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Evaluation of the Recovery and WRAP education programme

Aim of the EvaluationAim of the Evaluation

Explore the impact of the programme on Explore the impact of the programme on participants’ knowledge and attitudes to participants’ knowledge and attitudes to recovery and WRAPrecovery and WRAP

Explore the impact of the programme on Explore the impact of the programme on participants’ livesparticipants’ lives

Identify the strengths of the programmeIdentify the strengths of the programme

Identify areas/suggestions for improvementIdentify areas/suggestions for improvement

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Evaluation MethodologyEvaluation MethodologyMixed methodsMixed methods– Survey Survey

Pre course questionnairePre course questionnaire

Post course questionnairePost course questionnaire

– InterviewsInterviewsFocus group interviews participantsFocus group interviews participants

Focus group interview with the consortium membersFocus group interview with the consortium members

Individual interviews with facilitatorsIndividual interviews with facilitators

No of participants No of participants   2 day 5 day

  Pre Post Pre Post

Survey 197 195 68 66

Focus group 11 22

Self Description of ParticipantsSelf Description of Participants

  Self -experience

Mental health practitioner

Family member/carer

Other

 2 Day N N N N

63 81 43 28

5 Day

Self -experience

Mental health practitioner

Family member/carer

Both self exp and MHP

18 32 5 13

Recovery Knowledge ScaleRecovery Knowledge Scale

8.00

8.10

8.20

8.30

8.40

8.50

8.60

8.70

8.80

8.90

Pre Post

Me

an

2 day

8.70

8.75

8.80

8.85

8.90

8.95

9.00

9.05

9.10

Pre PostM

ean

5 day

Recovery Attitude Questionnaire 7Recovery Attitude Questionnaire 7

29.40

29.60

29.80

30.00

30.20

30.40

30.60

Pre Post

Me

an

2 day

30.60

30.70

30.80

30.90

31.00

31.10

31.20

31.30

31.40

31.50

Pre Post

Mea

n

5 day

Beliefs about Recovery and WRAPBeliefs about Recovery and WRAP

0.00

10.00

20.00

30.00

40.00

50.00

60.00

70.00

Pre Post

Mea

n Positive

Negative

2 day

0.00

10.00

20.00

30.00

40.00

50.00

60.00

70.00

Pre Post

Mea

n Positive

Negative

5 day

Facilitation SkillsFacilitation Skills5 day5 day

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Learning about recovery and WRAP: an inspiring, Learning about recovery and WRAP: an inspiring, invigorating, validating and empowering experienceinvigorating, validating and empowering experience

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‘‘I come from the ‘never heard of it [WRAP] before’ I come from the ‘never heard of it [WRAP] before’ scenario, and for me it has just been a life experience that I scenario, and for me it has just been a life experience that I could never praise enough. could never praise enough. It gave me power to help It gave me power to help myself, myself, something that was never discussed with me ever something that was never discussed with me ever as a mental health patient. And I operated the plan as a mental health patient. And I operated the plan myself and I found it seeped into me, its actually in my myself and I found it seeped into me, its actually in my mind now. Without me being consciously thinking about it, mind now. Without me being consciously thinking about it, its operating in my mind I don’t have to go back to the its operating in my mind I don’t have to go back to the book. Everything has changed - how I do things. Its also book. Everything has changed - how I do things. Its also changed my language. And its had a knock on effect… I'm changed my language. And its had a knock on effect… I'm a much more positive person, but also its having a positive a much more positive person, but also its having a positive effect on people around me, in work and in my own effect on people around me, in work and in my own family’. family’.

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‘‘I work with mental health services and I also use mental I work with mental health services and I also use mental health services. So there’s two angles for me. I didn’t know health services. So there’s two angles for me. I didn’t know much about it to be honest …and for me this has been the much about it to be honest …and for me this has been the most amazing, beneficial personal experience … It actually most amazing, beneficial personal experience … It actually ties a personal experience of being a service user and ties a personal experience of being a service user and actually working in the mental health services. It’s in fact actually working in the mental health services. It’s in fact the only occasion I’ve had where I can draw on my the only occasion I’ve had where I can draw on my experience as a service user and speak about it and use it. I experience as a service user and speak about it and use it. I think that was the best thing for me. The validation, …the think that was the best thing for me. The validation, …the validation of my own personal experience and that’s really validation of my own personal experience and that’s really what I take away from it, was the respect and the sense of what I take away from it, was the respect and the sense of the value of my personal experience and I think that’s the value of my personal experience and I think that’s probably the best thing I can communicate to anybody. probably the best thing I can communicate to anybody. That’s what I’ve learnt from this, This program is a kind of That’s what I’ve learnt from this, This program is a kind of facilitation based on a value of personal experience and facilitation based on a value of personal experience and that has been my most beneficialthat has been my most beneficial

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My background is [names discipline] so I suppose I could say after My background is [names discipline] so I suppose I could say after 26 years I know nothing. Because our whole training has been 26 years I know nothing. Because our whole training has been always on the illness side. So its been a complete restructuring and always on the illness side. So its been a complete restructuring and a re-training and examining the whole philosophy and what we are a re-training and examining the whole philosophy and what we are about. So I think the course opened that can of worms for us, about. So I think the course opened that can of worms for us, even on the first morning. Questioning particularly people that are even on the first morning. Questioning particularly people that are from a professional background where are we, …what's our from a professional background where are we, …what's our understanding of recovery or how can we think about recovery in understanding of recovery or how can we think about recovery in different terms from the traditional approach. So… quite different terms from the traditional approach. So… quite challenging. there was a lot of people in the room that did challenging. there was a lot of people in the room that did challenge and I found that was, there was a great learning we are challenge and I found that was, there was a great learning we are being challenged. We were certainly asked to …think about what being challenged. We were certainly asked to …think about what are the values that underpin practice. are the values that underpin practice.

