My Action Plan

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.

2

ContentsKey Information 4

Practical Living skills 6

Managing Mental Health 8

Managing Physical Health 10

Personal Development 12& Social Interaction

Responsibilities & 14 Taking Charge

Notes 16

Progress & Review 18

Full Name:

Date Of Birth:

NIN:

Phone Number:

Current Address:

Important people

Next of Kin:

Contact number:

Key Coordinator:

Care Coordinator:

Social Worker:

Planner:If different to Key Coordinator

GP:

Dentist:

Key

Info

rmat

ion

4

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:

Prac

tical

Liv

ing

Skill

sThis part of your action plan should

focus on the practical side of being able

to live independently.

You should ask yourself which practical

skills you are strongest at and any that

you would like some help with.

How might things improve if you got help

with these things?

How would you like to be helped?

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:

Cooking

Cleaning

Laundry

Shopping

Budgeting

Income

Accommodation

Tenancy Support

Dealing With Neighbours, Other Residents, & Visitors

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

6

Sele

ct u

p to

five

are

as fr

om th

e Pr

actic

al L

ivin

g Sk

ills

sect

ion

that

you

wou

ld li

ke to

wor

k on

with

our

hel

p

Stuc

kLe

ave

me

alon

e

Acc

eptin

g H

elp

I wan

t som

eone

el

se to

sor

t th

ings

out

Belie

ving

I can

mak

e a

up to

me

as w

ell

Lear

ning

I’m le

arni

ng h

ow

to d

o th

is

Self-

Relia

nce

I can

man

age

with

out h

elp

from

the

Map

les

Man

agin

g M

enta

l Hea

lthThis part of your action plan

should focus on your mental health

and well-being

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

with these areas?

How would you like to be helped?

To the right are examples, use them as

a starting point but feel free to suggest

other areas you would like to focus on:

Dealing With Symptoms

Medication

Confidence Building

Recognising Triggers

Addictive Behaviour

Overcoming Drug Or Alcohol Abuse

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

8

Sele

ct u

p to

five

are

as fr

om th

e M

anag

ing

Men

tal H

ealth

sec

tion

that

you

wou

ld li

ke to

wor

k on

with

our

hel

p

Stuc

kLe

ave

me

alon

e

Acc

eptin

g H

elp

I wan

t som

eone

el

se to

sor

t th

ings

out

Belie

ving

I can

mak

e a

up to

me

as w

ell

Lear

ning

I’m le

arni

ng h

ow

to d

o th

is

Self-

Relia

nce

I can

man

age

with

out h

elp

from

the

Map

les

Man

agin

g Ph

ysic

al H

ealth

This part of your action plan is about

how well you look after yourself - taking

care of your physical health, personal

hygiene and healthy diet.

You should ask yourself if you have any

particular physical health problems. Are

you getting help with them?

What can you do to feel well more of the

time? Do you drink or smoke too much?

Would you like help with that?

To the right are some examples, use

them as a starting point but feel free to

suggest other areas you would like to

focus on:

Diet/Nutrition

Exercise

Medication

Personal Hygiene

Accessing Doctor/Dentist/Hospital

Substance Abuse

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

10

Sele

ct u

p to

five

are

as fr

om th

e M

anag

ing

Phys

ical

Hea

lth s

ectio

n th

at y

ou w

ould

like

to w

ork

on w

ith o

ur h

elp

Stuc

kLe

ave

me

alon

e

Acc

eptin

g H

elp

I wan

t som

eone

el

se to

sor

t th

ings

out

Belie

ving

I can

mak

e a

up to

me

as w

ell

Lear

ning

I’m le

arni

ng h

ow

to d

o th

is

Self-

Relia

nce

I can

man

age

with

out h

elp

from

the

Map

les

Pers

onal

Dev

elop

men

t & S

ocia

l Int

erac

tion 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 -

for example getting your own flat, finding

a partner, seeking employment or coping

better with everyday life.

How can you achieve these goals?

How can we help you to succeed?

To the right are examples, use them as

a starting point but feel free to suggest

other areas you would like to focus on:

Your Goals

Marc Groups

External Groups

Voluntary Work

Paid Employment

Social Groups

Relationships

Hobbies

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

12

Sele

ct u

p to

five

are

as fr

om th

e Pr

actic

al L

ivin

g Sk

ills

sect

ion

that

you

wou

ld li

ke to

wor

k on

with

our

hel

p

Stuc

kLe

ave

me

alon

e

Acc

eptin

g H

elp

I wan

t som

eone

el

se to

sor

t th

ings

out

Belie

ving

I can

mak

e a

up to

me

as w

ell

Lear

ning

I’m le

arni

ng h

ow

to d

o th

is

Self-

Relia

nce

I can

man

age

with

out h

elp

from

the

Map

les

Resp

onsi

bilit

ies

& T

akin

g C

harg

eThis part of your action plan is about

meeting the responsibilities of living

in the community. This includes things

like paying your bills, getting on with

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:

14

Sele

ct u

p to

five

are

as fr

om th

e Pr

actic

al L

ivin

g Sk

ills

sect

ion

that

you

wou

ld li

ke to

wor

k on

with

our

hel

p

Stuc

kLe

ave

me

alon

e

Acc

eptin

g H

elp

I wan

t som

eone

el

se to

sor

t th

ings

out

Belie

ving

I can

mak

e a

up to

me

as w

ell

Lear

ning

I’m le

arni

ng h

ow

to d

o th

is

Self-

Relia

nce

I can

man

age

with

out h

elp

from

the

Map

les

Use this space to make any additional notes:

16

Prog

ress

& R

evie

wReview 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:

18

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: