I’m
not talking about the burrito-like sandwich. I’m talking about
a Wellness Recovery Action Plan created by Mary Ellen Copeland. She
is one of my heroes.
Diagnosed
with a severe mental illness, she worked and studied until she came
up with something allowing her to feel better and enjoy life. When I
learned a peer (someone who has a mental illness) created this
program, immediately I knew that I had to try it. I had confidence
that if it worked for her, it would work for me.
It
wasn’t something theoretical that professionals felt might
work; it was something that she’d actually used to keep herself
“happy and healthy for many, many years.” After learning
how to create and use a WRAP, my ability to successfully live with a
severe mental illness was launched into hyper-warp drive.
To
date, in utilizing my WRAP, I’ve enjoyed remission from
schizoaffective disorder for four and a half years. WRAPs work.
A
Wellness Recovery Action Plan is exactly what it sounds like. It is a
plan that you make and follow in order to maintain or reestablish
wellness. Although it’s a simple concept, it took years to
develop and refine.
The
plan is structured to help those with mental illness obtain and
maintain wellness. In the event that wellness begins to slip, a
person who has created a WRAP knows what he needs to do to get back
in the wellness saddle.
If
the illness has progressed beyond one’s own ability to regain
control, personal control is maintained because the WRAP acts as an
advanced directive. In essence, the WRAP allows the person to still
have control over his treatment, even when he's lost control of his
ability to communicate his needs and desires.
As
a person progresses in his own recovery journey there is an ongoing
adaptation of his WRAP to meet evolving needs. The idea behind an
evolving WRAP is that as a person begins to recognize what he is like
when he is doing well and recognizes his own responses to both
external and internal stimuli, he begins to better create the unique
coping skills required to stay healthy.
Before
I created my WRAP, my illness controlled my life. Symptoms happened.
I thought they were out of my control. Outside of taking my
medication, I thought that there was nothing I could do to stop it. I
didn’t hold my life’s reins; my illness did.
For
11 years, my illness progressively became worse. It was horrific.
Once I experienced full-blown psychosis or delusions, it was
difficult to rein my psychosis without additional medication or
hospitalization.
I
cannot count how many times I was hospitalized or institutionalized
during those 11 years. I basically went in about every 6-8 weeks.
With each hospitalization, I felt a little less human and a little
more like a walking diagnosis.
However,
after developing my WRAP, I went from 8-12 hospitalizations a year to
none. Zero. Zip. Nada. My WRAP allowed me to take control of my
illness before I lost control of my symptoms, allowing me to
recognize symptoms and stave them off before unraveling into full
blown symptoms —
essentially creating a 180-degree change in my life.
Now,
instead of allowing my illness to control me, I have the tools to
control it. What a difference!
In
creating a WRAP, it’s important that the person making the WRAP
has access to a trained peer support specialist. The first time I
made a WRAP, I did it with my counselor. Although she was
well-intentioned, she didn’t really understand how a WRAP
worked. She gave me steps to follow, and skills to use, but they
weren’t applicable to me. Consequently, my WRAP was not
effective.
The
second time I created a WRAP, I did so with a trained peer support
specialist. In fact, worldwide there are people trained specifically
as “WRAP Facilitators.” One of the unique characteristics
of WRAP Facilitators is that they all have “lived experience”
with mental illness and have learned to utilize that experience in
helping others create an effective Wellness Recovery Action Plan.
In
the next eight articles, I will discuss how to create an effective
WRAP plan. I would like to emphasize that these articles are not to
be used instead of going to a WRAP group. They are intended to help
people with a mental illness or those who love and serve them augment
the free WRAP classes available at clubhouses and agencies in their
own area.
Next
time we will discuss the “Wellness Toolbox” and how to
develop and utilize it, progressing one’s recovery.
Sarah Price Hancock, a graduate of San Diego State University's rehabilitation
counseling Masters of Science program with a certificate psychiatric
rehabilitation.
Having embarked on her own journey with a mental health diagnosis, she is
passionate about psychiatric recovery. She enjoys working as a lector
for universities, training upcoming mental health professionals.
Sarah also enjoys sharing insights with peers working to strengthen
their "recovery toolbox." With proper support, Sarah
knows psychiatric recovery isn’t just possible — it’s
probable.
Born and raised in San Diego, California, Sarah served a Spanish-speaking
and ASL mission for the LDS Church in the Texas Dallas Mission. She
was graduated from Ricks College and BYU. Sarah currently resides in
San Diego and inherited four amazing children when she married the
man of her dreams in 2011. She loves writing, public speaking,
ceramics, jewelry-making and kite-flying — not necessarily in
that order.