Recovery 101 The Lens of Discovery

Learning environment Personal Wellness thanks for choosing the workshop

Today we’ll learn about: The meaning of recovery Person-centered and person-driven strategies Different Barriers to Recovery Steps to establishing and strengthening a recovery oriented workplace

ELEPHANTS IN THE ROOM What we hold about ourselves and others Is it true When we are well is it easier to see the strength is ourselves and in others? Exercise for us to reflect about any bias or beliefs we hold about ourselves and others, can’t have that belief without holding it for ourselves. Is a belief that we don’t talk about it. Want to say it but don’t want to say it. We all have different understanding and thing that keep us from recovery we don’t talk about, stigma around sharing it. Why aren’t we talking about it, why aren’t we open to hear what others are saying, why aren’t we listening or believing what people are saying, why don’t we talk about them, are there asumption we are holding about someones recovery or our own abilities.

Elephants Activity Assumptions we hold about our self and the people we work with or serve are…. Reservations or objections we have related to the concepts of Recovery are…. The reflection of myself I see in others is…..

What is Recovery? Recovery mean…….. Scribe a list from the participants What does Recovery mean in practice? 4 domains

Understanding Recovery as a Foundation for Practice Peer Support: lived experience of practitioners Social Determinants Culturally appropriate Trauma informed Working to promote HOPE and enhance opportunity and restore control to people over their own lives SAMHSA definition

SAMHSA A process of change through which individuals improve their health and wellness, live a self-directed life, and strive to reach their full potential

Recovery Oriented Practice and Services “The overall aim of mental health services is to help the service users get back to living an ordinary life as far as possible” “The goal of Recovery can be stated as allowing people to live full, satisfying and contributing lives”. Enhance HOPE, Control and Opportunity! We have a commitment to recovery service now how to we put them into practice? There is no blue print, but to be more supportive of people in their recovery.

Key Domains for Recovery Supporting Practice Working Relationships: practitioners demonstrate a genuine desire to support individuals and their families to fulfill their potential and to shape their own future. Supporting Personally Defined Recovery: practitioners focus on personally defined recovery and view of recovery. Organizational Commitment: organizations that support recovery demonstrate a commitment to promoting recovery oriented services. Promoting Citizenship: support recovery, advocating the right to a meaningful life. The relationship and interactions between the practitioners and the people they seek to serve.

The Role of the Recovery Practitioner Personal recovery is based on the individual becoming active and empowered in their own life, self determined and self managed. A recovery oriented practitioner is able to support people in their recovery. Living well takes on a much broader view! Having a home, personal relationships, a job, Respectful relationship and genuine interest in the person Support HOPE and independence

The Eight Dimensions of Wellness https://youtu.be/tDzQdRvLAfM

Barriers to Recovery Let’s check in to see if anyone has experienced a shift in their belief or understanding of recovery

It’s not about the nail [INSERT VIDEO HERE] https://www.youtube.com/watch?v=-4EDhdAHrOg This is sometimes what it feels like when you really have a need to be heard. This is sometimes what it feels like when you’re trying to help someone in their recovery. Imagine the woman in the video is a client and the man is someone trying to help her through recovery. What are some of the barriers to recovery from the woman's perspective? What are the barriers from the e mans perspective?

Barriers at All Levels Individual Group Provider System Societal Exercise: fold your paper in half and in half again, write one word in each square, list the barriers for each barriers. For example Individual barriers to recovery might be income, access, transportation, lack of support. Practitioners cannot “Recover” people. Groups barriers, “birds of a feather flock together” how many of you have heard this saying? People closest to you might be creating barriers for you by enabling unhealthily habits and choices, or discouraging you form improving your situation, even well meaning friends and family can obstruct someone's recovery because they are thinking more about maintaining their own role in the current dynamic than seeing their loved one get better. Other examples of group barriers: mistrust of the MH system, denying there is a problem. Provider Barriers: long appointment waits, rushed appointments, provider burnout System barriers: lack of training in recovery, pushing medication, no direct access Societal barriers: people bias about people with mental health issues, places to live, work, relationships, law enforcement, TV, movies

Other Barriers? Discussion: Can you think of other barriers to recovery that occur on the individual, group, provider, system, or societal levels? What can be done to overcome these barriers? Exercise: How can the awareness and removal of barriers make a difference in the effectiveness of mental health services? What are some other barriers we can remove so that people in need have better access to care?

Creating and Sustaining a Recovery-Oriented Workplace Bring in the IPS fidelity scale and zero exclusion

Skills for Practitioners Creating a hospitable and welcoming environment Supporting self-management Building on strengths and working to personal goals Allowing self direction and control Working with peer Support Recovery education for personal recovery Bringing it all together: Recovery oriented care planning Developing natural supports and promoting community participation

Supporting Self-Management Developing educational and supportive roles Work in partnership to recognize and engage in with their own resourcefulness Encourage self determining of their care Wellness Recovery Action Plan (WRAP)

Building on Strengths Shift in thinking Use abilities to achieve goals Using strengths assessments Provide challenges Job shadow Take a class or attend a training Help on a project or event

Recovery Education Shift from “treating” to “learning and allowing” Create learning opportunities for staff and participants to learn together Recovery oriented care-planning Developing natural supports and promoting community participation Culture of recovery Promote safety, person involvement in care planning, focus on strengths on problems or risk, building strengths toward recovery, personal recovery plan, WRAP. Documentation,

Strategies to Promote Recovery-Oriented Workplace Peer support services Comprehensive workforce training WRAP, Wellness Recovery Action Planning Celebrating Success Sharing Recovery Stories Welcoming engagement Advisory or Recovery committee 8 Dimensions of Wellness others Trees of success, recovery stories, staff meeting check ins, wellness challenges for staff, newsletter, recognitions, art work, advisory board, celebrations together, language people with lived experience encouraged to apply, leadership champion for recovery,

The Power of Empathy [INSERT VIDEO HERE] https://www.youtube.com/watch?v=1Evwgu369Jw The video demonstrates the power of empathy and why effective peer support requires the meeting of equals. Sympathy (feeling sorry for someone) is very different from Empathy (brings people together while sympathy drives them apart. Does anyone have an example??? Where someone used sympathy as a tool rather than Empathy? What happened? What might have happened if the person engaged Empathy instead?

Debrief Have Your Views Changed? Heart: What was felt - any changes in values, beliefs, or how it relates back to the work we do. Head: What was learned – ideas, concepts, facts, etc. Feet: Action Steps & takeaways – what action steps will be taken or new skills learned & used, etc.

Contact me: Jkeenen@optionsonline.org Resources:   https://www.researchgate.net/publication/275461134_Becoming_a_recovery-oriented_practitioner