E1142Mental Health7 Recovery and self advocacy7.3 Promoting consumer wellbeing7.3.2 Promoting consumer wellbeingBest practice for promoting holistic well-being follows a well-known process which underpins allinterventions for consumers.The process consists of:holistic assessment of wellbeingpromoting wellnessreflection and review.As you know, each of these steps needs to be followed for the overall support for consumers aswell as for smaller interventions. Ongoing assessment is especially important when working tomeet the needs of consumers with high and complex needs.AssessmentExploring the domains of wellbeing with consumers should be at the heart of the assessmentprocess, allowing workers and consumers to identify strengths and strategies that keep theconsumer strong. Using the domains of wellbeing is especially important as many consumersmight not be aware of the importance of social and emotional wellbeing and their impact onmental health, especially if their treatment is mainly provided in the medical and morbidity focused1 2 3framework.The assessment process provides an opportunity to workers to offer information and resourcesto consumers that explain social and emotional wellbeing, holistic practice and the availableservices and programs to enhance wellbeing, both within the organisation and with other serviceproviders. It is also important to work with the person to identify other information to gather orpeople to contact to add understanding of their social and emotional wellbeing.Working with the strength-based approach means that workers need to identify internal andexternal strengths the consumer already has at their disposal. External strengths can also belocated in the community and in people around the consumer who provide resources and supportto the person. Once, these strengths and resources have been identified, workers should alsodetermine with the consumer other people, including natural supports such as family and friends,the person wantsto be involved in their plans and support.Whereas all the domains of wellbeing should be addressed with an understanding of their intrinsicconnectedness, it can also be helpful to prioritise needs for intervention.Maslow’s hierarchy of needs can provide a guideline on how to prioritise needs, as more basicneeds need to be attended to before higher-order needs can be met.Maslow’s Hierarchy of Needs| Topic – 2 / 25© Open Colleges Pty Ltd, 2020.Adapted fromtimvandevall.com, 2016.It can be helpful to think about how specific aspects of the wellbeing domains fit with the hierarchyof needs and prioritise accordingly. Looking at the physical domain, for example, it would be moreurgent to facilitate food security and access to health services, natural supports and resourcesbefore starting work on exercise and oral health. The same principle is valid for other domains,and it is important for workers to use assessment skills to prioritise needs for intervention.Promoting wellbeingWhen promoting consumer wellbeing, it can be helpful to again address each wellbeing domain tomake sure that the intervention has the best possible outcome.Promoting physical wellbeing can often be a priority, as the impact of bad physical health can bevery detrimental on other domains and wellbeing overall. Curative and preventative health issuesneed to be addressed in this process, and workers need to have enough information about theconsumer and health services to facilitate referral, for example for health assessments,medication reviews or regular health checks.| Topic – 3 / 25© Open Colleges Pty Ltd, 2020.The assessment stage should include information gathering about the time regular health checkswere last undertaken, and it is also important to include discussion about health and physicalwellbeing as early as possible in the process. As there are many aspects to physical health, it ishowever important to continue this discussion throughout the support process, as the deepeningof the support relationship might also allow for greater openness for information gathering andinterventions such as health promotion.This discussion should also include an exploration of any health issues or potential risks to healthincluding fitness and nutrition, and workers should encourage consumers to identify areas wherehealth could be improved. Interventions need to include the development of strategies towardsbetter health and wellbeing as well as referral to professionals for further advice and treatment.Workers need to have sufficient knowledge about different aspects of physical health, such asnutrition, exercise and sexual health, to promote health habits for consumers. Of course it is notpossible for workers to know these aspects in great detail, so it is essential to access crediblesources of information, such as the leading organisations in the health arena.It can also be helpful to display information in the service environment, including posters andother information about various aspects of health and physical wellbeing.| Topic – 4 / 25© Open Colleges Pty Ltd, 2020.Adapted from:www.beaumontenterprise.com| Topic – 5 / 25© Open Colleges Pty Ltd, 2020.Source:blog.fitnesstown.ca, accessed 31/03/2016.