Transcript Slide 1

INFORMATION SESSION
Well Ways MI Recovery
‘I have made more progress in 8 weeks so far in this program
and working together with PHaMS supporting me than what I
have since when I was 8 years old and started seeing
counsellors, psychologists, psychiatrists, medication over a
12 year process leading up till now’
‘For the first time I acknowledged that I am more than my
illness. It is only a small part of who I am’
Staff Information Session Outline
• What is Well Ways MI Recovery?
• Goals and Objectives
• Peer Education Approach
• Program Structure
• Participant Recruitment
Well Ways Suite
WELL WAYS
FAMILIES & FRIENDS
BUILDING A
FUTURE
DUO
SNAPSHOT
CONSUMER
MI
RECOVERY
What is Well Ways MI Recovery?
• Developed in 2006 by MIFV it is a research-based peer education
program for people who have a mental illness
• Consists of an initial information session followed by 9 weekly
sessions of up to 3 hours
• Delivered nationally by MIFV and in partnership with organisations
• Trained facilitators who have lived experience of mental illness, lead
the group sessions, normally co-facilitated by 2 facilitators
• Sessions involve informal but structured learning, group discussions,
videos, practical demonstrations and problem solving
What is Well Ways MI Recovery?
‘Well Ways MI Recovery is a refreshingly real and thoughtfully
designed recovery education program, developed for and by people
with a lived experience of being diagnosed with a mental illness. This
is not a one size fits all picture of recovery but both a window into and
a toolkit for exploring ‘recovery possibilities’ (Flick Grey, Our
Consumer Place).
MI Recovery
MI Recovery offers participants the opportunity to develop:
• Knowledge about mental illness
• A renewed sense of self, with awareness of internal and external
resources, and personal potential
• An understanding of stigma and strategies to counteract its influence
• Knowledge of, and responsibility for managing triggers and early
warning signs, through lifestyle approaches (personal medicine) and
relapse intervention strategies
• A personal recovery action plan, activating steps towards goals
Recovery Framework
MI Recovery’s Goal is to Empower Participants to
embrace and live the ‘recovery journey’
“Recovery is a deeply personal, unique process of changing one’s
attitudes, values, feelings, goals, skills, and/or roles. It is a way of
living a satisfying, hopeful and contributing life even within the
limitations caused by illness. Recovery involves the development of
new meanings and purpose in one’s life as one grows beyond the
catastrophic effects of mental illness.”
(W.A. Anthony 1993, ‘Recovery from mental illness: the guiding
vision of the mental health system in the 1990s, Innovations and
Research, 97:586-594)
Intentional Peer Support
The Four Tasks:
Connection: being authentic, listening closely and developing trust. Relationship
terms are discussed and negotiated.
World view: appreciating how we’ve come to know what we know, and accepting
peoples’ different backgrounds and experiences, and different world views.
Mutuality: mutually working together to learn new knowledge and develop new
approaches
Moving towards: moving out of what’s comfortable and familiar, towards new ways
of being in recovery
Three Principles
Learning versus Helping
Relationship versus the Individual
Hope and Possibility versus Fear
MI Recovery facilitators
Why Peer Education?
A large body of evidence demonstrates that Peer Educators:
• Provide reputable leadership because they have ‘been there’
• Are authentic models for recovery, providing inspiration and hope
• Validate the experience of mental illness
• Create a culture of camaraderie and support among the group
• Incorporates Adult Learning Principles
Peer Education
Integrates two domains of knowledge and experience
Expert Knowledge
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•
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Scientific and Practitioner Research
Practice experience
Professional Networks
External Resources
Consumer Knowledge
• Individuals’ experience of illness and life
• International consumer literature and
data
• Self efficacy in illness and life
management , (internal, family and
community resources)
Session Outlines
Week One: Getting to know
each other. History and basic
facts about mental illness.
What is recovery?
Week Two: Renewing a
positive sense of self.
Mapping our strengths and
resources. What is stigma,
how does it affect us, and
what can we do about it?
Week Three: Healthy
lifestyle activities that feel
good and help us keep well.
What are triggers? Learning
about the Holistic Health
Model.
Week Four: Stages of
recovery model. Learning to
plan and manage our
recovery.
