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A HEALTH & WELLNESS PROMOTION PROGRAM FOR PERSONS WITH
DEVELOPMENTAL DISABILITIES AND THE PEOPLE WHO SUPPORT THEM
By The Regional Collaborative on Health & Wellness
Columbia, Fulton, Montgomery, Rensselaer, Saratoga, Schenectady and Schoharie Chapters of NYSARC, Inc.
Background
Welcome to the Wellness Together Health and Wellness Promotion Booklet designed to help you jump start your Wellness program! Attached within these pages are guidelines, instructions, samples and examples of programs and curriculums to help you get engaged with wellness and support individuals with developmental disabilities with their wellness goals!
Preventative health care has been an integral part of the health care system for many years. Unfortunately, many programs that promote preventative health care, such as wellness coaching, exercise classes, nutrition education and smoking cessation classes have been directed to the general public- until now! Education in these areas for the Intellectual and Developmental Disability population is being developed and successfully implemented.
Seven chapters of NYSARC, Inc., joined to form a “Regional Collaborative on Health & Wellness” which is committed to improving the wellness and health outcomes of individuals with intellectual and developmental disabilities through education and mentoring. This collaboration fosters a complete culture change whereby both individuals we serve and those that provide these services benefit.
The “Wellness Together” program is a health and wellness program for individuals with ID/DD designed and created by the Regional Collaborative on Health and Wellness. We hope that you enjoy using our booklet and find the materials valuable and more importantly, assist you with improving health outcomes for the individuals that you support.
TABLE OF CONTENTS
Page 3
Section Topic Page #
Background Overview & objectives 4
Section I: Steps to Wellness 8
The Program Step I: Selecting a mentor or buddy 10
Step II: Assessing personal health and interest 12
Step III: Developing an individualized goal & action plan 15
Step IV: Participating in a formal training program 23
Step V: Selecting goals and measuring progress 28
Step VI: Challenging yourself and with others 36
Step VII: Recognizing and rewarding your efforts 40
Section II: Organizational Support 42-43
Resources & Supports The Regional Collaborative on Health & Wellness 44
Resources 45
OVERVIEW
Page 4
OBJECTIVES Support people with developmental and intellectual disabilities to adopt healthier lifestyles
Develop and implement a mentor/buddy system to provide support for individuals
Learn how to perform a personal health assessment to develop individualized goal(s) and action plan
Provide resources of ways to effectively work on a variety of health goals
Learn ways to measure progress in achieving health goals
Select from various resources of curriculums to use for wellness programs
Develop and implement games, activities and challenges to make wellness fun and reward participation
Implement Wellness commitment and leadership within the organization
The Wellness Together booklet provides the structure, guidance and tools to organize and implement a Health and Wellness program. The program uses one-to-one coaching and mentoring, with the use of evidence based learning program along with participation in wellness activities
DID YOU KNOW?
▪ Adult with developmental disabilities have low fitness levels, a high incidence of obesity and tend to live sedentary lives (Heller et al., 2004)*
Page 5
However, with the right supports, this can change
The Wellness Together booklet provides a Health and Wellness program aimed at improving the wellness, and health outcomes, of people with intellectual/developmental disabilities. Through one-to-one coaching and mentoring, utilizing evidenced-based learning programs and participation in wellness activities, Wellness Together participants will demonstrate improved outcomes that will have a lasting effect on their quality of life. *Tamar Heller, Kelly Hsieh, and James H. Rimmer (2004) Attitudinal and Psychosocial Outcomes of a Fitness and Health Education Program on Adults With Down Syndrome. American Journal on Mental Retardation: March 2004, Vol. 109, No. 2, pp. 175-185.
Page 6
The cornerstone of Wellness Together is that
no one has to do it alone. Studies show that
people who engage in a health regime with a
partner are more likely to succeed in their
health and wellness goals. Through coaches,
mentors and buddies, each person has a
partner to support and encourage them in the
journey to Wellness.
CULTURE CHANGE
Page 7
Wellness Together brings about a culture change in the organization. It helps people with intellectual/developmental disabilities adopt healthier lifestyles. Employees and volunteers who serve as mentors and coaches also participate in each of the experiences.
SECTION I STEPS TO WELLNESS
SECTION I: STEPS TO WELLNESS
Page 9
Step I: Selecting a mentor or
buddy
Step II: Assessing
personal health and interest
Step III: Developing an individualized goal & action
plan
Step IV: Participating in
a formal training program
Step V: Selecting goals and measuring progress
Step VI: Challenging yourself and with others
Step VII: Recognizing and rewarding your
efforts
24-Week program cycles, supported by a Mentor
Selecting a mentor or buddy
STEP I
Each individual who wishes to participate selects a Mentor or Buddy as support through the program A Mentor or Buddy may support more than one person.
