Wellness

Programming for
Rehabilitative
Mental Health
Agencies


2014







Wellness Programming:
A Toolkit for Rehabilitative Mental Health Agencies

May 2014
















Acknowledgements


A special thank you to Spirit Crossing Clubhouse and Frontier House for their
support and guidance throughout this project. Together, we can continue to
creating healthier communities.



































This toolkit was compiled from public health resources and community strategies. Information in
this manual was compiled from Colorado Worksites: Resources and Tools for Implementing
Wellness- Colorado Public Health Department, Working on Wellness- Massachusetts Department
of Public Health, SAMSHA Wellness Efforts and Clubhouse Internationals Annual Seminar.









For more information, please contact:
Devin Laedtke
Denver, Colorado
E-mail: Devin.Laedtke@unco.edu








Wellness and Mental Health
Mental Health, Wellness and the Clubhouse
Principles of Health Promotion
SAMHSAs Dimensions of Wellness
Ecological Model
Foundations of Wellness Programming
Needs Assessment
Assessing the needs and wants of your organization
Surveys
Focus Groups Discussions/ Community Forums
Environmental Audits & Alternative Collection Methods
Themes
Program Planning
Program Planning Components
Hints for Success
Behavior Change Strategies
Types of Interventions
Examples of Program & Policy Changes
Theme Ideas
Incentives & Donations
Program Implementation
Organization
Marketing of program
Communication Channels
Options for Evaluation Methods
Appendix
Interest & Needs Survey
Wellness Fun Facts
Worksite Scorecard
Wellness Domains Scavenger Hunt
Rethink your Drink Campaign
Healthy Alternatives
Organizational tools
Great Holiday Weigh Campaign
United States Dietary Guidelines
Show-off Board Template
Goal Setting Worksheet





Table of Contents

Evaluation































The Clubhouse is a community full of people who care about one another and continually challenge each
other to be their best and achieve their goals. When we ignore our bodies and do not give the proper
attention towards wellness, we can become sidetracked from our goals. We become burdened by
inadequate health care and poor physical health that it becomes difficult to achieve our objectives whether
in education, employment or maintaining our relationships.
1


Many Clubhouses began to address the health disparities that our occurring in our communities by
increasing opportunities for physical activity, healthy eating and tackling tobacco. It is important that
Clubhouses be able to provide in-house activities as well as partnerships with local community
organizations. Clubhouses can partner with local organizations and combine resources to promote healthy
lifestyle choices for their members.

Research continually illustrates the health disparities experienced by individuals with a mental health
diagnosis. These individuals have an increased risk of early mortality rates, chronic diseases and tend to
be less physically active then the general population (Artinian et al., 2010).
2
Rates of comorbid illnesses
such as hypertension, diabetes and cardiovascular disease are as high as 60 percent among individuals
with a mental health diagnosis (Hodgson et.al, 2011).
3


It is time for Clubhouses to address the health inequity experienced in our community. This wellness
programming manual will assist organizations in integrating wellness activities and interventions into the
Clubhouses daily schedule. The manual will encompass evidence-based programming that will provide
organizations with the continuation of sustainable and effective programming. Evidence-based
programming is essential for behavior change. Time and money need to be effectively used so they will
produce significant, long-lasting health changes.

Targeted outcomes of wellness programming:
Promote mental health wellbeing
Decrease negative side effects of medication
Increase an individuals social network
Lower stress levels
Decrease overall morbidity and mortality rates within this target population.

Why include wellness programming at your organization?
The clubhouse model provides numerous benefits for including wellness programming at the facility.
Ability for reinforcement
Social networks, social support
Adequately address barriers in a supportive environment with trained individuals



Mental Health & Wellness

1
Osterman, 2014
2
Artinian et al., 2010
3
Hodgson et al., 2011




Health Promotion
Any combination of health education, and related organizational, political and economic
interventions designed to facilitate behavior and environmental adaptations that will improve or
protect health.
5

The process of enabling people to increase control over their health and its determinants, and
thereby improve their health.
6



SAMHSAs Eight Dimensions of Wellness
A Holistic Guide to Whole-Person Wellness
For people with mental health and substance use conditions, wellness is not the absence of disease,
illness or stress, but the presence of purpose in life, active involvement in satisfying work and play,
joyful relationships, a healthy body and living environment, and happiness.
7

Wellness means overall well-being. It incorporates the mental, emotional, physical, occupational,
intellectual, and spiritual aspects of a person's life. Each aspect of wellness can affect overall quality
of life, so it is important to consider all aspects of health. This is especially important for people with
mental health and substance use conditions because wellness directly relates to the quality and
longevity of your life.
7


Principles of Health Promotion for Members
4

1. Health and access to health care are universal rights of all people.
2. Health promotion recognizes the potential for health and wellness for all people
3. Active participation of members in health promotion activities is ideal.
4. Health education is the cornerstone of health promotion.
5. Health promotion for members address the health characteristics of environments where
people live, learn and work.
6. Health promotion is holistic and eclectic in use of many strategies and pathways.
7. Health promotion addresses each individuals resource needs.
8. Health promotion interventions must address differences in peoples readiness for change.
4
Hutchinson, 2006
5
Health and Human Services, 1980
6
World Health Organization, 1986
7
SAMSHA, 2012


8
SAMHSA. Retrieved from :
http://www.promoteacceptance.samhsa.gov/10by10/dimensions.aspx

Using an Ecological Approach towards Wellness
After considering the different wellness dimensions, it is important to understand that health is
determined by influences at multiple levels. The ecological approach illustrates possible population-level
and individual-level health determinants. Organizations need to examine individual, group, agency,
community and policy level factors to determine which area may inhibit or contribute to healthy
lifestyle choices.



Examples of Health Inhibitors or Contributors at each Level:
Individual (Intrapersonal): Preferences, Skills, Knowledge, Age, Motivation, Self-Confidence
Interpersonal: Social Support, Social Norms, Culture, Work Group
Organization/Community: Food Availability, Socioeconomic Characteristics, Built
Environment, Potion Sizes, Access to Transportation, Agency Regulations, Community
Networks
Policy: Public Policy, Advertisement, Food Pricing, Smoking Policy
Policy
Community
Organizational
Interpersonal
Individual
Foundations of a Wellness Program




Assessing: Performing a needs assessment helps agencies determine the current health and wellbeing of
members as well as the environment. It is important that the design of a program aligns with the
organizations mission, goals and objectives.
Planning: During this phase organizations plan goals, objectives and activities related to programming.
Agencies need to develop short and long-term goals that they wish to accomplish.
Implementing: This is the where all of the hard work pays off. Many agencies want to begin here but
without a strong assessment and planning phase programs might fail. Once you have developed a strong
foundation, being the implementation section and move towards hosting programs, activities and events.
Evaluating- This is the time gather information to determine if your program is effective and identify
areas which may need improvement. Evaluation is a process, not a single event. This should take place
throughout the entire program.
9





Needs Assessment
Planning and Development
Implementation
Evaulation
9
Colorado.gov, n.d.

