFRYHU\5HVRXUFH 7RRONLW$OEDQ\1HZ<RUN6WDWH2ɷFHRI0HQWDO $SSUHFLDWLRQLVDOVRH[WHQGHGWRWKHIROORZLQJLQGLĥ +HDOWK YLGXDOVIRUWKHLUFRQWULEXWLRQV 5\DQ6:/LWWUHOO.+6RZHUV& 3HDERG\ 3HWHU%HLWFKPDQ'6:([HFXWLYH'LUHFWRU ''ĪīSolutions for Wellness īQGHGīĪ‹(OL /LOO\DQG&RPSDQ\ī$YDLODEOHDWZZZWUHDWPHQWĥ 7KH%ULGJH,QF WHDPFRP 3HWHU&&DPSDQHOOL3V\'3UHVLGHQW &(2 :HLGHQ3-6FKHLÀHU3/-RKQVRQ0F&UDU\. 7KH,QVWLWXWHIRU&RPPXQLW\/LYLQJ,QFĪ,&/ī UG HWDOĪīTeam SolutionsĪ HGī.Ī‹(OL/LOO\ &DWK\&DYH/&6:'LUHFWRURI&XOWXUDO&RPĥ DQG&RPSDQ\ī$YDLODEOHDWZZZWUHDWPHQWWHDP SHWHQFH1<620+ FRP $P\&ROHVDQWH2ɷFHRI5HFLSLHQW$ɱDLUV1<ĥ 7KLV:RUNERRNDOVRLQFOXGHVPDWHULDOUHSULQWHGRU 620+ PRGL¿HGIURPVRXUFHVLQWKHSXEOLFGRPDLQ7KHVH 5RVD0*LO'6:3UHVLGHQW &(2&RPXQLĥ LQFOXGH OLIH,QF 0XHVHU . DQG *LQJHULFK 6 Īī Illness 6KDURQ*ROG/&6:'LUHFWRURI&RQWLQXLQJ Management & Recovery Implementation Resource 'D\7UHDWPHQW7KH%ULGJH,QF Kit :DVKLQJWRQ '& 8QLWHG 6WDWHV 'HSDUWĥ &KULV.HDQH)13,&/ PHQWRI+HDOWKDQG+XPDQ6HUYLFHV6XEVWDQFH $EXVHDQG0HQWDO+HDOWK6HUYLFHV$GPLQLVWUDĥ +DUYH\/LHEHUPDQ3K'&RQVXOWDQWWR,&/ WLRQ$YDLODEOHDWKWWSGRZQORDGQFDGLVDPKVD JRYNHQSGIWRRONLWVLOOQHVV,05B8VHUVSGI Personal Workbook | 3 2QNHQ6DQG'XPRQW-ĪīMental Health 7KH:RUNERRNGHYHORSPHQWWHDPZDVDOVRLQÀXĥ Recovery: What Helps and What Hinders? $1DWLRQDO HQFHGE\WKH3V\FKLDWULF5HKDELOLWDWLRQDSSURDFK 5HVHDUFK3URMHFWIRUWKH'HYHORSPHQWRI5HFRYĥ GHYHORSHGE\'U:LOOLDP$QWKRQ\DQGFROOHDJXHV HU\)DFLOLWDWLQJ6\VWHP3HUIRUPDQFH,QGLFDWRUV DW%RVWRQ8QLYHUVLW\$QDGDSWDWLRQRIWKH523(6 $OH[DQGULD9$1DWLRQDO7HFKQLFDO$VVLVWDQFH WHDFKLQJWHFKQLTXHIRUPVWKHIRXQGDWLRQIRUWKH &HQWHUIRU6WDWH0HQWDO+HDOWK3ODQQLQJ IRUPDWXWLOL]HGLQWKH:RUNERRN¶VOHVVRQV 7KH:RUNERRNUHSUHVHQWVDQDGDSWDWLRQRIH[LVWĥ :HDUHJUDWHIXOIRUWKHFRQWULEXWLRQVRIWKHSDUWLFLĥ LQJRSHQĥVRXUFHUHSRUWVDQGHGXFDWLRQDOPDWHULDOV SDQWVLQWKH,OOQHVV0DQDJHPHQWDQG5HFRYHU\GLVĥ DVZHOODVFRQVLGHUDEOHQHZPDWHULDOFUHDWHGE\WKH VHPLQDWLRQSURMHFWZKLFKUHFHLYHGVXSSRUWIURP :RUNERRN'HYHORSPHQW7HDP$GDSWDWLRQVJHQHUĥ 1<620+DQGWKH6XEVWDQFH$EXVHDQG0HQWDO DOO\LQYROYHGFKDQJHVLQODQJXDJHIRUPDWVHTXHQFĥ +HDOWK6HUYLFHV$GPLQLVWUDWLRQDQGIXQGVIURPWKH LQJRIWRSLFVDQGRUJDQL]DWLRQRIOHVVRQV)XUWKHUĥ 5REHUW:RRG-RKQVRQ)RXQGDWLRQ3DUWLFLSDQWV¶ PRUHWKH:RUNERRNZDVGHVLJQHGWRUHÀHFWWKH ZRUNDQGIHHGEDFNKHDYLO\LQÀXHQFHGWKHGHYHORSĥ SULQFLSOHVRIUHFRYHU\UHFRJQL]HWKHUROHRIFXOWXUDO PHQWRIWKLV:RUNERRN$GGLWLRQDOO\ZHDSSUHFLĥ DQGUHOLJLRXVYDOXHVKLJKOLJKWWKHFRQQHFWLRQEHĥ DWHWKHWKRXJKWIXODQGFRQVWUXFWLYHIHHGEDFNRI WZHHQPHQWDODQGSK\VLFDOKHDOWKDQGDGGUHVVWKH WKHPHPEHUVRIVHYHUDOIRFXVJURXSVZKRUHYLHZHG FKDOOHQJHVRISURYLGLQJ:60VHUYLFHVLQDJURXS WKHVHPDWHULDOVDVWKH\ZHUHGHYHORSHG PRGDOLW\ :HDOVRZLVKWRDFNQRZOHGJHWKHFRQWULEXWLRQRI 0RVWQRWDEO\ZHDUHLQGHEWHGWRWKHZRUNRI.LP (OL/LOO\DQG&RPSDQ\ZKLFKGHYHORSHGWKH6ROXĥ 0XHVHU3K'DQG6XVDQ*LQJHULFK06:ZKR WLRQVIRU:HOOQHVVDQG7HDP6ROXWLRQVHGXFDWLRQDO GHYHORSHGWKHFRPSUHKHQVLYH,OOQHVV0DQDJHPHQW PDWHULDOVGLVVHPLQDWHGWKURXJKWKH8QLYHUVLW\RI DQG5HFRYHU\Ī,05īSUDFWLFHDQGUHODWHGUHVRXUFH 0HGLFLQHDQG'HQWLVWU\RI1HZ-HUVH\6RPHRIWKH NLW7KH:60:RUNERRNLQFRUSRUDWHVPDQ\RIWKH PDWHULDOZDVGLUHFWO\LQFRUSRUDWHGLQWRWKH:RUNĥ WRSLFDUHDVIURPWKH,05UHVRXUFHNLW,QDGGLWLRQ ERRNDQGWKHGHYHORSPHQWRIQHZPDWHULDOZDV WKH,05HPSKDVLVRQDFRPSUHKHQVLYHFXUULFXOXP JXLGHGE\WKHVLPSOLFLW\DQGFODULW\RIODQJXDJHRI DQGNH\FOLQLFDOSUDFWLFHFRPSHWHQFLHVVXFKDVPRĥ WKH/LOO\PDWHULDO WLYDWLRQDOHGXFDWLRQDODQGFRJQLWLYHEHKDYLRUDODSĥ SURDFKHVVHUYHGDVWKHFRQFHSWXDOIRXQGDWLRQIRU WKH:60:RUNERRNDQGUHODWHGWUDLQLQJPDWHULDOV A mental health agency or treatment program interested in providing the WSM Program may ONLY implement the program and reproduce, reprint, or distribute the WSM Workbook with prior written approv- DORIWKH1HZ<RUN6WDWH2ɸFHRI0HQWDO+HDOWK5HTXHVWVFDQEHGL- rected to the Center for Practice Innovations at Columbia Psychiatry at &3,+(/3#SLFSPFFROXPELDHGX Individuals may reproduce, reprint, or distribute the WSM Workbook under the following conditions: personal use by adults with mental health concerns and their family members; academic purposes by instructors or students involved in human service and mental health education; pro- JUDPSODQQLQJSXUSRVHVE\PHQWDOKHDOWKVWDɲDQGDGPLQLVWUDWRUVDQG DGYRFDF\SXUSRVHVE\VWDNHKROGHUVLQWKHPHQWDOKHDOWKV\VWHP 4 | Wellness Self-Management Personal Workbook | 5 WELCOME! Congratulations on your dision to take more control over your life! As cuent and former ripients servic, we know it tak a l courage and hard work to make chang. e effes mental illn can make even the simplt tasks seem very difficult and drain us our energy and rourc. However, as you will learn in the first chapter, everyone can rover om mental illn and you are in control your own rovery. You are the pert on yourself and no one can tell you at your path to rovery will look like. You will have to dide at works for you and at don’t. Your Workbook is digned to help you with the disions. For many us traditional treatment has been only a part our rovery. To g the most out this program, we encourage you to develop real, authentic relationships by listening to and learning om people in your group and om hers; to share your perienc with your peers; to co-lead the group; to find a buddy and to follow through on your Action Steps. Real life