Professional Documents
Culture Documents
SESSION ONE
WELCOME, INTRODUCTION AND OVERVIEW OF THE TRAINING
There is a uniqueness of your common experience and commonness of your unique experience
There are some people who think only volunteers outside the system should do this Peer Support work. How much Peers can
and should work inside the system is a matter of debate.
1. Helping another person move on with his or her life with recovery
2. Getting the person to get in touch with what they want
Establish Recovery Goals
3. Helping him or her identify barriers and remove those barriers
Then moved to
Then moved to
People with psychiatric conditions can move into areas of productivity and intimacy. People with mental health conditions can
obtain education, work, leisure, creativity and personal relationships.
The Recovery concept is supported by both research and people’s established success in mental health programs.
Substance abuse is a major part of the lives of people in our mental health programs. Co Occuring Disorders or conditions
should be seen and programs for Co Occuring Conditions should be implemented.
Sensitivity to race, gender, disability and poverty and involvement of people in our programs in the planning/implementation of
those programs are part of the new mental health system.
The report also addressed and identified stigma for the first time in a major way
1. Services must oriented toward the recipient of the services and must be family oriented
2. Services must focus on increasing the person’s ability to cope with life’s challenges, on facilitating recovery, and on building
resilience.
Treatment Services
Recovery Services
SESSION FOUR
DISABLING POWER OF THE PSYCHIATRIC DIAGNOSIS
1 WHAT ARE THE FIVE WAYS PEOPLE OFTEN RELATE TO POWER OF A PSYCHIATRIC CONDITION. THESE ARE
CALLED FIVE STAGES IN RECOVERY PROCESS
IMPACT
Overwhelmed
Not able to function
Emotional distress
LIFE IS LIMITED
Given in to symptoms
This is all there is
Time to instill hope
Questioning
Beginning to believe in life
Empower the person
Believe in Recovery with small steps
COMMITMENT TO CHANGE
WHAT DOES IT MEAN TO HAVE THE LIFE GOALS TO MANAGE THE ILLNESS AND MANAGE LIFE’S CHALLENGES?
Person can come to understand the nature of the disability. What is the disability and what is the environment. If a person
doesn’t understand both factors, then the person can become impacted or delayed in their recovery.
SESSION 5
THE ROLE OF PEER SUPPORT IN THE RECOVERY PROCESS
WHAT GOING ON WITH THE PERSON IN THE FIVE STAGES WHAT IS THE ROLE OF SERVICE
LIFE IS LIMITED
Services are:
Instilling hope, sense of possibility, positive self image
CSP does:
Uses dissatisfaction as avenue for change. Encourage outings into the world
See the world beyond treatment
CHANGE IS POSSIBLE
Services are:
Empower the person to participate in their own recovery by taking small steps
CSP does:
Encourage success stories
Encourage supported baby steps
COMMITMENT TO CHANGE
Services are:
Help the person identify strengths and needs in terms of skills, resources and supports.
CPS does:
Assist in goal setting ideas, teach resource hunting skills, transform strengths and needs
Rome wasn’t built in a day model
Peer support is mutual support by two people who have experienced a life in the mental health system. Therefore, peer
support happens naturally.
IMPACT
CPS does:
Asks to assist in things
Be a consistent presence
LIFE IS LIMITED
CSP does:
Uses dissatisfaction as avenue for change. Encourage outings into the world
See the world beyond treatment
CHANGE IS POSSIBLE
CSP does:
Encourage success stories
Encourage supported baby steps
COMMITMENT TO CHANGE
CPS does:
Assist in goal setting ideas, teach resource hunting skills, transform strengths and needs
Rome wasn’t built in a day model
SESSION SIX
THE POWER OF NEGATIVE PROGRAM ENVIRONMENTS
Also, people with mental health conditions also send message that we are not ready or able.
Negative messages are those discouraging messages sent to discourage people rather than encourage people.
3.WHY DO NEGATIVE MESSAGES HAVE SUCH A POWER AND/OR ROLE IN THE MENTAL HEALTH SYSTEM?
There seems to be a power differential. Negative messages reinforces and amplifies the power differential.
4.WHAT IS MEANT BY THE STATEMENT THAT THE ABSENCE OF NEGATIVE MESSAGES IS MORE IMPORTANT IN
CREATING A POSITIVE SELF IMAGE THAN THE PRESENCE OF POSITIVE IMAGES?
Positive self image is hard to develop in an environment where people are surrounded by negative images.
5.NAME FOUR ACTIVITIES THAT RECOVERY BASED DAY PROGRAMS SHOULD INCLUDE?
1. Set up ongoing educational support meetings based on the Recovery Dialog model.
2. Train people in the programs to assume roles of meaningful work in program
3. Find ways to pay people to do the meaningful work
4. Have on going discussions about what is working and not working with the program by community meetings based on
mutually sharing ideas and experiences. This is the leveling the playing field model
7. IF YOU WERE TO VISIT THE DAY PROGRAMS OF ANOTHER MENTAL HEALTH AGENCY WHAT WOULD WE LOOK
FOR TO SEE IF THE PROGRAM WAS NOT RECOVERY ORIENTED.
