SELF-HELP PLUS (SH+)
A GROUP-BASED STRESS MANAGEMENT COURSE FOR ADULTS

Dublin Core

Description

Self-Help Plus (SH+) is WHO’s 5-session stress management course for large groups of up to 30 people. It is delivered by supervised, non-specialist facilitators who complete a short training course and use pre-recorded audio and an illustrated guide (Doing What Matters in Times of Stress) to teach stress management skills. The course is suitable for adults who experiences stress, wherever they live and whatever their circumstances. It has been shown to reduce psychological distress and prevent the onset of mental disorders. The format of SH+ makes it well-suited for use alongside other mental health interventions, as a first step in a stepped care programme, or as a community intervention delivered alongside broader community programming.

Source

WHO website

Date

Format

PDF

Language

Type

Identifier

ISBN: 9789240035119

Table Of Contents

PREFACE................................................................................................................................................................................................................... v
ACKNOWLEDGEMENTS.................................................................................................................................................................................... vi
PART 1: ESSENTIAL INFORMATION.......................................................................................................................................................... 1
1. INTRODUCTION.......................................................................................................................................................................................... 2
2. WHAT IS SH+?............................................................................................................................................................................................... 4
2.1 OVERVIEW OF SH+............................................................................................................................................................................ 4
2.2 WHO IS SH+ FOR?.............................................................................................................................................................................. 6
2.3 WHO CAN FACILITATE AN SH+ COURSE?................................................................................................................................ 6
2.4 HOW TO IMPLEMENT SH+............................................................................................................................................................. 7
2.5 TRANSLATING AND ADAPTING THE SH+ COURSE.............................................................................................................. 8
2.6 THE CORE SKILLS OF SH+.............................................................................................................................................................. 8
2.7 SH+ ENCOURAGES LEARNING BY DOING............................................................................................................................... 9
3. TRAINING AND SUPERVISION IN SH+..........................................................................................................................................10
3.1 FACILITATOR TRAINING OVERVIEW.........................................................................................................................................10
3.2 SUPERVISION OVERVIEW............................................................................................................................................................. 11
4. ROLES OF COURSE FACILITATORS.................................................................................................................................................. 12
4.1 FACILITATOR AND CO-FACILITATOR ROLES.......................................................................................................................... 12
4.2 ETHICS AND PRINCIPLES OF BEING AN SH+ FACILITATOR............................................................................................. 14
5. BASIC HELPING SKILLS......................................................................................................................................................................... 15
5.1 INTRODUCTION TO COMMUNICATION................................................................................................................................. 15
5.2 MAINTAINING CONFIDENTIALITY............................................................................................................................................ 17
5.3 VALIDATING, ACKNOWLEDGING AND COMMUNICATING CONCERN....................................................................... 17
5.4 ACKNOWLEDGING EMOTIONS..................................................................................................................................................18
5.5 USING NON-VERBAL COMMUNICATION...............................................................................................................................18
5.6 PUTTING ASIDE PERSONAL VALUES AND AVOIDING GIVING ADVICE......................................................................18
5.7 PRACTISING SELF-CARE............................................................................................................................................................... 19
6. RUNNING AN SH+ COURSE.................................................................................................................................................................20
6.1 PREPARING FOR A COURSE.........................................................................................................................................................20
6.2 ADAPTING THE SH+ COURSE.....................................................................................................................................................21
6.3 STARTING AN SH+ COURSE.........................................................................................................................................................23
