Whole Health and Wellness; Ethics

Question 1

SAMHSA’s 8 Dimensions of Wellness

Answer 1

1. Emotional
2. Environmental
3. Financial
4. Intellectual
5. Occupational
6. Physical
7. Social
8. Spiritual

Question 2

8 Dimensions of Wellness

Emotional

Answer 2

Coping effectively with life and creating satisfying relationships.

Question 3

8 Dimensions of Wellness

Environmental

Answer 3

Good health by occupying pleasant, stimulating environments that support well-being

Question 4

8 Dimensions of Wellness

Financial

Answer 4

Satisfaction with current and future financial situations.

Question 5

8 Dimensions of Wellness

Physical

Answer 5

Recognizing the need for physical activity, healthy foods and sleep

Question 6

8 Dimensions of Wellness

Social

Answer 6

Developing a sense of connection, belonging, and a well developed support system

Question 7

8 Dimensions of Wellness

Spiritual

Answer 7

Expanding our sense of purpose and meaning in life.

Question 8

Whole Health and Wellness Research shows…

Answer 8

• Individuals with mental illnesses and addictions often have shorter life spans than people without those diagnoses.
• Side effects of meds – obesity, diabetes
  *Need to address whole health and wellness – mind, body and soul

Question 9

Research on Whole Health and Wellness and Peers…

Answer 9

*Effectiveness of peer support in addressing serious physical health issues such as diabetes.
*HARP research study showed that peer support helped individuals
– Increase self management skills
– increase adherence to medication
– more likely to utilize primary care medical services

Question 10

SMART Goals

Answer 10

Specific
Measurable
Attainable/Achievable
Realistic/Relevant
Timely

Question 11

Ethics definition

Answer 11

a set of PRINCIPLES and VALUES of conduct governing an individual or group.

Question 12

Difference between a clinician’s code of ethics and the one followed by Peer Specialists

Answer 12

Degree of self disclosure or disclosure of personal information between professional and individual served.

Question 13

Ethics of peer relationship…

Answer 13

Based on MUTUALITY and FRIENDLINESS, but peer friendships are different than regular friendships.

Question 14

Primary reason Peer Specialists lose their job

Answer 14

*Failing to follow code of ethics for Peer Specialist.
* Using “power” to exploit individual served for gain – financial, sexual or emotional gain.

Question 15

Traits of a purely friendship based peer relationship (1-4)

Answer 15

1. The contact is primarily for pleasure and companionship.
2. Neither of the two people is in positions of responsibility for helping the other.
3. No specific skill or knowledge is required.
4. Interaction is between peers who are often of the same social status.

Question 16

Traits of a purely friendship based peer relationship (5-8)

Answer 16

5. The person involved typically pursue the friendship purely for personal interest.
6. No specific goals for friendship.
7. No specific or outlined sense of accountability
8. No formal evaluation of personal effectiveness within the relationship.

Question 17

When in doubt about ethics…

Answer 17

consult with your supervisor.

Question 18

Code of ethics for CRPS (1-3)

Answer 18

1. Help individuals I serve meet their needs and reach their self-determined goals.
2. Advocate for those I serve and encourage them to make their own decisions.
3. Advocate for the person’s served full integration into the community of his/her choice as well as his/her right to live in the least restrictive environment possible.

Question 19

Code of ethics for CRPS (4-6)

Answer 19

4. Maintain standards of proper personal conduct and treat others with respect and dignity at all times.
5. Respect the privacy of individuals I serve and maintain the confidentiality of any information on a person served I obtain.
6. Remain current with emerging (new) knowledge about peer support and recovery and seek to incorporate this new knowledge into my work.

Question 20

Code of ethics for CRPS (7-9)

Answer 20

7. Never intimidate, threaten, harass, exert undue influence, physical force, verbal abuse, or make unwarranted promises of benefits to individuals I serve.
8. Never engage in sexual/intimate activities with individuals I serve.
9. Never practice (or condone) any form of discrimination on the basis of ethnicity, race, cultural affiliation, gender identity, sexual orientation, mental and physical disability, age, religion, national origin or any other form of discrimination based on a person’s served personal characteristics.

Question 21

Code of ethics (10-11)

Answer 21

10. Never abuse substances under any circumstances at any time.
11. Never accept gifts of significant value from individuals I serve.