Week Five: Identifying our
early warning signs. Getting
organised in case of relapse.
Advanced Directive
statements.
Week Six: Communication
skills and practice. How to
communicate with doctors
and workers so that we can
get the best outcomes.
Week Seven: What is
discrimination? What rights
do people with mental illness
have? How can I advocate
for myself or find advocacy
support?
Week Eight: What do I want
to get out of life and what
resources can help me get
there? Getting back into
work, study, volunteering.
Week Nine: Reflecting on
our goals and what we’ve
learned. Valuing our peers
and celebrating how far
we’ve come on the recovery
journey.
Participant Requirements
To be eligible to participate in MI Recovery a person must be able to:
• Identify their own willingness and ability to participate in a recovery
oriented change-process
•Identify hopes, dreams and recovery goals
•Commit to full participation
•Accept assistance from MI Recovery facilitators if there are any
needs that may hinder participation
•Nominate a support person
Participant Resources
Participant
Logbook
Support Person
• Participants are required to nominate a support person, who they
meet with weekly to share their learnings and experience of the
program and review their recovery goals.
• They will be assisted to identify a support person in the initial
sessions
• If participant cannot nominate a community based support
person,(e.g. family member, friend) they can nominate a key
worker to play this role, as a last resort option or can be given a
support person through MIFV’s Helpline
Participant recruitment
• 10-12 participants is the optimum number for a MI
Recovery program
• Preferable that the information session hosts aprox. 15+
potential participants
• Marketing materials such as brochures and flyers are
available through MIFV
Evaluation Outcomes
La Trobe University’s evaluation of the program in 20112012 yielded statistically significant results demonstrating
that the program enables substantial outcomes for
participants in the areas of illness management,
empowerment, general health and stigma reduction.
Evaluation Outcomes
• Questionnaires at four time points, utilising the following scale
-Empowerment scale
-Internalised stigma of mental Illness scale
-Connectedness scale
-Illness management and recovery scale
-General health questionnaire
• Exploration of psychological constructs contributing to
recovery outcomes
Evaluation outcomes
• Research shows significant improvement over time
• No significant change from information session to beginning of session 1
• Significant change shown from MI Recovery session 1-8
Empowerment scale
100
80
• Higher scores indicate stronger endorsement of feelings
of empowerment
60
• Significant change shown from Questionnaire 2 (Q2)Questionnaire (Q3)
40
20
0
1
2
3
4
Internalised Stigma
scale
80
• 29 items measured subjective experiences of stigma.
• Subscales included Alienation, Stereotype Endorsement
and Stigma Resistance
60
40
20
0
1
2
3
4
• Research shows a significant reduction of Internalised
Stigma over time, particularly between Q1 & Q2
Evaluation Outcomes
General Health
Questionnaire
40
• Questions such as: Have you recently felt under strain?
30
• Result shows significant improvement over time
20
10
• Significant change occurred from Q2 – Q3
0
1
2
3
4
Illness Management
and recovery scale
50
40
30
• A 15 item scale designed to measure illness
management, and recovery focused attitudes and
behaviors of participants
• Means scores from Q1 – Q4 show significant change.
20
10
0
1
2
3
4
Recognition & testimonials
In 2013 the Well Ways MI Recovery program was awarded the
'Gold Award for a Support Program or Service' under
the‘Australian New Zealand Mental Health Service Achievement
Awards’.
‘It’s been beneficial in the sense that I have managed to
communicate some of my life experiences and not feel
embarrassed, ashamed or concerned about negative
feedback. I have also been able to listen and learn that with
my MI I am with people who understand. It has been positive
towards understanding my illness. In some ways accepting
and knowing that support is there if needed within the group.
Thank you Here's to life and Living’ (MI Recovery Participant)
Recognition & testimonials
‘I was honoured to facilitate and be part of a group that held
so much information about recovery but just didn’t realise
they held it’ (MI Recovery Peer facilitator)
‘My life has changed beyond recognition, it has educated me
and inspired me to take control of my illness to some extent,
although I know I have more to do. I’ve also realised my
potential to apply myself to becoming a mental health worker
in some aspect. I’m more confident and happier in my skin’
(MI Recovery Participant).
Questions?
• Any questions?