But while we wait for the selfish capitalist system to be overthrown, does WRAP represent progress over the biomedical model? Tim.
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-----Original Message-----
From: Annie Mitchell <[log in to unmask]>
Sender: The UK Community Psychology Discussion List <[log in to unmask]>
Date: Wed, 13 Oct 2010 07:21:33
To: <[log in to unmask]>
Reply-To: The UK Community Psychology Discussion List <[log in to unmask]>
Subject: Re: [COMMUNITYPSYCHUK] Wellness Recovery Action Plan (WRAP)
Hi Mel,
I agree with your critique. If you re able to search the archives of this list you will find that this topic has been debated along similar lines in the past .
Much of the current moves in health provision ( WRAP included) , while no doubt in part and to some extent well -intentioned serve merely to add weight to the systemic victim blaming of those on the margins, and to distract and dis-arm the unwary from focusing on and fighting the structural, socio-economically determined ( selfish capitalist) causes of distress.
Good wishes,
Annie
________________________________________
From: The UK Community Psychology Discussion List [[log in to unmask]] On Behalf Of Deborah Chinn [[log in to unmask]]
Sent: 12 October 2010 21:56
To: [log in to unmask]
Subject: Re: [COMMUNITYPSYCHUK] Wellness Recovery Action Plan (WRAP)
Dear Mel
I thought your critique was very cogent and well-argued. I'd agree that
this model uses discursive strategies to create a "normal"/expected service
user who responds appropriately to expectations of self-management and is
likely to further marginalise people who dont fit in. Your request for any
information about the impact of this is a relevant one.
I dont have experience with this particular model, but would tend to be
suspicious of claims that putting in words like "hope" and
"self-assertiveness" achieve much. Any amount of "person-centred" language
in learning disabilities services for instance, has not actually handed
power over to disadvantaged and marginalised service users and has blunted
real reflection by care providers on the uses and abuses of paternalism. I
think that you can maintain and foster respect, sensitivity, curiousity and
tolerance without needing this sort of framework. Another example is from
children's services where practitioners are meant to complete "holistic"
assessments including looking at social, economic and cultural context.
They usually just leave that section out and focus on pathologising children
and parents.
Deborah
----- Original Message -----
From: "Mel Wiseman" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Tuesday, October 12, 2010 11:31 AM
Subject: Wellness Recovery Action Plan (WRAP)
Hi
I’m a newly qualified clinical psychologist currently in AMH, a new poster
on the forum, and relatively new to Community Psychology as an entity,
although I have held the values and ideas that now draw me to it for some
years.
I would like to ask the forum for their comments and experiences in relation
Wellness Recovery Action Plan (WRAP) which is both a tool and an approach
that is being promoted across mental health in the community, acute settings
and in prisons across the Midlands and some other areas. For those who are
uninitiated http://www.mentalhealthrecovery.com/, but essentially it works
officially on 5 principles for ‘Wellness’ in 'recovering from a breakdown':
Hope, Self-Responsibility, Self-Assertiveness, Education and Support from 5
people. There has been some nod toward 2 additional considerations of
‘power’ and ‘context’, but this is not part of the original model and is not
well understood or integrated. It seems to perform a similar role to Care
Plans and Relapse Prevention plans, but encompasses more than just mental
health and is owned by the person.
I have recently been to a training session on WRAP and am being asked to
comment on it as an approach within or alongside psychology and AMH
generally – how it fits. It is being sold as a vast improvement on current
practise due to the ‘handing responsibility and ownership to the service
user’ and ‘collaborative approach’. Psychologists and Psychiatrists here
are being asked to lead on its implementation as we become a ‘Recovery led
NHS trust’. Comments that I (et al) made to the training facilitator were
the following:
· Use of the term ‘Wellness’ – implies illness and does nothing to move away
from the medical model.
· Perpetuation of individualised notions of mental distress through
‘self-responsibility’ and ‘self-assertiveness’ – no understanding of whether
someone has the power to improve or maintain their ‘wellness’ through these
methods or whether they find it meaningful to think in this way.
· Potentially abusive use of clinician devolved ‘self-responsibility’ and
competency of individuals to deliver this approach competently and
sensitively.
· Primarily has been targeted at BME groups, ‘hard to engage’ groups and in
some cases involuntarily to secondary care mental health service users in
prison. I’m concerned that this may further burden people who have less
power to be ‘responsible’ for their mental health because they don’t fit the
existing systems – maybe it frees them from services they don’t want to be
part of?
I don’t think that I have the knowledge or experience to comprehend the
impact (positive or negative) of such a shift in emphasis (if it indeed
happens in practice). I would be interested in the views of others who may
have experienced the uses and abuses of this, have alternative suggestions,
comments or reactions in relation to mental health practise or Psychology in
general.
Thanks
Mel
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