This is the collection of information on both current health status and ideal health status of a group of
individuals at a site/community. This is a formalized approach to collecting data in order to identify
needs and wants of a group of individuals. A needs assessment will help identify where to start a
wellness program. It shows current resources, strengths and areas for improvement.




Data Collection












Needs Assessment Tools
Surveys
A member interest survey is an effective way to gather health information and interests from members.
These interest surveys gage member health needs and wants. In addition, this process gives members a
sense of ownership and involvement in the decision-making process. After evaluating the results, a
program can be geared to the needs and wants of the organization. (Sample survey can be found on
Appendix A.)


Step 1: Needs Assessment

Determinng what is
Moving towards what
needs to be.
Types of primary sources of data
Survey
Community Forum
Focus Groups
Environmental Audits
Alternative Approaches
Types of Data
Qualitative
Quantitative




Members are more likely to actively
participate if they develop the ideas
from which these program components
spring, and perceive themselves as
having personal choices involved with
both the development of, participation
in, program components.
10

10
Casstevens, 2011


Environmental Scan (Audit)
These scans, or audits, are tools that agencies can use to assess the health environment of their
organization. The audit evaluates how both wellness policies and the actual environment impact the
health of members. This is a great tool to measure the health environment of your organization. The audit
will ideally guide the actions of wellness planning and help make the worksite more supportive of healthy
behaviors. .Measurements can be used on an annual basis for wellness recognition and goal setting.
(See Appendix B for an adapted wellness audit for rehabilitative mental health agencies)
12


Community Forum
Whether at a house meeting or program planning meeting, it is important to gather community feedback
for programming. Community forums keep the conversation going on certain topics of wellness. Certain
questions can stimulate discussion. Discussion can be brought up every six months to reinforce wellness
programming being a key priority of the Clubhouse.
Questions to consider:
Are you aware of the wellness programs currently available through the Clubhouse?

Have you participated in any of the wellness programs?

If you have participated in the Wellness Program, did you benefit from the experience?

If you have participated in the Wellness Program, did you find it easy to become involved?

Are you open to participating in wellness activity?

Would be more likely to participate in wellness activity if there was an incentive?




Tips for creating surveys
11

Keep them short (<10 minutes)
Make sure the members know the reason for the survey
Have a place for comments and open ended questions at the end
Make it confidential and anonymous
Include a list of possible programs or environmental changes
11
Colorado.gov, n.d.

12
CDC, 2014
Focus Groups
Focus groups are a great venue in which members can be involved in the process of development for
wellness programming.
10
Focus groups should include members, staff and have administrative support.
Focus groups could be conducted on a yearly basis to determine members wants in regards to wellness
and programming at the Clubhouse.
Example Focus Group Questions
10
1. How do you view your health?
2. Would you like to improve it?
3. What would this mean to you?
4. What do you do now that helps you feel better?
5. What have you done in the past that helped you feel better?
6. How have these things worked out?
7. What do you think will help you feel better?
8. What can you do that might help this happen?
9. What could the Clubhouse do that would help this happen?
10. What could happen at the Clubhouse that would help you feel better?
11. What could staff and members do at the Clubhouse to help you feel better?
12. What could you do at the Clubhouse (and/or at home) what would help you feel better on an
ongoing basis?

Whiteboard Feedback
A more unstructured way of gathering feedback is through a whiteboard. The whiteboard is used to
gather spontaneous feedback from members and encourage engagement. Display this whiteboard in a
high traffic area that may or may not already be dedicated to wellness programming. Whenever someone
has an idea for an activity or initiative, have them write it on the board. Towards the end of the month, use
a house meeting or planning meeting to incorporate all the ideas in to the next month(s) planning.

Write down your wellness ideas!
Stress
Management
Themes

It can be beneficial to used themes to center around programming. Themes create a common idea for all
programming. These themes can span over the course of a month, or multiple months to keep motivation
and excitement high.
Possible Ideas
Lifelong Resolutions (January+) goal setting, support groups, try new things, smoking cessation
group,
National Heart Month (February)heart screenings, walking, Mediterranean diet
National Bike Month (May)assisting clients to receive free bikes, bike rides, go over current
routes, active transportation.
Summer Fun Fitness Challenge (June-Aug) outside activities, healthy summer snacks, pool,
farmers market trips, gardening, Rethink Your Drink Campaign
o Celebrate Vegetables (July)vegetable themed month during the summer, how to
incorporate more vegetables into your diet
Healthiest Clubhouse Initiative walking challenges between clubhouses, hike together, softball
games, vegetarian cook-off
Health for the Holidays (November-December) cooking healthy holiday meals, keeping track of
what you eat, indoor exercises, holiday weight challenge


Step 2: Program Planning and Development


Components to consider during the planning process
Vision/Mission statement
Long- and short-term goals and
objectives
Data collection
Program design
Programs and interventions
Roles and responsibilities
Timelines
Itemized budget
Marketing and communication
strategies
Evaluation protocol


Setting Annual Goals
I. Develop mission statement- The mission of any Clubhouse wellness program communications
plan is to build and sustain interest and maintain participation in the program and its activities.

II. Objectives- Before beginning to develop and implement programs, it is important to discuss and
formally write out what the objectives the wellness program needs to accomplish. Your
objectives should be measurable and incremental.


Goal Objective Intervention









Behavior Change Strategies


Certain strategies have been shown to complement wellness program and provide additional benefits for
behavior change.
ModelingUsing peer modeling to demonstrate and educate on behavior
Skill TrainingIncreasing members skills and abilities in a certain tasks increases their self-
efficacy to perform this activity independently.
ContractingHaving people write down and sign their goals
Self-monitoringHaving a way for people to record their goals and learn to self-monitor
Environmental ChangesPhysical or social changes to the actual environment

General Tips for Success
Punishment usually doesnt work
Must be committed and use several techniques
Change one behavior at a time
If participants are under a lot of stress, direct attention towards that first
Forget the past, concentrate on the present
Reward for small successes
Plan for tempting situations.

11

Use theory to create behavior change. Theory does not have to be intimidating, these are evidence-based
constructs that have been used to predict and cause change. Consider using some of these strategies when
deciding on certain wellness activities.
Perceived Susceptibility Educating on a certain topic to provide reference for the individuals
susceptibility to that disease/illness based on their lifestyle
Perceived Severity Educate individuals on the severity of a certain illness/disease
Benefit v. Cost AnalysisProvide explanations to overcoming barriers to certain activities and
the benefits of participating
Cues to ActionSimple cues throughout the day that would initiate a person to think about
something
Self-Efficacy- Providing individuals the skills and tools they need to feel that they CAN take the
right steps towards xyz.
Stages of Change Theory (Transtheoretical Model): Understanding that everyone is at
different stages of their recovery and motivation to create change in their life. This area suggests
meeting people where they are, and working from there to set and achieve goals.


