WELLNESS RECOGNIZES AND BUILDS ON THE CONSUMER'S STRENGTHS (Swarbrick, 1997, p. The practitioner and consumer work together on finding effective ways of managing the voices (SAMHSA/CMHS, n.d.). If the voices are disruptive, the practitioner educates the consumer about possible strategies for reducing them such as medication, talks about medication side effects, and assists the consumer in weighing the pros and cons of each option. The practitioner and consumer explore the voices' characteristics and meaning. If a consumer hears voices, the practitioner asks how he or she experience the voices (e.g., as disruptive, as a source of positive guidance), and what has helped manage them in the past (SAMHSA/CMHS, n.d.). The practitioner serves as an educator, coach (Swarbrick, 1997, p. WELLNESS ACTIVELY INVOLVES THE CONSUMER IN DECISION-MAKING. SAMHSA's fact sheet "What Individuals in Recovery Need to Know About Wellness" gives examples of types of activities for meeting needs in the eight dimensions. For instance, one person might find swimming therapeutic, while another might fear swimming because of past trauma but enjoy long walks. WELLNESS IS PERSONALLY DEFINED, meaning that how we address our needs in each dimension depends on our goals, beliefs, values, culture, personality, preferences, and life experiences. Spiritual: Expanding one's sense of purpose and meaning in life Social: Developing a sense of connection and belonging and having a support systemĨ. Physical: Recognizing the need for physical activity, healthy foods, and sleepħ. Occupational: Personal satisfaction and enrichment from one's workĦ. Intellectual: Recognizing creative abilities and finding ways to expand knowledge and skillsĥ. Financial: Satisfaction with current and future financial situationsĤ. Environmental: Enjoying good health by occupying pleasant, stimulating environments that support well-beingģ. Emotional: Coping effectively with life and creating satisfying relationshipsĢ. The dimensions influence one another and affect a person's overall health and quality of life. The Wellness Initiative identifies eight dimensions of wellness, along with basic needs related to each one. SAMHSA envisions wellness not as the absence of disease, illness, and stress, but as the presence of a positive purpose in life, satisfying work and play, joyful relationships, a healthy body and living environment, and happiness, in accordance with Halbert Dunn's seminal wellness concepts (Dunn, 1961). What Is Wellness? Wellness Is a Whole-Person, Strength-Based Approach This effort encourages individuals, families, and behavioral health and primary care practitioners, as well as peer-run, faith-based, and other community organizations, to improve mental and physical health by making positive lifestyle changes. Swarbrick created for people with behavioral conditions. To help address these health disparities, the Substance Abuse and Mental Health Services Administration (SAMHSA) launched its Wellness Initiative based on a wellness model Dr.
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