WHAT IS A MENTOR OR BUDDY? ▪ Mentors are a wellness buddy. Someone who is interested in helping an individual make healthy
changes AND making healthy changes in their own lives too. Mentoring includes helping develop wellness goals with your buddy. You will help your buddy in filling out a Personal Health and Interest Assessment tool. Once this is done, as a mentor, you will lead discussions on program options to support your buddy to meet their goals.
▪ Some of ways you will be supporting them in reaching their goals is by going to exercise classes with your buddy- actually exercising with them. Possibly helping them research and buy an exercise tape and do the exercise with them at their home. As a mentor you will help your buddy track their progress and lead discussions on how they are doing with meeting goals.
▪ Possibly your buddy’s goal is to stop smoking. You will be helping them get information, education and track their progress in meeting this goal. If you are a smoker you may want to set the example and join the program too.
▪ A wellness goal is not always losing weight, eating better or stopping smoking. Some goals could simply be to feel better. As a mentor you would help your buddy discover what that means…maybe going to church more often or socializing with a special friend they lost contact with. Here the mentor would help their buddy make a plan on how to get to church, how often and track how that plan is working and make changes as need.
▪ Wellness means many different things to people. Part of being a mentor is helping your buddy discover what wellness means to them.
▪ Mentors are committed to the almost daily contact of listening to and providing encouragement in obtaining their buddy’s wellness goals as well as being an example by taking steps to improve their own wellness. This requires a commitment to not only a buddy of 6 months but to yourself….and you are BOTH worth it!
Page 11
Assessing personal health and interest
STEP II
The Mentor meets with his/her
buddy to:
1) Discuss the program
2) Complete the Personal Health
and Interest Assessment
(PHIA).
3) This meeting should be
conversational and
motivational in nature.
4) Using the information on the
PHIA, the Mentor will assist
his/her buddy in selecting their
wellness goal(s).
PERSONAL HEALTH & INTEREST ASSESSMENT (PHIA)
Be Active
Eat Healthy
Manage Stress
Be Tobacco Free
Printed Name: ________________________________________________ Date of Birth:_____________________________________ Below - Please check any that apply and fill in number of times/minutes if applicable
I take a walk for ____ minutes____
times a week.
I work, play a sport, do an exercise
program or an activity I enjoy for
____ minutes ___ times a week.
Please list your current activities:
___________________________
I watch TV/Videos/Games or spend
time on the computer ___ hours
per day.
When do you like to be active?
(check any that apply)
Morning Mid-day Evenings
Weekdays Weekends
I eat fruit ___times per day.
I eat vegetables ___ times
per day.
I eat fast food meals ____
times per week.
I eat snacks ____ times per
day.
Please list types of snacks:
_______________________
I drink sugary drinks (soda,
juice) ___ times per day.
I eat when I am not hungry
out of habit, boredom or
because of my feelings.
The way I feel kept me from
doing my usual activity ____
times in the past week.
Feelings (sadness, stress,
anxiety) affected my
happiness ____times in the
past week.
I participated in a spiritual or
community activity that made
me feel good about myself
___times in the past week.
I get 7 to 9 hours of sleep
every night.
Poor sleep affected the way I
feel ____times in the past
week.
I do not smoke.
I do not chew
tobacco.
I smoke ____
times a day.
I chew____ times
a day.
I am trying to quit
or cut down.
I see a Doctor _____
times a year.
As far as Being Active, Eating Healthy, Managing Stress, and Being
Tobacco Free where are you? (choose one)
No changes needed.
Ready to make a change.
Willing but would like a partner or group.
Not sure I am ready to make a change but willing to talk about it.
Not interested in making a change at this time.
Do you want to? (check any that apply)
Lose Weight Eat Better
Feel Better Be More Active
Sleep Better
Learn to Manage Stress
Other, explain:
____________________________________
What areas are you most concerned about?
Physical Activity Diet/Nutrition
Stress Tobacco Use/Smoking Sleep
Other (If you select other please describe):
_____________________________________
Have you discussed your concern(s) with your
Doctor? Yes No
What activities would you like to do?
_____________________________________
What would help you make a change? (Check any that apply)
Prizes Contest Awards
Team New Clothes Support System
Feeling Good Taking less medication
Other (please explain)______________________________________
What makes it hard for you to do healthy things? (Check any that apply)
The Cost No energy Need support or equipment
Don’t know how It is hard to do Lack of Time
No motivation Don’t care Time/Location
Other (please explain)______________________________________
Date: Signature:
Wellness Together
Personal Health & Interest Assessment (PHIA)
Fillable version of the form is located in the Resources section.
14
Developing an individualized goal & action plan
STEP III
With the help of the guidance in
the following Tips’ Sheets, the
Mentor supports their Buddy in
developing an individualized Goal
and Action Plan.
