WRAP Luis O Lopez MS Trainer Coach Implementation Specialist Center for Practice Innovations Agenda Mary Ellen Copelands WRAP Plan a grassroots tool for over 15 years An Evidence Based Practice ID: 638766
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An Overview of the Wellness Recovery Action Plan:WRAP
Luis O. Lopez, MSTrainer, Coach Implementation Specialist Center for Practice InnovationsSlide2
Agenda
Mary Ellen Copeland’s WRAP Plan: a grassroots tool for over 15 yearsAn Evidence Based PracticeCook DixonSAMHSAValues & Ethics of WRAPSlide3
AgendaRecovery Concepts of WRAP
Sections of the WRAP PlanHow to use the WRAP PlanPolling QuestionReview of the WRAP PlanSlide4
Mary Ellen Copeland:WRAP Plan
Mary Ellen Copeland’s WRAP plan is a tool for self management, wellness and recovery. Since 1997, the WRAP Plan, a grassroots tool, has helped people reconnect to wellness. For further information, guidance and training, contact Mary Ellen Copeland and the Copeland Center for Wellness and Recoveryhttp://www.mentalhealthrecovery.com/Slide5
WRAP: An Evidence-Based Practice
There is a great deal of evidence on the effectiveness of WRAP. A couple of studies by Judith Cook are Improving Propensity for Patient Self-Advocacy Through Wellness Recovery Action Planning: Results of a Randomized Controlled Trial A Randomized Controlled Trial of Effects of Wellness Recovery Action Planning on Depression, Anxiety, and Recovery" Slide6
WRAP: An Evidence-Based Practice In examining the Science of Recovery, researchers looked at WRAP as an important tool to establish wellness and self efficacy.
Assessing Recovery in People with Serious Mental Illness: Development of a New Scale. Psychiatric Services. Old Wine in New Bottles? Drapalski, A.L., Medoff, D., Unick, G.J., Velligan,D., Dixon, L., Bellack, A.S.
Psychiatr
Serv. 2012 Jan;63(1):48-53.Slide7
An Evidence-Based PracticeIn 2011, the Wellness Recovery Action Planbecame part of the SAMHSA's National
registry of Evidence-Based Programs and Practices. http://nrepp.samhsa.gov/Slide8
Values and EthicsSlide9
5 Key Recovery ConceptsSlide10
Sections of the WRAP PlanWellness Toolbox
Daily Maintenance PlanIdentifying TriggersIdentifying Early Warning SignsWhen Things are Breaking DownCrisis PlanningPost Crisis PlanningSlide11
Sections of the WRAP Plan
For every section, the person develops an Action Plan. The Action Plan outlinesTools needed to address daily challengesTools identified are put in the Wellness Toolbox Slide12
Sections of the WRAP PlanWellness Toolbox
The Wellness Toolbox contains a number of ideas, activities, and/or objects that promote wellness.These tools are personal and meaningful to the person working on the WRAP plan.Slide13
Sections of the WRAP PlanShort Answer Poll
The Wellness ToolboxWhat things do you do or use to make you feel well?Slide14
Sections of the WRAP PlanDaily Maintenance Plan
This section asks the person how does s/he feel when s/he feels well. It also establishes what to do to feel well.
Daily Maintenance List :
How
do I feel when I feel well
Good Mood
Talkative
Focus
What do
I need to do daily to maintain my wellness.
Cup of Coffee
Listen to Music
ExerciseSlide15
Sections of the WRAP Plan
Triggers
Had an argument with my father
Things I need to do to feel well
Action Plan
call a friend
work on breathing exercises
Identifying Triggers
This section asks person to
identify external events
that makes the person feel bad, uncomfortable, anxious, and/or upset. (feelings everyone experiences.)
Discuss situations that act as triggers.Slide16
Sections of the WRAP Plan
Early Warning Signs:How do I feel when I feel bad?
I feel resentment
I feel hurt
Things I need to do to feel well -
Action Plan
call my friend
talk
to a family member
Identifying Early Warning Signs
This section asks the person to identify those feelings that are sometimes developed by the trigger.
Sometimes, critical feelings happen without external triggers.
Talk about how do you feel when the trigger is not addressed at the moment. Slide17
Sections of the WRAP Plan
When Things are Breaking DownThese signs that may be internal and external - you may begin to feel further away from your wellness. An important time to focus on specific action steps with clear instructions on how to use your resources and supports. It is necessary to take immediate action to prevent a crisis.
Signs
that Things are Breaking Down
drug misuse
withdrawal
feeling angry
Things I need to do to feel well
Action Plan
call a health care provider
talk to a friendSlide18
Sections of the WRAP Plan
Crisis PlanningThe Crisis Planning is a proactive way to look at potential challenges. The Crisis Planning has 9 parts. What I’m like when I am feeling well. Symptoms
Supporters
Medication
TreatmentHome / Community Care
Treatment Facilities
Help from Others
When my supporters no longer need to use this planSlide19
Sections of the WRAP Plan
Crisis Planning
Chinese symbol for CrisisSlide20
ResourcesCopeland, M. E. (1999). Winning against relapse: A workbook of action plans for recurring health and emotional problems.
Dummerston, VT: Peach Press.Copeland, M. E. (2001). The depression workbook: A guide for living with depression and manic depression (2nd ed.). Oakland, CA: New Harbinger Publications.Copeland, M. E. (2006). Wellness Recovery Action Planning (WRAP) project: WRAP group facilitator's kit.Copeland, M. E. (2009). Facilitator training manual: Mental health recovery including Wellness Recovery Action Plan curriculum. Dummerston, VT: Peach Press.Copeland, M. E. (2010). WRAP facilitator manual.
Copeland, M. E., & Mead, S. (2004). Wellness Recovery Action Plan and peer support: Personal, group, and program development.
Dummerston
, VT: Peach Press.Slide21
Resources
lopezlu@nyspi.columbia.edu