A Wellness Model for Personal & Professional Practice · Wellness 1,2,3 is a conscious, deliberate...

pswarbrick@cspnj.org 1

A Wellness Model for Personal & Professional Practice

June 9, 2015

Wellness Model

A paradigm for understanding heath

Encompasses 8 dimensions

1) Social2) Emotional3) Intellectual4) Occupational

5) Environmental6) Financial7) Spiritual8) Physical six domains

sleep and rest healthy food choices

habits and routinesphysical activity

medical self-care and screeningsstress management and relaxation

June 2015

Many people with

mental and substance use disorders (as well as staff providing services)

face challenges

due to life stressors, reducing effectiveness in life roles, with a negative effect on well-being

June 2015

June 2015 pswarbrick@cspnj.org 4

Professional & Peer providers are poised to address these stressors and to promote

wellnessthrough engagement in

meaningful occupation and through developing good

health habits and routines

Today’s Focus

How peers, providers, families, and policy makers can:

• examine what they are doing now

• suggest new ways to create and sustain a wellness lifestyle as an effective means of personal self-care

pswarbrick@cspnj.org 5June 2015

Learning Objectives

• Define the 8 wellness dimensions and 6 physical wellness domains

• Explain the importance of the physical wellness domains

• Identify professional and personal applications

Overview

• Factors that contribute to Poor Health

• Wellness Model

• Strategies to Address Comorbid Conditions

• Promising Practices:

– Wellness for Life

– Wellness Coaching

• Personal and Professional Application

What We Have in Common

We want to have meaning and purpose in life, as we define it

We have

• personal and material resources and natural supports to help us experience a better quality life

We need compassion, understanding, respect

We Can Benefit By

…bridging our individual and collective experiences to bring about positive change within our multiple communities of identity

– Work

– School

– Neighborhoods

– Families and friends

– Citizen - community

– Citizen - world

What We Face

• Challenges

–physical, social, emotional, spiritual

• After-effects of

– financial stress, trauma and abuse

• Poverty and the stigma of poverty

–poor living conditions

• Stress and strain

– associated with family separationpswarbrick@cspnj.org 11June 2015

Influences on People We Serve

• Income and social status• Social support networks• Education and literacy

(i.e., health literacy)

• Employment /working• Social and physical

environments

• Personal health practices and coping skills

• Child development• Genetic factors • Access to health services • Gender • Culture

Factors

• Poverty

• Behaviors

• Medication side effects

• Living Situations

• Illness

• Illness-related symptoms

• Inadequate access to timely and good quality healthcare

Model of the Interaction Between Mental Disorders and Medical Illness

Taken from Druss BG & Reisinger Walker E (2011). Mental disorders and medical comorbidity. Available online at

www.rwjf.org/pr/product.jsp?id=71883. Based on content in Katon WJ (2003). Clinical and health services relationships

between major depression, depressive symptoms, and general medical illness Biological Psychiatry;54 (3). 216-226.

Why Wellness?

Wellness1,2,3

is a conscious, deliberate process that requires that a person become aware of and make choices for a more satisfying lifestyle

1 Swarbrick, M. (March 1997). A wellness model for clients. Mental Health Special Interest Section Quarterly, 20, 1-4.

2 Swarbrick, M. (2006). A wellness approach. Psychiatric Rehabilitation Journal, 29, (4) 311- 314.

3 Swarbrick, M. (2009). A wellness and recovery model for state hospitals. Occupational Therapy in Mental Health, (25), 343-351.

High Level Wellness

Wellness is not the absenceof disease, illness, and stress but the presence of:

Purpose in life

Active involvement in satisfying work and play

Joyful relationships

A healthy body and living environment

Happiness Dr. Halbert Dunn

Wellness

Dunn’s Viewpoint:

• Importance of mind/body/spirit connections

• Need for satisfaction and valued purpose

• A view of health as more than non-illness

Dunn, H.L. (1961). High-Level Wellness. Arlington, VA: Beatty Press;

Dunn, H.L. (1977). What High Level Wellness Means. Health Values, 1(1), 9-16.

Wellness is Self-Defined

• Individual needs and preferences

• Balance varies from person to person

Wellness is the process of

creating and adapting

patterns of behavior that

lead to improved health

in the wellness

dimensionsWellness Institute Collaborative Support

Programs of New Jersey

includes a self-defined balance of health habits such as adequate sleep and rest, diet and nutrition, physical activity, participation in meaningful productive activity, and access to supportive relationships.

A Wellness lifestyle

19pswarbrick@cspnj.org 19June 2015

Wellness Dimensions

8 Wellness Dimensions

Adapted from Swarbrick, M. (2006). A wellness approach. Psychiatric Rehabilitation Journal, 29,(4) 311- 314.

Why Focus on Physical?

• Health-related problems (sedentary lifestyle, co-occurring medical

conditions, obesity, symptom burden, smoking status, etc)

• Address medication side effects

• Prevent future illness and disease

• Reduce early mortality

• Improve quality of life

Physical Wellness Domains

• Physical activity

• Nutrition

• Sleep and rest

• Relaxing activities

• Self care practices

• Medical care, screenings, preventative care

Habitsand

Routines

Activities that bring purpose, balance,

and pleasure, become part of our

habits and routines

Health & Wellness

Wellness Coaching

Wellness for Life

Smoking Cessation programs

Health & Lifestyle

Professional Applications:What We Can Transform

Personal Applications

Your Face Here

Peggy Swarbrick, PhD, OT, FAOTAAssociate Professor Rutgers University

Collaborative Support Programs of New Jersey Wellness Institute

pswarbrick@cspnj.orgpswarbrick@cspnj.org 38June 2015

Wellness • Legere, L., Nemec, P., Swarbrick, M.

(2013). Personal Narrative as a Teaching Tool. Psychiatric Rehabilitation Journal, 26(4), 319-321.

• Swarbrick, M. (2012). A Wellness Approach to Mental Health Recovery. In Recovery of People with Mental Illness. A.Rudnick (ed). Oxford Press.

• Swarbrick, M. (2011). Expertise from Experience: Mental Health Recovery and Wellness. In Graham, Thornicroft, Szmukler, Mueser, & Drake (eds). Oxford Textbook of Community Mental Health. Oxford University Press.

• Swarbrick, M. (2011). The lived Experience: Narratives through the Lens of Wellness. In Serious Mental Illness: Patient Centered Approaches. Rudnick & Roe (eds.). Radcliffe Publ.

• Swarbrick. (2006). A wellness approach. Psychiatric Rehabilitation Journal, 29(4) 311- 314.

• Swarbrick, D’Antonio, & Nemec,. (2011). Promoting staff wellness. Psych Rehab Journal (34) 334-36.

• Swarbrick & Moosvi (2010). Wellness: A practice for our lives and work. J of Psychosocial Nursing, 48(7), 2-3.

• Swarbrick, Hutchinson, & Gill. (2008). The quest for optimal health: Can education and training cure what ails us? Int J of MH, 37(2), 69-88.

• Swarbrick, & Burkhardt. (2000). The spiritual domain of health. MH Special Interest Section Quarterly, 23, 1-3.

• Swarbrick, M. (1997). A wellness model for clients. MH Special Interest Section Quarterly, 20, 1-4.

pswarbrick@cspnj.orgJune 2015

Wellness Coaching/Screenings • Swarbrick, M. (2013).

Wellness-oriented peer approaches: A key ingredient for integrated care. Psychiatric Services, 64(8), 723-26.

• Swarbrick, M., Murphy, A., Zechner, M., Spagnolo, A., Gill, K. (2011). Wellness coaching: A new role for peers. Psychiatric Rehabilitation Journal,34(4), 328–331.

• Brice, G., Swarbrick, M., & Gill, K. (2014). Promoting the health of peer providers through Wellness Coaching.Psychosocial Nursing Journal, 52(1), 41-45.

• Swarbrick, M., Cook, J., Razzano, L., Yudof, J., Cohn, J., Fitzgerald, C., Redman, B., Costa, M., Carter, T. Burke, K., & Yost, C. (2013). Health screening dialogues. Psychosocial Nursing Journal, 51(12), 22-28.

• Wellness Resourcehttp://hicom.typepad.com/files/wellnessresource-2012-1.pdf

Healthy People 2020http://www.healthypeople.gov/2020/default.aspx

National Prevention Strategy http://www.healthcare.gov/prevention/nphpphc/strategy/report.pdf

Wellness Campaignhttp://www.promoteacceptance.samhsa.gov/10by10/wellness_tools.aspx#1

Million Hearts Campaign http://millionhearts.hhs.gov/

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