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Transcript of STAR - South West Healthcare a skill is something that you can do, ... Do any of the following...
STAR
Guide Number 5
Developing Strengths,
Skills & Goals Mental Health Services
January 2012
Developing Strengths, Skills and Goals
System to Aid Recovery 2
ACKNOWLEDGEMENTS
These Guides are derived from the contributions of many health
professionals, primarily the late Professor Ian Falloon.
This Guide Belongs To: __________________________________________
Clinical Therapist Name:
________________________________________________________________
Contact Number:_______________________________________________
Date Received:_________________________________________________
Date Completed:_______________________________________________
Key Support Person:_____________________________________________
Doctor/Psychiatrist:______________________________________________
Developing Strengths, Skills and Goals
System to Aid Recovery 3
INSTRUCTIONS FOR USE
The System To Aid Recovery (STAR) provided by Mental Health Services is
made up of a series of Guides. These Guides are designed to strengthen
your skills and knowledge and to support your treatment plan. They will be
of most benefit when you participate as fully as you can in the process. The
Guides are designed for you and your family and provide information about
how to manage mental disorders and their impact.
Reflective Questions
Questions designed to help you think about the information and begin
applying it.
Summary
A small review of what was covered in the Guide.
Worksheets
Activities designed to help with your recovery.
Education
Information on mental disorders and strategies for recovery.
Notes
These pages are designed for you to write down any questions and to write
notes that you find interesting or helpful.
The Goal of this Guide
To help consumers and families recognize and utilize their strengths in
treatment and recovery and to develop skills that support the recovery
process.
Developing Strengths, Skills and Goals
INTRODUCTION
This Guide on Developing Strength, Skills and Goals will help you to explore
the more positive aspects of your life and to identify current strengths and
skills that can be built on to assist in the treatment and recovery process.
These strengths and skills relate to you whilst there may be resources you
can identify within your family, social networks or community.
Firstly, you will need to spend time with your Clinical Therapist going through
the first section of this Guide which reflects on your existing strengths. Then
you can have a look at your skills and decide which of your skills support
recovery and treatment and which skills you could develop.
We have also included a section on goal setting
to help focus the direction of treatment. There are
four sections in this Guide to help you. They are:
1. Strengths, skills and recovery.
2. Applying your strengths.
3. Skills identification and plan.
4. Goal Setting.
Remember: These may take some time to work through. It is a good idea to
take your time and work with your Clinical Therapist and supportive family
and friends.
1. STRENGTHS, SKILLS AND RECOVERY
Being aware of your strengths and skills is a great way to start looking at
what tools you already have which can assist in recovering from your
disorder and/or managing the disorder over long periods of time.
The difference between strength and skills can be seen this way;
Strength is something which all people have like talents, positive attitude,
patience and confidence. Looking at strength is about opening up new
opportunities and focusing on the possibilities rather than the problems.
Alternatively a skill is something that you can do, like riding a bike, reading
and writing, holding conversations.
The reason strengths and skills are looked at during treatment is to improve
your quality of life, sense of competency and life satisfaction. They are
designed to help you achieve your goals and to achieve mutually satisfying
relationships between people like landlords, employers, friends, clergy,
teachers and others.
The purpose of focusing on your strengths is to assist you in identifying,
securing and sustaining the range of resources from both the environment
and personally that you need to live and work and rest.
People who
are successful
in living use
their
strengths to
attain their
aspirations
Charles A Rapp 1998
System to Aid Recovery 4
Developing Strengths, Skills and Goals
System to Aid Recovery 5
Worksheet 5A - WHAT ARE YOUR STRENGTHS?
Have a look at this sheet and circle any strengths you feel you have.
Energetic
Honest
Happy
Creative
Co-operative
Democratic
Warm
Adaptable
Positive
Resourceful
Resilient
Developing Strengths, Skills and Goals
System to Aid Recovery 6
Page 2-Worksheet 5A Strengths Continued
Patient
Reliable
Organised
Responsible
Add additional
Strengths Here
This activity is adapted from the strengths based cards
activity available from St Luke’s in Bendigo Australia
www.stlukes.org.au
Developing Strengths, Skills and Goals
System to Aid Recovery 7
2. APPLYING YOUR STRENGTHS
Now that you have been able to identify you strengths, have a look at the
table on the next page and begin exploring how your strengths relate to
your recovery and treatment.