haens outside the clinic and your Action Steps will help to make it real for you. You are about to start on an adventure. What you do now will dermine o you will bome. We wish you well on the journ, 7KH%XUHDXRI5HFLSLHQW$ɱDLUV 1HZ<RUN6WDWH2ɷFHRI0HQWDO+HDOWK 6 | Wellness Self-Management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ɷFHRI0HQWDO+HDOWK &HQWHUIRU3UDFWLFH,QQRYDWLRQVDW&ROXPELD3V\FKLDWU\ Personal Workbook | 7 WELLNESS SELF-MANAGEMENT (WSM) PERSONAL WORKBOOK Table of Contents In t r o d u c t i o n 7RSLF:KDW,V:HOOQHVV6HOIĦ0DQDJHPHQWī:60ĬDQG+RZ&DQ,W%H+HOSIXOWR<RX" /HVVRQ :HOOQHVV6HOIĥ0DQDJHPHQW3URJUDP2YHUYLHZ . . . . . . . . . . . . . . . . . . .8 /HVVRQ :60,PSRUWDQW3RLQWV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Topic 2: Getting the Most Out of the WSM Program /HVVRQ :KDW,V<RXU5ROHLQWKH3URJUDP" . . . . . . . . . . . . . . . . . . . . . . . . . /HVVRQ 8QGHUVWDQGLQJ3RVLWLYHDQG1HJDWLYH7KLQNLQJ . . . . . . . . . . . . . . . . . . /HVVRQ *HWWLQJWR.QRZ(DFK2WKHU . . . . . . . . . . . . . . . . . . . . . . . . . . . . Chap t e r 1 : R e c o v e r y 7RSLF:KDW,V5HFRYHU\" /HVVRQ 9LVLRQVRI5HFRYHU\ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7RSLF6HWWLQJ*RDOV+HOSV5HFRYHU\ /HVVRQ ([SORULQJ<RXU3HUVRQDO/LIH*RDOV . . . . . . . . . . . . . . . . . . . . . . . . . /HVVRQ 8QGHUVWDQGLQJ%DUULHUVWKDW*HWLQWKH:D\RI$FKLHYLQJ*RDOV . . . . . . . . . /HVVRQ 8 VLQJ6WUDWHJLHVWR2YHUFRPH%DUULHUVWKDW*HWLQWKH:D\RI $FKLHYLQJ*RDOV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7RSLF8QGHUVWDQGLQJ:KDW+HOSVDQG:KDW+LQGHUV5HFRYHU\ /HVVRQ :KDW+HOSV5HFRYHU\" . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . /HVVRQ :KDW+LQGHUV5HFRYHU\" . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . /HVVRQ &KRRVLQJ<RXU2ZQ5HFRYHU\6WUDWHJLHV. . . . . . . . . . . . . . . . . . . . . . 7RSLF<RXU&XOWXUDO%DFNJURXQGDQGWKH:603URJUDP /HVVRQ +RZ<RXU&XOWXUDO5HOLJLRXVDQG)DPLO\%DFNJURXQG$ɱHFWVWKH 'HFLVLRQV<RX0DNHDERXW0HQWDO+HDOWK7UHDWPHQW . . . . . . . . . . . . . . . 7RSLF3HUVRQDO6WUHQJWKVDQG2XWVLGH5HVRXUFHV+HOS5HFRYHU\ /HVVRQ 5HFRJQL]LQJDQG8VLQJ<RXU3HUVRQDO6WUHQJWKV . . . . . . . . . . . . . . . . . . 8 /HVVRQ 5HFRJQL]LQJDQG8VLQJ<RXU&XOWXUDODQG&RPPXQLW\5HVRXUFHV . . . . . . . . 