Prevention and Recovery
Conference 2014
Oklahoma City, OK


To want or wish for with a feeling of
confident expectation
A wish or desire accompanied by expectation
of it’s fulfillment
Webster's II New Riverside Dictionary
 The
realistic expectation that
things can get better
Somebody way smarter than me


269 patients from
back wards of
Vermont State
Hospital in the
1950’s
97% of the
Vermont group
was located and
assessed during
the follow-up
study in the early
1980’s


Vermont subjects
were matched by
age, gender,
diagnosis, and
chronicity to those
from the back
wards of the
Augusta State
Hospital in Maine
94% of the Maine
group was located
The definition for Recovery used was quite
narrow—
 They no longer experienced symptoms
of mental illness
 They were no longer taking medication
 They were working
 Carrying on multiple social relationships;
and
 Taking sole responsibility for their selfcare
Vermont results are attributed to:

Model Psychiatric Rehabilitation Program

Policy allowing earlier release to community
life
Multiple analyses have looked for
a variable that predicts who will
and who will not recover.
To date, none has been
found.
Since we cannot predict
who will and who will not
recover…
We must approach every
person as if they are the
one who will recover.





Self Directed
Individualized &
Person Centered
Empowerment
Holistic
Non-linear





Strengths Based
Peer Support
Respect
Responsibility
Hope
Defining Recovery
As a process of discovery…





Recovery is a common human
experience
Recovery is a process not a model
Recovery is a process of self-discovery,
transformation, and renewal
Recovery happens in the context of a
relationship
Recovery is NOT a linear process
The health of an individual and,
ultimately, of society mirrors a complex
relationships of mental, physical,
spiritual, family, community and
environmental factors.
When peers talk about recovery, we
typically take into consideration all
aspects of an individuals life.
Physical
Environmental
Mental
Cultural
Social
Spiritual
Mental
Health
Physical
Health
Addictions
SELF – According to
Webster’s II New
Riverside
Dictionary:
1. The essential being
of 1 person as
distinct from
another
2. A particular aspect
of a person

What are the assumptions here?
There are other people around you.
You are unique.
There is a part of your “being” that is
essentially different than anyone else.
Anyone who ever was or ever will be.
1. To regulate the affairs of: Manage
2. To take authoritative charge of: Control
3. To Order: command
4 a) To guide (someone) toward a goal
b) To show the way to
The Wellness Recovery Action Plan
(WRAP) includes:





Wellness Planning
Learning Triggers
Learning Early Warning Signs
Forming a pre-crisis self-care plan
Forming a crisis plan
Handout 6



Encourage problemsolving techniques
Utilize psychoeducation tools such
as medication logs
and mood charts
Build a lending
library of self-help &
mutual support aids
The path to
recovery is not
direct
The health of every human body is
enormously influenced by the state of its
mind.
◦ This means that people with an optimistic outlook
are less likely to be ill, both mentally and physically.
◦ Once people are ill the course of their disorder can
be strongly influenced by the way they think about
it.
Because each of US play a key role in giving
ourselves and our friends or clients the
information they have to go on…
Each one of you can help inoculate each
other with optimism and help us all avoid
defeatism and learned helplessness simply
by changing the words we use .
We must think differently and talk
differently about our abilities.





Be aware of The Spread Effect
PromotingPerson First
Language
Respect & partner
Ensure the inclusion and full
participation of consumers in
all aspects of their lives
Consider staff boundaries
physical
•Diagnosis, Medicine, Therapies, Health Coaches & Navigators
•Surgery, Hospitalization
• Diagnosis, Medicine, Counseling, Case Management, Peer
Support [Housing & Employment]
Mental
• Hospitalization;
•Treatment services, counseling
Addictions •Inpatient treatment
Recovery focuses on valuing
and building on the
multiple capacities,
resiliencies, talents, coping
abilities, and inherent worth
of individuals.
It's up to each individual to take
responsibility for their own wellness
We know that ALL PEOPLE GROW
THROUGH TAKING POSITIVE RISKS
This, however, does not mean that we
abandon folks when they err...
Peer support provides…