People learn in a variety of different ways. Consider the variety in ways you can communicate your
programs:
Visual: looking at images, body language, demonstrations
Auditory: Hearing the spoken word
Kinesthetic: Doing and interacting
When planning and delivering behavior change activities that teach new skills, make sure to provide
opportunities for participants to practice those skills. For example, in an active living program for a
sedentary population which encourages increasing physical activity, the agency may ensure that stairwells
are accessible and well lit, implement a stair-use campaign and promote the use of stairs though signs and
other incentives.
13

(Please see Appendix C for the Intervention Planning Worksheet )










13
Mass.gov, 2011

Types of Programming: Activities & Policies

Programs
o Starting Wellness Walks is an easy and free program. Steps include:
Developing a name for the Walking Club
Recruiting an individual to be the advocate for the walk each day
Develop a walking schedule
Create an alternate or indoor activity to use during inclement weather
Create logs for members to record their progress
Distribute pedometers to track steps

o Show off board- This is a great way to illustrate what other members in the clubhouse are
doing to stay healthy. It provides a brief description and picture of a members engaging in a
wellness activity. This provides modeling and educational components for other members. It
is a great way to utilize space on a designated wellness bulletin board. (See Appendix D for
template.)

o Incorporate wellness facts into the daily news announcements. This continues to remind
people and illustrate that the clubhouse represents and supports wellness as a priority. (See
Appendix E for wellness tips and fun facts. )

o Creating friendly physical activity contests with incentives to encourage the development of
health behaviors.
Creating a point system to measure wellness activities over a period of time. (See
Appendix F for sample chart.)
Organizing walking teams
Using awards/certificates to recognize participation among members

Types of Interventions
Instruction- Teacher-based lessons
Counseling- Individual or group session which can be focused on behavior
modification and behavioral contracting
Environmental Changes- Changes in physical, social or economic environment
that provide incentives or disincentives for behavior changes
Regulatory Strategies- Policy mandates, legislation, ordinances, rules or
regulations
Social Support- Support buddies, support groups or social networks in planning
Direct Intervention- Usually clinical; screenings, referrals, treatment, and follow
ups
Community- Mass media, personal media, printed media, posters, direct mail
Advocacy- organizing at the site, coalition building, community development,
o Non-profit Recreation Pass- Community gyms usually offer discounted rates to
organizations, especially to nonprofits.
o Walking meetings- if you have a meeting with a staff/member and there is little paperwork
involved, consider going on a walk to discuss the topic.
o Stretch breaks
o Relax Away the Stress ~ Host a 30 minute stress management session for all participants.
Encourage the use of stress management techniques in their daily lives. Provide 15-minute
chair massages for participants if feasible.

o Promote Fruits and Vegetables More Matters Campaign-Encourage employees to
consume more fruits and vegetables through a simple communications campaign employing
the use of company newsletters, intranet sites, flyers and payroll stuffers. Make educational
quizzes available and reward a select number of members who respond with a gift certificate
to a local supermarket . Visit http://www.fruitsandveggiesmorematters.org/ for more
information, recipes and activities.
o Scheduling fitness classes at the facility (e.g. yoga, tai chi, strength building, meditation)
o Start a gardening club at the organization or with a local community garden.
o Host a CookingMatters class at your facility.
o Put a symbol next to healthy food options on your menu, vending machines and snack bars.
Example, a heart can represent a healthy choice when put on certain menu
options.
o Invite a Registered Dietitian to come and discuss healthy eating this service is FREE
through WholeFoods.
o Host a free heart health screening
o If your organization provides lunch for members, obtain multiple healthy cookbooks as a tool
to cook healthy in the kitchen.
o If your organization provides lunch for members, keep a binder full of the delicious, healthy
meals that you cook. At the end of a six month period, offer to make copies and distribute the
cookbook to members.
o Obtain a blender to make healthy drinks for snacks or breakfasts.
o Host a smoking cessation class(es). Most local health departments provide FREE classes.
o Posting the Principles of Health Promotion for Members in a visible location at the
Clubhouse.
o Conduct group workshops on topic of interest.
o Take a tour of the local grocery store and discuss healthy shopping on a budget.
WholeFoods provides this service for FREE.
o Member led brown-bag lunch on chronic disease management. This is a great way to use
role modeling for healthy choices.
o Monitored members blood pressure and weight.
o Set up electronic health records for tracking biometric information.
o Conduct a social marketing campaign about a certain topic of interest or theme.
o Use a social media platform to promote events. Create a Facebook or Twitter page for your
organization.
o Develop and implement a 90-day pledge campaign for topics related to Healthy Hearts,
Weight Loss, etc. Use a goal-setting and monitoring approach. Goals can be made at the
beginning of the program and groups can check in during weekly meetings. If journal are
available, this is a great way to keep track of goals, progress and daily activities. (See
Appendix G for a Goal-Setting Template.)
o Hire a mobile medical van to conduct screenings.
o Give Yourself the Gift of Health Campaign. Create a holiday health campaign to keep
stress levels down, increase physical activity and nutritious eating during the holidays. (See
Appendix F for Campaign Ideas).
o Rethink your Drink Campaign- This four-week program is designed to motivate members
to reduce their intake of unhealthy, sugary, high calorie drinks and drink healthier
alternatives. (See appendix I for campaign materials.)
o Colorado Themed Ideas:
Colorado Map Sharing - Do you have a favorite fishing
spot/hike/waterfall/campground? Invite members to share directions and descriptions
of some of their favorite Colorado outdoor areas. Post these pictures around the
Clubhouse or on the Wellness Board.
Colorado-Recipe Potluck- Hosting a potluck with healthy versions of some favorite
Colorado recipes is a great way to encourage participants to make similar changes in
their cooking.
Learn from the Pros - Invite a Colorado native to give a short wellness presentation
on all that Colorado has to offer its residents.
Colorado Picture Contest - Invite everyone to email/mail in a favorite photo of any
Colorado site to be entered into a contest. Have a few impartial judges pick their
favorite and give away prizes to the winner
Policies
o Refer to the United States Dietary Guidelines for Americans as a basis for making decisions
when making food purchases and preparing recipes and meals. These guidelines encourage
Americans to focus on eating a healthy diet in order to maintain a healthy weight, promote
health, and prevent disease. By maintaining a healthy diet one can reduce the risk of chronic
disease. Please see Appendix J for the recommended guidelines.
o Purchase locally produced food if appropriate.
o Implement a policy that promotes health snacks in vending and snack bars.
o Refer to the Healthier Menu Substitutions when meal and snack planning. (See Appendix K
for substitution suggestions).
o Meatless Mondays
Donations for Incentives

Dont forget to reach out to your local stores for donations to use as incentives to motivate for
your wellness program. Certain stores that provide donations are:

o Walmart, Sports Authority, Grocery Stores (WholeFoods, Sprouts, King Soopers),
Subway, Target, Dicks Sporting Goods

When making a donation request, describe the number of people estimate to be involved in the
wellness program and make specific requests in $25-$50 dollar donation cards. Most stores will
not give actual items but gift cards for your agency to purchase whatever you choose. (Reference
Appendix L for a draft letter).