1.WHAT DOES THE STATEMENT MEAN WHEN ONE LIVES WITHOUT HOPE(WHEN ONE HAS GIVEN UP) THE
WILLINGNESS TO DO IS PARALYZED AS WELL MEAN?
Hope is the driving force for recovery. People need hope to get motivated. Despair is part of the Impact of the psychiatric
condition and paralyzing.
2. WHAT DOES THE STATEMENT MEAN IT IS TRULY BEING DISABLED NOT BY DISEASE OR INJURY BUT BY
DESPAIR
If despair keeps people locked away in symptoms then coming out of despair can lessen the impact of the mental health
condition. Coming out of despair can lead a person into dissatisfaction and preparing the person to get ready to change.
3.WHAT IS THE ROLE OF PEER SUPPORT WHEN A PERSON IS STRUGGLING WITH A SENSE OF HOPELESSNESS.
Peer support is a process of mutual exchange of hope and knowledge. People can learn from each other and learn from each
in peer support several different times during the day and in several different ways.
Peer support seems ready, willing and able to be a presences in a person’s life over a long period of time
4.WHY DOES THE DIAGNOSIS OF MENTAL ILLNESS HAVE SUCH A DEVASTATING EFFECT ON PEOPLE’S SELF
IMAGE.
People feel worse when they have a negative label and/or when their strengths are not seen or acknowledged. People come
looking for help and get a negative reaction. This negative reaction can only make people feel worse and get worse.
5.WHY DOES THE STATEMENT -WHILE INDIVIDUAL SERVICE PLANS WHICH FOCUS ON TREATING THE SYMPTOMS
MAY REDUCE THE EMOTIONAL DISTRESS-THEY SELDOM MOTIVATE PEOPLE TO MAKE MAJOR CHANGES IN
THEIR LIVES?
There is more to recovery than just symptom reduction. People have to find meaning and a place in life. They have to feel part
of and not alienated. People can reach realistic levels of recovery and still have symptoms. With hope, people can become
motivated and accomplish a lot.
6.WHAT IS MEANT BY THE STATEMENT WHILE SYMPTOMS BRING PEOPLE IN FOR RECOVERY WE NEED TO SHIFT
THE FOCUS TO WELLNESS.
Wellness is learning how to take care of ourselves so that we can keep going. Again, we can keep going and have symptoms.
I hear voices in the middle of the night. With all the best prevention plans. I have learned to accept that I have some
frightening aspects to my life. I can not get rid of the voices. I can keep going.
SESSION NINE
BELIEFS AND VALUES THAT PROMOTE AND SUPPORT RECOVERY
SESSION TEN
EFFECTIVE COMMUNICATION PART ONE
LISTENING
1.AS A CPS YOU MIGHT HAVE DIFFICULTY WITH THREE TYPES OF HIGH RISK RESPONSES?
1. Judging
2. Sending solutions
3. Avoiding concerns
2.WHAT ARE THE THREE CLUES THAT SOMEONE FEELS LISTENED TO?
1. People talk about their problems rather than other concerns or issues
2.Speaker might be blind to their emotions or blinded by their emotions
3.Words have different meanings for different folks. We are able to acknowledge that difference.
Reflective listening restates the response from the listener to the speaker and does so in a way that demonstrates
understanding and acceptance.
How do you know that you have got it right. Speaker accepts what was said by the CPS. The CPS is able to say and repeat
what the the speaker says.
SESSION ELEVEN
DISSATISFACTION AS AN AVENUE FOR CHANGE
1.WHEN A PERSON HAS EXPRESSED DIS SATISFACTION WHAT ARE FIVE THINGS THAT YOU COULD DO TO HELP
THEM GET THROUGH THAT
SESSION TWELVE
FACING ONE’S FEARS
2.THE FEARS BEHIND SOME FEARS IS THAT WE CAN NOT HANDLE THE FEELINGS THAT WILL ARISE GIVE SOME
EXAMPLES
The fear behind all fears is that we can not handle the feelings.
3.WHAT ARE SOME OF THE THINGS THAT WE CAN DO TO HELP ANOTHER PERSON GET OUT OF THE COMFORT
ZONE?
1. Walk through the comfort zone and out of the comfort zone with the person
2. Be a presence in the person’s life
3. Spend time brainstorming and talking
4. Learn about the person and try to do some things together
SESSION THIRTEEN
COMBATING NEGATIVE SELF TALK
1. WHAT IS NEGATIVE SELF TALK?
Thoughts and feelings which corrode and eat away at our thinking and being of our self.