6.4 HOW TO FACILITATE AN SH+ COURSE AND RESPOND TO COMMON CHALLENGES..........................................24
6.5 TALKING WITH INDIVIDUAL PARTICIPANTS.........................................................................................................................28
7. MANAGING IMMINENT RISK OF SUICIDE AND OTHER IMMEDIATE SAFETY ISSUES.........................................33
7.1 SUGGESTED PROCEDURE FOR RESPONDING TO SAFETY ISSUES..............................................................................34
7.2 ASKING ABOUT SUICIDE OR SELF-HARM..............................................................................................................................37
7.3 RESPONDING TO A PERSON WITH A PLAN TO END THEIR LIFE IN THE NEAR FUTURE......................................37
8. TROUBLESHOOTING GUIDE FOR OTHER CHALLENGES.....................................................................................................38
8.1 PARTICIPANTS HAVE DIALECT OR LANGUAGE DIFFICULTIES.......................................................................................38
8.2 PARTICIPANTS REQUEST MATERIAL ASSISTANCE..............................................................................................................38
8.3 PARTICIPANTS ARRIVE INTOXICATED.....................................................................................................................................38
8.4 PARTICIPANTS COMPLAIN THAT EXERCISES ARE MAKING THEM FEEL STRESSED..............................................39
8.5 PARTICIPANTS BECOME UPSET WHEN DOING EXERCISES.............................................................................................39
8.6 PARTICIPANTS COMPLAIN THAT SKILLS ARE TOO SIMPLE, BASIC OR REPETITIVE..............................................39
8.7 PARTICIPANTS ARGUE OR DISAGREE WITH ONE ANOTHER..........................................................................................40
8.8 PARTICIPANTS BECOME ANGRY OR AGGRESSIVE DURING THE GROUP.................................................................. 41
8.9 USE OF MOBILE PHONES CAUSES DISRUPTION DURING THE COURSE................................................................... 41
8.10 PARTICIPANTS BRING CHILDREN WHO ARE DISRUPTING THE COURSE.................................................................. 41
8.11 PARTICIPANTS HAVE PROBLEMS WITH HOME PRACTICE.............................................................................................. 41
8.12 PARTICIPANTS ATTEND LATE OR IRREGULARLY OR WANT TO LEAVE THE COURSE...........................................43
8.13 PARTICIPANTS ARE INATTENTIVE, UNHAPPY OR NOT ENGAGING WITH THE COURSE.....................................44
8.14 MANY PARTICIPANTS SEEM INATTENTIVE, BORED OR DISSATISFIED WITH THE COURSE................................45
PART 2: SH+ SESSION INSTRUCTIONS..................................................................................................................................................47
HOW TO USE THE SESSION INSTRUCTIONS......................................................................................................................................48
INFORMATION FOR ALL SESSIONS........................................................................................................................................................51
SESSION 1 INSTRUCTIONS..........................................................................................................................................................................53
SESSION 2 INSTRUCTIONS..........................................................................................................................................................................83
SESSION 3 INSTRUCTIONS........................................................................................................................................................................ 111
SESSION 4 INSTRUCTIONS........................................................................................................................................................................133
SESSION 5 INSTRUCTIONS........................................................................................................................................................................160
APPENDICES.....................................................................................................................................................................................................185
APPENDIX 1: SUMMARY OF SH+ SKILLS............................................................................................................................................186
APPENDIX 2: BRIEF SUMMARIES OF SH+ SECTIONS AND EXERCISES..............................................................................189
APPENDIX 3: MATERIALS TO PREPARE BEFORE EACH SESSION..........................................................................................193
APPENDIX 4: WELCOME SCRIPT FOR SESSIONS 2, 3, 4 AND 5...............................................................................................203
APPENDIX 5: PICTURES AND ACTIVITY SHEET............................................................................................................................. 206
APPENDIX 6: POST-SESSION REVIEW FORM.................................................................................................................................. 229
APPENDIX 7: SCRIPT FOR GROUNDING EXERCISE...................................................................................................................... 232
APPENDIX 8: ALTERNATIVE AWARENESS EXERCISE................................................................................................................... 233
APPENDIX 9: EXAMPLE PROTOCOL FOR RISK OF SUICIDE.................................................................................................... 240

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WHO - Licence: CC BY-NC-SA 3.0 IGO

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