7RSLF6RFLDO&XOWXUDODQG&RPPXQLW\6XSSRUWV+HOS5HFRYHU\ /HVVRQ 6RFLDO6XSSRUWV+HOS5HFRYHU\ . . . . . . . . . . . . . . . . . . . . . . . . . . . /HVVRQ 8VLQJ6HOIĥ+HOSDQG3HHU6XSSRUW . . . . . . . . . . . . . . . . . . . . . . . . . /HVVRQ &RQQHFWLQJWR<RXU&RPPXQLW\ . . . . . . . . . . . . . . . . . . . . . . . . . . /HVVRQ 0HHWLQJ1HZ3HRSOH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . /HVVRQ *HWWLQJ&ORVHUWR3HRSOH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 | Wellness Self-Management C h a p t e r 2 : M e n t a l H e a l t h We l l n e s s a n d R e l a p s e P r e v e n t i o n 7RSLF3UDFWLFDO)DFWVDERXW0HQWDO+HDOWKDQG0HQWDO,OOQHVV /HVVRQ ,QWURGXFWLRQWR3UDFWLFDO)DFWVDERXW0HQWDO+HDOWKDQG0HQWDO,OOQHVV . . . . /HVVRQ 6\PSWRPVRI0HQWDO,OOQHVVħ3DUW, . . . . . . . . . . . . . . . . . . . . . . . . /HVVRQ 6\PSWRPVRI0HQWDO,OOQHVVħ3DUW,, . . . . . . . . . . . . . . . . . . . . . . . /HVVRQ +RZ,V0HQWDO,OOQHVV'LDJQRVHG" . . . . . . . . . . . . . . . . . . . . . . . . . /HVVRQ 8QGHUVWDQGLQJWKH&DXVHVRI0HQWDO,OOQHVV . . . . . . . . . . . . . . . . . . . . 8 /HVVRQ &RSLQJZLWKWKH6WLJPDRI+DYLQJD0HQWDO,OOQHVV'LDJQRVLV . . . . . . . . . . 8 Topic 2: Coping with Stress and Symptoms /HVVRQ :KDW,V6WUHVV":K\,V,W,PSRUWDQWWR<RX" . . . . . . . . . . . . . . . . . . . /HVVRQ ,GHQWLI\LQJ<RXU3HUVRQDO6LJQVRI6WUHVV . . . . . . . . . . . . . . . . . . . . . . /HVVRQ +RZWR3UHYHQW6WUHVVLQWKH)LUVW3ODFH . . . . . . . . . . . . . . . . . . . . . . 8 /HVVRQ &RSLQJZLWK6WUHVV:KDW:RUNV":KDW'RHVQ¶W" . . . . . . . . . . . . . . . . /HVVRQ 8VLQJD6WHSĥE\ĥ6WHS)RUPXODWR,PSURYHD3UREOHP . . . . . . . . . . . . . . /HVVRQ 7KRXJKWIXOO\&KRRVLQJD0HQWDO+HDOWK3UREOHPWR:RUN2Q . . . . . . . . /HVVRQ &KRRVLQJ6WUDWHJLHVIRU&RSLQJZLWK6SHFL¿F3UREOHPVDQG6\PSWRPV . . . . . /HVVRQ &KHFNLQJRQ<RXU3URJUHVVLQWKH:603URJUDP . . . . . . . . . . . . . . . . 7RSLF0DNLQJ7UHDWPHQWDQG0HQWDO+HDOWK6HUYLFHV:RUNIRU<RX /HVVRQ &KRRVLQJ7\SHVRI0HQWDO+HDOWK6HUYLFHVWKDW$UH5LJKWIRU<RX . . . . . . . /HVVRQ 3UDFWLFDO)DFWVDERXW0HGLFDWLRQ . . . . . . . . . . . . . . . . . . . . . . . . . .8 /HVVRQ 8QGHUVWDQGLQJ6LGH(ɱHFWV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . /HVVRQ &RSLQJZLWK6LGH(ɱHFWV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . /HVVRQ 8VLQJ0HGLFDWLRQ(ɱHFWLYHO\ . . . . . . . . . . . . . . . . . . . . . . . . . . . .8 /HVVRQ :RUNLQJ(ɱHFWLYHO\ZLWK<RXU'RFWRU . . . . . . . . . . . . . . . . . . . . . . 7RSLF5 HODSVH3UHYHQWLRQ'HYHORSLQJDQG8VLQJ<RXU:HOOQHVV Self-Management Plan /HVVRQ 5HODSVH3UHYHQWLRQ:KDW,V,W":K\,V,W,PSRUWDQWWR<RX" . . . . . . . . . . /HVVRQ 8QGHUVWDQGLQJ<RXU3HUVRQDO7ULJJHUVIRU5HODSVH . . . . . . . . . . . . . . . 8 /HVVRQ .QRZLQJ<RXU(DUO\:DUQLQJ6LJQV . . . . . . . . . . . . . . . . . . . . . . . . /HVVRQ &RPSOHWLQJ<RXU:603ODQ5HODSVH3UHYHQWLRQ . . . . . . . . . . . . . . . . . /HVVRQ &RPSOHWLQJ<RXU:603ODQ0DQDJLQJD5HODSVH . . . . . . . . . . . . . . . .

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