Mikes Example plan MH
Document Sample


My Own Plan
_Mike’s Plan
Date of the 1st plan January 23, 2003
Dates the plan was changed March 6, 2003 October 1, 2003
What do you hope that this plan will help you accomplish?
To have something to look at and help remind me of good things when times are hard. To have things written down
that will help when I want to work towards doing something different. Also so that people will know what I want to
happen in case of an emergency or crisis.
Who helped me with this plan? (Who gave you information?)
Me…Mike Jeff, a former room mate
Jean, my case manager
Kevin, my room mate
Who do I still need to talk to? (Are there others who can help you get more information?)
Jeff (at my house) Lonnie (at my house)
Gary (support worker) my step-dad
Debbie (support worker)
ELP Learning Community (Page 1)
My Own Plan
People Map for My Family
Velda Jim
Mike
Carl Clint Darren
Colleen
Jim
John Victor
Joe Jean
Matt Jan Sharon People
People
whose job
who Kevin Gary Wendy
is to
support Mike Debi support
me at
Lonnie me at
work,
home and
school, Jeff
other
training Jackie places
My Friends
ELP Learning Community (Page 2)
My Own Plan
My Introduction - Great What do people like and admire about me? What are the good things they say about
Things About Me me? How would I like to be introduced?
I look like James Dean. New Things I Have Learned About Myself
Easy to be with; fun and easy to like
Helpful, thoughtful, and conscientious
Courageous—always willing to give things a try
Outgoing and a real “people person”
Good at working with cars and motorcycles
Is always popular with the girls
Smart and educated
Has the best intentions ~ you can always trust his
motives
holds really good, strong values
really supportive of other people
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My Own Plan
What is Important to Me What do I want other people to know about the things that are important to me?
Who are the people that are most important to me? What do I do with them? What
are the things that I have to do (and things I need to have) if I am going to be
happy?
living “free and happy” New Things I Have Learned About Myself
To learn to accept that life hasn’t worked as I had
hoped. I can’t change it, but I don’t have to live in
the past
Not being around drugs and alcohol or people who
are using drugs (even in any support groups)
Not being disregarded; not being “blown off”
To not feel anxious and stressed; I have to have
people around me to talk to
Traveling…freedom to go when I want. Trips to Las
Vegas and Reno with my dad
I’ve got to have my cigarettes and soda pop
To remember that things are better than they
used to be
Not to feel scared around people
Having a girlfriend
working on eating better; to feel healthy and
strong again
ELP Learning Community (Page 4)
My Own Plan
What are the If I was going to pick a new person to work with me (e.g. case manager, staff in a
characteristics of people home) what would I look for? What do the people that I like to work with have in
who support me best? common? Have there been people that I couldn’t work with? What do they have in
common?
Understanding and patient New Things I Have Learned About Myself
takes time for me
A great listener
Looks out for me; is protective of me
Caring
Dedicated and sticks around
Helpful; and offers to help me
Friendly and likes to laugh
ELP Learning Community (Page 5)
My Own Plan
What Others Need to Know If I am going to have the things that are important to me, and stay healthy and
or Do to Support Me safe, what do people need to know about me? What do they need to do? How do I
need to be supported at home, at work, and when I am out in my community?
Really listen to me when I’m stressed or upset. New Things I Have Learned About Myself
Show concern. Don’t dismiss me or the feelings
I’m having
I’m really sensitive and get hurt easily by what
people say and do Don’t mistreat me
The bad things from my past make things hard for
me today. Be understanding and help me to
remember it’s in the past and “today’s a new day”
I do not like to be alone. That’s when things get
harder for me. It’s easier to have others around
Trust is hard for me, but I work at it. Don’t do
things that will damage trust we have with each
other
I HAVE TO have people around me who I can talk
to. It’s what gets me past the hard times. Work to
understand me and be supportive
I have had a lot of painful losses in my life; that’s
the hardest thing for me to deal with
If people point out the good things that I have
now, it helps me to feel better and to smile
When you talk with me, keep things brief or in
“short thoughts”. At times it’s hard to focus
Managing money and budgeting is a stressor for
Mike. Help him with that so that he will be more
successful when he moves to his own place.
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My Own Plan
ELP Learning Community (Page 7)
My Own Plan
What Other People Need to Know Do I have medical conditions or mental health issues that other people
or Do to Help Me Stay Healthy and should know about? Are there times when I need help in managing my
Safe medical or mental health?