Practical resources
Reciprocal & experience based support
Less formal & rigid relationships
Altruism
Alternative interpretations
Handout 11

“Behavioral Health”
◦ Substance abuse
treatment, mental
health care, problem
gambling treatment

Health Care Reform
◦ Medicaid expansions
◦ Health Benefit
Exchanges

Integrated Health
Care
◦ Health homes
◦ Health Care Authorities
In this environment:
 we are all
advocates.
 We are the experts
 We can dispel
myths and
anticipate
assumptions.
 We are there.


Teach people not to
equate the person with
the illness. Encourage
person first language.
People are not an
illness. So if someone
refers to a patient by
your illness say “They
have bipolar disorder,
I’m not bipolar." Or
“They’re not a
schizophrenic, they are
a person with
schizophrenia."

People with Mental
Illness and Addiction
are capable of
managing their
treatment
◦ Include strengths as part
of any treatment
◦ Make sure to discuss the
impact treatment may
have on employment, if a
change is being
considered .
◦ Build on prior successes.
◦ Share the WRAP plan

Recovery is a reality. It
can, will, and does
happen –
◦ Make a believer out of
Every Dr., policy maker,
janitor, landlord,
employer

Help them see their
part
◦ Prescribing peer support,
alternative approaches,
language changes;
◦ Messages of HOPE in
every conversation
Discussion groups

what are the external barriers to bring
recovery practices into an integrated care
setting?
 Solutions?
System wide?
Personal?
 Empowerment
is the process of
increasing the capacity of
individuals or groups to make
choices and to transform those
choices into desired actions and
outcomes. – The World Bank


Same skill different office – peer support
abides!
We still have a voice, but now we’re part of
the choir.
◦ Advisory Councils consist of representatives from
all health issues

That doesn’t mean we can’t get a solo now
and again.
◦ Mental health delivery systems still need your voice.

What happens when difficult thoughts or
emotions come from your participation
◦ Rely on your preparation skills, both emotionally
and for issues



Using critical thinking as well as your instinct
to determine your position
Articulating your interest rather than a
specific solution
Listening in order to understand

Critical thinkers:
distinguish between fact
and opinion; ask
questions; make detailed
observations; uncover
assumptions and define
their terms; and make
assertions based on
sound logic and solid
evidence.
Ellis, D. Becoming a Master
Student, 1997

Critical thinking is best
understood as the ability
of thinkers to take charge
of their own thinking.
This requires that they
develop sound criteria
and standards for
analyzing and assessing
their own thinking and
routinely use those
criteria and standards to
improve its quality.
Elder , L. and Paul, R.
"Critical thinking: why we
must transform our
teaching." Journal of
Developmental Education,
Fall 1994.


Listening
Thinking
◦ Understanding the information being presented and
how it fits with your interest
◦ Being clear on your interest

Then make your interest known to others
Be who you are, where you are
and know that everyone else
is doing the same

What happens when difficult thoughts or
emotions come from your participation
◦ Rely on your preparation skills, both emotionally
and for issues



Using critical thinking as well as your instinct
to determine your position
Articulating your interest rather than a
specific solution
Listening in order to understand
EMPOWERMENT
I have a voice & I
use it. I teach
others how to
do the same
ACTION
•I have many tools to
manage my wellness
and my
participation.
HOPE
•Things will get better and
better and better - for me
and for the system I’m
involved with
You really do know
what you’re talking
about.
You really can change
the world - individually
& Collectively
People depend on your
authenticity
Be afraid together
To find out more about Mary
Jadwisiak’s workshops on
Recovery, Hope, and Suicide
Prevention/Intervention
contact her:
Mary Jadwisiak
Holding the Hope
PO Box 1314
Battle Ground, WA 98604
(360) 687-7954
mjadwisiak@msn.com
www.holdingthehope.com