| Topic – 6 / 25© Open Colleges Pty Ltd, 2020.Activity 44597Information about physical healthThe following websites contain credible information about physical health:National Health and Medical Research Council[https://www.nhmrc.gov.au/]Sexual Health Information[https://www.healthdirect.gov.au/sexual-health]Information about cardiovascular health, including healthy eating[http://heartfoundation.org.au/]Information about different aspects of health, including regular health checks[https://www.betterhealth.vic.gov.au/]Australian Dental Association, Information about Dental Health[http://www.ada.org.au/Home]Many workplaces will have information materials about health-related issues. Make sure youaccess them.ACTIVITY 44597 TYPE ResourceSCENARIO Information about physical health Reading 44598Healthy exerciseYour Guide to Physical Activity and Your Heart[https://www.nhlbi.nih.gov/files/docs/public/heart/phy_active.pdf]provides you with a good overview of heart health and healthy activity. Read this for your owninformation or for your work with consumers.Heart health and nutritional health are highly linked.ACTIVITY 44598 TYPE Reading| Topic – 7 / 25© Open Colleges Pty Ltd, 2020.SCENARIO Healthy exercise Promoting social and emotional wellbeing of consumers is especially important, as research hasshown that social and emotional wellbeing has a very strong connection to good mental health.Social connectedness to community is a human need and should be treated as such, as it alsohelps emotional wellbeing.The assessment process should include means to assess the level of social inclusion/ exclusionor isolation of consumers. This involves determining the consumer’s current level of involvementin social activities, such as community groups and hobbies. Identifying the person’s desire toincrease participation in the social arena is a good starting point. Armed with information aboutthe consumer’s current level of participation and their desired participation, you can work withthem to develop strategies that promote participation and extend social networks.Creating a map of the consumer’s social network, including their care network, can be a practicaland creative exercise to support this process. This map could be done on a piece of butcher’spaper using colour markers. It should include the consumer’s social network, their care network,their community participation and any person or service that is providing the consumer withsupport. Social inclusion strategies should be based on this network; it can also be helpful to theworker and consumer to identify what support and positive reinforcement is provided by eachmember of the social network.Social inclusion strategies should both increase the support coming from the current network andgrow the social network for consumers. Much like any intervention, social inclusion strategiesshould meet clear goals and be reviewed regularly to make sure that the goals of furtherinclusion and support are being met.Social wellness can however only be addressed in connection with emotional wellbeing, asemotional wellbeing is essential for social connectedness. At the same time, activities thatpromote emotional wellbeing often include social activities, and it is, of course, important forworkers to identify any current or potential future activities that promote emotional strengths.Working towards emotional wellbeing includes a two-fold task: to increase emotional wellbeingand to plan for times where challenges might arise. Crisis plans for mental health consumers arean integral part of the individual treatment plan and should include clear strategies to manage| Topic – 8 / 25© Open Colleges Pty Ltd, 2020.hard times in the consumer’s life. Workers should be able to identify strengths, challenges andtriggers which are present in the lives of consumers and develop strategies and contingencyplans to address emotional challenges and promote resilience and emotional wellbeing.Personal wellness plans can also have a preventative aspect and include strategies and activitiesthat keep consumers well and nurture resilience. Self-care should be an essential part of apersonal wellness plan, and it can be helpful to create a whole list of self-care activities availableto consumers.Adapted from:olgaphoenix.com, 10/3/2016.| Topic – 9 / 25© Open Colleges Pty Ltd, 2020.Another more creative way to manage this process already mentioned as part of this course isthe creation of a wellness toolbox, i.e. choosing a box and symbols/ objects that representstrengths and self-care activities for consumers. This is especially useful for consumers who arefinding it hard to engage in formal planning or simply have a creative streak. We have coveredcreation of a wellness toolbox earlier in this course.