Wellness Goals
Lose Weight
Feel Better
Sleep Better
Eat Better
Be More Active
Stop Smoking
WELLNESS GOAL: LOSE WEIGHT
Page 16
Reaching and maintaining a healthy weight is important for overall health. It can help prevent and control many diseases and conditions. If you are overweight, you are at higher risk of developing serious health problems, including heart disease, high blood pressure, type 2 diabetes, gallstones, breathing problems, and certain cancers. That is why obtaining and maintaining a healthy weight is so important: It helps you lower your risk for developing these problems, helps you feel good about yourself, and gives you more energy to enjoy life. ---- National Institute of Health
Self Evaluation: Track weight weekly
Suggested Curriculum: Health Matters; HealthyMessages
Strategies & Activities to lose weight:
• Set a goal: Set long term as well as short term goals - not just how much weight you want to lose over ail but how much you want to lose this month, how you want to increase activity and change food choices. REWARD yourself when you meet a goal (not with food) - buy those shoes you have been wanting, go to a ball game you have been wanting to go to.
• Education on grocery shopping, food choices and portion control: Don't shop when you are hungry, plan your meals and snacks ahead of time and make a list of what you need.so that you do not buy things you do not need, pick whole foods rather than processed foods, use a scale and measuring cups until you know what a service size is.
• Activities that involve movement (exercise) : Go for a walk with a friend, put the music on and dance in the house, join a gym, take an exercise class that interests you, play the Wii, join a bowling group, walk in place while watching TV rather than sitting on the couch. Keep active 30 - 60 minutes each day
• Support: Sometimes it helps to have someone join with you and you can support each other, keeping a log of what you are eating helps keep you on track, talk to a friend when you are having a hard day keeping with the changes you are trying to make.
Remember, practice makes perfect and practicing new habits - healthy habits - will make you perfectly healthy!
WELLNESS GOAL: FEEL BETTER
Page 17
Self Esteem is a term used to reflect a person's overall emotional evaluation of their own worth. It is a judgment of oneself as well as an attitude toward the self. Self esteem encompasses beliefs and emotions such as pride, triumph, despair and shame. Positive self-esteem leads to feelings to wellness – feeling better! Stress is what you feel when you have to handle more than you are used to. Stress is a physical, mental, and emotional response to our life’s changes and demands. Some stress is normal and even useful. It can help if you need to work hard or react quickly. But if stress happens too often or lasts too long, it can have bad effects. The good news is that you can learn ways to manage stress. The best way to handle stress is to learn healthy coping skills. Stress-relief techniques focus on relaxing your mind and your body!
Self Evaluation: How do I feel? survey completed annually.
Suggested Curriculum: HealthyMessages; My Health, My Choice, My Responsibility
Strategies & Activities to feel better:
•Dance/Movement/Music - Skiing, bowling, hiking, gardening, basketball, work out at the YMCA, walking group, swimming, Tae Kwon Do, Tai Chi, yoga, horseback riding, Special Olympics, singing group, participating in a band, acting club, drum circle, poetry club, dance club, kite flying club, and fishing group, sports teams.
•Arts and Crafts - Art classes, painting with water colors and oils, ceramics, sculpture, paper making, jewelry making, tom paper collage, flower arranging, formal art shows and exhibits, stamp art, photography club, printing and screening, found object art
•Independence in Daily Living - Cooking, personal enhancement, housekeeping, managing own health, phone usage, travel training, money management.
•Stress Management – Spa-like environment, meditation, yoga, Tai Chi, religion, board game club, puzzles, reminiscing group, journaling group, walking, reading, poetry, men's group, woman's group. Caring for pets and animals. Focus on the present.
•Vocational/Pre-vocational – Employment and Volunteer opportunities in community
•Travel/Community/Social - Planning and going on vacation, joining community groups-Red Hat Society/Flannel Shirt Club, book club, Weight Watchers, Nutrition Group, Drama Club, and Photo Club
•Self Advocacy – Participating in self-advocacy groups, leadership roles in the organization, peer mentoring, participating in training and recruitment of employees, being recognized for own accomplishments.
Remember, practice makes perfect and practicing new habits - healthy habits - will make you perfectly healthy!
WELLNESS GOAL: SLEEP BETTER
Page 18
Sleep is the natural state of rest during which your eyes are closed and you become unconscious (unaware). The average adult needs 7-9 hours of sleep each night, and may need more during periods of illness or stress. Sleep is important because; it keeps you in good health, prevents illness and injury, helps you focus and think well, and keeps your body functioning in top form physically, mentally and spiritually.
Self Evaluation: Track the number of hours of sleep each night
Suggested Curriculum: Health Matters
Strategies & Activities to sleep better:
•Physical Activity - Participating in at least 30 minutes of physical activity, preferably an activity that causes you to sweat This should be no less than 3-4 hours before bed. These activities include, but are not limited to; walking, basketball, swimming, dancing, bowling, skiing, riding a bike.