Ideas for Incentives
Water bottles
Pedometers
Fitness Mats
Fitness Weights
Gym Bag
Cookbooks
Recreation Passes
Bike Light
Resistance Bands
Grocery Store Gift Card
Fruit Basket


Step 3: Implementation


Organization- Using a Gantt Chart to guide implementation. A Gantt Chart is a very simple way to
organize and schedule upcoming events and what needs to get done before. A basic chart can be created
in Microsoft Excel. (See Appendix M for a Gantt Chart Reference).
Visual representation of programs schedule
Can easily be developed with Microsofts excel
Singe page
Allows for understanding of each activity included in the intervention
o Time, deadlines, schedule, evaluation

Marketing- This is a component of wellness programming that can make or break a program. Many
organizations promote their events, activities, programming through social platforms such as Facebook
and Twitter. Dont forget to also use resources around your organization. Flyers, digital and paper, are
effective at grabbing someones attention. Be creative!
Also, dont forget to have a time to verbally announce the upcoming program and activities. When people
are individually invited to participate, there are higher rates of attendance. There are FREE programs
which offer individualized text messaging to remind participants about smoking cessation or heart health
information.
Communication Channels
Bulletin boards Message boards are placed in centralized locations throughout the Clubhouse

Promotional flyers, information handouts & posters Tailored communication pieces that are
specific c to the branded program components are sent to all members outlining services
available. Flyers can be distributed in employee mailboxes or e-mailed to all members.

Member success stories Share motivating and inspiring success stories with the Clubhouse.
These stories capture a members dedication, consistency, challenges and rewards of working
towards personal health goals. Share these stories through a newsletter or weekly meetings.

Member personalized profile reports Create multi-faceted profiles that include pre- and post-
measurements and the individuals average scores depicted in graph form. Also, a narrative
summary outlines significant individual milestones the member has met.

Organization Newsletters Include a wellness section in the company newsletter with success
stories from employees, wellness tips, nutritious recipes, etc.

Internal website/Intranet information and reminders Use the internal website to post and
highlight wellness initiative activities and milestones for the organization.

Leadership meetings Engage leadership in promoting wellness opportunities that are available
to all members and their dependents.

Phone calls Provide one-on-one communications with employees to address questions,
concerns, behavior modification, interest and feedback.

One-on-one consultations Offer one-on-one opportunities to connect in person with individual
member and coach them toward their individual wellness intentions.

Lunch & Learns A lunch or break room is a great experiential venue to not only educate, but
also promote preventative approaches to health and wellness goals.

Daily activity reminders Daily reminders on news source to all members to keep them
informed of wellness services, challenges and opportunities.






Step 4: Evaluation


Measuring engagement and participation is key to sustaining an effective wellness program.
Three ways to measure and evaluate:
10

1. Determine if members are participating and satisfied with the wellness program
2. Determine if there have been health status changes as a result of the program
3. A combination of 1 & 2

Option 1: Are members participating and satisfied?
Data that should be collected for this option include:
Awareness, participation, reasons for non-participation, frequency of participation, intensity of
participation and staff satisfaction with the program.
Participation Data: Needs to be collected weekly or monthly depending on the program plan and
purpose. Then, participation trends and results should be compiled and presented at least annually so the
wellness coordinator can share in program progress and help determine additional program needs. This
evaluation approach is useful for monitoring how well programs are being implemented. Presentation of
trends and results should show areas of participation progress, and where program changes may need to
occur to increase or maintain participation.
10

Option 2: Are members participating and experiencing health improvements?
This option includes participation data described in Option 1, but adds new data to track changes in
individuals Health Risk Appraisals (HRA). For evaluation, the HRAs provide valuable information
about changes in health and clinical indicators (e.g., cholesterol level, tobacco exposure, BMI, blood
pressure). Depending on an organizations specific program, follow-up HRAs can be completed
quarterly, semi-annually, or annually to show changes in health indicators. Compiling and presenting the
participation data with the HRA data can provide convincing evidence that increases in participation
correspond to decreases in health risk scores.
10

A Clubhouse can choose to also collect information on these health outcomes:
10

Weight loss (change in BMI)
Change in cholesterol level
Change in A1C
Change in the use of asthma medication (or other maintenance medications)
Change in blood pressure
Change in tobacco use




10
Colorado.gov, n.d


Appendix




































A Interest Needs Survey
B Environmental Audit Tool
C Intervention Planning Worksheet
D Show-off Board
E Wellness Facts
F Point System Template
G Goal Template
H Holiday Campaigns
I Rethink Your Drink Campaign
J Dietary Guidelines
K Substitutions
L Donation Request Template
M Gantt Chart Template
Needs/Interest Survey

The [inset wellness program title] would like to learn more about {insert organization] members health
status and interest in wellness and health-related activities. Your responses will be used in planning the
program and choosing activities for [insert year].

This survey is completely anonymous and confidential; there is no way any individuals responses
can be identified.


Would you say that in general, your health is:
___ Excellent
___ Very good
___ Good
___ Fair
___ Poor

Physical Activity

Please check below the category that best describes your physical activity level for the previous
year: NOTE: Moderate to vigorous activity implies the followingany aerobic activity which raises your
heart rate to a level of 70% to 80% of your target heart rate: 220-your age = Target Heart Rate. When
exercising at a moderate level, you should be able to talk comfortably while doing the activity. At a
vigorous level, you may be sweating and/or breathing heavily (puffing.)

No Physical Activity.
Moderate to vigorous exercise 1 time per week for at least 30 minutes.
Moderate to vigorous exercise 2 times per week for at least 30 minutes, each time.
Moderate to vigorous exercise 3 times per week for at least 30 minutes, each time.
Moderate to vigorous exercise 5 times per week for at least 30 minutes, each time.

APPENDIX C
Nutrition

Please use this information in answering the next two questions: One serving equals one of the
following: a medium sized piece of fruit, 6oz glass of 100% fruit or vegetable juice, 1 cup cut up fruit or
vegetables, 1 cup dried fruit, 1 cup raw salad greens, . cup cooked beans or peas.

