What are Life Skills?

Introduction

Life skills are abilities for adaptive and positive behaviour that enable humans to deal effectively with the demands and challenges of life.

This concept is also termed as psychosocial competency. The subject varies greatly depending on social norms and community expectations but skills that function for well-being and aid individuals to develop into active and productive members of their communities are considered as life skills.

Enumeration and Categorisation

The UNICEF Evaluation Office suggests that “there is no definitive list” of psychosocial skills; nevertheless UNICEF enumerates psychosocial and interpersonal skills that are generally well-being oriented, and essential alongside literacy and numeracy skills. Since it changes its meaning from culture to culture and life positions, it is considered a concept that is elastic in nature. But UNICEF acknowledges social and emotional life skills identified by Collaborative for Academic, Social and Emotional Learning (CASEL). Life skills are a product of synthesis: many skills are developed simultaneously through practice, like humour, which allows a person to feel in control of a situation and make it more manageable in perspective. It allows the person to release fears, anger, and stress & achieve a qualitative life.

For example, decision-making often involves critical thinking (“what are my options?”) and values clarification (“what is important to me?”), (“How do I feel about this?”). Ultimately, the interplay between the skills is what produces powerful behavioural outcomes, especially where this approach is supported by other strategies.

Life skills can vary from financial literacy, through substance-abuse prevention, to therapeutic techniques to deal with disabilities such as autism.

Core Skills

The World Health Organisation (WHO) in 1999 identified the following core cross-cultural areas of life skills:

  • Decision-making and problem-solving;
  • Creative thinking (see also: lateral thinking) and critical thinking;
  • Communication and interpersonal skills;
  • Self-awareness and empathy;
  • Assertiveness and equanimity; and
  • Resilience and coping with emotions and coping with stress.

UNICEF listed similar skills and related categories in its 2012 report.

Life skills curricular designed for K-12 often emphasize communications and practical skills needed for successful independent living as well as for developmental-disabilities/special-education students with an Individualized Education Programme (IEP).

There are various courses being run based on WHO’s list supported by UNFPA. In Madhya Pradesh, India, the programme is being run with Government to teach these through Government Schools.

Skills for Work and Life

Skills for work and life, known as technical and vocational education and training (TVET) is comprising education, training and skills development relating to a wide range of occupational fields, production, services and livelihoods. TVET, as part of lifelong learning, can take place at secondary, post-secondary and tertiary levels, and includes work-based learning and continuing training and professional development which may lead to qualifications. TVET also includes a wide range of skills development opportunities attuned to national and local contexts. Learning to learn and the development of literacy and numeracy skills, transversal skills and citizenship skills are integral components of TVET.

Parenting: A Venue of Life Skills Nourishment

Life skills are often taught in the domain of parenting, either indirectly through the observation and experience of the child, or directly with the purpose of teaching a specific skill. Parenting itself can be considered as a set of life skills which can be taught or comes natural to a person. Educating a person in skills for dealing with pregnancy and parenting can also coincide with additional life skills development for the child and enable the parents to guide their children in adulthood.

Many life skills programs are offered when traditional family structures and healthy relationships have broken down, whether due to parental lapses, divorce, psychological disorders or due to issues with the children (such as substance abuse or other risky behaviour). For example, the International Labour Organisation is teaching life skills to ex-child laborers and at-risk children in Indonesia to help them avoid and to recover from worst forms of child abuse.

Models: Behaviour Prevention vs. Positive Development

While certain life skills programs focus on teaching the prevention of certain behaviours, they can be relatively ineffective. Based upon their research, the Family and Youth Services Bureau, a division of the US Department of Health and Human Services advocates the theory of positive youth development (PYD) as a replacement for the less effective prevention programmes. PYD focuses on the strengths of an individual as opposed to the older decrepit models which tend to focus on the “potential” weaknesses that have yet to be shown. The Family and Youth Services Bureau has found that individuals who were trained in life skills by positive development model identified themselves with a greater sense of confidence, usefulness, sensitivity and openness rather than that of preventive model.

What Skills & Abilities are Required for Peer Support?

Introduction

Peer support is an important element in an individual’s journey as they cope/manage/live with their mental health condition.

Although there is currently only a small research base on the value and effectiveness of peer support, this research is generally positive regarding its impact on the individual (Gillard et al., 2013; Gillard & Holley, 2018):

  • Receiving the peer support (helpee); and
  • Providing the peer support (helper).

Look here for an overview of Peer Support.