•Diet - Avoid caffeine, especially after 3pm. Avoid eating a large meal at the end Of the day. Limit amount of fluids you drink after dinner. A snack nigh in carbs with milk may help INDUCE sleep. A high protein snack may PREVENT sleep.
•Environmental - Avoid noise, lights/TV in your bedroom at night. Avoid extremes in temperature, cooler is better. Develop ways to cope with stress.
•Establish a routine - Develop a good bedtime routine which allows your body to calm down between activities of the day and going to sleep. Some ideas are; take a hot bath/shower, use aromatherapy (Lavendar works well), listening to relaxing music, reading, etc. Another good routine is to go to bed and get up at the same time every day.
•Self-Advocacy - Talk to your health care provider about sleeping difficulties if the above don’t help.
Remember, practice makes perfect and practicing new habits - healthy habits - will make you perfectly healthy!
WELLNESS GOAL: EAT BETTER
Page 19
Eating good foods every day will help you to be the best person that you can be. Eating healthy will give you energy to get through the day and to feel good about yourself.
Self Evaluation: Track the number of servings of fruits /vegetables eaten each day
Suggested Curriculum: Health Matters; HealthMessages; Cooking Classes
Strategies & Activities to sleep better:
• Nutrition Classes: Classes either taught by trained staff, clinician. Nurse, or by a community expert in a variety of nutrition topics such as heart healthy eating, low fat food, healthy snacks, foods that reduce cholesterol, etc.
• Cooking Classes: Classes that teach basic cooking skills as well as focus on learning about different types of foods, different cultures, different preparations, and learning heart healthy ways to cook favorite foods with healthier outcomes.
• Recipe revision: Learning how to adapt recipes from unhealthy to healthy and delicious.
• Weight Watchers: Participation in Weight Watchers or similar groups will allow individuals to focus on healthy eating choices
• Wellness Challenges: Wellness challenges and contests that enhance learning and awareness of healthy eating habits
Remember, practice makes perfect and practicing new habits - healthy habits - will make you perfectly healthy!
WELLNESS GOAL: BE MORE ACTIVE
Page 20
Being more active involved moving about or doing an activity, and not resting or sleeping. Exercise and physical activity are a great way to feel better by controlling weight, combatting health conditions and diseases, improving mood, boosting energy, and improving sleep.
Self Evaluation: Track the number of minutes of physical activity daily. Strive for at least 30 minutes every day.
Suggested Curriculum: Health Matters; HealthMessages; Personal Training; Instructor led exercise class
Strategies & Activities to be more active:
• Stretching: to increase flexibility and allow easier movement Yoga, Pilates, Tia Chi, Tae Kwon Do, DVDs.
• Strengthening Exercises: to build bone density and strengthen muscles. Climb stairs, dumbbells, resistance bands, weight machines, circuit training, gym classes.
• Balance Exercises: to reduce the risk of falling. Tai chi, yoga, or practice standing on one foot, then die other, if possible, without holding onto a support.
• Just Move: walking, biking, swimming, Wii, hiking, acting/singing/art club, tennis, horseback riding, bowling, dancing, routine housework, grocery shopping, fishing, basketball, baseball, skiing, jumping rope, gardening, playing sports, exercise indoors with home equipment, DVDs, join a recreational league, volunteer.
• Wear a Pedometer: Pedometers count the number of steps that you take each day. Aim for at least 10,000 steps each day, but any increase is likely to bring health benefits.
• Exercise with a Partner: The exercise partner can act as a coach, motivator, and conscience, as well as someone to talk to during exercise. Exercising with a partner can keep you motivated and helps time pass more quickly. The partner can give you the extra push on a day when you are not motivated.
Remember, practice makes perfect and practicing new habits - healthy habits - will make you perfectly healthy!
WELLNESS GOAL: STOP SMOKING
Page 21
Tobacco use is the leading preventable cause of death in the United States. Annually, one in five deaths is attributed to smoking cigarettes. Smoking-related diseases claim an estimated 443,000 American lives each year, including those affected indirectly, such as babies born prematurely due to prenatal maternal smoking and victims of "secondhand" exposure to tobacco’s carcinogens. Adults with disabilities are more likely to smoke cigarettes than adults without disabilities. According to CDC’s Morbidity and Mortality Report,1 an estimated 19.0% of U.S. adults were current cigarette smokers in 2011. Cigarette smoking was significantly higher among those who reported having any disability (25.4%) compared to those who reported having no disability (17.3%). The higher prevalence of smoking among adults with disabilities means that this population is at increased risk of death and disease.
