What We Do
Whole Health Action Management-WHAM
Whole Health Action Management (WHAM) is a training program and peer support group model developed by SAMHA-HRSA Center for Integrated Health Solutions (CIHS), Run by the National Council for Behavioral Health, to encourage increased resiliency, wellness, and self-management of health and behavioral health among people with mental illnesses and substance use disorders.
A powerful program intended to strengthen the peer workforce’s role in healthcare delivery, WHAM provides peer support professionals and volunteers a format for peer support meetings in which consumers engage in 8-week WHAM groups to support one another as they work toward, achieve, and maintain whole health goals.
The skills learned in WHAM help participants engage in self-management and crystalize goals to achieve better whole health and wellness.
The WHAM training is a 2-day in-person peer support training that guides participants through a person-centered planning process to set a whole health and resiliency goal.
Primary goal: to teach skills to better self-manage chronic physical health conditions, and mental illnesses and addictions- known as "behavioral health"- to achieve whole health.
WHO: The training is designed for peer specialists who agree to:
• Create and work toward a whole health and resiliency goal
• Provide peer support to reach his/her whole health and resiliency goal
• Facilitate or participate in an 8-week whole health and resiliency peer group
The training is designed to support the emerging peer workforce to move into new health integration service models like health homes.
The program also provides:
· Training Participant Guides on flash drive
· Weekly Action Plan Pocket Guides on flash drive
· Training posters
· Training handouts
· National listserv to foster an online peer support network and share tips and tools for success
Take-Away Materials Provided to Each Participant
$10,000 plus trainer expenses
2 Day training
- WHAM Participants Guide (Available in Spanish): Includes list of external resources
- Weekly Action Plan Pocket Guide
- Training Posters: Ten Health Resiliency Factors; WHAM Group Announcement
- Membership for each participant in National Peer Workforce Listserv
- Flash Drive with digital files of all discussion hand-outs and Action Planning Materials:
· Decision Making Tools Worksheet (preparing for doctor meeting and medical tests)
· Health Goals Impact Role-Play sheet
· Food Assessment Guide
Client responsible for all recruiting of participants, provision of training site, supports purchasing and set- up of light breakfast, healthy lunch, snacks and drinks.
For financial sustainability, this training is also designed to teach participants skills to write a whole health goal in a concise format that could be added to a treatment plan.
I. Chronic Disease Self-management Program (CDSMP)
What it is:
· The Chronic Disease Self-Management Program is a workshop given two and a half hours, once a week, for six weeks, in community settings such as senior centers, churches, libraries and hospitals
· Workshops are facilitated by two trained leaders, one or both of whom are non-health professionals with chronic diseases themselves.
· Subjects covered include: 1) techniques to deal with problems such as frustration, fatigue, pain and isolation, 2) appropriate exercise for maintaining and improving strength, flexibility, and endurance, 3) appropriate use of medications, 4) communicating effectively with family, friends, and health professionals, 5) nutrition, 6) decision making, and, 7) how to evaluate new treatments.
· Each participant in the workshop receives a copy of the companion book, Living a Healthy Life With Chronic Conditions, 4th Edition, and an audio relaxation CD, Relaxation for Mind and Body.*
Why it is Effective:
It is the process in which the program is taught that makes it effective. Classes are highly participative, where mutual support and success build the participants’ confidence in their ability to manage their health and maintain active and fulfilling lives.
The Self-Management Program will not conflict with existing programs or treatment. It is designed to enhance regular treatment and disease-specific education such as Better Breathers, cardiac rehabilitation, or diabetes instruction. In addition, many people have more than one chronic condition. The program is especially helpful for these people, as it gives them the skills to coordinate all the things needed to manage their health, as well as to help them keep active in their lives.
Over 1,000 people with heart disease, lung disease, stroke or arthritis participated in a randomized, controlled test of the Program, and was followed for up to three years.
What were the results?
