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2011 WORLD MENTAL HEALTH CONGRESSOF THE WORLD FEDERATION FOR MENTAL HEALTH
CAPE TOWN, SOUTH AFRICA
19 October, 2011
Promoting Recovery: Effective interventions for prevention and promotion
Presented by: Janet Paleo and Anna H. Gray
Track: Mental Health Promotion and Prevention
RESILIENCY TRAINING WORKS
Over the last decade there has been a rise in resiliency training
In business and corporate settings
With children in schoolsWith military personnel
RESILIENCY TRAINING WORKS
What works for corporations, youth and military actually works for all people.
Resiliency training serves to lessen the effects of early adversity…
Resiliency training empowers people reducing relapse…
Resiliency training empowers recovery…
FOCUS FOR LIFE®
Builds resiliency for anyone who takes it.
At some point in time everyone has life slap them in the face, the question is: “are you going to fall down or are you going to remain standing, and better yet, thrive?”
All of what we do and all of our philosophies are captured in Focus for Life.
STRESSORS MAY BE EITHER POSITIVE OR NEGATIVE
Eustress: positive experiences that promote well-being
Distress: those experiences that cause some type of harm
Stressors are always present; Focus for Life works by refocusing on the type , amount, and coping resources of the individual
CREATOR OF SALUTOGENESIS
Aaron Antonovsky (1923 – 1994)Medical SociologistCoined term in 1968 to capture an emerging concept
Why did some manage to avoid illness and do well even when subjected to extreme stressors?
IN TIMES OF EXTREME STRESS OR TRAUMA, WHY DO SOME SURVIVE AND OTHERS BECOME VICTIMS?
Ghetto childrenWork environments that seem unbearable Poor family dynamicsStresses of combatStresses of long term separationMental Illness
SALUTOGENESIS VS. PATHOGENESIS
Illness
Disease
Sickness
Health
Well Being
Recovery
Resiliency
Salutogenesis
Pathogenesis
The difference is where the focus is placed. Focus on the illness, you become the illness. Focus on your well-being, it encompasses all of life. Here the illness is another part of life.
COMPONENTS OF RESILIENCY
Your world has meaning
(Purpose)Your world is manageable
(Challenge) Your world is
understandable
(Control)
PURPOSE
Focus for Life emphasizes
focusing outside of yourself and
doing something for others.
Volunteering fulfills our curiosity
and provides a sense of
meaningfulness for life.
CHALLENGES
Focus for Life has people understand
that social networks give you a source of
resources to meet the challenges of life.
CONTROL
Understanding your world by refocusing on life events and changing the story that we attach to
them.
WE DEFINE WHAT WE SEE
But, what causes us to see things?
Physiology
(What our eyes do)
Cognition
(What our minds tell us)
Bias/world view
(What experience tells us)
FOCUS FOR LIFE®
We can change cognition
We can change reality (experiences)
Being responsible for ourselves and our life
Doing all three maximizes growth, recovery, and resiliency!
Graphic courtesy of: David Gobble, PhD, CHES, Director and Professor, Fisher Institute for Wellness and Gerontology, Ball State University, Muncie, IN 47306
ACTIONS MAKE THE DIFFERENCE
There is hope in action!
The more action you take, the more hope you will have
YOU DETERMINE YOUR OWN DESTINY
Taking what you focus on, what that means to you and putting yourself in action, will determine your destiny
FOCUS IN ACTION
By choosing our focus, we can affect our lives.
By creating meaning in our lives, we can affect our place in the world.
By understanding that the power of recovery resides in each of us, we can make it happen, because
RECOVERY IS POSSIBLE!!
WHAT DOES THE RESEARCH SAY?
RESEARCH HAS SHOWN STAT IST ICALLY S IGNIF ICANT D IFFERENCE OVER ALL AND ON ALL SUBSCALES OF THE SENSE OF COHERENCE SCALE , A TOOL THAT MEASURES RES IL IENCY, AND ON 11 OUT OF 13 SUBSCALES AND OVERALL STAT IST ICALLY S IGNIF ICANT IMPROVEMENT IN THE QUAL ITY OF L IFE SCALE .
SENSE OF COHERENCE (SOC)
The heart of Salutogenesis
“Global construct that expresses the extent to which one has a pervasive, enduring though dynamic feeling of confidence that one’s internal and external environments are predictable and that there is a high probability that things will work out as well as can be expected” (Antonovsky, 1979)
WHAT IS THE PHILOSOPHY BEHIND ALL OF THESE PROGRAMS?
Taking responsibility for all of your life
Moving toward wellness rather than moving away from illness (motivation to live being the key component, full of hopes and dreams.)
Beginning to realize that you have everything you need to live life and/or that you can find it.
CRISIS PEER NAVIGATORS IN HOUSTON
Provides a symbol of hope when people come into the crisis center. Each Peer was asked, “How do I get a job like yours?”
People in crisis see people who have been where they are who are working now. People begin to focus ahead and on what is possible.
PROSUMER ACTION CENTER JOB READINESS PROGRAM
A safe environment to try on what it takes to go back to work.
People build pride as they tell their community that they are going to work each morning. The look on their faces when they get their business cards speak volumes.
RECOVERY 101
Introducing people from the very beginning of interaction with the mental health system that recovery is possible and the expected outcome of treatment.
They get that they are responsible for their lives.
The system takes on a paradigm shift in which the people they serve are powerful wellness agents.
PROSUMER PROGRAM IN SAN ANTONIO/HOUSTON/FT. WORTH/LUBBOCK
A place for people to get and practice tools to live life, a place to learn about events that affect their life.
The focus is not on illness but on living a life you love.
People take responsibility for their behaviors and needs. When in crisis they seek help prior to having to show up at the crisis unit.
THE PROSUMER NEWS
Many people’s first introduction to recovery, the articles are inspiring, thought provoking, and geared to providing information for living life.
The circulation encompasses several states and is mailed out internationally each month.
Can be a one stop reference guide to resources in the community, elected officials and how to contact them, and events that are available for recovery.