Whole Health Facilitated Groups “Taking Charge of My Life and Health” (Location) (dates)

Welcome Back – Day 3! Check-in, review Day 1 and overview of Day 2. PULSE CHECKS??

Module 15 – Skill Building Practice: Mindful Eating

Mindful Eating Being fully present is an opportunity to experience the fullness of the moment. This can apply to any moment or any activity. Being fully present to the moment often brings a greater sense of well-being and less anxiety and stress. Mindful eating allows one to be fully engaged in the experience of eating/enjoying food and drink. Choosing to eat food that is both pleasing to you and nourishing to your body by using all your senses to explore, savor and taste. Practice . . .

Starwell Kit - Mindfulness https://www.youtube.com/watch?v=ufbdtF5jbBs https://www.youtube.com/watch?v=ufbdtF5jbBs Starwell Kit – video on Mindfulness through eyes of a Veteran https://www.warrelatedillness.va.gov/WARRELATEDILLNESS/education/STAR/index.asp

Module 16 – Executing the Action and Assessing Action Stage IV Day 3 Module 16 Stage IV-Assessing Action September 2016

Process Model for Group Facilitation Conduct PHI assessment. Stage I Explore Mission Aspirations Purpose Stage IV Execute the Action Take further action. Re-plan. Learn lessons. Assess action. Create vision. Explore values and value conflicts. Goals & Actions. Explore barriers. Training & Support. Accountability. Conduct PHI assessment. Define focus. Assess readiness. Stages will appear as you click so you can re-cap each stage. Stage II Reflect, Assess & Focus Stage III Plan for Action

Stage IV - Execute the Action Phase 1 - Have client self-assess how they have progressed since last session Fully took action Partially took action No action taken

Stage IV - Execute the Action Phase 2 - Assist participant in assessing what they learned about themselves and situation. These ‘learnings’ may include: Challenges/barriers encountered Contingency plans Strengths and successes Personal Insights

Stage IV - Execute the Action Phase 3 - Assist the participant in modifying or adding to their plan . . . Continue with the same plan Add additional action steps Modify existing action steps Revisit earlier stages: values, area of focus, or goal

Stage IV – Execute the Action Phase 4 - Take Further Action Continue with facilitation process Explore or refer to other services

Solicit affirmations from participants for what they have accomplished Reminders for Stage IV Solicit affirmations from participants for what they have accomplished Recognize Strengths Reconnect to Mission, Aspiration or Purpose (MAP)

https://www.youtube.com/watch?v=0nkO-3PA29c&feature=youtu.be https://www.youtube.com/watch?v=0nkO-3PA29c&feature=youtu.be Video: The Pathway to Whole Health (6 min. 32 sec.) The facilitator introduces this video by explaining that it illustrates the impact of the Whole Health approach and how Veterans are helping fellow Veterans to rediscover meaning and purpose. Following the video, the facilitator debriefs with the participants to get their thoughts and if they can relate to anything they saw. To play video. Hover mouse over slide and click on the play arrow at bottom of screen.

Demo #4 – Stage IV Volunteers?

Module 17 - When and How to Refer Day 3 Module 13b How and When to Refer for WHGF

Preparing for Potential Referrals Have professional colleagues with whom you can discuss potential referrals Be clear on your supervisory chain and to whom you will share concerns Be familiar with referral resources Recognize that not all client issues are appropriate for Whole Health Groups Be familiar with VA limits to confidentiality Become familiar with behaviors and signs that might suggest additional resources are needed Note to presenter-Make sure trainees or participants know VA policy on limits to confidentiality and work with supervisor if warranted

When to Refer – Some Guidelines Participant expresses intent of thoughts of doing harm to self or others Participant shows signs of depression Participant shows signs of high anxiety Participant is unable to make progress in desired area of change You seem to have conflicts/value differences with participant that is impeding your relationship Trust your intuition

Participant Manual Pages 37-38 Know the Five Signs that may mean someone is in emotional pain and might need help. If you recognize that someone in your life is suffering, now what? You connect, you reach out, you inspire hope, and you offer help. Show compassion and caring and a willingness to find a solution when the person may not have the will or drive to help him- or herself. There are many resources in our communities. It may take more than one offer, and you may need to reach out to others who share your concern about the person who is suffering. If everyone is more open and honest about mental health, we can prevent pain and suffering, and those in need will get the help they deserve. The Campaign to Change Direction is a collection of concerned citizens, nonprofit leaders, and leaders from the private sector who have come together to create a new story in America about mental health, mental illness, and wellness. Join us and make a pledge at www.changedirection.org. Five Signs of Suffering Nearly one in every five people, or 42.5 million American adults, has a diagnosable mental health condition.1 Half of all lifetime cases of mental disorders begin by age 14.2 Often our friends, neighbors, co-workers, and even family members are suffering emotionally and don’t recognize the symptoms or won’t ask for help. Here are five signs that may mean someone is in emotional pain and might need help: Their personality changes. You may notice sudden or gradual changes in the way that someone typically behaves. He or she may behave in ways that don't seem to fit the person's values, or the person may just seem different. They seem uncharacteristically angry, anxious, agitated, or moody. You may notice the person has more frequent problems controlling his or her temper and seems irritable or unable to calm down. People in more extreme situations of this kind may be unable to sleep or may explode in anger at a minor problem. They withdraw or isolate themselves from other people. Someone who used to be socially engaged may pull away from family and friends and stop taking part in activities he or she used to enjoy. In more severe cases the person may start failing to make it to work or school. Not to be confused with the behavior of someone who is more introverted, this sign is marked by a change in someone's typical sociability, as when someone pulls away from the social support he or she typically has. They stop taking care of themselves and may engage in risky behavior. You may notice a change in the person's level of personal care or an act of poor judgment on his or her part. For instance, someone may let his or her personal hygiene deteriorate, or the person may start abusing alcohol or illicit substances or engaging in other self-destructive behavior that may alienate loved ones. They seem overcome with hopelessness and overwhelmed by their circumstances. Have you noticed someone who used to be optimistic and now can’t find anything to be hopeful about? That person may be suffering from extreme or prolonged grief, or feelings of worthlessness or guilt. People in this situation may say that the world would be better off without them, suggesting suicidal thinking. Participant Manual Pages 37-38

Discuss with participant first before making a referral How to Refer Establish in first session that referral may be part of the group process Discuss with participant first before making a referral Use Elicit-Provide-Elicit format when discussing referral with participant If you have other clinical credentials, be clear with participants which role you are assuming

Questions for Discussion What are some conditions that you think might warrant a referral? What has been your experience with referrals in your current position that you could apply to these groups? For those of you who are therapists, what are some differences between what you do in therapy and what you are learning about these groups? What questions do you have regarding referrals?

Module 18 - Final Large Group Debrief Day 3 Module 13b How and When to Refer for WHGF