| Topic – 10 / 25© Open Colleges Pty Ltd, 2020.Retrieved from:| Topic – 11 / 25© Open Colleges Pty Ltd, 2020.rebloggy.comActivity 44599Self-care tool boxBuild yourown self-care tool box[http://rebloggy.com/post/depression-anxiety-self-harm-bipolar-self-injury-therapy-ptsd-mental-health-reco/101240776292]to look after your own wellbeing. If you like this activity you can introduce this to consumers.HintsMany workplaces will have a set format of how to manage crisis/personal wellness plans.ACTIVITY 44599 TYPE ConsumeSCENARIO Self-care tool box Workers should be in a position to respond flexibly to consumer needs and use contingency plansas required and in accordance with the needs and preferences of consumers. Recognising theneed for specialist expertise is, however, important, especially at times of crisis; it is then vital toseek guidance from specialist services or specialised workers within the organisation.Aspects of cognitive wellbeing can also provide useful strategies to increase emotional wellbeing,as the ability to relax and reflect are key anchors for coping. Crisis plans and personal wellnessplans are an excellent way to address coping strategies and to work with consumers towardsincreased coping. Mindfulness and relaxation should be key ingredients of a wellness plan, and itcan be important for workers to practice mindfulness and relaxation together as part of theprocess.| Topic – 12 / 25© Open Colleges Pty Ltd, 2020. Reading 44600Crisis plansThis website,Crisis Plan and Working Through Hard Times[http://mentalhealthrecovery.com/info-center/crisis-plan/]provides you with an overview of how to complete a crisis/personal wellness plan and gives youpractical tips for working with consumers.Many workplaces will have a set format of how to manage crisis/personal wellness plans.ACTIVITY 44600 TYPE ReadingSCENARIO Crisis plans Personal crisis planWatch this clip to see how to put together a personal crisis plan with consumers. This is donefrom the perspective of a consumer.| Topic – 13 / 25© Open Colleges Pty Ltd, 2020.[https://youtube.com/watch?v=yRsi6mP8THo]Mindfulness walkThis clip introduces you to the concept of mindful walking which is an easy and safe way tointroduce mindfulness to consumers. It is safe to use with consumers with trauma background.[https://youtube.com/watch?v=H2FLtdXDthU]It is also important to promote cultural or spiritual wellbeing. It is essential to distinguish betweenspirituality and religion.Spiritual wellbeing is about our inner life and its relationship with the wider world. Itincludes our relationship with the environment, our relationships with others and withourselves. Spiritual wellbeing does not reflect religious belief although for people of areligious faith it is obviously a central feature.Aston University, accessed:casapalmera.com[https://casapalmera.com/blog/spiritual-well-being/]. 8/4/2016.“| Topic – 14 / 25© Open Colleges Pty Ltd, 2020.It is also important to understand that every person has cultural or spiritual values, beliefs,traditions, activities and practices, however, the person might not be aware of them. It can help ifworkers have awareness of their own beliefs and values as this can not only be a starting pointfor collaborative exploration; it also greatly enhances the effectiveness of the process. Workersmight be more likely to be able to facilitate this exploration from a point of awareness of self thanexploring something that is unfamiliar to them. Cultural and spiritual aspects are important forevery consumer, not just the ones from culturally diverse or Aboriginal backgrounds.Much like with the other domains, the initial exploration should lead to further discussion about thecultural and spiritual needs and desires of the person. Strategies should include facilitating accessto cultural or spiritual activities and the identification of other people who can be resources forthis change. This task can be easier if consumers have a clear sense of cultural and/ or spiritualbelonging, but this is not always the case. In order to identify resources and support peopletowards spiritual wellbeing, workers might have to gain a deep understanding of the consumer’sworld and the values and beliefs the person is driven by.Some agencies have a faith-based background which can be both supportive and a hindrance inexploring spiritual, and sometimes also cultural beliefs, depending on whether the person’sbeliefs are in alignment with the orientation of the organisation or not. In these cases, it can behelpful for workers to speak about the values of the organisation as well as their own if they feelcomfortable to do so. This allows consumers to fully understand the environment and how thereligious orientation of an organisation might impact on any support work undertaken together.