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My Action Plan On the path to independence Name:


“Maples has really helped me, it has made me better. I feel more positive and less negative. It’s got me to understand my illness and who I really am. In Maples I have made many good friends and Maples has always got happy and fun things for us to do. The staff are always there to help and are very friendly. I am now a volunteer at Maples Activity and Resource Centre.� Nicholas, former service user.

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Contents Key Information 4 Practical Living skills 6 Managing Mental Health 8 Managing Physical Health 10 Personal Development & Social Interaction

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Responsibilities & 14 Taking Charge Notes 16 Progress & Review 18


Full Name: Date Of Birth: NIN: Phone Number:

Key Information

Current Address:

Important people Next of Kin: Contact number: Key Coordinator: Care Coordinator: Social Worker: Planner: If different to Key Coordinator

GP: Dentist:

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A brief overview of my psychiatric history: To include diagnosis, symptoms & any other important information

Signs I’m becoming unwell:

Action to take if I become unwell:


This part of your action plan should focus on the practical side of being able to live independently.

Cleaning

You should ask yourself which practical

Laundry

Practical Living Skills

skills you are strongest at and any that

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Cooking

you would like some help with.

Shopping Budgeting

How might things improve if you got help with these things? How would you like to be helped?

Income Accommodation Tenancy Support

To the right are some examples of Practical Living Skills, use them as a starting point but feel free to suggest other areas you would like to focus on:

Dealing With Neighbours, Other Residents, & Visitors

Use this space to list areas you would like to work on and to make notes:


Leave me alone

Stuck

I want someone else to sort things out

Accepting Help

up to me as well

I can make a

Believing

I’m learning how to do this

Learning

I can manage without help from the Maples

Self-Reliance

Select up to five areas from the Practical Living Skills section that you would like to work on with our help


This part of your action plan should focus on your mental health

Managing Mental Health

and well-being

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You should ask yourself which areas of your mental health are good and which areas you feel you are not coping well with? How might things improve if you got help

Dealing With Symptoms Medication Confidence Building Recognising Triggers

with these areas?

Addictive Behaviour How would you like to be helped? To the right are examples, use them as a starting point but feel free to suggest

Overcoming Drug Or Alcohol Abuse

other areas you would like to focus on:

Use this space to list areas you would like to work on and to make notes:


Leave me alone

Stuck

I want someone else to sort things out

Accepting Help

up to me as well

I can make a

Believing

I’m learning how to do this

Learning

I can manage without help from the Maples

Self-Reliance

Select up to five areas from the Managing Mental Health section that you would like to work on with our help


This part of your action plan is about how well you look after yourself - taking

Diet/Nutrition

Managing Physical Health

care of your physical health, personal

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hygiene and healthy diet.

Exercise

You should ask yourself if you have any particular physical health problems. Are

Medication

you getting help with them? What can you do to feel well more of the

Personal Hygiene

time? Do you drink or smoke too much? Would you like help with that? To the right are some examples, use

Accessing Doctor/ Dentist/Hospital

them as a starting point but feel free to suggest other areas you would like to focus on:

Substance Abuse

Use this space to list areas you would like to work on and to make notes:


Leave me alone

Stuck

I want someone else to sort things out

Accepting Help

up to me as well

I can make a

Believing

I’m learning how to do this

Learning

I can manage without help from the Maples

Self-Reliance

Select up to five areas from the Managing Physical Health section that you would like to work on with our help


Personal Development & Social Interaction 12

This part of your action plan is about thinking of ways to improve your confidence and interacting with others. You should use this section to think about where you would like to be in the future -

Your Goals Marc Groups External Groups

for example getting your own flat, finding a partner, seeking employment or coping

Voluntary Work

better with everyday life.

Paid Employment How can you achieve these goals?

Social Groups How can we help you to succeed?

Relationships To the right are examples, use them as a starting point but feel free to suggest

Hobbies

other areas you would like to focus on:

Use this space to list areas you would like to work on and to make notes:


Leave me alone

Stuck

I want someone else to sort things out

Accepting Help

up to me as well

I can make a

Believing

I’m learning how to do this

Learning

I can manage without help from the Maples

Self-Reliance

Select up to five areas from the Practical Living Skills section that you would like to work on with our help


This part of your action plan is about meeting the responsibilities of living in the community. This includes things

Responsibilities & Taking Charge

like paying your bills, getting on with

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neighbours or fellow residents, and taking responsibility for visitors. It also covers being in trouble with the police or courts. What is your attitude to the law and rules? How does it feel when you break them? To the right are examples, use them as a starting point but feel free to suggest other areas you would like to focus on:

Paying Rent/Bills (Managing Money)

Abiding By The Rules Abiding By The Law Interacting With Neighbours And Other Residents Taking Responsibility For Visitors Managing Risk Medication and Prescriptions

Use this space to list areas you would like to work on and to make notes:


Leave me alone

Stuck

I want someone else to sort things out

Accepting Help

up to me as well

I can make a

Believing

I’m learning how to do this

Learning

I can manage without help from the Maples

Self-Reliance

Select up to five areas from the Practical Living Skills section that you would like to work on with our help


Use this space to make any additional notes:

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Review Date: Brief summary of changes:

Progress & Review

Planner Sign:

Service User Sign:

Review Date: Brief summary of changes:

Planner Sign: Service User Sign:

Review Date: Brief summary of changes:

Planner Sign:

Service User Sign:

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Review Date: Brief summary of changes:

Planner Sign:

Service User Sign:

Review Date: Brief summary of changes:

Planner Sign: Service User Sign:

Review Date: Brief summary of changes:

Planner Sign:

Service User Sign:


My Action Plan  

Maples MAP

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