Self Evaluation: Smoking/Tobacco-Use information from Personal Health and Interest Assessment completed annually
Suggested Curriculum: Health Matters, Health Messages, Support Groups, On-line and State Resources
Strategies & Activities to stop smoking:
•1-800-QUIT-NOW (1-800-784-8669) is a free telephone support service that can help individuals who want to stop smoking or using tobacco. Callers are routed to their state quitlines, where they have access to several types of quit information and services, including:
•Free support, advice, and counseling from experienced quitline coaches
•A personalized quit plan
•Practical information on how to quit, including coping strategies
•The latest information about medications
•Free or discounted medications (available for at least some callers in most U.S. states)
•Referrals to other resources
•http://www.nysmokefree.com/ - Provides information and support solutions about quitting smoking, including local support groups and access to nicotine replacement products.
•Nicotine replacement products
•Over-the-counter (nicotine patch [which is also available by prescription], gum, lozenge)
•Prescription (nicotine patch, inhaler, nasal spray)
•Prescription non-nicotine medications: bupropion SR (Zyban®), varenicline tartrate (Chantix®)
Evidence shows that access to comprehensive tobacco control programs can reduce smoking rates, tobacco-related deaths, and diseases caused by smoking.
22
Participating in a formal training program
STEP IV
The Collaborative recommends
three curriculums that the member
organizations have found to be
successful and easy to implement.
It is important for each person on a
journey to better health and
wellness to learn and use proven
strategies for wellness and health
advocacy.
Health Matters :
An Exercise and Nutrition Health Education Curriculum for people with
developmental disabilities
http://healthmattersprogram.org/
Health Messages:
A twelve week Peer to Peer Health program for people with
disabilities and their mentors
http://www.healthmattersprogr
am.org/healthmessages.html
My Health, My Choice,
My Responsibility :
An eight session curriculum-based training program to train
adults with developmental disabilities to become health
self-advocates
http://ngsd.org/news/my-health-my-choice-my-
responsibility
HEALTH MATTERS
Page 24
▪ The Health Matters curriculum was developed through the Rehabilitation Research Training Center on Aging with Developmental Disabilities in the Department of Disability and Human Development at the University of Illinois at Chicago. A research-based, field-tested program that's already made a dramatic difference in the lives of participants with disabilities, this proven curriculum has 59 one-hour sessions that help people make the best choices about health, exercise, and nutrition.
▪ Wellness Together trained instructors will facilitate sessions for the participant and a mentor. Each of the member organizations have trained instructors.
HEALTH MESSAGES
Page 25
▪ The HealthMessages Program was developed in the Department of Disability and Human Development at the University of Illinois at Chicago. In the Peer to Peer: HealthMessages Program Healthy Lifestyle Coaches are peer educators who share health messages with individuals who are close in age and have common interests.
▪ Through Health Message wristbands and corresponding weekly booklets, peers are given a health message and are encouraged to “Get Ready,” “Take Charge” and “Pass it On.” This program provides tools for the Coaches to increase their confidence and knowledge by being peer health coaches, supporting their peers in setting wellness goals.
▪ http://healthmattersprogram.org/healthmessages.html
MY HEALTH, MY CHOICE, MY RESPONSIBILITY
Page 26
▪ My Health, My Choice, My Responsibility is an eight-session program to train adults with developmental disabilities to become health self-advocates. Each session covers a health area with the focus on making healthy choices in daily life and speaking up for good health.
▪ My Health, My Choice, My Responsibility emphasizes the importance of self-advocacy in health and wellness areas. Both a trainer and a self-advocate trainer facilitate the program. Participants are those who have an interest in their own health and wellness and have the desire to speak up for themselves.
▪ http://www.nymyway.org/Howto/Health_Choice_Responsibility.html
▪ A self-directed learning and health promotion Ipad app is available for this training curriculum through AbleLink Technologies. It can be downloaded via iTunes.
27
Selecting goals and measuring progress
STEP V
Based on the information
discussed while completing the
Personal Health & Interest
Assessment, the Mentor supports
their Buddy in developing an
individualized goal, selecting
activities that will support the
attainment of the goal, and ways to
measure progress. An Action Plan
is then developed. Progress is
measured via pre- and post- goal
related measures, regular
coaching sessions and use of
Health Messages bracelets.
ACTION PLAN
Page 29
SUGGESTED GOAL-RELATED ACTIVITIES
Page 30
•Cooking Classes
•Shopping Assistance
•Nutrition
•Vegetable garden
•Drink more water
Eat Better
• Yoga
• Stress Management
• Helping others
• Aromatherapy
• Positive Attitude
Feel Better
• Weight loss group
• Walking Club
• Drinking Water
• Tai Chi
Lose Weight
• Relaxation Exercises
• Activities like Art, Yoga, etc.