How many servings of fruit do you eat per day?
___ Servings per day

How many servings of vegetables do you eat per day?
___ Servings per day

How often do you eat fast food or junk food such as candy, soda, or chips?
___ Daily
___ Times per week
___ Times per month
___ Times per year


A
p
p
e
n
d
i
x

A

In general would you say your typical daily diet is:
___ Excellent
___ Very good
___ Good
___ Fair
___ Poor

Health Education

What health topics would you be interested in receiving information about? (check all that apply)
___ Diabetes ___ Chronic low back pain
___ High blood pressure ___ Digestive problems
___ High blood cholesterol ___ Fibromyalgia
___ Heart disease ___ Mental health
___ Alcoholism ___ Tobacco cessation
___ Asthma ___ Other: _________________________________
___ Arthritis

How would you prefer to receive this information?
___ Seminar (lunch & learn) ___ web site referral
___ Printed material ___ I am not interested in receiving this information
___ Other__________________________________

Wellness Activities

Which of the following activities would you participate in if the Employee Wellness Committee
sponsored them?
___ Chair Massage
___ Stress management programs
___ Weekly or monthly physical activity classes
___ Monthly healthy lifestyle workshops
___ Weight management class
___ Cooking class/demonstration
___ Walking program _
___ Confidential fitness/body fat testing
___ CPR training
___ Confidential health screening
___ Self-care for specific medical conditions (i.e. back care or diabetes management)
___ Safety/accident prevention
___ Alcohol/drug abuse education
___ Tobacco cessation classes
___ Nutrition education programs
___ Complementary medicine lectures (i.e. herbs, supplements)
___ Other:____________________________
___ Low-impact aerobics
___ Yoga
___ Stretching
___ Kickboxing
___ Ski Conditioning
___ Strength Training
___ Pilates
___ Tai Chi
___ Exercise Ball
___ Boot Camp
___ Self Defense
___ Circuit Training
___ Abs and Back
___ Walking Club


APPENDIX C
What type of programs or incentives offered at/through work would motivate you to make a change
in your health behavior?






What barriers would keep you from participating in wellness activities offered by the Employee
Wellness Committee?
___ None
___ Dont like what is offered
___ Job is too demanding
___ Dont want to sweat at work
___ Lack of support from direct supervisor
___ Lack of support from others
___ Other: _____________________________

APPENDIX C
If you were to receive information about activities, health topics, news or tips about healthy choices,
what would be your preferred way to receive that information? (select one)
___ Dedicated bulletin board
___ Weekly e-mail tips
___ Weekly Broadcast
___ Flyer
___ Intranet
___ Dedicated Employee Wellness website
___ At staff meetings
___ Other____________________________________________________
C


If you could change one thing about a policy or the physical environment at [insert
organization]that would enhance your health, what would it be?

Thank you for your help in completing this survey!
































Worksite Scorecard

What is a Worksite Health ScoreCard?

The original Worksite Health ScoreCard (HSC) was designed by the Center for Disease Control
and Prevention (CDC) to help employers assess their current health promotion interventions and
strategies to improve employee health. This Mental Health Worksite Health ScoreCard has been
modified to accurately address the needs and concerns of rehabilitative mental health
organizations. Due to the disproportionally higher rates of chronic disease and premature death
among individuals with mental illnesses, it is crucial to identify and implement wellness
initiatives at mental health agencies.

The CDC identifies the most effective approach to reduce chronic disease within the workplace
is with the implementation of an evidence-based comprehensive health promotion program
which includes environmental and organizational supports for health behaviors, risk reduction
programs, and integrated wellness activities. (CDC, 2014)
1


Who can use the Worksite Health ScoreCard?

Mental Health agencies, human resource managers, health benefit managers, health education
staff, nurses, medical directors, wellness directors and other who are responsible for health
promotion in a mental health organization. This ScoreCard can help establish benchmarks
and track improvements over time.

Steps for using the Mental Health Worksite Health ScoreCard:

1. Complete the Worksite Health ScoreCard
2. Calculate your worksites score using the scoring guide.
3. Review your organizations scores and use them as a planning tool. This tool will help
organizations prioritize strategies for short- and long-term health promotion program
goals. The tool will allow you to identify gaps in your worksites health promotion
program.
4. Determine and prioritize which strategies your worksite will implement.
5. Inform and educate staff and members about your organizations health promotion
program by presenting and disseminating your worksites ScoreCard scores.


Scoring

The CDC Worksite Health ScoreCard scoring system was developed to reflect the relative
impact of proven health promotion strategies. Each item on the HSC survey has been assigned a
point value between 1 and 3 (where 1=good, 2=better, and 3=best). This point value reflects the
level of impact that the strategy has on the intended health behaviors or outcomes and the
strength of scientific evidence supporting this impact. For example, awareness-building materials

1
Center for Disease Control and Prevention, 2014.
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such as brochures (1 point) have less of an effect on employee health than lifestyle counseling or
self-management programs (3 points). For more information about the evidence and impact
rating systems, please see http://www.cdc.gov/dhdsp/pubs/docs/hsc_manual.pdf.

The HSC tool below shows the point value that is assigned to each strategy. When scoring your
completed HSC, you will be able to determine two scoresa total HSC score and individual
scores for each of the different topic sections.

To calculate your total HSC score, add the point values of all the questions to which
you responded YES.

To calculate individual topic section scores, add the point values of all of the
questions to which you responded YES in a particular section (e.g., organizational
supports).

Questions that are skipped are counted as no, whether or not the strategy is
applicable to your worksite. You will receive 0 points for skipped questions. When
you review your total HSC score and individual topic scores, please keep in mind that
your scores may be lower because of the questions that were not applicable to your
worksite.

























Organization Information
Name:
Address:
Year:






Organizational Supports
During the past 12 months, did your worksite
Yes No Score
1. Conduct a members needs and interest assessment for planning
health promotion activities? Answer yes if, for example, your
organization administers focus groups or member satisfaction surveys
to assess your member health promotion program(s).

(1pt)

(0pts)


2. Demonstrate organizational commitment and support of worksite
health promotion at all levels of management?

(2pts)

(0pts)


3. Use and combine incentives with other strategies to increase
participation in health promotion programs? Answer yes if, for
example, your organization offers incentives such as gift certificates,
cash, product or service discounts, reduced health insurance
premiums, employee recognition, or prizes.


(2pts)


(0pts)


4. Use competitions when combined with additional interventions to
support members making behavior changes? Answer yes if, for
example, your organization offers walking or weight loss
competitions.

(2pts)

(0pts)


5. Promote and market health promotion programs to members? Answer
yes if, for example, your worksites health promotion program has a
brand name or logo, uses multiple channels of communication or
sends frequent messages.

(1pt)

(0pts)


6. Have an active health promotion committee? Answer yes if your
health promotion committee exists and has been involved in planning
and implementing programs.

(2pts)

(0pts)

7. Use examples of member role modeling appropriate health behaviors
or member health-related success stories in the marketing
materials?

(1pt)

(0pts)

8. Have a paid health promotion coordinator whose job (either part-time
or full-time) is to implement a worksite health promotion program?

(2pts)

(0pts)

Organizational Supports
9. Have a champion(s) who is a strong advocate for the health promotion
program?

(2pts)

(0pts)

10. Have an annual budget or receive dedicated funding for health
promotion programming?

(2pts)

(0pts)

11. Set annual organizational objectives for health promotion?

(2pts)

(0pts)

12. Include references to improving or maintaining member health in the
business objectives or organizational mission statement?

(1pt)

(0pts)

13. Conduct ongoing evaluations of health promotion programming that
use multiple data sources? Answer yes if, for example, your
organization collects data on employee health risks, medical claims,
member satisfaction, or organizational climate surveys.