Question 22

National Practice Guidelines for Peer Supporters (1-5)

Ethical Guidelines

Answer 22

1. Peer support is voluntary.
2. Peer supporters are hopeful.
3. Peer supporters are open minded.
4. Peer supporters are empathetic.
5. Peer supporters are respectful.

Question 23

National Practice Guidelines for Peer Supporters (6-11)
Ethical Guidelines

Answer 23

6. Peer supporters facilitate change.
7. Peer supporters are honest and direct.
8. Peer support is equally shared power.
9. Peer recovery support is strengths-focused.
10. Peer support is transparent.
11. Peer support is person-driven.

Question 24

National Practice Guidelines for Peer Supporters

Ethical Guidelines – Peer support is voluntary

Answer 24

*Recovery is a personal choice.
*The voluntary nature of peer support makes it easier to build trust and connections with another.

Question 25

National Practice Guidelines for Peer Supporters Ethical Guidelines -- Peer supporters are hopeful

Answer 25

*Belief that recovery is possible brings hope to those feeling hopeless. *Peer supporters demonstrate with their lives that recovery is real. They make the commitment to continue to grow and walk in their own recovery. *By AUTHENTICALLY LIVING recovery, peer supporters inspire real hope that recovery is possible for others.

Question 26

National Practice Guidelines for Peer Supporters Ethical Guidelines -- Peer supporters are open minded

Answer 26

*Meet people WHERE THEY ARE at in their recovery experience even when the way they do things is different than their own. *Being nonjudgmental means holding others in unconditional positive regard, with an open mind, a compassionate heart and full acceptance of each person as a unique individual. **Whatever works best for individual served

Question 27

National Practice Guidelines for Peer Supporters Ethical Guidelines -- Peer supporters are empathetic

Answer 27

*Emotional connection created by "putting yourself in the other person's shoes." *Because you have experienced similar challenges, you cannot assume you know EXACTLY what the other person is feeling. *Ask thoughtful questions and listen with sensitivity

Question 28

National Practice Guidelines for Peer Supporters Ethical Guidelines -- Peer supporters are respectful

Answer 28

*Value each person and see what they uniquely contribute to the world. *Treat people with kindness, warmth, and dignity *Accept and be open to differences, encouraging people to share the gifts and strengths that come from human diversity. *Make room for everyone's ideas

Question 29

National Practice Guidelines for Peer Supporters Ethical Guidelines -- Peer supporters facilitate change

Answer 29

*Peer supporters treat people as human beings and remain alert to any practice (including the way people treat themselves) that is dehumanizing, demoralizing or degrading *Peer supporters will use their personal story and/or advocacy to be an agent for positive change

Question 30

National Practice Guidelines for Peer Supporters Ethical Guidelines -- Peer supporters are honest and direct

Answer 30

*Clear and thoughtful communication. *Honest communication moves beyond the fear of conflict or hurting others to the ability to respectfully work to resolve challenging issues with caring and compassion. *Including issues related to stigma, abuse, oppression, crisis or safety.

Question 31

National Practice Guidelines for Peer Supporters Ethical Guidelines -- Peer support is equally shared power

Answer 31

*Sharing power means equal opportunity for each person to express ideas and opinions, offer choices, and contribute. *Each person speaks and listens to what is said.

Question 32

National Practice Guidelines for Peer Supporters Ethical Guidelines -- Peer support is strengths-focused

Answer 32

*Focuses on what's strong, not what's wrong in another's life. *Share your own experiences to encourage people to see the "silver lining" or the positive things they have gained through adversity. *Get people in touch with their strengths

Question 33

National Practice Guidelines for Peer Supporters Ethical Guidelines -- Peer support is transparent

Answer 33

*Setting expectations with each person about what can and cannot be offered in a peer support relationship, clarifying issues related to privacy and confidentiality. *Speak in plain language *Share recovery experiences

Question 34

National Practice Guidelines for Peer Supporters Ethical Guidelines -- Peer support is person driven

Answer 34

*Everyone has a fundamental right to make decisions about things related to their lives. *Inform about options, provide information about choices and respect their decisions. *Encourage people to move beyond comfort zones, learn from mistakes, and grow from dependence on the system toward their chosen level of freedom and inclusion in the community of their choice.