H. Teresa “Trez” Buckland, PhD, MEd NAMI Greater Seattle Volunteer School of Nursing University of Washington, Seattle, WA NAMI National Convention, 2012

 "This project was supported by Grant Number UL1RR from the National Center for Research Resources (NCRR), a component of the National Institutes of Health (NIH) and NIH Roadmap for Medical Research, and its contents are solely the responsibility of the authors and do not necessarily represent the official view of NCRR, NIH, or the Institute of Translational Health Sciences. Information on NCRR is available at Information on Re-engineering the Clinical Research Enterprise can be obtained from translational.asp.” translational.asp

 Review components of, resource materials, and support mechanisms for a research project designed to increase well-being and decrease loneliness.  Engage in activities from the project related to the three phases of Appreciative Living.  Generate and share applications of this research project for clinicians, family members, friends and young adults with severe mental illness.

 Strength-based methodology ◦ David Cooperrider  Focuses on the Positive Core ◦ Ask Questions ◦ Tell Stories

 Groups of people who come together to support one another to create a more joyful life and future ◦ Jackie Kelm  Three factors: Appreciating What Is Acting in Alignment Imagining the Ideal ©2008 Appreciative Living, LLC. GOT JOY? Visit to order books, CD’s & other products and get your FREE copy of Getting Started with Appreciative Living. This page may be reproduced in reasonable quantities by the person who downloaded it from the above website for the purpose of teaching Appreciative Living.

 Young adults, aged 19-35, diagnosed with schizophrenia or schizoaffective disorder, face significant challenges to inclusion among their peers, in the workplace, at school and at home.  Faced with limited opportunities to connect with others in meaningful ways, these individuals experience isolation.  This isolation exacerbates psychiatric symptoms (delusions, hallucinations, paranoia) that make connecting with others difficult causing a downward spiral of loneliness.

 Focus groups informed development of the intervention (adapted with permission from Jackie Kelm's Appreciative Living Learning Circles), its location, duration, group membership and facilitation.  Facilitators for the intervention came from a variety of disciplines: nursing, education, social work, psychology and public health.  Using a two group experimental design (treatment group - 12; wait-list control - 6) results from the initial eight week intervention demonstrated significant decreases in loneliness and trends toward greater well-being and reduced social fear. The weekly sessions provided opportunities for building personal strengths, while engaging in developmentally appropriate and safe interactions with other young adults with similar diagnoses and young adult facilitators.

SCALESTx Effect (sd)* Post Treatment p-valueTx Effect (sd)* 8 Weeks Post Treatment p-value Overall Score** (WELL-BEING) 4.00 (4.5) (6.3)0.9 HOPE(1,2,4)-0.48 (1.9) (2.6)0.56 LONELINESS (7)2.66 (0.9) (2.3)0.89 SOCIAL FEAR (6)3.1 (2.2) (2.3)0.76 HAPPINESS (5)-1.5 (1.7) (1.9)0.6 *For the individual aspects (Hope, Loneliness, Social Fear, Happiness), the score is on the scale 0-25 (the higher score the more positive result). **For overall well-being, the score is on the scale 0 to 100.

 Appreciating What Is: ◦ Appreciative Collages ◦ Gratitude Acrostics ◦ Gratitude Lists

Imagining the Ideal:  A Safe Place (Guided Imagery)  A Best Friend (Paired Share)  An Ideal Day (Road Map)

 Acting in Alignment: ◦ Personalized Rocks – Goals ◦ Toolbox for Coping ◦ Games ◦ Networking

 Individual List ◦ Family members and friends ◦ Clinicians ◦ Clients  Pair Share  Large Group

◦ Location Support? ◦ Financial Support? ◦ Recruitment? ◦ Retention? ◦ Mental health centers, community spaces ◦ Family and community donations, participant donations, grants ◦ Word of mouth, mental health centers, universities, clubhouses ◦ Weekly contact, evaluation, food, choices, participation

1. Cantril, H. (1965). The pattern of human concerns. New Brunswick, NJ: Rutgers University Press. 2. Herth, K. (1992). Abbreviated instrument to measure hope: Development and psychometric evaluation. Journal of Advanced Nursing, 17, 1251– Kelm, J. (2008). The Joy of Appreciative Living: Your 28-Day Plan to Greater Happiness in 3 Incredibly Easy Steps. New York: Jeremy Tarcher/Penguin 4. Landeen, J., Paswlick, J., Woodside, H., & Byrne, C. (2000). Hope, quality of life and symptom severity in individuals with schizophrenia. Psychiatric Rehabilitation Journal, 23(4), 364– Lyubomirsky, S. & Lepper, H.S (1999). A measure of subjective happiness: preliminary reliability and construct validation. Social Indicators Research, 46, 137– Raulin, M.L., & Wee, J.L. (1984). The development and initial validation of a scale to measure social fear. Journal of Clinical Psychology, 40(3), Russell, D.W. (1996). UCLA Loneliness Scale (Version 3): reliability, validity, and factor structure. Journal of Personality Assessment, 66(1), Questions: Contact Trez Buckland