(2pts)

(0pts)

14. Make any health promotion programs available to family members?

(1pt)

(0pts)

15. Engage in other health initiatives throughout the community and
support member participation and volunteer efforts? Answer yes if,
for example, your organization supports participation in community
events and school-based efforts, such as corporate walks, collaborate
with state and local advocacy groups, health and regulatory
organizations, and coalitions.

(2pts)

(0pts)

16. Have a partnership with a community organization to promote
wellness initiatives within the agencies and throughout the
community? Answer yes if, for example your organization partners
with the local health department, mental health and/or public health
organizations to promote wellness.

(2pts)

(0pts)


Your Worksites Organizational Supports Section Score:
Maximum Organizational Supports Section Score: 27

WELLNESS PROGRAMMING FOR
REHABILITATIVE MENTAL HEALTH
AGENCIES



Nutrition
During the past 12 months, did your worksite
Yes No Score
17. Provide places to purchase food and beverages?
Answer yes if, for example, your worksite
provides vending machines, cafeterias, snack bars,
or other purchase points. IF NO, PLEASE SKIP TO
QUESTION 22.

(0pts)

(0pts)

Nutrition
18. Have a written policy or formal communication that
makes healthier food and beverages choices
available in cafeterias or snack bars? Answer yes
if the healthy foods are items such as skim milk,1%
milk, water, unsweetened flavored water, diet
drinks, 100% fruit juice, low-fat and low-sodium
snacks, or fresh fruit.

(1pt)

(0pts)

19. Have a written policy or formal communication that
makes healthier food and beverages choices
available in vending machines? Answer yes if, for
example, the policy or formal communication makes
vegetables, fruits, 100% fruit juices, whole grain
items and fat-free/low-sodium snacks available in
vending machines

(1pt)

(0pts)

20. Provide nutritional information (beyond standard
nutrition information on labels) on sodium, calories,
trans fats, or saturated fats for foods and beverages
sold in worksite cafeterias, snack bars, or other
purchase points?

(2pts)

(0pts)

21. Identify healthier food and beverage choices with
signs and symbols? Answer yes if, for example,
your worksite puts a heart next to a healthy item
near vending machines, cafeterias, snack bars or
another purchase points.

(3pts)

(0pts)

22. Offer or promote an on-site or nearby farmers
market where fresh fruit and vegetables are sold?

(1pt)

(0pts)

23. Provide brochures, videos, posters, pamphlets,
newsletters, or other written or online information
that address the benefits of healthy eating?

(1pt)

(0pts)

24. Provide a series of educational seminars, workshops,
or classes on nutrition? These sessions can be
provided in-person or online, on-site or off-site, in
group or individual settings, through vendors, on-
site staff, community groups or other practitioners.

(2pts)

(0pts)

25. Provide brochures, videos, posters, pamphlets,
newsletters, or other written or online information
that addresses the benefits of healthy eating?

(1pt)

(0pts)

26. Provide free or subsidized self-management
programs for healthy eating?

(2pts)

(0pts)


Your Worksites Nutrition Section Score:
Maximum Nutrition Section Score: 13

WELLNESS PROGRAMMING FOR
REHABILITATIVE MENTAL HEALTH
AGENCIES



Physical Activity
During the past 12 months, did your worksite
Yes No Score
27. Provide an exercise facility on-site?

(3pts)

(0pts)

28. Subsidize or discount the cost of on-site or offsite
exercise facilities?

(3pts)

(0pts)

29. Provide environmental supports for recreation or
physical activity? Answer yes if, for example,
your worksite provides trails, track, maps of suitable
walking routes, bicycle racks, a basketball court,
and open space designated for recreation or
exercise, a shower and changing facility.

(3pts)

(0pts)

30. Post signs at elevators, stairwells entrances or exits
and other key locations that encourage members to
use the stairs? Answer no if your worksite is
located in a one-store building.

(3pts)

(0pts)

31. Provides organized individual or group physical
activity programs for employees (other than the use
of an exercise facility)?

(3pts)

(0pts)

32. Provide brochures, videos, posters, pamphlets,
newsletters, or other written or online information
that address the benefits of physical activity?

(1pt)

(0pts)

33. Provide a series of educational seminars, workshops,
or classes on physical activity?

(2pts)

(0pts)

34. Provide or subsidize physical fitness assessments,
follow-up counseling, and physical activity
recommendations either on-site or through a
community exercise facility?

(3pts)

(0pts)

35. Provide free or subsidized self-management
programs for physical activity?

(3pts)

(0pts)

Your Worksites Physical Activity Section Score:
Maximum Physical Activity Section Score: 24


Physical Activity





36. Have a written policy banning tobacco use at your
facility?

(3pts)

(0pts)

37. Actively enforce a written policy banning tobacco
use?

(1pt)

(0pts)

38. Display signs (including no smoking signs) with
information about your tobacco-use policy?

(1pt)

(0pts)

39. Refer tobacco users to a state or other tobacco
cessation telephone quit line?

(3pts)

(0pts)

40. Provide or promote free or subsidized tobacco
cessation counseling?

(2pts)

(0pts)

Your Worksites Tobacco Control Section Score:


Maximum Tobacco Control Section Score:

10







Weight Management
During the past 12 months, did your worksite
Yes No Score
41. Provide brochures, videos, posters, pamphlets,
newsletters, or other written or online information
that address the risk of overweight or obesity?

(1pt)

(0pts)

42. Provide a series of educational seminars, workshops,
or classes on weight management?

(3pts)

(0pts)

43. Provide free or subsidized self-management
programs for weight management? Answer yes if
these programs are provided in-person or online;
on-site or of-site; in group or individual settings;

(3pts)

(0pts)

Tobacco Control
Organizational Supports Organizational Supports Organizational Supports Organizational Supports
Weight Management
through vendors, on-site staff, health insurance
plans or programs, community groups, or other
practitioners.
Your Worksites Weight Management Section Score:
Maximum Weight Management Section Score: 7






Stress Management
During the past 12 months, did your worksite
Yes No Score
44. Provide dedicated space that is quiet where
members can engage in relaxation activities, such as
deep breathing exercises?

(1pt)

(0pts)

45. Sponsor or organize social events throughout the
year? Answer yes if, for example, your worksite
sponsors or organizes team building events,
company picnics, holiday parties, or employee
sports teams.

(1pt)

(0pts)

46. Provide stress management programs? Answer
yes if these programs address stress management
as a single health topic or if stress management is
included with other health topics. Answer yes if
these programs are provided in-person or online;
on-site or of-site; in group or individual settings;
through vendors, on-site staff, health insurance
plans or programs, community groups, or other
practitioners.

(3pts)

(0pts)

47. Provide training for members on identifying and
reducing workplace stress-related issues? Answer
yes if, for example, your worksite provides
training on performance reviews, communication,
personnel management, assertiveness, time
management, or conflict resolution.