When I’m anxious, I have to talk it out. It’s when New Things I Have Learned About Myself
people need to listen more and talk less.
When Mike’s really stressed, he’ll talk a lot and
won’t be very focused in his thinking. (That’s how
you’ll know he’s stressed)
It works well to be reflective in your listening;
gently bring Mike back to thinking about the good
things he has in his life now
Sometimes I don’t think that I have chronic
schizophrenia. When things get hard, remind me
that I have a disease, and that’s probably a big
part of the hard time I’m having
Talking about not having drugs and alcohol in my
life makes it easier for me. I want to about it
ONLY with people who don’t use drugs and alcohol
in their life
Keeping the talk about not using drugs and alcohol
in the forefront is important. BUT Mike will not go
to support groups about this because he believes
that the people in the group are still using
Medicine does help me with my disease. Right now
I take Resperidal in the morning and night. It
works best for me to take only ONE medicine at
one time, or else I feel sick
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My Own Plan
Usually, taking my medication is not a problem.
When I don’t want to take it, I want you to
“confront” me directly by saying “Michael,
remember your disease. You need to take your
medicine.” That usually works
If I continue to refuse, DO NOT force me to take
them. Try again later. I’ll take them.
If I start to have a crisis and need to be in a
different place for a while, I want to go to respite
and not to the hospital
NO restraints or electro shock, ever!
If I have a crisis or really am not doing well
overall, I want my stepfather to be notified…Joe
Stepdad at (111)555-4321
Mike has hepatitis C and needs help to remember
to monitor this. Help Mike schedule his doctor
appointments
ELP Learning Community (Page 9)
My Own Plan
Things to Figure Out What are the things that I am still trying to “figure out?” What are the things about
me, my condition, or the supports that I get that I don’t understand or where I need
more information? What are the things that are getting in my way?
How to feel better? Why am I losing weight and now New Things I Have Learned About Myself
starting to vomit? Does Mike have lupus or not?
Where and how am I going to live in the
future…once I don’t need to stay at The House?
Finding Mike a safe place to live that’s affordable.
How to keep getting help with my budget when I
live on my own?
Mike makes friends so easily. Where in the town can
he meet more people so he can make more friends?
ELP Learning Community (Page 10)
My Own Plan
How Do I Communicate
What is happening What I do What I think it means What others should do
I’ve spent a lot of time I tell you or it looks to you I’m feeling really anxious or Talk me through it. Help me
alone and not talked with like I’m having trouble nervous to focus, to slow down, and
anyone for a while breathing then I’ll calm down
Anytime Look really sad and have I’m thinking and grieving Support me by being gentle
tears or cry over a past loss and talking with me. Sit and
talk for a while, until I’m
feeling better
Someone’s talking with Grinning with a “sly” smile I think that there is Wise up and be honest!
me…trying to convince me something that they are not Then we can talk for real.
of something telling me
ELP Learning Community (Page 11)
My Own Plan
What is Happening in Your Life – The Upside and Downside
Look at what is What you think – your perspective
working and not What works, makes sense, the What doesn’t work, doesn’t make
working, makes upside sense, the downside
sense and doesn’t I’m staying away from alcohol and drugs Not being able to get around very well or
make sense In your very far. Not driving
My medicine is working well for me Death and losses that seem to keep
life right now.
happening in my life
Think about … I’m not as scared as I used to be I’m not feeling well—not eating very well
Where you live
What you do Living at The House…the help that I get Something might be wrong with my
during the day there stomach and I don’t know what
Who you spend working part time That people where I live are giving me
my meds. I need to learn to take them
time with on my own (in order to move to a place
The services that of my own)
you receive to My dad (step dad) and I get to see each I still feel “down” a lot of the time
help you stay other
healthy/safe My life feels “normal” I have a lot of fears about my future
Issues with
Meeting some new people Not having a girlfriend right now
medication – how
it works, side
effects
What you do for
fun
Other parts of
your life
ELP Learning Community (Page 12)
My Own Plan
What is Happening in Mike’s Life – The Upside and Downside
Look at what is What others think – their perspective
working and not What works, makes sense, the What doesn’t work, doesn’t make
working, makes upside sense, the downside
sense and doesn’t Mike’s doing well where he’s living Mike doesn’t have enough money to find
make sense In a safe place to live on his own
Kevin, Mike’s room mate. They are That the doctor hasn’t figured out
Mike’s life right
good for each other! what’s causing Mike to keep losing
now. Think about … weight
Where I live Mike has people around him who he That he doesn’t have many friends
What I do during trusts, and who really listen to him outside of The Center
the day
Who I spend time
with
The services that
I receive to help
you stay
healthy/safe
Issues with
medication – how
it works, side
effects
What I do for fun
Other parts of my
life
ELP Learning Community (Page 13)
My Own Plan
To Do List, Goals, Action Planning What can I do to make sure things that are working, continue, or change
those things that are not working? What can other people do to keep things
that are working and to change those things that are not working?