| Topic – 15 / 25© Open Colleges Pty Ltd, 2020.Adapted from:sgo.sagepub.com, 2016.Activity 44601Spiritual wellbeingLooking at the domains of wellbeing, can you identify any unmet needs Jacob might have ineach domain?How might you go about supporting Jacob towards increased wellbeing?Draw up a crisis management plan for Jacob, including some of his strengths and buildingon his resilience.HintsGo through each of the aspects of the domains to make sure you are not missing anything.1 2 3| Topic – 16 / 25© Open Colleges Pty Ltd, 2020.ACTIVITY 44601 TYPE ContributeSCENARIO Spiritual wellbeing Review and reflectionIt is critical that feedback is gathered from consumers on all aspects of service delivery.The organisation should have a policy that describes how they review and act on feedbackprovided by clients. It is also important for the worker to accept and incorporate any constructivefeedback received from consumers and stakeholders into their professional practice. The workershould reflect on whether additional training and professional development is required toaddress any performance gapsIn order to facilitate effective review and reflection, wellbeing goals need to be specific and ideallyhave a component of measurement. The concept of SMART goals was discussed in an earliermodule, it would certainly be useful to create SMART goals when working on a plan for wellbeing.| Topic – 17 / 25© Open Colleges Pty Ltd, 2020.SpecificState exactly what you want to accomplish (Who, What, Where, Why)| Topic – 18 / 25© Open Colleges Pty Ltd, 2020.MeasurableHow will you demonstrate and evaluate the extent to which the goal has been met?| Topic – 19 / 25© Open Colleges Pty Ltd, 2020.AttainableStretch and challenging goals within ability to achieve outcome. What is the action-oriented verb?| Topic – 20 / 25© Open Colleges Pty Ltd, 2020.RelevantHow does the goal tie into your key responsibilities? How is it aligned to objectives?| Topic – 21 / 25© Open Colleges Pty Ltd, 2020.Time boundSet one or more target dates.Source:firecider.com[http://firecider.com/]. Accessed 20/2/2016.The Warwick-Edinburgh Mental Well-being Scale (WEMWBS) can be used to measure wellbeing,and whereas the associated test is designed as a self-assessment tool, workers can encourageconsumers to complete the assessment and share the results. Repeating the assessment atdifferent stages of the intervention process can allow for tracking of results and provide anotherway of evaluating the effectiveness of strategies towards goals.| Topic – 22 / 25© Open Colleges Pty Ltd, 2020.Activity 44602Warwick-Edinburgh Mental Wellbeing Scale (WEMWBS)Thiswebsite[http://www.livingwell.org.au/well-being-assessment/]has a link to the self-assessment tool associated with the WEMWBS. Complete this tool to findout more about your wellbeing and as a trial of how you might use this tool with consumers.HintsCompleting this tool on a regular basis can give you a good way of tracking your own wellbeing.ACTIVITY 44602 TYPE ConsumeSCENARIO Warwick-Edinburgh Mental Wellbeing Scale (WEMWBS) ACTIVITY 44603 TYPE ContributeSCENARIO Remember Jacob?| Topic – 23 / 25© Open Colleges Pty Ltd, 2020. SELF-CHECK 44604Holistic wellbeingProvide a definition of the iatrogenic effect.Name the domains of wellbeing.What is a good format for goals which form part of a wellness plan?Name at least two aspects/ requirements of each wellbeing domain.Name three of your own spiritual or cultural beliefs and/ or values.What is the name of a commonly used wellness assessment tool?Name three ways in which stigma impacts on mental health.HintsAcquiring all the skills to use the different approaches can take time. It is okay to seek support inthe meantime!ACTIVITY 44604 TYPE SelfcheckSCENARIO Holistic wellbeing SummaryThis module looks at best practice when meeting consumer needs in a holistic way. The threeaspects discussed are best practice approaches, self-advocacy and promotion of holisticwellbeing.Workers need to be well-versed to meet consumer needs in a holistic way, using approachessuch as solution-focused therapy, CBT, ACT, MI, and NT. Strength-based practice should be theoverall philosophy when using any of these approaches, as this allows for alignment to bestpractice and the overall ethos of the mental health sector.1 2 3 4 5 6| Topic – 24 / 25© Open Colleges Pty Ltd, 2020.Self-advocacy is part of this ethos, and the self-advocacy movement has a long history of fightingfor change in the psychiatric field. Workers need to honour this history and work with theunderstanding of the impact of stigma and the medical model on the wellbeing and lives ofconsumers.Advocacy can be an important stepping stone towards self-advocacy, the ultimate goals of anyintervention should include the development of self-advocacy skills. Empowerment of theconsumer has to be more than an empty word for the movement towards self-advocacy to besuccessful. Empowered consumers will be in a position to advocate for their own rights, especiallywithout the support of workers. Self-advocacy work can include the referral to peer led-advocacyorganisation. These organisations in themselves are a testament to the effectiveness of selfadvocacy, and peer workers can also function as excellent role models for consumers.The last part of the model looks at the domains of wellbeing and how to work with them. Eachdomain of wellbeing (physical, social, emotional, cognitive and cultural/spiritual) needs to beaddressed in order to holistically meet consumer needs. Promoting the wellbeing of consumersalso means that workers should be aware of their own wellbeing needs, as professionals need tobe in the best space possible to effectively be of service to consumers.| Topic – 25 / 25© Open Colleges Pty Ltd, 2020.
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