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LEAP Practitioner: Level 1
Learn to use LEAP in your clinical practice, with your loved one, or with anyone suffering from serious mental illness that you would like to help. The LEAP Practitioner Level I (LP-I) program is your first step to becoming proficient at using LEAP.
The LP-I consists of two workshops completed over the course of one day and a follow-up series of assessments and supervision (if certification is desired).
The workshops are unique in that the same evidence-based curriculum is taught to Health Care Providers (HCPs), Family Caregivers, Law Enforcement, other First Responders and even judges and attorneys. The success of the LEAP; approach rests on three pillars:
· Person Centered: Developing a new relationship with the mentally ill person that focuses exclusively on problems that the patient perceives and building trust through the use of respectful communications and specific LEAP tools.
· Treatment Team: Breaking down the barriers that keep the provider, family, other stake-holders (law enforcement, judges, attorneys), and consumer from functioning as an effective team.
· Common goals: Finding common ground between team members and the consumer, that can be shaped into goals that will be worked on together. A brief description of the schedule is given below. Copies of the worksheets provided for workshops A and C follow this. The worksheets provide content, structure for the session, and specific exercises to be completed.
During this training a presentation of the empirical research on the prevalence, etiology and treatment of both poor insight and poor adherence is given. Although didactic, the workshop is interactive in that participants are repeatedly queried to assess and highlight misconceptions they hold about the causes and treatment of poor insight and poor adherence. The evidence base supporting the LEAP technique is presented.
Participants will learn that the top two predictors of good adherence to treatment are: good insight into how treatment can help one to achieve his/her goals; and a relationship with one person (either provider, friend or relative) in which the mentally ill person feels respected, trusts the other person, and this person is of the opinion that treatment would be beneficial.
Severe problems with insight into illness are most often a consequence of the disorder (schizophrenia or bipolar disorder) stemming from brain dysfunction (i.e., anosognosia) rather than defensiveness and/or personality factors.
Contrary to popular belief, treatment with antipsychotic medications and/or mood stabilizers rarely results in significant improvements in insight. That said, long-acting injectable medication has been shown to significantly improve advertence.LEAP has demonstrated efficacy in improving attitudes without medication, motivation and the value of adherence to medications.