(3pts)

(0pts)

48. Provide opportunities for member participation in
organizational decisions regarding workplace issues
that affect job stress? Answer yes if your worksite
provides opportunities for members to participate in
decisions about work processes and environment,
work schedules, problem-solving and management

(3pts)

(0pts)

Stress Management
of work demands.
Your Worksites Stress Management Section Score:


Maximum Stress Management Section Score:

11

WELLNESS PROGRAMMING FOR
REHABILITATIVE MENTAL HEALTH
AGENCIES



Chronic Disease Management
During the past 12 months, did your worksite
Yes No Score
17. Provide free or subsidized blood pressure screening
(beyond self-report) followed by directed feedback
and clinical referral when appropriate?

(3pt)

(0pts)

18. Provide free or subsidized cholesterol screening
(beyond self-report) followed by directed feedback
and clinical referral when appropriate?

(3pt)

(0pts)

19. Provide free or subsidized diabetes screening
(beyond self-report) followed by directed feedback
and clinical referral when appropriate?

(3pt)

(0pts)

20. Provide brochures, videos, posters, pamphlets,
newsletters, or other written or online information
that address the risks of high blood pressure?

(1pt)

(0pts)

21. Provide brochures, videos, posters, pamphlets,
newsletters, or other written or online information
that address the risks of high cholesterol?

(1pt)

(0pts)

22. Provide brochures, videos, posters, pamphlets,
newsletters, or other written or online information
that address the risks of diabetes?

(1pt)

(0pts)

23. Provide a series of educational seminars, workshops,
or classes on preventing and controlling high blood
pressure?

(3pt)

(0pts)

24. Provide a series of educational seminars, workshops,
or classes on preventing and controlling high
cholesterol?

(3pt)

(0pts)

25. Provide a series of educational seminars, workshops,
or classes on preventing and controlling diabetes?

(3pt)

(0pts)

Your Worksites Chronic Disease Management Section
Score:


Maximum Chronic Disease Management Section Score:

21
Chronic Disease Management



Summary Score Table
Section Total Points Possible Your Score
Organizational Support 27
Physical Activity 13
Nutrition 24
Tobacco Control 10
Weight Management 7
Stress Management 11
Chronic Disease
Management
21
Total 113





















































































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Intervention Name Creative, etc.
Type of Intervention Provide a brief description
Needs the Program will Address Reference the needs assessment data
Target Population Who will is it targeting?
Goal The goal that will result in the expected outcomes
Expected Outcomes The outcomes and benefits the program will provide
Skill Building These will be the evidence-based strategies
Activities to Address Skills List the activities in the program that will help increase the
skills
Budget Staff, equipment, logistics, etc.
Staffing Who will deliver?
Logistics Equipment/materials required, space, time, supplies
Marketing How will be market this program? (See Marketing on pg.___)
Incentives Merchandise, case, contribution. How will you receive these
incentives? (See Incentives on pg.__)
Implementation Timeline This is crucial. Time leading up to kick off, kick off,
duration, closing. (See timeline outline__)
Tracking Progress How will you track participants?
Program Maintenance SUSTAINABILITY! You dont want to do a whole program
and have no long lasting effects. Ongoing communications,
promotion, staffing, modifications if needed.
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Name: _________________________
Wellness Activity: _____________________________









Wellness Facts to Include in Weekly News






Blurb
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Facts of Daily News

Plan your breakfast to block cravings later in the day.
Whatever you do, dont skip breakfast! Having a healthy breakfast curbs your appetite. The key
to a good breakfast is including enough fiber. Its what makes food filling without being
fattening. A bowl of old-fashioned oatmeal or rye toast, along with some fresh fruit, will power
you throughout the morning. Bran cereal is also an excellent choice.

Choose foods that hold your blood sugar steady.
Keep the fiber party going! Choose high-fiber foods with a low glycemic index (GI). Foods with
a low GI release sugars slowly, keep your energy level steady and wont cause your blood sugar
to spike. Click here to learn more about the glycemic index and how it may help you.

Protect Your Self Esteem.
Self-esteem is the armor we wear to the "battle of life," and yet when it is low, we often become
self-critical and injure it even further. Whenever self-critical thoughts pop into your head,
consider what you would say to a close friend who expressed similar feelings. Then address
those exact thoughts to yourself. Practicing self-compassion and allowing your self-esteem to
recover will give a big boost to your overall mental health.

Keep a food and activity journal.
Write down everything you eat or drink. The food journal will help you realize when higher
calorie foods are being included more frequently than they should. Recording when you exercise
(and how long) will also help you to look at trends. Are you gaining weight because you are
eating the same but stopped exercising?

Get Regular Health Screenings
High blood pressure and high cholesterol can damage your heart and blood vessels. But without
testing for them, you probably won't know whether you have these conditions. Regular
screenings can tell you what your numbers are and whether you need to take action.

Get Enough Quality Sleep
Sleep deprivation can do more than leave you yawning throughout the day; it can harm your
health. People who don't get enough sleep have a higher risk of obesity, high blood pressure,
heart attack, diabetes and depression. Most adults need seven to nine hours of sleep each night. If
you wake up without your alarm clock and you feel refreshed, you're getting enough sleep. But if
you're constantly reaching for the snooze button and it's a struggle to get out of bed, you need
more sleep each night

Get Active!
Living an active life is one of the most rewarding gifts you can give yourself and those you love.
Simply put, daily physical activity increases your length and quality of life. If you get at least 30
minutes of moderate physical activity each day (like brisk walking), five times per week, you can
almost guarantee yourself a healthier and more satisfying life, while lowering your risks for heart
disease, stroke and diabetes.
Change your mindset, one step at a time
No one likes change; it rarely comes easy. Slowly incorporating small steps toward your goals
overtime leads to huge changes in the long run. Many people jump, headfirst, onto the diet
bandwagon around the New Year, but don't. Adopting too much change at once often leads to
burnout. Instead, outline your short-term goals, achieve them slowly, and you'll soon find
success.

One healthy item
At every meal, make just one healthy choice. If you're eating fast food, this might mean skipping
the fries or choosing water instead of soda. If you're eating at home, bump up your fiber intake
by adding a veggie or fruit to your plate.

Move more
Several recent studies show a clear relationship between how many hours we sit each day and a
decreased life expectancy. You don't need a gym membership or fancy home equipment to be
active. Park farther away from your destination or take the stairs. If you sit at a desk each day,
walk around your office for at least five minutes every hour and consider marching in place
while taking phone calls.

Get quiet and breathe
Giving your mind time to rest through meditation or breathing exercises allows you to release
stress and let go of situations that are beyond your control. This year, try a meditation class or
taking ten deep breaths when you notice a moment of stress or frustration.

Hang with a healthy crowd
Your social networks have a huge impact on your life. This year, surround yourself with people
who you admire and build you up. If you're embarking on a health and wellness journey, join a
walking club or health food co-op. The influence of these new groups can increase your chance
of success.

Drink water.
Drinking enough water can help boost your concentration as well as keep you from overeating.
Make sure to keep hydrated as you go through your day by bringing water with you.