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Putting Recovery and WRAP Putting Recovery and WRAP into practiceinto practice

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Surfing the wavesSurfing the waves

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‘I suppose it’s a manual I would see it as a manual where it teaches you to surf really, surf through the waves, you are not going to stop the waves but you are taught though this process how to surf the waves. It’s not going to stop them, but you are going to teach yourself how to surf them’

‘‘I found that it gave me an ability to have a continuation I found that it gave me an ability to have a continuation because [previously] I might do something in my life because [previously] I might do something in my life and it doesn’t work and I’d say ‘ah defeat isn’t retreat and it doesn’t work and I’d say ‘ah defeat isn’t retreat and failure isn’t final’. And that [was] sort of was it, and failure isn’t final’. And that [was] sort of was it, the end of the story,… there was no continuation… the end of the story,… there was no continuation… Where as WRAP gave me the idea of saying okay, Where as WRAP gave me the idea of saying okay, we all make mistakes and we’ve got a right to be we all make mistakes and we’ve got a right to be wrong.,…nobody’s perfect. But before I'd it was just wrong.,…nobody’s perfect. But before I'd it was just full stop. But there’s no full stop to life. But with full stop. But there’s no full stop to life. But with WRAP again there’s continuation. Saying okay what WRAP again there’s continuation. Saying okay what do I do next time, you know work out a formula. do I do next time, you know work out a formula.

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Well it’s a lifeline, I was actually sick again there a few Well it’s a lifeline, I was actually sick again there a few weeks ago and at least its not this never ending you weeks ago and at least its not this never ending you know negative, you sort of know, if I can get myself know negative, you sort of know, if I can get myself back to this level you know I’ll continue. So it sort of its back to this level you know I’ll continue. So it sort of its a lifeline really. Its giving hope, gives you a reason…. a lifeline really. Its giving hope, gives you a reason…. things will change ….you’ll get control back into your things will change ….you’ll get control back into your own life you know. Because I think that’s what own life you know. Because I think that’s what happens when people get depressed, that they lose the happens when people get depressed, that they lose the control you know…you can spiral downwards very control you know…you can spiral downwards very quickly. So at least having been involved in the WRAP quickly. So at least having been involved in the WRAP you sort of say well this [hope] is there, you know. you sort of say well this [hope] is there, you know.

Learning togetherLearning together

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I think there was real partnership and that’s I think there was real partnership and that’s something that came out of that training, it something that came out of that training, it strips away all those badges… it doesn’t strips away all those badges… it doesn’t matter what grade you are or what badges you matter what grade you are or what badges you have its about people. And I think that was have its about people. And I think that was something very important and there was a real, something very important and there was a real, a real change… and I think the partnership of it a real change… and I think the partnership of it was the strong part of it, it wasn’t the service was the strong part of it, it wasn’t the service provider coming and saying this is a good idea provider coming and saying this is a good idea it was all the stakeholders’it was all the stakeholders’

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There was that cocktail of experience in it . If WRAP There was that cocktail of experience in it . If WRAP was delivered to service providers ..or people with was delivered to service providers ..or people with self experience just in isolated groups it wouldn't self experience just in isolated groups it wouldn't have had that energy…. It had that combination have had that energy…. It had that combination and I think that was very important and very and I think that was very important and very respectful to everybody. And it was a safe respectful to everybody. And it was a safe environment so people could say the good, bad and environment so people could say the good, bad and the ugly and there was no offence taken by that. I the ugly and there was no offence taken by that. I think we don’t have enough of those opportunities think we don’t have enough of those opportunities like, it doesn’t matter where we are coming from like, it doesn’t matter where we are coming from those opportunities don’t come up often enoughthose opportunities don’t come up often enough

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SustainabilitySustainability

National forum/strategyNational forum/strategy

Broadening the audience (Psychiatrists/GP Broadening the audience (Psychiatrists/GP schools/ communities/ MHC)schools/ communities/ MHC)

Publishing wellness plansPublishing wellness plans

Developing a mentoring programmeDeveloping a mentoring programme

Support network for facilitatorsSupport network for facilitators

Funding Funding

A note of cautionA note of caution– Professionalisation Professionalisation of recovery/wrapof recovery/wrap

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Some final wordsSome final words

It was a brilliant course and I would It was a brilliant course and I would recommend it to anyonerecommend it to anyone

I think it’s a terrific program I think it’s a terrific program

I'd say the delivery of the program was I'd say the delivery of the program was excellentexcellent

I actually thought it was brilliant I actually thought it was brilliant

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AcknowledgementsAcknowledgements

Participants Participants

IMHREC – Valery and KarenIMHREC – Valery and Karen

Funding agency Department of Justice Funding agency Department of Justice and Law Reformand Law Reform

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Thank YouThank You

Agnes, Patrick, Denis, Agnes, Patrick, Denis,

Jan , Jean, Brian,Jan , Jean, Brian,

Harry and MichaelHarry and Michael