• Meditation
• Limit Caffeine
• Music Sleep Better
• Exercise Classes
• Walking Club
• Sports
• Hiking
• Exercise with a Buddy
Be more Active
• Smoking Cessation Class
• Nicotine patch
• Set a quit date
• Enlist support
Stop Smoking
MEASURING PROGRESS
Page 31
Pre- & post- measures for each participant (24-week program cycles) • BMI • Cholesterol • Blood pressure • Smoking • Feel Better survey • Physical activity – develop individualized measure • Demographic data: age, gender, height, # of individuals
participating in each goal area Future Item: Aggregate cost of medications to treat targeted conditions
Personal Wellness Journal With Progress Card
Health Messages Bracelets for participation and/or
attainment of short-term goals
SAMPLE INDIVIDUAL WELLNESS SCHEDULE
32
May be used for Time periods or comments
Place check mark when completed to measure progress in participation
Weekly meeting with Coach to discuss goals and progress
SAMPLE WELLNESS PROGRESS CHART
33
HOW DO I FEEL? SURVEY
Page 34
Participant Name: _____________________ Date: ________ All questions are to be answered with Yes or No. Please read the questions and circle your answers. 1. My life is on the right track Yes No 2. I feel I have choices in what happens in my life. Yes No 3. When I think about my life I feel happy. Yes No 4. I feel good about my appearance. Yes No 5. It is hard for me to relax because I worry a lot. Yes No 6. I cannot think of anything good to say about myself. Yes No 7. I don’t feel that I am successful. Yes No 8. I try to take good care of my health. Yes No 9. I feel nervous when I am talking to people. Yes No 10. I am happy being me. Yes No Each correct answer is worth 1 point
Scoring Guide
Fillable version of the form is located in the Resources section.
35
Challenging yourself and with others
STEP VI
Each organization develops games, activities and challenges to make Wellness fun and exciting. Individuals participating in these activities receive rewards and incentives.
AN EXAMPLE OF A FUN CHALLENGE
Page 37
FACEBOOK PAGE
Page 38
Wellness Together’s Facebook page is a fun way of being part of a community that is on a similar journey to health and wellness. It is also a tool to share ideas and resources, and recognize achievements.
https://www.facebook.com/wellnesstogethercollaborative
39
Recognizing and rewarding your efforts
STEP VII
It is important to have rewards and incentives as recognition of attainment of goals and completion of challenges. Here, Joe recently completed the Lexington Wellness Program's "Finish Fit Exercise Challenge." The goal of the Challenge was to complete over 900 minutes of exercise over the course of six weeks. With the support of his Wellness Buddy Pete, Joe completed 1170 minutes of exercise! Joe receiving his award, a certificate and a gift card from Walmart from Lexington’s Deputy Executive Director Dan Richardson!
41
SECTION II RESOURCES & SUPPORTS
ORGANIZATIONAL SUPPORT
Page 43
Wellness Steering Committee determines: • Who constitutes the Pilot • Who is responsible for implementing the plan • Adapt the menu/calendar of activities for each goal area • Determine how data is collected and reported in an electronic format • Provide training and communication to staff about program to be
implemented • Review aggregate data to determine progress and adaptations that
might be needed • Re-assess pilot and plan on a semi-annual basis • Act as liaison with The Regional Collaborative on Health and Wellness
Each organization’s commitment to participate requires: • A pilot program • Establishment of a wellness steering
committee • Commitment of staff and financial
resources
THE REGIONAL COLLABORATIVE ON HEALTH & WELLNESS
Page 44
The Collaborative is comprised of seven NYSARC , Inc. Chapters who have robust wellness programs for their employees and individuals that they support and have come together to initiate wellness programming tools and resources. The primary purpose is to improve the overall health and to reduce the secondary problematic health conditions that individuals experience. Representatives from each Chapter have met to compile and to share ideas, activities, plans, and implementation strategies that incorporate a full scope of health and wellness options. Being experts in the field of working with and supporting individuals with intellectual and development disabilities, these Chapter representatives worked together to create the curriculum overview and to research materials and best practices in the field to compile this booklet. Additionally the Collaborative hopes to build a regional resource of information and support to individuals and to the direct support professionals who assist them on a daily basis. A unique feature of the program is the expectation that all of the activities can be easily adapted to support any individual and staff can join in the activities to model and motivate individuals towards a healthier lifestyle! Having compiled this booklet as a resource, the Regional Collaborative on Health & Wellness will continue to: • Serve as a mentor and resource to each organization, providing the framework for the Health and Wellness
plan • Collect and analyze aggregate data to ensure progress • Provide training opportunities • Design challenges to promote achievement of goals • Modify plan as necessary • Pursue funding opportunities
Members of the Collaborative
Carolynn Anklam, COARC Laurie Bortscheller, Rensselaer ARC
Jeffrey Collins, Liberty Cindy Dambrocia, Schenectady ARC
Nancy DeSando, Lexington Brenda Ebel, COARC
Marco Ingoglia, COARC Glenda Hughes, Rensselaer ARC Lauren Milavec, Schoharie ARC Lisa McHugh, Schenectady ARC Carlene Pavlak, Schoharie ARC
Gina Warsaw, Lexington Melaney Wilson, COARC
Terry Williams, Lexington Shaloni Winston, Lexington
Jackie Wright, Saratoga Bridges
Special Credit: Theresa Potts, COARC
To Contact the Collaborative
Shaloni Winston Executive Director
Lexington, Fulton County Chapter, NYSARC, Inc. 127 East State Street
Gloversville, NY 12078 (518) 775-5383
RESOURCES
Page 45
http://www.choosemyplate.gov • ChooseMyPlate.gov provides practical information to individuals, health professionals, nutrition educators, and the food
industry to help consumers build healthier diets with resources and tools for dietary assessment, nutrition education, and other user-friendly nutrition information. As Americans are experiencing epidemic rates of overweight and obesity, the online resources and tools can empower people to make healthier food choices for themselves, their families, and their children.