1. WHAT ARE THE FIVE BASIC STEPS TO PROBLEM SOLVING WITH INDIVIDUALS. (PIBCBA)
1. Problem
State the problem as clearly as possible
2. Impact
Ask what he or she might be doing negatively to impact the problem
3. Cost/Benefit
High and Low Cost/Benefit
Ask if problem is not resolved what is going to be the cost long term and short term
What is the high and low cost benefit, also
4. Brainstorm
What are possible ways to solve this problem
Discuss pro and cons also
5. Actions
What are the best solutions to this problem
Discuss pro and cons also. These are high and low cost benefits
PIBCBA
SESSION FIFTEEN
THE ROLE OF SPIRITUALITY IN THE RECOVERY PROCESS
1, WHAT ARE SOME OF THE WAYS THAT SPIRITUALITY HAS PLAYED OUT INTO PEOPLE’S LIVES. SOME OF THE
WAYS SPIRITUALITY HAS PLAYED OUT IN OUR LIVES
DAILY MAINTENANCE
Make a list of characteristics that I am like when doing well
Make a list of things to do when I am feeling well
Make a list of additional things that I might do when feeling well
TRIGGERS
Make a list of events or circumstance which might make symptoms worse
Make list of what to do to keep triggers from getting worse
Make a list of things that I might do to restore my feeling well
CRISIS PLANNING
What am I like when I am doing well
Describe symptoms when someone might have to take over
Supporters list five supporters which you would like to take over for you
MEDICATIONS
Name of physician and pharmacy
List medications that your would like to take if medications become necessary
List medications which would become acceptable if necessary
List medications which should be avoided and for what reasons
TREATMENT
List treatments that you would like
List treatment that you would like to avoid
HOME/COMMUNITY RESPITE
List home or community care that you would like to receive
List treatment facilities that you like and that you would like to avoid
List those who can help you feel better
List indicators which are there when you no longer need the supporters
List the behaviors which endanger you
List you post crisis plan and you post crisis supporters
POST CRISIS
SESSION SEVENTEEN
FIVE STAGE IN THE RECOVERY PROCESS
DANGERS AND INTERVENTIONS
1.WHAT IS MEANT BY THE IMPACT OF DIAGNOSIS STAGE AND THE DANGER THAT THE DIAGNOSIS BECOMES
ONE’S IDENTITY
People in this stage just see themselves as illness and are overwhelmed. Stuck in and with the diagnosis and/or deep state of
the psychiatric condition.
-Danger sees themselves as illness and lives out illness or disability story
2.WHAT IS MEANT BY LIFE IS LIMITED STAGE AND DANGER IN THE UNAWARENESS OF POSSIBILITY
Given in to despair No dreams or hopes Giving in to no hopes and/or dreams.
-Danger there is nothing to do to make life better. Turns life over to system
4.WHAT IS MEANT BY THE COMMITMENT TO CHANGE AND THE DANGER IS UNWILLINGNESS TO SUPPORT
TAKING A RISK
Challenging disability Willing to explore Must weigh options and strengths
-Danger is not thinking it through and moving too quickly
5.WHAT IS MEANT BY THE ACTION TO CHANGE AND THE DANGER IS BELIEVING THAT THE MENTAL HEALTH
SYSTEM WILL ALWAYS BE ONE’S COMMUNITY OF SUPPORT.
Program evaluations are important to the development and implementation of new programs. Mental health programs are well
researched before they are rolled out and implemented. Research can also help keep quality mental health programs.
Program evaluations are part of the modern mental health world. They have instruments and help collect data. Participating in
program evaluation and research will also be part of the job of peer specialists.
SESSIONS NINETEEN
POWER, CONFLICT AND INTEGRITY IN THE WORKPLACE
PART ONE
1.WHAT ARE THE THREE STEPS IN THE PROCESS OF EFFECTIVE COMMUNICATION IN SITUATIONS WITH
POTENTIAL CONFLICT?
1. Observe other person’s position
2. Relate to other person’s position
3. Offer we statements through common ground and promote partnership
2.WHAT ARE THE FIVE QUESTIONS THAT YOU NEED TO THINK THROUGH BETWEEN WHAT YOU WANT AND WHAT
A CO WORKER MIGHT WANT
1. Who are the parties
2. What do I know about the issues
3. What are possible areas of conflict
4. What actions allow integrity
5. What is action that I or we should take to keep integrity of both parities.
SESSION TWENTY
FACILITATING RECOVERY DIALOGS
Support meetings are the fastest growing trend in health care. Peer specialists are peers and therefor they can facilitate
support meetings. There are operational guidelines for each group. Each support group will follow their operational guide
lines.
Support meetings are ways that the peer specialist can get to know the people who they are working with and the people
worked with can get to know the peer specialist.
Hope
Symptom control
Knowledge
Wellness plan
Spirituality
Positive self image
Support network
Personal goals
Economic Stability
Choices
Physical health
Personal responsibility
SESSION TWENTY FOUR
FINAL REFLECTIONS AND NEST STEPS
1. LIST FIVE TO SEVEN PARTS OF THE TRAINING THAT YOU FOUND MOST HELPFUL
WHY? The language of illness can keep us sicker for a longer time
How do you respond. What is the USPRA language of choice. Have a copy around the office
1.WHAT IS THE LINK BETWEEN EARLY CHILDHOOD VIOLENCE AND PHYSICAL AND EMOTIONAL HEALTH
2.WHAT IS THE TRAUMA PARADIGM (TRAUMA IS THE NORM AND NOT THE EXCEPTION)