Practitioners Guides and Handouts - Substance Abuse and Mental

361 Pages·2009·2.35 MB·English

Practitioner
Illness
Management
Guides and Handouts
and Recovery
U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
Substance Abuse and Mental Health Services Administration
Center for Mental Health Services
www.samhsa.gov

Practitioner
Illness
Management
Guides and Handouts
and Recovery
U.S. Department of Health and Human Services
Substance Abuse and Mental Health Services Administration
Center for Mental Health Services
Acknowledgments
This document was prepared for the Substance Abuse and Mental Health Services Administration
(SAMHSA) by the New Hampshire-Dartmouth Psychiatric Research Center under contract number
280-00-8049 and Westat under contract number 270-03-6005, with SAMHSA, U.S. Department
of Health and Human Services (HHS). Pamela Fischer, Ph.D. and Crystal Blyler, Ph.D. served as
SAMHSA Government Project Officers.
Disclaimer
The views, opinions, and content of this publication are those of the authors and contributors and
do not necessarily reflect the views, opinions, or policies of the Center for Mental Health Services
(CMHS), SAMHSA, or HHS.
Public Domain Notice
All material appearing in this document is in the public domain and may be reproduced
or copied without permission from SAMHSA. Citation of the source is appreciated. However,
this publication may not be reproduced or distributed for a fee without the specific, written
authorization from the Office of Communications, SAMHSA, HHS.
Electronic Access and Copies of Publication
This publication may be downloaded or ordered at http://www.samhsa.gov/shin. Or, please
call SAMHSA’s Health Information Network at 1-877-SAMHSA-7 (1-877-726-4727) (English
and Español).
Recommended Citation
Substance Abuse and Mental Health Services Administration. Illness Management and Recovery:
Practitioner Guides and Handouts. HHS Pub. No. SMA-09-4462, Rockville, MD: Center for Mental
Health Services, Substance Abuse and Mental Health Services Administration, U.S. Department
of Health and Human Services, 2009.
Originating Office

Center for Mental Health Services
Substance Abuse and Mental Health Services Administration
1 Choke Cherry Road
Rockville, MD 20857

HHS Publication No. SMA-09-4462
Printed 2009
Practitioner Guides and Handouts
Practitioner Guides and Handouts has been developed to guide
Illness
your work with the IMR curriculum. Used with the main
document, Training Frontline Staff, this booklet has all the
Management
Practitioner Guides and Handouts that you will use every day
as you implement your Illness Management and Recovery
and Recovery
(IMR) program. The IMR curriculum consists of an orientation
to the IMR program and these 10 topics:
n Recovery strategies;
n Practical facts about mental illnesses;
n Stress-Vulnerability Model and treatment strategies;
n Building social support;
n Using medication effectively;
n Drug and alcohol use;
n Reducing relapses;
n Coping with stress;
n Coping with problems and persistent symptoms; and
n Getting your needs met by the mental health system.
For references, see the booklet The Evidence.
This KIT is part of a series of Evidence-Based Practices KITs created
by the Center for Mental Health Services, Substance Abuse and
Mental Health Services Administration, U.S. Department of Health
and Human Services.
This booklet is part of the Illness Management and Recovery KIT
that includes a DVD, CD-ROM, and seven booklets:
How to Use the Evidence-Based Practices KITs
Getting Started with Evidence-Based Practices
Building Your Program
Training Frontline Staff
Evaluating Your Program
The Evidence
Using Multimedia to Introduce Your EBP
What’s in Training Frontline Staff—
Practitioner Guides and Handouts
Illness
Orientation to Illness Management and Recovery ......... 3
Management
Topic 1: Recovery Strategies ...................... 7
and Recovery
Topic 2: Practical Facts About Mental Illnesses ........ 34
Topic 2a: Practical Facts About Schizophrenia .......... 66
Topic 2b: Practical Facts About Bipolar Disorder ........ 76
Topic 2c: Practical Facts About Depression ............ 84
Topic 2d: Strategies and Resources
for Responding to Stigma ................. 91
Topic 3: The Stress-Vulnerability Model
and Treatment Strategies ................. 95
Topic 4: Building Social Supports ................. 117
Topic 5: Using Medication Effectively. . . . . . . . . . . . . . 152
Topic 5a: Antipsychotic Medications ............... 182
Topic 5b: Mood-Stabilizing Medications ............. 184
Topic 5c: Antidepressant Medications .............. 186
Topic 5d: Antianxiety and Sedative Medications ....... 188
Topic 5e: Coping with Side Effects ................. 190
Topic 6: Drug and Alcohol Use .................. 192
Topic 7: Reducing Relapses ..................... 229
Topic 8: Coping with Stress ..................... 257
Topic 8a: Relaxation Techniques .................. 285
Topic 9: Coping with Problems
and Persistent Symptoms ................ 288
Topic 10: Getting Your Needs Met
by the Mental Health System ............. 330
Training Frontline Staff
Practitioner Guides and Handouts
Practitioner Guides and Handouts are The guides also give you reminders and
available for each topic. The Handouts recommendations such as the following:
have practical information and skills that
n Alert you to upcoming exercises so that
consumers can use in their recovery
you may allot time to complete them;
process. The Handouts are written in
simple, easy-to-understand language and n Prompt you to connect information
include informative text, summary boxes, within the Handout with consumers’
personal recovery goals; and
probing questions, and exercises to help
consumers learn the material in a number
n Suggest homework assignments that
of different ways. They are not meant appropriately reinforce knowledge
to be stand-alone documents. Help and skills.
consumers integrate the knowledge
and skills presented in them. Practitioner Guides also include
suggestions for motivational, educational,
Practitioner Guides for each topic were and cognitive-behavioral strategies that
developed to help you provide effective are tailored to the topic area. For more
IMR services. The guides give you a quick information about how to provide IMR
review of each topic’s overall goal and the services, see Training Frontline Staff.
recommended structure for every session.
Training Frontline Staff 1 Practitioner Guides and Handouts
Since you may offer IMR services in an individual If a Practitioner Guide or Handout may be used
format, a group format, or both, many Practitioner in either format, both icons will appear. Multiple
Guides and Handouts have been tailored to the sessions may be needed to cover a specific topic
format in which they will be provided. For this in the group format. In this case, you will find
reason, each Practitioner Guide and Handout is a Practitioner Guide for each session.
marked with one of the following icons on the top
right corner of the page to identify whether it was Before each session, select and review the
developed for the individual or group format: appropriate Practitioner Guide and Handout
for the topic that you will be discussing. Use this
Individual session material to help comprehensively cover the topics
in the IMR curriculum.
Group session
Practitioner Guides and Handouts 2 Training Frontline Staff