Wellness Recovery Action Planning (WRAP) One of the original NToW pilots Chosen as a continuation site Funded by SfC from 2004 – 2008

Vision Statement To develop a New Type of Worker who will train and equip both staff and people who use mental health services to facilitate the universal availability of WRAP as a self-management tool within all localities of Hampshire Partnership NHS Trust.

RECOVERY Recovery is a deeply personal, unique process of changing one’s attitudes, values, feelings, goals, skills and roles. It is a way of living a satisfying, hopeful and contributing life, even with the limitations caused by illness. Recovery involves the development of new meaning and purpose in one’s life as one grows beyond the catastrophic effects of mental illness. I have taken ownership of my illness and I take responsibility for what I do and do not do …its not the whole of my life, Its just a part of my life now Anthony 1993 Making Recovery a Reality Sainsbury Centre for Mental Health 2008

WRAP IS A self–management tool devised by Mary Ellen Copeland Widely used in USA Becoming more recognized in UK Based on recovery principles

WRAP SUPPORTS the well-being agenda outlined in the White Paper ‘Our Health Our Care Our Say’ and has been referenced in a number of publications including; The 10 Essential Shared Capabilities (2004) Mental Health: New Ways of Working for Everyone (2007) Learning & Development Toolkit for Mental Health (2007) Support Time & Recovery Workers Policy Implementation Guide (2008) A Common Purpose - Recovery in Future Mental Health Services (2008)

Sections in a WRAP WRAP Briefly explain each section

New Types of Worker WRAP Co-ordinator WRAP Facilitator WRAP Project Support Officer WRAP Service User Facilitator

New Ways of Working In an integrated service Managed across organisations In partnership with people who use services In partnership with the 3rd sector ‘Everyone around the table is equal’

Achievements Trained 377 staff and service users Developed robust service user involvement strategy Presented WRAP locally and nationally Developed a website and newsletter Integrated into Nursing Strategy Successfully bid for research funding in partnership with Southampton University Established links with the Focussed Implementation Site Part of the Health Care Professionals course curriculum

Does WRAP save money? Anecdotal evidence is that WRAP is helping service users to stay well and avoid hospital admissions. Where admissions do take place they are for less time and the experience is less distressing for the service user.

Mental Health an integrated service PARTNERSHIP WORKING Mental Health an integrated service HCC HPT Project manager Steering Group Project Co-ordinator Third Sector Project workers SU facilitators Service users

WRAP TEAM LOCALITY TRAINING STEERING GROUP ONGOING TRAINING FOR PROFESSIONAL AND SERVICE USERS IN THE LOCALITY CENTRALISED TRAINING FOR SPECIFIC GROUPS STR WORKERS CARERS SUPPORT WORKERS Raise! MENTAL HEALTH Ltd GROUPS NOT COVERED BY SfC CONTRACT OTHER ORGANISATIONS /GEOGRAPHIES

Locality Lead Model WRAP steering group in each locality Led by local service user organisation Locality management team represented on the steering group Training delivered in partnership by local service user and professional Individuals supported in completing their WRAP by professionals or service users

Working in Partnership with People who use Mental Health Services Service users are members of the project steering group All training is co-facilitated by a service user It was an essential criteria for applicants for the project support officer posts that they had used Mental Health services Links are made in localities with local service user networks

Challenges to Partnership Working Cultural WRAP is about service users taking control of their own health and care. Allowing service users to have that responsibility is always going to be difficult within mainstream services that have a tendency to be over-protective. There is insufficient emphasis on wellness, recovery and self-management across national standards. Indeed, self-management raises the biggest challenge to existing standards since the manager of care becomes the service user and not the worker.

Challenges to Partnership Working Practical Robust service user networks do not exist in all localities Issues around payment for service users centrally / localities Staff attitudes Bureaucracy It takes time!

Benefits of Partnership Working Service User Facilitators –SU delegate viewpoint Inspiring Hope engendering A reality check Expert by experience Someone who understands the feeling of ‘How am I going to get through the rest of my life?’

What should the future look like? WRAP is fully integrated into Trust strategies Complete awareness – complete opportunity Everyone has a WRAP plan to take with them on the next part of their journey

How to find out more… www.mentalhealthrecovery.com The website of the original author Mary Ellen Copeland. www.recoveryinhampshire.nhs.uk The website of the WRAP in Hampshire project. WWW.raise.org.uk Mental Health Service User Training Organization barbara.evans@hants.gov.uk