• MyPlate, MiPlato, and ChooseMyPlate.gov were developed by and are maintained by the USDA Center for Nutrition Policy & Promotion (CNPP).
1-800-QUIT-NOW (1-800-784-8669) is a free telephone support service that can help individuals who want to stop smoking or using tobacco. Callers are routed to their state quit lines, where they have access to several types of quit information and services, including:
• Free support, advice, and counseling from experienced quitline coaches • A personalized quit plan • Practical information on how to quit, including coping strategies • The latest information about medications • Free or discounted medications (available for at least some callers in most U.S. states) • Referrals to other resources
http://www.nysmokefree.com
• Provides information and support solutions about quitting smoking, including local support groups and access to nicotine replacement products
• Nicotine replacement products – over-the-counter (nicotine patch, also available by prescription), gum, lozenge and prescription (nicotine patch, inhaler, nasal spray)
• Prescription non-nicotine medications – bupropion SR (Zyban), varenicline tartrate (Chantix)
HO
W D
O I F
EE
L?
Part
icip
ant
Nam
e: _
____
____
____
____
___
_
Dat
e: _
____
___
All
qu
esti
on
s ar
e to
be
answ
ered
wit
h Y
es o
r N
o.
Ple
ase
read
th
e q
ues
tio
ns
and
cir
cle
you
r an
swer
s.
1. M
y lif
e is
on
th
e ri
ght
trac
k
Ye
s
No
2
. I f
eel I
hav
e ch
oic
es in
wh
at h
app
ens
in m
y lif
e.
Ye
s N
o
3. W
hen
I th
ink
abo
ut
my
life
I fee
l hap
py.
Yes
N
o
4. I
fee
l go
od
ab
ou
t m
y ap
pea
ran
ce.
Yes
N
o
5. I
t is
har
d f
or
me
to r
elax
bec
ause
I w
orr
y a
lot.
Yes
No
6
. I c
ann
ot
thin
k o
f an
yth
ing
goo
d t
o s
ay a
bo
ut
mys
elf.
Ye
s N
o
7. I
do
n’t
fee
l th
at I
am s
ucc
essf
ul.
Ye
s N
o
8. I
try
to
tak
e go
od
car
e o
f m
y h
ealt
h.
Ye
s N
o
9. I
fee
l ner
vou
s w
hen
I am
tal
kin
g to
peo
ple
.
Yes
No
1
0. I
am
hap
py
bei
ng
me.
Ye
s N
o
Be A
ctive
Eat H
ealth
y
Man
age S
tress
Be To
bacc
o Fr
ee
Prin
ted
Nam
e: __
____
____
____
____
____
____
____
____
____
____
____
__
Dat
e of B
irth:
____
____
____
____
____
____
____
____
____
_ Be
low
- Pl
ease
chec
k any
that
appl
y and
fill i
n nu
mbe
r of t
imes
/min
utes
if ap
plica
ble
I tak
e a w
alk fo
r ___
_ min
utes
____
times
a we
ek.
I wor
k, pl
ay a
spor
t, do
an ex
ercis
e
prog
ram
or a
n ac
tivity
I enj
oy fo
r
____
min
utes
___ t
imes
a we
ek.
Plea
se lis
t you
r cur
rent
activ
ities
:
____
____
____
____
____
____
___
I wat
ch TV
/Vid
eos/
Gam
es o
r spe
nd
time o
n th
e com
pute
r ___
hou
rs
per d
ay.
Whe
n do
you
like t
o be
activ
e?
(chec
k any
that
appl
y)
Mor
ning
M
id-d
ay
Even
ings
Wee
kday
s
Wee
kend
s
I eat
frui
t ___
times
per
day
.
I eat
vege
tabl
es __
_ tim
es
per d
ay.
