Resources for the Journey:

1
Resources for the Journeyhow spirituality
impacts recovery and is a resource for the
journey towards recovery

• Sarah Eagger April 09

2
(No Transcript)
3
Human Spirit
The essential life force that underpins,
motivates and vitalises human existence
4
Levels of human experience Philip Harland 1998
Spirituality which affects
Mission and Purpose which defines
Identity which shapes
Beliefs Values which support or deny
Capabilities which inform
Behaviour which is conditioned by and changes
Environment (internal and external) which embodies
Spirituality which connects at all levels
5
Spirituality - a broad definition - RCPsych
SIG

• the essentially human, personal and
  interpersonal dimension, which integrates and
  transcends the cultural, religious,
  psychological, social and emotional aspects of
  the person or more specifically concerned with
  soul or spirit

6
Spirituality

• In healthcare, spirituality is identified with
  experiencing a deep-seated sense of meaning and
  purpose in life, together with a sense of
  belonging. It is about acceptance, integration
  and wholeness.

7
Help is at hand series Royal College of
Psychiatrists Spirituality and Mental Health

• Introduction
• Spirituality involves a dimension of human
  experience that psychiatrists are increasingly
  interested in, because of its potential benefits
  to mental health.
•  
• This leaflet provides guidance for 
• the general public
• people with mental health problems
• carers

8
Evidence

• Royal College of Psychiatrists
• Spirituality and Psychiatry Special Interest
  Group - publications http//www.rcpsych.ac.uk/coll
  ege/specialinterestgroups/spirituality.aspx
• Mental Health Foundation.
• The Impact of Spirituality on Mental Health A
  Review of the Literature. Cornah D (2006)
• NIMHE Acute Care Programme/Staffordshire
  University
• Guidelines on Spirituality for Staff in Acute
  Care Service. Gilbert, P. Merchant, R. and Hayes,
  L. (2008)
• Booklet, Leaflet, Poster and Evidence Resource
  http//www.virtualward.org.uk/recovery/improving-r
  ecovery-.html

9
What is recovery?

• Recovery involves the development of new meaning
  and purpose in ones life as one grows beyond the
  catastrophic effects of mental illness
• (Anthony, 1993).

9
10
Changes in professional approaches and
understanding

• The Recovery Approach
• adopting recovery as a guiding purpose for
  mental health services favours hope and
  creativity over disillusionment and defeat.
• (CSIP/Royal College of Psychiatrists/SCIE 2007)
• Wellness and Recovery Action Plan - WRAP
• - includes spirituality as a dimension for
  empowerment and growth and incorporates concepts
  such as meaning and purpose as goals for
  wellbeing and embraces the work of faith
  communities. (Copeland, 1997)

11
NIMHES 12 guiding principles for delivery of
recovery-oriented MH services (2004)

• 3rd Principle
• Hope is encouraged, enhanced /or maintained
• Life roles re work/meaningful activity are
  defined
• Spirituality is considered
• Culture is understood
• Education needs are identified
• Socialisation needs identified
• 5th Principle
• Recovery is most effective when an holistic
  approach is considered
• Including psychological, emotional, spiritual,
  physical and social needs

11
12
Rethink Self-Management Project (2003)

• Many peoples experiences had a spiritual
  dimension and, for some, self-management included
  taking up the challenge of understanding the
  meaning of their experiences.
• For some, religious faith helped to maintain
  morale, and prayer provided a practical tool for
  enduring difficult times. The church or faith
  community could be a source of friends and
  acquaintances.
• Religion could also be negative a source of
  conflict and guilt, and being excluded by people
  who did not understand.

12
13
Spiritual needs Murray et al (2004)

• Spiritual needs are the needs and expectations
  which humans have to find meaning, purpose and
  value in their life.
• Such needs can be specifically religious but even
  people who have no religious faith have belief
  systems that give their lives meaning and purpose.

14
Initial screening

• What is really important to you in your life?
• Do you have a way of making sense of the things
  that have happened in your life?
• What sources of support/ help do you look to when
  life is difficult?

15
Suggested questions for spiritual
assessmentGillian White page 121

• Meaning and Purpose
• What are some things that give you a sense of
  purpose?
• Do you have a specific aim that is important to
  you at the moment?
• Security and hope
• What are your sources of strength and hope?
• Who do you turn to when you need help?
• What inner resources do you draw upon?
• Religion / spirituality
• Do you consider yourself to be religious or
  spiritual?
• How does this affect you? Has being ill changed
  this?

