Wellness Planning Understanding the Role of Wellness in the Helping Professions Wellness… Is a paradigm in healthcare Is a strengths-based approach to mental health treatment Promotes the values of the helping professions: Prevention, optimum development, and healthy functioning Promotes cross-disciplinary values of quality of life, health, and longevity Primary Objectives As you complete the following exercises, consider the following questions: o What am I willing to add to my daily and/or weekly activities that is health-promoting? o How can I utilize an accountability partner to assist me in my wellness journey? o What aspects of wellness (physical, mental, emotional, spiritual) am I not adequately attending to at this time? Once you have completed the attached activities, list 5 potential self-care strategies that you are interested is implementing this semester. 1._________________________________________________ 2._________________________________________________ 3._________________________________________________ 4._________________________________________________ 5._________________________________________________ Select a fellow student (or willing volunteer!) to act as an “accountability partner”. Please provide their name in the provided space. Wellness Accountability Partner:_________________________________ 1 Self-Care Assessment Worksheet This assessment tool provides an overview of effective strategies to maintain self-care. After completing the full assessment, choose one item from each area that you will actively work to improve. Instructions: Below is a list of activities related to self-care. Please read each one carefully, then place an “X” in the box that most describes the frequency of which you participate in each activity. No. 1. Physical Self Care 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. Psychological Self Care 15. 16. 17. 18. 19. 20. 21. Response: It never occurred to me (1) Never Rarely Occasionally Frequently (2) (3) (4) (5) Eat regularly (e.g. breakfast, lunch and dinner) Eat healthy Exercise regularly Get regular medical care for prevention Get medical care when needed Take time off when sick Get massages, or acupuncture Dance, swim, walk, run, play sports, sing, or do some other physical activity that is fun Take time to be sexual—with yourself, with a partner Get enough sleep Wear clothes you like Take vacations Take day trips or minivacations Make time away from telephones and computers Make time for self-reflection Receive personal psychotherapy or counseling, attend a support group Write in a journal Read literature that is enriches your understanding of yourself Do something at which you are not an expert or in charge Decrease stress in your life Notice your inner experience—listen to your thoughts, judgments, beliefs, attitudes, and feelings 2 22. 23. 24. 25. 26. 27. 28. Personal Self Care 29. 30. 31. 32. 33. 34. 35. Spiritual Self Care 36. 37. 38. 39. 40. 41. 42. 43. 44. 45. 46. 47. Let others know different aspects of yourself Engage your intelligence in a new area, e.g., go to an art museum, history exhibit, sports event, or theater performances Practice receiving from others Be curious Say no to extra responsibilities Spend time with others whose company you enjoy Stay in contact with important people in your life Give yourself affirmations, praise yourself Love yourself Reread favorite books, re-view favorite movies Identify comforting activities, objects, people, relationships, places and seek them out Allow yourself to cry Find things that make you laugh Express your outrage in social action, letters, donations, marches, protests Play with children Make time for reflection Spend time with nature Find a spiritual connection or community Be open to inspiration Cherish your optimism and hope Be aware of nonmaterial aspects of life Try at times not to be in charge or the expert Be open to not knowing Identify what is meaningful to you and notice its place in your life Meditate Pray 3 48. 49. 50. 51. Sing Have experiences of awe Contribute to causes in which you believe Read inspirational literature (talks, music, etc.) Source: Transforming the Pain: A Workbook on Vicarious Traumatization. Saakvitne, Pearlman & Staff of TSI/CAAP (Norton, 1996) 4 REPLENISH THE WELL: AN EXPERIENCE IN SELF-CARE DIRECTIONS FOR “PIE OF LIFE” EXERCISE The purpose of this exercise is to help you take a look at how you are currently allocating the time of your life. A meaningful life is one in balance, with adequate time allocated to the activities that express your values and priorities. Unfortunately, many people do not live their life in balance, or in a way that supports and expresses their values. This exercise will help you assess whether or not you are currently living a whole and balanced life. Follow the steps below: 1. On a blank piece of paper, draw a large circle to represent your life. 2. Place a smaller circle in the center to represent you, and label it with your name. 3. Thinking of your life as a pie, divide the slices and label them to show the various activities that you are engaged in on a regular basis. Some of the “pie slices” many people include are: work, learning, family and other relationships, contributions to others, fun and leisure, physical and emotional self-care, and spiritual well-being. 