Subjects, who took the Program, when compared to those who did not, demonstrated significant improvements in exercise, cognitive symptom management, and communication with physicians, self-reported general health, health distress, and fatigue, disability, and social/role activities limitations. They also spent fewer days in the hospital, and there was also a trend toward fewer outpatients visits and hospitalizations. These data yield a cost to savings ratio of approximately 1:4. Many of these results persist for as long as three years.***
Tomando Control de su Salud (Spanish)
This is the Spanish version of the Chronic Disease Self-Management Program that was designed in Spanish for Spanish- speakers. Though similar to the English version, it was developed to be culturally appropriate
Programa de Manejo Personal de la Diabetes (Spanish)
This program was developed and piloted in Spanish and is modeled after Tomando Control de su Salud. The participants, as compared with usual-care control subjects, demonstrated improved health status, health behavior, and self-efficacy, as well as fewer emergency room visits. At one year, the improvements were maintained and remained significantly different from baseline condition.
Diabetes Self-Management workshop
The original Diabetes Self-Management Program was developed in Spanish. After successful outcomes were found with that program, the Stanford Patient Education Research Center received a grant from the California HealthCare Foundation for the randomized, controlled study to test the workshop's effectiveness for English-speakers. The study was completed in 2008.
The Diabetes Self-Management workshop is given 2½ hours once a week for six weeks, in community settings such as churches, community centers, libraries and hospitals.
People with type 2 diabetes attend the program in groups of 12-16. Workshops are facilitated from a highly detailed manual by two trained Leaders, one or both of whom are peer leaders with diabetes themselves.
Each participant in the workshop receives a copy of the companion book, Living a Healthy Life with Chronic Conditions, and an audio relaxation tape, and an audio exercise tape.*
Training for Health Professionals as Lay Leaders on Self-Management Programs
Trainings for representatives of health care organizations are 4½ days. It is strongly suggested that health professionals bring a lay person with chronic disease with them. All workshops and trainings are designed to be facilitated by 2 people, so it is important that any new organization send 2 people to the training, or they will be unable to implement the program.
Each trainee receives a detailed Leader's Manual, a copy of the workshop's textbook and audio CDs (if applicable).
Trainings for representatives of health care organizations are 4½ days. Stanford offers web-based cross-training for those who have already been trained to offer the Chronic Disease Self-Management Program.
Costs for training for the 4½ day CDSMP Training:
(Up to 15 participants)
$200 per participant
$3,000.00 for a workshop of 15participants.
Educational & Materials
Price includes all workshop materials.
II. Mental Health First Aid (MHFA)
Mental Health First Aid is a groundbreaking public education program that helps the public identify, understand, and respond to signs of mental illnesses and substance use disorders. Mental Health First Aid USA is managed, operated, and disseminated by three national authorities — the National Council for Community Behavioral Healthcare, the Maryland Department of Health and Mental Hygiene, and the Missouri Department of Mental Health.
Mental Health First Aid is offered in the form of an interactive 12-hour course that presents an overview of mental illness and substance use disorders in the U.S. and introduces participants to risk factors and warning signs of mental health problems, builds understanding of their impact, and overviews common treatments. Those who take the 12-hour course to certify as Mental Health First Aiders learn a 5-step action plan encompassing the skills, resources and knowledge to help an individual in crisis connect with appropriate professional, peer, social, and self-help care.
The 8-hour Mental Health First Aid USA course has benefited a variety of audiences and key professions, including: primary care professionals, employers and business leaders, faith communities, school personnel and educators, state police and corrections officers, nursing home staff, mental health authorities, state policymakers, volunteers, young people, families and the general public.
The adult Mental Health First Aid course is appropriate for anyone 16 years and older who wants to learn how to help a person who may be experiencing a mental health related crisis or problem. Topics covered include anxiety, depression, psychosis, and addictions. The adult course is available in both English and Spanish. Course participants come from a variety of backgrounds and play various roles in a community, and instructors may specialize in providing the course to groups such as police officers or faith leaders. Look for icons on instructor profiles for public safety, rural, higher education, and faith.