Desired Outcome: I want to feel better physically. Get back to feeling healthier and stronger.
Discussion/Justification I think that a big part of feeling down and having hard times is because I’m not taking
as good care of myself as I should. If I felt better physically, maybe I would feel better
overall.
How often or for Who is By
What needs to be done
how long? responsible? when?
Develop a personal healthy eating plan 1x week with Gary; Michael 4/30/03
check in with Jean
Find a way to get more exercise…develop a strategy for every other week; Michael/Jean 5/30/03
that check in with Jean
Write down a list of things that I can do to feel better (ie, create the list and Michael/Jean 5/30/03
stop drinking pop with caffeine) update each month
Continue to work with Mike’s doctor to see what’s causing check monthly (or per Michael/Jean 2/30/03
Mike’s weight loss. Make new appointment Dr. recommendation)
Look into the Health and Fitness group on Tuesdays at the 1x…then plan from Michael 4/30/03
YMCA there
Review of Desired Outcome:
Date: Comments:
ELP Learning Community (Page 14)
My Own Plan
To Do List, Goals, Action Planning What can I do to make sure things that are working, continue, or change
those things that are not working? What can other people do to keep things
that are working and to change those things that are not working?
Desired Outcome: Have a life where I feel less stressed and things with my disease and drug and alcohol
issues are going well.
Discussion/Justification I want to keep working on this so that I can do things like maybe move to a new place,
get a job, and get my license.
How often or for Who is By
What needs to be done
how long? responsible? when?
Medication management appointment/review with nurse every three months Jean/Wendi ongoing
Practioner through The Center
Meet with my case manager to follow up on how I’m feeling each week Michael/Jean ongoing
Participate in group sessions/training through The Center three times a week Michael/Jean 2/30/03
and The Drop In Center
Continue to talk with my case manager about staying away at least once a week Michael/Jean 2/30/03
from drugs and alcohol
Meet with my case manager; check in with each other by twice a week Michael/Jean 3/15/03
phone or in person
Keep active---continue part time work and go to events once a week Michael/Jean 2/30/03
sponsored by The Drop In Center
Review of Desired Outcome:
Date: Comments:
ELP Learning Community (Page 15)
My Own Plan
To Do List, Goals, Action Planning What can I do to make sure things that are working, continue, or change
those things that are not working? What can other people do to keep things
that are working and to change those things that are not working?
Desired Outcome: Have a good, happy, active life in my town.
Discussion/Justification I like where I live and coming to The Drop In Center, but I want to have more friends
and be able to go and do more around town on my own.
How often or for Who is By
What needs to be done
How long? responsible? when?
Save $75 to get my driver’s license back save $25 each month Michael with Jean 5/30/03
See if I need to take the driver’s test again one time Michael 5/30/03
Talk with Dad about him getting me a car after I have my after I have my license Michael 6/30/03
license back
Figure out how to get insurance coverage before getting license Michael with Jean’s 6/30/03
support
Go to some places where I could meet people who I might weekly meeting with Michael/Jean 2/15/03
like as friends my case manager
Look through Community Newspaper to find events and Each week Michael/Jean 3/31/03
other things that are happening in town
Review of Desired Outcome:
Date: Comments:
ELP Learning Community (Page 16)
My Own Plan
To Do List, Goals, Action Planning What can I do to make sure things that are working, continue, or change
those things that are not working? What can other people do to keep things
that are working and to change those things that are not working?
Desired Outcome:
Discussion/Justification
How How Who is By
What needs to be done
often long? responsible? when?
Review of Desired Outcome:
Date: Comments:
ELP Learning Community (Page 17)
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