I eat
fast
food
mea
ls __
__
times
per
wee
k.
I eat
snac
ks __
__ ti
mes
per
day.
Plea
se lis
t typ
es o
f sna
cks:
____
____
____
____
____
___
I drin
k sug
ary d
rinks
(sod
a,
juice
) ___
tim
es p
er d
ay.
I eat
whe
n I a
m n
ot h
ungr
y
out o
f hab
it, b
ored
om o
r
beca
use o
f my f
eelin
gs.
The w
ay I f
eel k
ept m
e fro
m
doin
g my u
sual
activ
ity __
__
times
in th
e pas
t wee
k.
Feeli
ngs (
sadn
ess,
stres
s,
anxie
ty) a
ffect
ed m
y
happ
ines
s ___
_tim
es in
the
past
week
.
I par
ticip
ated
in a
spiri
tual
or
com
mun
ity ac
tivity
that
mad
e
me f
eel g
ood
abou
t mys
elf
___t
imes
in th
e pas
t wee
k. I g
et 7
to 9
hour
s of s
leep
ever
y nigh
t. Po
or sl
eep
affe
cted
the w
ay I
feel
____
times
in th
e pas
t
week
.
I do
not s
mok
e.
I do
not c
hew
toba
cco.
I sm
oke _
___
times
a da
y.
I che
w___
_ tim
es
a day
.
I am
tryin
g to
quit
or cu
t dow
n.
I see
a Do
ctor
____
_
times
a ye
ar.
As fa
r as B
eing A
ctive
, Eat
ing H
ealth
y, M
anag
ing S
tress
, and
Bei
ng
Toba
cco
Free
whe
re ar
e you
? (ch
oose
one
)
No
chan
ges n
eede
d.
Rea
dy to
mak
e a ch
ange
.
Willi
ng b
ut w
ould
like a
par
tner
or g
roup
.
Not
sure
I am
read
y to
mak
e a ch
ange
but
willi
ng to
talk
abou
t it.
Not
inte
reste
d in
mak
ing a
chan
ge at
this
time.
Do
you
want
to? (
chec
k any
that
appl
y)
Lo
se W
eight
Ea
t Bet
ter
Fe
el Be
tter
Be M
ore A
ctive
Sl
eep
Bette
r
Le
arn
to M
anag
e Stre
ss
O
ther
, exp
lain:
___
____
____
____
____
____
____
____
____
_
Wha
t are
as ar
e you
mos
t con
cern
ed ab
out?
Phy
sical
Activ
ity
Diet
/Nut
ritio
n
Stre
ss
Toba
cco
Use/
Smok
ing
Slee
p
Othe
r (If
you
selec
t oth
er p
lease
des
crib
e):
____
____
____
____
____
____
____
____
____
_
Have
you
disc
usse
d yo
ur co
ncer
n(s)
with
your
Doct
or?
Yes
N
o W
hat a
ctivi
ties w
ould
you
like t
o do
?
____
____
____
____
____
____
____
____
____
_
Wha
t wou
ld h
elp yo
u m
ake a
chan
ge? (
Chec
k any
that
appl
y)
Priz
es
Cont
est
Aw
ards
Team
N
ew C
loth
es
Supp
ort S
yste
m
Feeli
ng G
ood
Ta
king l
ess m
edica
tion
Oth
er (p
lease
expl
ain)_
____
____
____
____
____
____
____
____
____
_
Wha
t mak
es it
har
d fo
r you
to d
o he
althy
thin
gs? (
Chec
k any
that
appl
y)
The C
ost
No
ener
gy
Nee
d su
ppor
t or e
quip
men
t
Don
’t kn
ow h
ow
It is
har
d to
do
La
ck o
f Tim
e
No
mot
ivatio
n
Don’
t car
e
Tim
e/Lo
catio
n
Oth
er (p
lease
expl
ain)_
____
____
____
____
____
____
____
____
____
_
Date
:
Sig
natu
re:
Wel
lnes
s Tog
ethe
r
Pers
onal
Hea
lth &
Inte
rest
Ass
essm
ent (
PHIA
)
A Regional Collaborative on
Health and Wellness of People with Developmental
Disabilities
Lexington – Fulton County Chapter, NYSARC, Inc
• www.lexingtoncenter.org
COARC - Columbia County Chapter, NYSARC, Inc
• www.coarc.org
Liberty - Montgomery County Chapter, NYSARC, Inc
• www.libertyarc.org
The Arc of Rensselaer County
• www.renarc.org
Saratoga Bridges - Saratoga County Chapter, NYSARC, Inc
• www.saratogabridges.org
Schenectady ARC - Schenectady County Chapter, NYSARC, Inc
• www.arcschenectady.org
Schoharie County Chapter, NYSARC, Inc
• www.schohariearc.org