You will see an example in the first line which
will give you an idea of how to complete this
table.
When you look at the “what do I want to do in
the future” column it will be important to begin
thinking about goals you may have already set
with your Clinical Therapist. These goals can be
longer term or may be short term goals. If you
have not currently set any goals refer to the
end of this Guide for some pointers on goal
setting.
Developing Strengths, Skills and Goals
System to Aid Recovery 8
Worksheet 5B - STRENGTHS APPLICATION
What’s going on
today? (Choose a
current dilemma)
What has
worked for me
in the past?
What do I
want to do
in the future
Relevant
Strengths
Example:
Forgot to take
medication
Notes to myself
Take my
medication as
prescribed
Persistence
Patience
Tenacity
Developing Strengths, Skills and Goals
System to Aid Recovery 9
3. SKILLS IDENTIFICATION AND PLAN
Research shows that several skills are important to recovery. They include;
Communication (Guide 6).
Problem analysis and problem Solving (Guide 7).
Stress management (Guide 4).
Anger management (Guide 18).
Coping with substance use (Guide 31).
Developing rewarding activities (Guide 19).
Vocational and employment skills (Guide 26).
Developing and maintaining relationships (Guide 25).
Managing housing (Guide 28).
The System To Aid Recovery (STAR) has separate targeted therapies and/or
Guides in each of these areas. You can use the following inventory with
your Clinical Therapist to help identify possible areas of strength and areas
for learning.
Work your way through this list to identify existing skills. When you have
completed it come back here and complete the following three
statements.
Q. When you think about your skills, what three things do you think you do best?
1. _______________________________________________________
2. _______________________________________________________
3. _______________________________________________________
Q. Which of your these skills do you see as relevant to your treatment and
recovery?
1. _________________________________________________________
2. _________________________________________________________
3. __________________________________________________________
Developing Strengths, Skills and Goals
System to Aid Recovery 10
Worksheet 5C-SPECIFIC SKILLS INVENTORY
Communication Skills
Putting across our positive
feelings
Putting across our unpleasant
feelings
Turning down requests
Listing to other people
Beginning and ending
conversations
Telephoning people inviting
them to participate in something
Writing letters
Anger Management
Coping with unpleasant feelings
Leaving stressful situations
Responding to untrue
accusations
Expressing angry feelings
Responding to criticism
Taking a time out
Disagreement with another’s
opinion without arguing
Waiting for your request to be
granted
Problem Solving
Decision making
Looking at alternative actions
Planning and taking steps to
resolve issues
Developing strategies
Reviewing progress
Family
Caring for babies or children
Caring for sick children
Caring for a group of children
Caring for a child (not your own)
overnight
Housing
Knowledge of first aid or CPR
Caring for a pet
Cooking
Shopping
Banking
Paying bills
Garden maintenance
Employment Skills
Listening to others
Following verbal instructions
Responding to criticism
Asking for feedback about job
performance
Joining ongoing conversations
at work
Disagreeing with another’s
opinion without arguing
Asking for information
Solving problems
Coping with Substance use
Coping with negative feelings
Employing alternatives to drugs
and alcohol use
Refusing alcohol or street drugs
Leaving stressful situations
Utilising social supports
Compromise and negotiations
Responding to criticism
Solving problems
Developing Intimate Relationships
Giving complements
Accepting compliments
Asking someone for a date
Expressing affection
Refusing unwanted sexual
advances
Compromise and negotiation
Stress and Relaxation
Knowing how to relax
Having identified methods for
dealing with stress
Saying no to stressful events
Rewarding Activities
Having a defined hobby
Doing this hobby regularly
Organizing yourself
Planning for spending time on
activities.
Developing Strengths, Skills and Goals
System to Aid Recovery 11
4. GOAL SETTING
This activity is designed to help you get the very best out of setting your
personal goals. Personal goal setting is a process with stages you can work
through in order to set and achieve goals. It's not always easy knowing
what it is you want when you're beginning to set goals.
When you set out to achieve a goal or goals, you want to be sure that goal
belongs to you and not anyone else. For example, if you have a weight loss
goal, make sure your goal is 100% what you want and that it is not simply a
goal to please someone else. To be successful in setting and achieving your
personal goals, you must:
Be clear about your own personal values.