Youth Mental Health First Aid is designed to teach parents, family members, caregivers, teachers, school staff, peers, neighbors, health and human services workers, and other caring citizens how to help an adolescent (age 12-18) who is experiencing a mental health or addictions challenge or is in crisis. Youth Mental Health First Aid is primarily designed for adults who regularly interact with young people. The course introduces common mental health challenges for youth, reviews typical adolescent development, and teaches a 5-step action plan for how to help young people in both crisis and non-crisis situations. Topics covered include anxiety, depression, substance use, disorders in which psychosis may occur, disruptive behavior disorders (including AD/HD), and eating disorders.
Check for the purple Youth icon on course details and instructor profiles.
MHFA in Spanish/REDES:
CIHS supported the adaptation of the mental Health first Aid USA curriculum for Spanish-speaking populations across the US. Adapted materials include a participant manual, teaching notes manual, progam PowerPoint, course films, and all course handouts and exercises.
MHFA for Veterans, service members, and their families:
As the number of service members returning from deployment continue to grow, many service members, veterans, and their families (SMVF) will need the support of behavioral health services. Individuals closest to SMVF are more likely to identify early signs of challenges and issues and can provide opportunities to help SMVF connect to needed services.
Individuals trained in Mental Health First Aid can help to:
- Break down the stigma associated with mental illness like anxiety, depression, post-traumatic stress disorder (PTSD), schizophrenia, bipolar disorder, and substance use disordersReach out to those who suffer in silence, reluctant to seek help
- Let veterans know that support is available in their community
- Provide community resource information
- Make mental healthcare and treatment accessible to thousands in need
- A discussion of military culture and its relevance to the topic of mental health
- A discussion of the specific risk factors faced by many service members and their families such as trauma, both mental and physical, stress, separation, etc.
- Applying the ALGEE action plan in a number of scenarios designed specifically for service members, their families and those that support them
- A review of common mental health resources for service members, their families and those who support them
Contractual Certified Trainer
(Up to 20 participants)
Educational & Materials
$15.00 x 40 participants $600.00
$ 19.95 x 2 $39.90
$ 19.95 x 2 $39.90
All workshops arrangements are directly made with the main trainer/facilitator. Trainer is responsible for MHFA course registration, facilitation and participant evaluations to Mental Health First Aid USA after the course.
Client is responsible for recruiting of participants, provision of training site, supports, purchasing and set- up of light breakfast, healthy lunch, snacks and drinks.
III. Health Extenders
Healthcare extenders have the ability to assist patients in turning the “what” to the “how to.” They specialize in helping people take actions to prevent and manage health conditions, such as making a diagnosis and creating a treatment plan.
Who falls under the Health Extenders category?
· Community health workers (CHWs)/Promotoras
· Certified health education specialists
· Nurse practitioners
· Registered dietitians (RDs)
· Certified diabetes educators (CDEs)
· Patient educators
· public health professionals
· Social workers
The demand for healthcare extenders is increasing. With the Affordable Care Act in motion, millions of uninsured people will be getting health coverage over the next few years, which is expected to create a high demand for people who work in healthcare.
Cost is based on customized training.
IV. Cultural competency : National Center for Cultural Competency
Cultural Competency training main goal is to increase the capacity of health care and mental health care programs to design, implement, and evaluate culturally and linguistically competent service delivery systems to address growing diversity, persistent disparities, and to promote health and mental health equity.
Trainers and professionals from health and human service organizations, health educators, clinic administrators, human resources personnel, and risk management directors are all welcome.
Training includes, but is not limited to:
· Unconscious personal and organizational bias
· Health disparities
· Low health literacy
· The impact of personal culture on communication
· Fundamentals of cultural competency
· National Standards for Culturally and Linguistically Appropriate Services (CLAS)
· Joint Commission/NCQA Requirements
· The Affordable Care Act
· Strategies for resolving “cultural bumps,” and cross cultural conflicts
· Working effectively with interpreters/language services
· Conflict resolution, communication and team building
Cost is based on customized training.