an introduction by richard brabrook july 2006 peer support this information was taken from:this...

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an introduction an introduction by Richard Brabrook by Richard Brabrook July 2006 July 2006

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an introductionan introduction

by Richard Brabrookby Richard Brabrook

July 2006July 2006

Peer SupportPeer Support

• This information This information was taken from:was taken from:

• Publisher: Peach Publisher: Peach PressPress

• ISBN:0-9631366-7-4ISBN:0-9631366-7-4

SherrySherry Mary Mary Ellen Ellen MeadMead CopelandCopeland Approx. £15.00

What is Peer Support?What is Peer Support?

• About having relationships with About having relationships with other people in new and different other people in new and different ways that promote:ways that promote:– GrowthGrowth– RecoveryRecovery– WellnessWellness

Using the principles of the WRAPUsing the principles of the WRAP

(Wellness Recovery Action Plan)(Wellness Recovery Action Plan)

About the creatorsAbout the creators

• Created by Shery Mead & Mary Ellen CopelandCreated by Shery Mead & Mary Ellen Copeland• Mary Ellen was awarded the John Beard award, in June Mary Ellen was awarded the John Beard award, in June

2006, for outstanding contributions to the field of 2006, for outstanding contributions to the field of psychosocial rehabilitation and because psychosocial rehabilitation and because her contributions to the mental health field have led to her contributions to the mental health field have led to decisive, lasting, and far-reaching advances.  decisive, lasting, and far-reaching advances. 

• Shery says that without “Peer Support”, she wouldn’t Shery says that without “Peer Support”, she wouldn’t have moved beyond the “mental patient” role. She was have moved beyond the “mental patient” role. She was diagnosed at 17 with Schizophrenia and it took years of diagnosed at 17 with Schizophrenia and it took years of lobbying the psychiatrists and government to look at lobbying the psychiatrists and government to look at Peer Support instead of just medicating and using Peer Support instead of just medicating and using therapytherapy

Peer Support & WRAPPeer Support & WRAP

• Both created in the United States of Both created in the United States of AmericaAmerica

• Peer Support goes beyond the WRAP Peer Support goes beyond the WRAP (Wellness Recovery Action Plan)(Wellness Recovery Action Plan)– The WRAP was created in 1997 by Mary The WRAP was created in 1997 by Mary

Ellen Copland and a group of people who Ellen Copland and a group of people who used mental health systemsused mental health systems

– Peer Support followed when Shery Mead Peer Support followed when Shery Mead was made a Director of a new Peer Support was made a Director of a new Peer Support Programme in New Hampshire, USA, to Programme in New Hampshire, USA, to look at what it might look like and how.look at what it might look like and how.

Peer SupportPeer Support

• Instead of taking care of each other and Instead of taking care of each other and think of each other as “Sick”, in Peer think of each other as “Sick”, in Peer Support, we build a sense of family and Support, we build a sense of family and community that is mutually responsible community that is mutually responsible and focused on recovery and social and focused on recovery and social action.action.

• Peer Support is not like clinical support, Peer Support is not like clinical support, it is more like being friends. It has it is more like being friends. It has structures to protect each person in the structures to protect each person in the relationship.relationship.

Peer Support v Other Peer Support v Other ServicesServices

Peer Support isPeer Support is Peer Support is notPeer Support is not

Being open to new ways of thinking Being open to new ways of thinking about our own experienceabout our own experience

An Expert telling us what our An Expert telling us what our experience meansexperience means

Re-defining help and helpingRe-defining help and helping Telling someone what to doTelling someone what to do

A way of thinking about relationships A way of thinking about relationships and power that is mutualand power that is mutual

Superficial power-down relationshipsSuperficial power-down relationships

Considering the effects of trauma and Considering the effects of trauma and abuse on people’s self-concept and abuse on people’s self-concept and relationshipsrelationships

Telling you you’re sick and socially Telling you you’re sick and socially unacceptableunacceptable

Mutually supporting and mutually Mutually supporting and mutually responsibleresponsible

One way relationships where one One way relationships where one person takes responsibility for the person takes responsibility for the otherother

Teaching and learning from each Teaching and learning from each otherother

Being told or learning about Being told or learning about diagnosis and treatmentdiagnosis and treatment

An opportunity to challenge the An opportunity to challenge the status quostatus quo

Protecting people form taking risks Protecting people form taking risks that are “too stressful”that are “too stressful”

About recovery and transformationAbout recovery and transformation About stability and maintenanceAbout stability and maintenance

15 Values and Ethics15 Values and Ethics

1.1. HopeHope2.2. Self determination, personal responsibility, Self determination, personal responsibility,

empowerment and self-advocacyempowerment and self-advocacy3.3. Treating each other as equals with dignity, Treating each other as equals with dignity,

compassion, mutual respect and compassion, mutual respect and unconditional high regardunconditional high regard