Be clear about what it is you want.
Know what it will mean to you personally to have it and the
positive changes it will bring into your life.
Take some time now to consider what is important to you in life at this
particular time. For instance, when you think about your health, what are
the things you value most highly? Write a list of 3 things you consider to be
of personal importance:
Developing Strengths, Skills and Goals
System to Aid Recovery 12
Once you've compiled your list, rank them in order of priority - for example,
supposing ‘taking medication’ is the first value on your list of 3. Is this where it
belongs - in 3rd place or do you value it much higher in, say, 1st place?
Place a number to the left of your list to reflect their order of importance.
Your top value should be No. 1 and so on.
How to write your goal:
Being goal smart means that when you write your personal goal or goals,
they are specific and clearly define the positive changes you want to bring
into your life. You will also need to phrase your goal in positive terms, using
positive language. That means - no use of the terms 'try, attempt, must, must
not'.
Do any of the following represent one or more of any of your own written
personal smart goals?
Example of goal-setting with negative focus:
I must lose weight.
I must eat less sugary food.
I must stop eating junk food.
I must do more exercise.
When you focus on the negative aspect, you put pressure on yourself. What do
you suppose happens when you tell yourself you must do something? The more
you tell yourself this, or, that you must not do something, the more you are
programming your brain to focus on the bad habit. When you keep it
realistically positive, your focus becomes positive too;
that's being goal smart!
Example of goals that are vague:
Take regular exercise and get into shape.
Eat more healthily.
Take better care of my skin.
Try not to get so stressed.
While the above are valid and worthwhile goals,
what they all have in common is, they are vague. If you consider 'take
regular exercise and get into shape' for example, a definition of regular will
differ from person to person. Regular might mean daily but it could just as
easily mean weekly or fortnightly. The same applies to 'get into shape', what
does that mean to you? Are you aiming to get into a clothes size 10, 12, 14
or just to achieve an overall level of fitness. Be specific and state exactly
what it is you want.
Developing Strengths, Skills and Goals
System to Aid Recovery 13
Some goal smart examples with positive focus:
Take a look at the following re-written example of smart goals. They are
goal smart because they focus specifically on the positive changes you
want to bring in.
S - specific, significant, stretching.
M - measurable, meaningful, motivational.
A - agreed upon, attainable, achievable, acceptable, action-oriented.
R - realistic, relevant, reasonable, rewarding, results-oriented.
T - time-based, timely, tangible, track-able.
Smart goal examples with a positive focus
Get fit by exercising 3 times per week.
Eat a healthy low fat diet.
Cleanse and moisturise my face twice daily.
Enrol in a relaxation exercise course to combat stress.
Have a go at setting a goal
S
M
A
R
T A goal smart strategy is to have a reward lined up: A most important part of
your personal goal settings is to ensure you set yourself a reward you will
reap once you have achieved your goal - something to aim for. It doesn't
have to be extravagant. Just something you regard as a 'treat', - a token to
say 'well done' once you've met your weekly target. For now, go ahead
and set yourself a small reward.
Developing Strengths, Skills and Goals
System to Aid Recovery 14
NOTES:
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Developing Strengths, Skills and Goals
System to Aid Recovery 15
We Value Your Feedback Date: _____/______/_____
This evaluation is designed to provide feedback regarding the System to
Aid Recovery (STAR). Please take a moment to fill in this form and return it to
either your Clinical Therapist or to the reception desk. You may like to post it
in by sending it to South West Healthcare Mental Health Services, Koroit
Street, Warrnambool, Vic 3280.
If 1 is the worst it could possibly be and 5 is the best, rate the following
statements about this STAR Guide and associated activities
Was the Guide… 1 2 3 4 5
Easy to read?
Easy to understand?
Easy to follow?
Suited to your needs?
Were the activities in the Guide… 1 2 3 4 5
Useful?
Easy to follow?
Did they work?
1. Did you complete most of the activities in this Guide with your
Clinical Therapist or did you complete them in your own time?
Clinical Therapist Completed in own time
Did not complete most of the activities
2. Were there any problems with this material?
Yes No Unsure
3. What were they?
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
4. What recommendations do you have for improvements?
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Thank You – This form is private and confidential