Limit sugary and caffeinated beverages.
Beverages may not fill you up, but they sure can help fatten you up and have a detrimental effect
on your overall health. You don't have to completely give up soda and coffee, but you should
scale back in order to keep yourself in tip top shape.

Retrieved from: http://www.chiroone.net/bewell/thirteen-wellness-tips-to-try-in-2013
Retrieved from http://www.healthsmart.com/PDFs/Wellness/March-2014-Wellness-Advocate.pdf





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Goal Setting Worksheet
Name: _________________________







































References
Barre, L., Ferron, J., Davis, K., & Whitley, R. (2011). Healthy Eating in Persons with Serious
Mental Illnesses: Understanding and Barriers. Psychiatric Rehabilitation Journal, 34 (4).




I know I will have reached my goal when:
To reach my goal I will:
1.
2.
3.
Target date to reach goal :
These things will help me stick to my goal:
1.
2.
3.
My Goal is:
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United States Dietary Guidelines for Americans
Follow the 2010 United States Dietary Guidelines for Americans when making food purchases and prepar
ing recipes and meals.
Transition to using only nonsaturated/trans fatfree cooking oils in food.
Develop and implement a reasonable timeline to eliminate purchase of packaged food products th
at contain Saturated and Trans fats (listed as hydrogenated or partially hydrogenated vegetable oil
s on labels).
Purchase lowfat and nonfat dairy and meat products.
Develop strategies to purchase local food products including locally grown fresh fruits and vegeta
bles in season.
100% fruit juices are available in all settings i.e. do not provide juice drinks with less than
100% juice in meals or vending.

Reduced fat sources from hydrogenated and partially hydrogenated fats; use fats from vegetable s
ources.
0 Trans fats product labels must state 0 grams of Trans fat/serving.
Procurement of Meats, Poultry, Dairy and Seafood which do not have inappropriate antibiotic use


A full executive summary can be found at www.health.gov. This list was adapted using the
abbreviated summary from Massachusettes Worksite Wellness Toolkit.



























































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Bell, N., & Shern, D. (2002). State mental health commissions: Recommendations for change
and future directions. Prepared for: National Technical Assistance Center for State
Mental Health Planning (NTAC), National Association of State Mental Health Program
Directors (NASMHPD). Tampa, FL: University of South Florida.

Camann, M. A., (2001). To your health: An implementation of a wellness program for treatment
staff and persons with mental illness. Archives of Psychiatric Nursing, 15(4), 182-187.

Casstevens, W. (2011). A pilot study of health and wellness program development in an
international center for clubhouse development clubhouse: procedures, implementation
and implication. Psychiatric Rehabilitation , 35(1).

Chacon, F., Mora, F., Gervas-Rios, A., & Gilaberte, I. (2011). Efficacy of lifestyle interventions
in physical health management of patients with severe mental illness. Annals of General
Psychiatry, 10 (22).

Diabetes Prevention Program Research Group (2002). Reduction in the Incidence of Type 2
Diabetes with Lifestyle Intervention or Metformin. The New England Journal of
Medicine, 346.

Erdner, A., & Magnusson, A. (2012). Physical Activities and their Importance to the Health of
People with Severe Mental Illness in Sweden. Issues in Mental Health Nursing, 33.

Gretchen-Doorly, D., Subotnik, K., Kite, R., Alarcon, E., & Nuechterlein, K. (2009).
Development and Evaluation of a Health Promotion Group for Individuals with Severe
Psychiatric Disabilities. Psychiatric Rehabilitation Journal, 33 (1).

Glover, C., Ferron, J., Whitley, R. (2013). Barriers to Exercise Among People with Severe
Mental Illnesses. Psychiatric Rehabilitation, 36, (1).

Gorczynski, P., Greening, S., & Cohn, T. (2010) Exploring the Construct Validity of the
Transtheoretical Model to Structure Physical Activity Intervention for Individuals with
Serious Mental Illness. Psychiatric Rehabilitation Journal, 34, (1).

Hassapidou, M., Papadimitriou, K., Athanasiadou, N., Tokmakidou, V., Pagkalos, J., Vlahavas,
G., & Tsofliou, F. (2011). Changes in body weight, body composition and cardiovascular
risk factors after long-term nutritional intervention in patients with severe mental illness:
an observational study. Biomedical Psychiatry, 11 (31).


Hert, M., Correll, C., Bobes, J., Cetkovich-Bakmas, M., Cohen, D., Asai, I., Detraux, J., Gautam,
S., Hans-Jurgen, M., Ndetei, D., Newcomer, J., Uwakwe, R., & Leucht, S. (2011).
Physical illness in patients with severe mental disorders. I. Prevalence, impact of
medications and disparities in health care. World Psychiatry, 10, 1.

Hodgson, M., McCulloch, H., & Fox, K. (2011). The experiences of people with severe and
enduring mental illness engaged in a physical activity programme integrated into the
mental health service. Mental Health and Physical Activity, 4 (1).

Hutchinson, D., Gagne, C., Bowers, A., Russinova, Z., Skrinar, G., Anthony, W. (2006). A
framework for health promotion services for people with psychiatric disabilities.
Psychiatric Rehabilitation Journal, 29 (4).

Jakabek, D., Quirk, K., Driessen, M., Aljeesh, Y., & Baune, B. (2011). Obesity and nutrition
behaviours in Western and Palestinian outpatients with severe mental illness. BMC
Psychiatry, 11, (159).

Lee, J., Ranney, L., Goldstein, A., McCullough, A., Fulton-Smith, S., & Collins, N. (2011).
Successful implementation of a wellness and tobacco cessation curriculum in
psychosocial rehabilitation clubhouses. Biomedical Psychiatry, 11 (702).

Lui, N., & Spaulding, W. (2010). Pilot Study of a health-focused day program on improving
health behaviors, clinical functioning, and perceived wellness in individuals with severe
mental illness. Psychological Services, 7 (4).

Perlman, L., Cohen, J., Altiere, M., Brown, J., & Mainka, J. (2010). A Multidimensional
Wellness Group Therapy Program for Veterans With Comorbid Psychiatric and Medical
Conditions. Professional Psychology: Research and Practice, 41 (2).

Richardson, C., Faulkner, G., McDevitt, J., Skrinar, G., Hutchinson, D., & Piette, J. (2005).
Integrating physical activity into mental health services for persons with severe mental
illness. Psychiatric Services, 56, 324-330.


Van Metre, L., Chiappetta, L., Siedel, B., Fan, T., & Mitchell, A.(2011). Educating for Wellness:
A Wellness Education Group Intervention for Adults with Chronic Severe Mental Illness
Living in the Community. Issues in Mental Health Nursing, 32.


Xiong, G., Zeigahn, L., Schuyler, B., Rowlett, A.,& Cassady, D.(2010). Improving Dietary and
Physical Activity Practices in Group Homes Servicing Residents With Severe Mental
Illness. Progress in Community Health Partnerships, 4.