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CPRS EXAM-with 100% verified solutions 2024-2025 4 domains 1) advocacy 2) ethical responsibility 3) education/mentoring 4) recovery/wellness support stigma deeply discredited due to perceived/undesired differences promote person-centered recovery/wellness support services advocacy describe individual's rights and responsibilities advocacy apply principles of individual choice and self-determination advocacy use person centered language advocacy collaborate to identify and coordinate choices with resources advocacy recognize multiple pathways to recovery (ex. holistic focuses on mind, body, spirit, and environment) Advocacy Goals of Peer Support 1) instill hope 2) promote positive self image/reduce stigma 3) decrease isolation 4) person-centered recovery 5) Relationship of equals Support offered by PRS 1) emotional (empathy, support), informational support (community supports) 3) tangible support-getting resources 4) affiliational-promote social connections PEER IS NOT: 1) therapist/counselor, 2) case manager 3) nurse/dr 4)sponsor 5) clergy Recognize risk indicators that may affect welfare/safety-recognize emergency or crisis situations ethical responsiblity indicate any personal issues that may interfere with ability to perform job duties emphasize importance of self-care mentoring and education equal peer relationship with no hierarchy mentoring and education educate by shared experience mentoring and education support developing healthy behavior based on choice mentoring and education show skills needed to self-advocate mentoring and education help establish positive relationships mentoring and education establish trusting relationship with peer mentoring and education to be there for a peer you have to b e there for yourself; avoids burnout and great role modeling mentoring & education------importance of self care be consistent in helping through good and bad times mentoring and education help develop effective communication skills mentoring and education help develop conflict resolution skills mentoring and education help develop problem solving skills mentoring and education apply principles of empowerment mentoring and education resource linkage to community and professional resources mentoring and education assist with goal setting recovery/wellness support multiple pathways to recovery/wellness (family, peers, faith, clinical, meds0 recovery/wellness support be on a support team recovery/wellness support build on strengths and resiliencies (self efficacy) recovery/wellness support use coaching techniques like motivational interviewing (builds self efficacy) recovery/wellness support-------------1) change is up to the person 2) express empathy and acceptance 3) help person recognize discrepancies between goals and current behaviors 4) Avoid confrontation and just roll with resistance 5) support belief they are capable and encourage optimism self efficacy person's confidence they can solve problems and make good choices on their own. the person has begun to make the behavior change and has developed plans to maintain the change maintenance the person has maintained the new behavior consistently for over 6 months and has made the new behavior habitual relapse/re-occurrence person has a slip and reverts back to a previous pattern of behavior; may become discouraged recognize signs of distress recovery/wellness support develop tools for effective outreach recovery/wellness support Guiding principles of RECOVERY 1) emerges from hope; 2) is person-driven/self-directed 3) occurs through multiple pathways (family, faith, clinical support, peer support); 4) is holistic (mind, body, spirit); 5) supported by peers (mutual support); 6) supported through relationships and social networks (role model behavior, believe in their ability to recovery, offer hope, support and encouragement); 7) culturally-based (values, traditions and beliefs); 8) based on respect (eliminate discrimination); 9) address trauma 10) involves individual and their family and community specific roles of PRS 1) ally & confidant 2) motivator/cheerleader 3) role model & mentor 4) truth teller (don't sugar coat things) 5) problem solver (give options in a non-judgmental way) 6) resource broker 7) advocate (help them protect their rights) Peer support is: 1) supports choice/voluntary 2) give & recieve (reciprocal & mutual) 3) equality of peers 4) strength based 5) transparent (set clear expectations) 6) person-driven (focus on the person not the problems) Peer mentors are: 1) hopeful 2) open-minded/withhold judgment 3) empathetic 4) respectful/embrace diversity 5) honest and direct 6) facilitate change- educate & advocate talk less, listen more; validate feelings & step into their shoes empathy Things to avoid as a PRS 1) not responding 2) forcing your interpretation 3) using cliches like time heals all wounds 4) interrupting 5) faking understanding 6) rushing 7) talking too much 8) needing to be liked (rescuing) 9) need for status 10)need for control (undermines peer's self-determination 11) pressure for perfection 12) cross a boundary by being overinvolved Illness story vs. recovery story 1) focus on limits & disability vs. strengths & overcoming barriers 2) sharing war stories vs. sharing what works 3) focusing on sickness vs. focusing on wellness 4) feeling hopeless vs. full of hope 5) tragedy narrative vs. transformation story peer person of equal standing with another use empowering language vs. negative/judgmental/deficient language 1) my experience vs. my illness 2) what's happened to you vs. what is wrong with you 3) the people I work with vs. my consumers 4) I'm here to learn with you vs. I'm here to help you 5) new thinking/behaviors vs. high functioning/low functioning 6) changing vs. coping Effective listening tips 1) focus on speaker 2) avoid distractions 3) acknowledge emotional state 4) set aside opinions/prejudices 5) empathize 6) DON'T INTERRUPT 7) actively respond with body and attention AVOID barriers to effective listening 1) don't assume you know what they are thinking 2) don't jump to conclusions 3) don't let mind wander 4) don't think of solution while they're talking 5) don't change the subject 6) don't automatically agree approach to help people living with mental illness or addictions make positive behavioral changes to support overall health; gives a framework for having conversations that bring out a person's own internal motivation and thoughts about changing a specific health behavior against agency policy 7) make safety a priority 8) if unsure of a boundary speak to supervisor avoids PRS burnout self-care step by step roadmap to reaching personal wellness and recovery goals wellness plan what wellness/recovery plans should include: 1) personal statement of reasons for wanting to recover 2) short and long term goals 3) daily/weekly action plans 4) wellness toolbox (personalized list of things to do to feel better when having a hard time) 4) list of triggers/warning signs that moving away from goals and action steps to move back 5) list of people who are support people 6) stress management tools like deep breathing 7) plan that instructs others how to help you in a crisis WRAP wellness recovery action plan; rooted in the principle of self-determination WHAM whole health action management traumatic events physical, sexual or emotional abuse, child neglect, experiencing or witnessing acts of violence, natural disasters, war, and extreme poverty how to take a trauma informed approach 1) instead of what's wrong with you ask "what happened to you" 2) trauma is recognized and don't revictimize by blaming and shaming 3) universal precautions which means you treat everyone as if they have a history of trauma 6 principles of trauma-informed approach 1) safety 2) trustworthiness/transparency 3) peer support 4) mutuality 5) empowerment/voice/choice 6) consideration of cultural, historical and gender issues recovery resources 1) support groups 2) self-help 3) advocacy organizations 4) peer-run programs referrals give warm transfer and the decision to follow-through is up to the peer! benefits of peer recovery support group 1) decrease isolation and stigma 2) increase social connection 3) safe place to share 4) empowers members 5) members act as role models for each other 6) share recovery tips 7) support each other guidelines for running support groups 1) everyone gets a chance to talk 2) one person speaks at a time 3) what is said in group is confidential 4) group members are all equal 5) differences are ok 6) no blaming and use I statements to keep group discussion going DO: 1) restate 2) ask more clarifying questions 3) redirect 4) reflect 5) validate 6) summarize 7) share key components to WRAP 1) wellness toolbox 2) daily maintenance plan 3) triggers 4) early warning signs 5) when things are breaking down 6) crisis planning 7) post crisis planning Daily Maintenance Plan/WRAP describe yourself when you are well Trigger Action Plan/WRAP make a plan of things you can do to comfort and calm yourself early warning signs/WRAP internal feelings or indicators that things are not quite right, that you may be heading for a tough time and need to take preventive action transparency