Peer Support and Self Management Chairperson Lesley Smith Peer Support Rosie Line (Expeerience Counts) Mark Docherty (Expeerience Counts) Self management John Moody (SRN)

Speaking from the position of an accredited facilitator responsibility for SRN’s involvement with WRAP in Scotland. SRN have built relationship with WRAP as it embodies what we understand as recovery and wellbeing To support this we have trained 120 facilitators, set up a quality scheme with 43 accredited facilitators Showcase celebrate the power of the WRAP workshop group experience in inviting people to awaken or re-awaken hope in them selves and empower them to begin exploring their own rights. Photo top left is group of Facilitators trained to Facilitate WRAP workshop. The are peers using +ve experience of using WRAP in their own lives I will touch on how WRAP influences the approaches to self management in physical health and diagnostic specific programmes. It's given me hope of a brighter, happier future… I'm definitely feeling better…

SRN 2007 Definitions Recovery based approaches like WRAP are directed at a whole- person/health and wellbeing Self-management – often described as managing symptoms or diagnosis specific Wellness Recovery Action Planning  developed at same time as recovery was concept being explored in US. Came out of lived ex of a grp Vermont in US 1992. Peer group experience. WRAP’s structured approach makes it suitable for anyone diabetes etc. The term self-management is often used to describe WRAP or used in the same breath Sense that WRAP has had a strong influence on self management approaches – i.e. Bi-polar self management references key concepts one person went on to do WRAP WORKSHOP Alliance Impact fund for support to third sector organisations to develop their self management work 23% mental health some of who use WRAP  others considering. With wellness mental and emotional wellbeing a constant theme peer based involvement of people with lived experience in design of courses Five principles of self-management -- Health & Social Care Alliance (LTCAS)

Personal Responsibility Education Self Advocacy Support SRN 2007 WRAP – Key Concepts Hope Personal Responsibility Education Self Advocacy Support WRAP itself built around a set of recovery values, developed in early 1990’s when recovery as a concept was taking off in America.. And which for WRAP we encourage facilitators should become be very personal values: No limits to recovery etc.  WRAP promotes self-determination, personal responsibility, empowerment, and self-advocacy. WRAP workshops are we facilitate and share experiences, we try and role model these values...encouraging empowerment...it is a peer to peer process. Reference the Bill of Rights. much about rights flowing from increasing feelings of empowerment. Encouraging you to take responsibility for your own wellbeing.

Advance Statements Advance statement WRAP crisis plan Legislative right Include elements of WRAP Crisis Plan WRAP crisis plan Nine elements to plan On tap not on top EXAMPLE OF rights Based approach. What and for them as well . as what is not useful. – in control during time when they feel out of control who is useful  so it change a written statement, drawn up and signed when the person is well, which sets out how s/he would prefer to be treated (or not treated) if s/he were to become ill In the futures their relationship to their support system On tap not on top

WRAP:peer experience Provides a peer facilitated framework for taking ownership of wellbeing Is peer developed and led (the role of facilitators) Empowering group experience (or even one-to-one!) Universal format People with lived Experience involved in programme design and delivery Peer Support as an integral part of a largely group experience Sharing the value base – condition specific programmes often incorporate WRAPs five key concepts. Complimentary to recovery approaches to self-management

CHIME framework Pun This experience of recovery has been explored in a systematic review of the literature around the experience of recovery – which has been very powerfully backed up by our own evidence in Scotland. This identifies five key, essential processes of personal recovery. Giving the acronym CHIME (Leamy et al., 2011. WRAP KEY concepts encompass the five elements of this framework Connectedness – building your support network – my experience Hope and recovery Identity – becoming more than just a diagnosis. Education learning about yourself and what you can do to empower yourself. All but in particular personal responsibility are at the heart of Identity Meaning and purpose and empowerment. This Is about the power of lived experience as expressed, shared, showcased if you like in group settings!!!! Growing and developing understanding. Leamy, M., Bird, V.J., Le Boutillier, C., Williams, J. & Slade, M. (2011) A conceptual framework for personal recovery in mental health: systematic review and narrative synthesis. British Journal of Psychiatry, 199:445-452 http://www.researchintorecovery.com/

SRN and WRAP QA system

SRN and WRAP QA system Encourage and supports people to empower themselves and participate in the group. Supported group to name the group agreement-created ownership of the document for the group. “Others can’t do WRAP for you.” Clearly sharing the values and ethics Effectively manage difficult conversations that could lead to conflict. Because of the supportive and welcoming atmosphere that both facilitators clearly worked hard to create, there was no apparent conflict. They may well have managed difficult conversations but this was done so beautifully that there was nothing obvious externally. Reacts to difficult feelings and behaviours with compassion and support J was able to support the group and his co-facilitator after A’s powerful personal introduction. He moved the group forward whilst still celebrating the depth of emotion held in the group About How facilitators can support the process of a group environment based on complete equality in the group. The values and the key concepts within the group And this process is based on a mentoring relationship with one of the training facilitators before during and after the training.

The power of recovery in a group “…people who had the same experiences and have been through the same things… we always knew what somebody else was talking about and that was really quite, a new and very useful experience really” “(The facilitators) were just excellent! ... been through it themselves and were able to share with us elements of their WRAP and how it worked for them when they were illustrating the work. So it didn’t become just a paper exercise, it became a real living thing for us.” These quotations from Re-mode study demonstrate that people value the group experience based around the Values of WRAP ReMode –entitled A feasibility study for a trial of recovery versus mindfulness models for depression (ReMoD partnership led by Stirling Uni and includes SRN Action on Depression and others Finish with personal example of Living WRAP.

How can Peer Support and Self Management promote rights and recovery? Lesley Smith Chairperson Rosie Line Expeerience Counts Mark Docherty Expeerience Counts John Moody WRAP