4. Reflect on your current life by considering the following questions, and share your responses with a partner: • Am I living a balanced life? • Are my priorities and values reflected in this allocation of time? • If I had one month left to live, is this the way I would allocate my time? • Am I involved in too many activities? • How much of my time is spent caring for others? For myself? • Are there areas of my life that need my attention? • Is there a dream or desire that keeps getting put on the back burner that I’d like to focus on now? • What needs less attention? More attention? • What changes do I want to make? • What is one commitment I can now make to change the balance toward what I want for my life? Exercise developed by Catherine D. Nugent, for Replenish the Well: An Experience in Self-Care, workshop presented at Peer Services: A Life in the Community for Everyone, Fifth Annual Conference of the Substance Abuse and Mental Health Services Administration, Center for Substance Abuse Treatment’s Recovery 5 Community Services Program, Washington, DC, July 13, 2004. Adapted from Richardson, C. (1999). Take time for your life. New York: Broadway Books. REPLENISH THE WELL: AN EXPERIENCE IN SELF-CARE SELF-CARE WORKSHEET Neglecting self-care can have negative effects on body, mind, and spirit, leaving us depleted and out of balance. For this reason, it is important to have self-care strategies that address each of these parts of ourselves. Organizations also need to support self-care for staff and volunteers. On the chart below, list as many self-care strategies as you can. (An example is given in each area to get you started). After you have listed strategies, place a check-mark to any that you do regularly, and put a star next to any you might like to consider adding to add to your life. PHYSICAL Aerobic exercise MENTAL (INCLUDES EMOTIONAL) SPIRITUAL Sharing upset feelings with a friend Meditation ORGANIZATIONAL Regularly scheduled peer supervision group Exercise developed by Catherine D. Nugent, for Replenish the Well: An Experience in Self-Care, workshop presented at Peer Services: A Life in the Community for Everyone, Fifth Annual Conference of the Substance Abuse and Mental Health Services Administration, Center for Substance Abuse Treatment’s Recovery Community Services Program, Washington, DC, July 13, 2004. 6 REPLENISH THE WELL: AN EXPERIENCE IN SELF-CARE SOCIAL SUPPORT WORKSHEET Introduction: People working in the helping field are subject to conditions that can lead to depletion or even impairment, such as the emotionally intense nature of the helping relationship and increasingly heavy case loads. Receiving support from others can replenish us and reduce our vulnerability to professional stress (White, 1986). In addition, social support has been positively correlated with improved health and mental health outcomes (Cobb, 1976), and shown to be a positive factor in making healthy lifestyle changes (Hanna, 2002; Prochaska et al, 1994). Four types of social support have been identified (Salser, 2003; Cobb, 1976): Emotional support - refers to demonstrations of empathy, love, caring, concern. Emotional support bolsters one’s self-esteem and confidence. An emotional supporter serves as a confidante, offering acceptance, care, and understanding. Informational support - refers to assistance with knowledge, information, and skills. Can include providing information on where to go for resources or teaching a skill. Instrumental support - refers to concrete assistance in helping others to do things or get things done, especially stressful or unpleasant tasks. Companion support - refers to companionship, feeling connected, people in whose company you enjoy being, especially for recreational activities. The exercise on the following page will help you assess your current level of social support and think about areas in which you may need to extend your network. As you consider those who offer social support to you, it is also useful to think about the people for whom you play support roles, and to assess your level of comfort in those roles. References: Cobb, S. (1976). Social support as a moderator of life stress. Psychosomatic Medicine, 38(5), 300-314. Hanna, F. (2001). Therapy with difficult clients: Using the precursors model to awaken change. Washington, DC: American Psychological Association. Prochaska, J., Norcross, J., DiClemente, C., and Crawley, B. (1995). Changing for good: A revolutionary, six-stage program for overcoming bad habits and moving your life positively forward. New York: William Morrow. Salzer, M. (2002). Consumer-delivered services as a best practice in mental health care delivery and the development of practice guidelines. Psychiatric Rehabilitation Skills 6(3), 355-382. White, W. (1986). Incest in the organizational family: The ecology of burnout in closed systems. Bloomington, IL: Lighthouse Training Institute Publications. 7 ASSESSING YOUR CURRENT SOCIAL SUPPORT List at least three people who provide each of the types of social support described on the previous page. (It is OK to put the same person in more than one area.) Emotional Informational Instrumental Companion Now reflect on the following questions. (You could write out your answers and/or share your responses with a friend or colleague. If you discuss your answers with a friend, you will be putting social support into action.) • In general, how do you feel about your social support network? • Does your current support network meet your needs for social support? Are all of different types of social support (emotional, informational, instrumental, companion) covered adequately? Do you have enough people in your social support network? Do you think anyone in your support network might be feeling overextended? Do the people in your network provide the quality of support you would like? If not, what could you do to make the situation better? Have their been any recent changes in your support network? If yes, what has been the impact? In what area(s) are you most feeling the change? • Do you have “job openings” in your support network? If yes, how will go you about filling these? Try to come up with at least three ideas for ways to expand your social support network in the areas where you perceive a lack. Exercise developed by Catherine D. Nugent, for Replenish the Well: An Experience in Self-Care, workshop presented at Peer Services: A Life in the Community for Everyone, Fifth Annual Conference of the Substance Abuse and Mental Health Services Administration, Center for Substance Abuse Treatment’s Recovery Community Services Program, Washington, DC, July 13, 2004. 8