Personal Workbook | 1 Wellness Self-Management Personal Workbook Developed by The New York State Office of Mental Health (NYSOMH) & The Urban Institute for Behavioral Health (UIBH) Workbook Development Team Anthony Salerno, Ph.D. �Chairperson�, Co�Director, Evidence�Based Practices Initiative, NYSOMH Paul Margolies, Ph.D., Director of Rehabilitation Services, Hudson River Psychiatric Center, NYSOMH Andrew Cleek, Psy.D., Director, UIBH © New York State Office of Mental Health, 2008, 2nd edition. All rights reserved. 2 | Wellness Self-Management ACKNOWLEDGEMENTS The Wellness Self�Management �WSM� Personal Caren Weingart, L.C.S.W., Clinical Supervisor, Workbook was created as a joint effort between The Postgraduate Center for Mental Health the New York State Office of Mental Health (NY� SOMH� and the Urban Institute for Behavioral This Workbook has been piloted at ten agencies af� Health �UIBH�. filiated with UIBH and at Hudson River Psychiat� ric Center in Poughkeepsie, New York. The Work� The initial development of the WSM Personal book has been shaped by feedback provided by the Workbook was made possible through the support consumers, staff and leaders of these organizations. provided by Sharon Carpinello, R.N., Ph.D., for� Without their efforts, the Workbook could not have mer NYSOMH Commissioner. Its continued devel� been developed. opment, finalization and dissemination have been made possible by the active leadership of Michael The Workbook includes material that has been re� Hogan, Ph.D., NYSOMH Commissioner. printed or modified with permission from: The Workbook Development Team is grateful for OMH Office of Recipient Affairs. (2005). �Rec the efforts of Sheetal Rayancha, UIBH administra� ommendations: Infusing Recovery Principles in tive assistant, whose help with the initial draft of the Illness Management & Recovery Resource this Workbook was indispensable. We also give spe� Toolkit. Albany: New York State Office of Mental cial thanks to Robyn Katz, former Director of the Health Bureau of Adult Community Services, for her exten� Ryan, S.W., Littrell, K.H., Sowers, C., & Peabody, sive editing of the initial draft. D.D. (2003). Solutions for Wellness �2nd ed.) (© Eli Lilly and Company�. Available at www.treatment� Appreciation is also extended to the following indi� team.com viduals for their contributions: Weiden, P.J., Scheifler, P.L., Johnson McCrary, K. Peter Beitchman, D.S.W., Executive Director, et al. (2003). Team Solutions (3rd ed�. �© Eli Lilly The Bridge, Inc. and Company�. Available at www.treatmentteam. com Peter C. Campanelli, Psy.D., President & CEO, The Institute for Community Living, Inc. �ICL� This Workbook also includes material reprinted or Cathy Cave, L.C.S.W., Director of Cultural Com� modified from sources in the public domain. These petence, NYSOMH include: Amy Colesante, Office of Recipient Affairs,� NY Mueser, K., and Gingerich, S. (2003). Illness Man� SOMH agement & Recovery Implementation Resource Kit. Rosa M. Gil, D.S.W., President & CEO, Comuni� Washington, DC: United States Department of life, Inc. Health and Human Services, Substance Abuse and Mental Health Services Administration. Sharon Gold, L.C.S.W., Director of Continuing Available at http://download.ncadi.samhsa.gov/ Day Treatment, The Bridge, Inc. ken/pdf/toolkits/ illness/ 02.IMR_Users.pdf Chris Keane, F.N.P., ICL Onken, S., and Dumont, J. (2002). Mental Health Harvey Lieberman, Ph.D., Consultant to ICL Recovery: What Helps and What Hinders? A National Benjamin R. Sher, M.A., L.M.S.W., Director of Research Project for the Development of Recov� Training, ICL ery Facilitating System Performance Indicators. Alexandria, VA: National Technical Assistance Tony Trahan, Office of Recipient Affairs,� NY Center for State Mental Health Planning. SOMH Personal Workbook | 3 The Workbook represents an adaptation of exist� developed by Dr. William Anthony and colleagues ing open�source reports and educational materials, at Boston University. An adaptation of the ROPES as well as considerable new material created by the teaching technique forms the foundation for the Workbook Development Team. Adaptations gener� format utilized in the Workbook’s lessons. ally involved changes in language, format, sequenc� ing of topics and organization of lessons. Further� We are grateful for the contributions of the partici� more, the Workbook was designed to reflect the pants in the Illness Management and Recovery dis� principles of recovery, recognize the role of cultural semination project, which received support from and religious values, highlight the connection be� NYSOMH and the Substance Abuse and Mental tween mental and physical health and address the Health Services Administration and funds from the challenges of providing WSM services in a group Robert Wood Johnson Foundation. Participants’ modality. work and feedback heavily influenced the develop� ment of this Workbook. Additionally, we appreci� Most notably, we are indebted to the work of Kim ate the thoughtful and constructive feedback of Mueser, Ph.D., and Susan Gingerich, M.S.W., who the members of several focus groups who reviewed developed the comprehensive Illness Management these materials as they were developed. and Recovery �IMR� practice and related resource kit. The WSM Workbook incorporates many of the We also wish to acknowledge the contribution of topic areas from the IMR resource kit. In addition, Eli Lilly and Company, which developed the Solu� the IMR emphasis on a comprehensive curriculum tions for Wellness and Team Solutions educational and key clinical practice competencies, such as mo� materials, disseminated through the University of tivational, educational and cognitive behavioral ap� Medicine and Dentistry of New Jersey. Some of the proaches, served as the conceptual foundation for material was directly incorporated into the Work� the WSM Workbook and related training materials. book, and the development of new material was guided by the simplicity and clarity of language of The Workbook development team was also influ� the Lilly material. enced by the Psychiatric Rehabilitation approach Please note: No person or agency may reproduce, reprint or distribute the WSM Workbook without the prior written approval of the New York State Office of Mental Health. Requests for approval should be directed to [email protected] 4 | Wellness Self-Management WELCOME! Cngrlis r di t tk r cr vr r f! As c n rmr its vc, n tk l crag n hr r t k chng. ffes t n c k v t­ l t s ry ffic n r s r nrgy n rc. Hwvr, s ler t­ r chptr, vryn c vr t n n r cr r w vry. Y r t­ pr rf n n c t r t t vry l k. Y hv t did r s r n d’ . Yr Wr s digne t ­ t t­ dis. Fr ny s rain rem hs ly r r vry. T g t­ t­s ¡rogr, ncrag t dvlo¢ e, t­£ li­¤s by stng t n lerng l r gr n ­rs; t hr r pinc t r rs; t c-lea t­ gr; t n ¦uddy n t l t­ru§ r Aci St¤s. Re f h¨s tid t­ c£ n r Aci St¤s ­ t k e r . Y r t tr avr. Wh d drn m. W t­ ©rnª, The Bureau of Recipient Affairs New York State Office of Mental Health Personal Workbook | 5 WELLNESS SELF-MANAGEMENT (WSM) PERSONAL WORKBOOK Table of Contents Introduction Topic 1: What Is Wellness Self-Management (WSM) and How Can It Be Helpful to You? Lesson 01 Wellness Self-Management Program Overview . .8 Lesson 02 WSM: Important Points . 11 Topic 2: Getting the Most Out of the WSM Program Lesson 03 What Is Your Role in the Program? . 14 Lesson 04 Understanding Positive and Negative Thinking . 17 Lesson 05 Getting to Know Each Other . 20 Chapter 1 : Recovery Topic 1: What Is Recovery? Lesson 06 Visions of Recovery . 22 Topic 2: Setting Goals Helps Recovery Lesson 07 Exploring Your Personal Life Goals . 24 Lesson 08 Understanding Barriers that Get in the Way of Achieving Goals . 27 Lesson 09 Using Strategies to Overcome Barriers that Get in the Way of Achieving Goals . 30 Topic 3: Understanding What Helps and What Hinders Recovery Lesson 10 What Helps Recovery? . 35 Lesson 11 What Hinders Recovery? . 38 Lesson 12 Choosing Your Own Recovery Strategies. 40 Topic 4: Your Cultural Background and the WSM Program Lesson 13 How Your Cultural, Religious and Family Background Affects the Decisions You Make about Mental Health Treatment . 44 Topic 5: Personal Strengths and Outside Resources Help Recovery Lesson 14 Recognizing and Using Your Personal Strengths . 48 Lesson 15 Recognizing and Using Your Cultural and Community Resources . 52 Topic 6: Social, Cultural, and Community Supports Help Recovery Lesson 16 Social Supports Help Recovery . 55 Lesson 17 Using Self-Help and Peer Support . 59 Lesson 18 Connecting to Your Community . 61 Lesson 19 Meeting New People . 64 Lesson 20 Getting Closer to People . 66 6 | Wellness Self-Management Chapter 2 : Mental Health Wellness and Relapse Prevention Topic 1: Practical Facts about Mental Health and Mental Illness Lesson 21 Introduction to Practical Facts about Mental Health and Mental Illness . 69 Lesson 22 Symptoms of Mental Illness—Part I . 71 Lesson 23 Symptoms of Mental Illness—Part II . 75 Lesson 24 How Is Mental Illness Diagnosed? . 79 Lesson 25 Understanding the Causes of Mental Illness . 83 Lesson 26 Coping with the Stigma of Having a Mental Illness Diagnosis . 87 Topic 2: Coping with Stress and Symptoms Lesson 27 What Is Stress? Why Is It Important to You? . 91 Lesson 28 Identifying Your Personal Signs of Stress . 95 Lesson 29 How to Prevent Stress in the First Place . 98 Lesson 30 Coping with Stress: What Works? What Doesn’t? . 101 Lesson 31 Using a Step-by-Step Formula to Improve a Problem . 106 Lesson 32 Thoughtfully Choosing a Mental Health Problem to Work On . 109 Lesson 33 Choosing Strategies for Coping with Specific Problems and Symptoms .