4.4. Unconditional acceptance of each person as Unconditional acceptance of each person as they arethey are

5.5. No-limits to RecoveryNo-limits to Recovery6.6. Choices and options, not final answersChoices and options, not final answers7.7. Voluntary ParticipationVoluntary Participation8.8. Personal ExpertisePersonal Expertise

15 Values and Ethics15 Values and Ethics

9.9. Clinical, medical and diagnostic language is Clinical, medical and diagnostic language is discourageddiscouraged

10.10. Focus on working together to increase mutual Focus on working together to increase mutual understanding, knowledge and promote understanding, knowledge and promote wellnesswellness

11.11. Adaptable to anyone’s personal philosophyAdaptable to anyone’s personal philosophy12.12. Emphasis on strategies that are simple and Emphasis on strategies that are simple and

safesafe13.13. Normalise responsesNormalise responses14.14. Focus on strengths and away from perceived Focus on strengths and away from perceived

deficitsdeficits15.15. The body of knowledge is always expanding The body of knowledge is always expanding

and is infinite.and is infinite.

The relationship should The relationship should include:include:

• Empathy and accountabilityEmpathy and accountability• Having funHaving fun• Valuing communityValuing community• Taking care of yourselfTaking care of yourself• Not using symptoms as an excuse for bad Not using symptoms as an excuse for bad

behaviourbehaviour• Learning to work through conflictLearning to work through conflict• Giving and receiving critical feedbackGiving and receiving critical feedback• Mutual validationMutual validation• ConfidentialityConfidentiality

How Peer Support WorksHow Peer Support Works

• Working in a relationship with someoneWorking in a relationship with someone• AgreementAgreement• Take turnsTake turns• ListenListen• EmpathyEmpathy• SupportSupport• HonestHonest• ReliableReliable

Outcomes of using Peer Outcomes of using Peer SupportSupport

• Can include:Can include:– Improved quality of lifeImproved quality of life– Higher levels of wellness, opportunity and possibilityHigher levels of wellness, opportunity and possibility– Increased use of natural supportsIncreased use of natural supports– Personal responsibility and empowermentPersonal responsibility and empowerment– Increased understanding of difficult feelings and Increased understanding of difficult feelings and

behavioursbehaviours– Decrease in the impact of traumatic life events and stigma Decrease in the impact of traumatic life events and stigma

Decrease in the need for costly therapies and health Decrease in the need for costly therapies and health servicesservices

– Shift in focus from mental health care symptom controlled Shift in focus from mental health care symptom controlled to prevention and recoveryto prevention and recovery

– Significant reduction in costs for mental health and Significant reduction in costs for mental health and emergency servicesemergency services

– An increased ability to meet life and vocational goalsAn increased ability to meet life and vocational goals

RecommendationsRecommendations

• If you think Peer Support will work for If you think Peer Support will work for you, we would recommend that you you, we would recommend that you attend some training sessions to enable attend some training sessions to enable you to either gain and / or practice the you to either gain and / or practice the skills to make this process work for you skills to make this process work for you and the person you will be working with.and the person you will be working with.

• Enter with an open mindEnter with an open mind• Expect to face challenges / goals and do Expect to face challenges / goals and do

so with optimismso with optimism

Training ProgrammeTraining Programme

• I would recommend any training to I would recommend any training to include:include:– Review of the Wellness Recovery Action PlanReview of the Wellness Recovery Action Plan– Empathy SkillsEmpathy Skills– Listening SkillsListening Skills– Giving and Receiving FeedbackGiving and Receiving Feedback– How to Support SomeoneHow to Support Someone– ConfidentialityConfidentiality– Creating a Working RelationshipCreating a Working Relationship

Further Information:Further Information:

• www.recoverydevon.co.ukwww.recoverydevon.co.uk• www.mentalhealthrecovery.com www.mentalhealthrecovery.com • www.mentalhealthpeers.com www.mentalhealthpeers.com • MIND in Exeter and East DevonMIND in Exeter and East Devon

32 – 34 High Street, Honiton, EX14 32 – 34 High Street, Honiton, EX14 1PU1PU

T: 01404 42548 F: 01404 42243 T: 01404 42548 F: 01404 42243

E: [email protected] E: [email protected]

Thank you for listeningThank you for listening

Any questions?Any questions?

Publisher: Peach PressPublisher: Peach PressISBN:0-9631366-7-4ISBN:0-9631366-7-4

Approx. £15.00Approx. £15.00

Contact and further information:Contact and further information:•www.recoverydevon.co.ukwww.recoverydevon.co.uk•www.mentalhealthrecovery.com www.mentalhealthrecovery.com •www.mentalhealthpeers.com www.mentalhealthpeers.com •MIND in Exeter and East DevonMIND in Exeter and East Devon 32 – 34 High Street, Honiton, EX14 32 – 34 High Street, Honiton, EX14 1PU1PU T: 01404 42548 F: 01404 42243 T: 01404 42548 F: 01404 42243 E: [email protected]: [email protected]

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