16
Ways of expressing spiritual experience

• Metaphors
• Stories or narratives
• Beliefs
• Dialogues
• Rituals
• Ceremonies
• Practices
• Community
• Nature

17
Conceptual Model of Recovery

• External conditions
• Human rights
• A positive culture of healing
• Recovery-oriented services
• Internal conditions
• Hope
• Healing
• Empowerment
• Connection

17
18
Some great resources!Positive culture of
healing

• http//starwards.org.uk/
• http//www.virtualward.org.uk/ - search
  spirituality
• Spiritual Care Matters An Introductory Resource
  for all NHS Scotland Staff, by NHS Education for
  Scotland (2009). http//www.nes.scot.nhs.uk/docum
  ents/publications/classa/030309SpiritualCareMatter
  s.pdf
• Spiritual Strategies for Mental Health speak up
  Somerset - www.artofrecovery.com

19
Spirituality reflects positive emotions
20
Hope

• Individuals belief that recovery is possible
• Attitudinal components
• Gaining hope - transcendent elements
• Hope sustains (even through relapse) creates its
  own possibilities
• (Jacobson and Greenley, 2001)

20
21

• Hope
• A specific source of hope and inspiration
  discussed by many people was spirituality.
• ..reliance on spirituality generally increased
  as reported levels of suffering increased, and
  that faith helped several people survive their
  most severe crises.
• (Young Ensing 1999)

22
Relationship/Connection

• Recovery - profoundly social process recovering
  ways of being in the company of others -
  rejoining the social world.
• (Jacobson and Greenley 2001)

22
23
Authentic relationships provide.

• encouragement
• exploration
• faith in me
• positive expectations
• understanding
• practical help
• inspiration
• acceptance
• guidance
• support
• Rethink Self-Management Project
• (2003)

24
Healing

• Recovery is not synonymous with cure.
• Recovery better captured by concept of healing.
• Process of recovering the self by
  reconceptualising distress as only a part of the
  self, not a definition of the whole.
• (Jacobson and Greenley 2001)

24
25

• The goal of the recovery process is not to
  become normal. The goal is to embrace our human
  vocation of becoming more deeply, more fully
  human. The goal is not normalization. The goal
  is to become the unique, awesome, never to be
  repeated human being that we are called to be
  (Deegan, 1996).

25
26

• New relationships can come into existence
  which recognise the value of being with people as
  much as doing to them.
• Carers can let go of the intense effort
  required to give compassion, and relax into being
  compassionate, being healing, in short, becoming
  the sacred space in which healing occurs.
• Steve Wright and Jean Sayer-Adams (2000) Sacred
  space right relationship and spirituality in
  healthcare.

27

• Difficult to be a healing presence if our own
  vessel is empty
• - Burkhardt and Nagi-Jacobson

28
Spiritual Skills

• The art of  
• creating a still and peaceful mind
• self-preparation
• keeping a clear perspective
• remaining focused and present for others
• communicating
• sustaining hope
• trusting and developing trust
• giving and not feeling drained - staying fit
• letting go
• being a reflective practitioner - know yourself,
  know your fears  www.jankifoundation.org

29
Values in healthcare

• A personal and team
• development programme
• for healthcare practitioners

30
The valuesto explore in depth the values of
particular importance in healthcare

• Peace
• Positivity
• Compassion
• Co-operation
• Valuing the self
• Spirituality in healthcare

31
The modulesaddress the following issues

1. Values low morale
2. Peace stress
3. Positivity attitude
4. Compassion burnout
5. Co-operation teamwork
6. Valuing yourself self care
7. Spirituality in Healthcare understanding
   spirituality in healthcare context

32
Learning Tools
Meditation Visualisation Appreciation Creativity L
istening Playfulness Reflection
33
Lifting Your SpiritsSeven tools for coping with
illness
34
Meditation Visualisation Appreciation
Creativity Listening Playfulness Reflection Yours
elf
35
Meditation Learning Tool 1
36
Meditation discovering the power of peace
?The art of stilling and focusing the mind. When
I find my inner peace it helps me to be stable?
37
Finding time for silence gives me an opportunity
to discover my inner peace and to stay positive
in difficult situations.
38
Visualisation Learning Tool 2
39
Visualisation the power of our thoughts
?Using our mind to create images direct our
minds in a positive way?
40
Visualisation creates positive thoughts about my
mind and body, boosts my resilience and helps me
to feel safe and in control.
41
Appreciation Learning Tool 3
42
Appreciation seeing what works
?Acknowledge and value each others strengths and
different points of view?
43
When I appreciate myself and others it creates an
atmosphere of mutual respect and good feelings.
44
Creativity Learning Tool 4
45
Creativity learning to express ourselves
?When I am being creative I feel alive and full
of energy ?
46
Listening Learning Tool 5
47
Listening deepening our connection with others
?When I listen with my whole self, it feels
healing for both me and the other person?
48
Deep, open listening creates an atmosphere of
tolerance and mutual caring, benefiting the
listener as well as the receiver.
49
Play Learning Tool 6
50
Play enjoying the benefits of fun and laughter
?The quality of play opens peoples hearts and
brings groups together?
51
A sense of humour makes difficult things easy and
heavy things light. Play reduces stress and
enables self-learning.
52
Reflection Learning Tool 7
53
Reflection making time for meeting ourselves
? I focus on how far I have come, rather than how
far I have to go ?
54
Reflection helps me to learn from my mistakes and
let go. I can accept and come to enjoy whatever I
do.
55
Yourself Learning Tool 8
56
Thinking of myself as a traveller through life,
I can feel free from the limits of the past and
fully enjoy the present.