This article refers to peer support within the UK, and particularly Scotland (where I live).

Background

Peer support roles are still relatively new in the UK and these exciting new(ish) roles have been developed specifically for individuals who have lived experience of recovery from mental distress.

“An increasing number of organisations and services are developing peer support roles. There are now around 80 paid posts in mental health services and a far higher number of unpaid roles.” (Christie, 2016, p.3).

Within the public sector (i.e. NHS), peer support is a paid role and within the third (charity) sector the role may be paid (i.e. member of staff) or unpaid (i.e. volunteer).

Titles vary also, for example peer worker, peer support worker, peer support specialist, and community support worker.

For administrative purposes, individuals are referred to as Service Users by charities and as Patients by the NHS.

The Role of Peer Support

The overarching purpose of the role is to provide support and assistance to individuals to promote independence and self responsibility. And, as such, you will work alongside existing mental health services to promote and deliver support which facilitates recovery for the individual (it is important to note that recovery means different things to different individuals, i.e. it is a unique process).

Within the role you may be expected to:

  • Use the knowledge gained through your own lived experience to inspire hope and belief that recovery is possible in others.
  • Work with a Community Mental Health Team alongside a clinical team to help patients/service users achieve their recovery goals.
    • To assist individuals to create their own outcomes focused recovery plans.
  • Work with people with complex psychological needs, meaning you will need to be emotionally and mentally resilient.
  • Provide 1:1 and/or group support, exploring the individual’s hopes for moving out of social isolation and towards meaningful opportunities, relationships and community engagement.
  • Draw upon your experiences of recovery and attend training on the most effective way to so this.
  • Be involved in contributing to the development of the peer support role, within mental health services.
  • Develop (and within) a relationship of mutuality and information sharing, promote recovery, self-management and opportunities for improved health and wellbeing.
    • Develop relationships with people based on the principals of peer support.
  • To share ideas about ways of achieving recovery goals, drawing on personal experiences and a range of coping, self help and self-management techniques.
  • Make a positive contribution to the reduction in stigma associated with mental health issues.
  • To model personal responsibility, self-awareness, self-belief, self advocacy and hopefulness.
  • Maintain a working knowledge of current trends in mental health, recovery and peer support through a variety of sources.
    • For example, by reading books, journals and accessing peer support networks.
  • Deal with sensitive and confidential information, and take account of safeguarding and child safety issues.
    • The peer supported should be wary of issues that may bring them into conflict with the patient/service user.
    • Maintain a positive therapeutic relationship and maintain child protection standards.
  • Work in partnership with other organisations.

Purpose of the Role

The exact provision of support will vary between organisations, and the following examples are for illustration only.

Example 01

  • Building supportive and respectful relationships with patients on the ward/service users in the charity.
  • Supporting others using the personal experience and confidence you have gained having overcome similar challenges.
  • Assisting clinical/charity staff to help people identify their own recovery goals.
  • Providing information and support to family and friends of patients/service users.
  • Developing the peer support worker programme and role within organisation.
  • Modelling personal responsibility, self-awareness, self-belief, self-advocacy and hopefulness.

Example 02

  • Wellbeing mentors will take a lead in delivering all one to one therapeutic and group work activity. They will also provide one to one support and key-working interventions using Wellness Recovery Action Plans.
  • Building and developing service users’ personal strengths, social networks and recovery capital (social, physical, human and cultural).
  • Provide practical support and supervision to volunteers/ Peer Workers as required.
  • Develop effective relationships with other groups and agencies in our area and take opportunities to promote mental health awareness in the wider community.
  • Effectively and proactively connecting service users into a range of health and social care services that support their recovery.
  • To assist the Lead Practitioner in addressing clients support needs and to review progress with clients at regular intervals.
  • To participate in effective team work and establish good channels of communication to all local organisations.
  • To promote peer and volunteering opportunities within the service.
  • To provide an efficient and welcoming reception service to visitors to the unit.

From the above two examples, we can see that peer support may offer a range of services that provide practical, emotional and social support. And, these services should be focused on improving health and wellbeing and aim to ensure that all the services are flexible, personalised and recovery focused.

What Attitude/Skills/Knowledge Do You Need for the Role of Peer Support?

  • A background of personally recovering from mental health issues.
  • Past and lived experience of using mental health services or awareness of mental health issues.
  • An understanding of the impact of mental health issues on individuals, families, and communities.
  • Resilience and to be able to know when to ask for help.
  • Demonstrate an awareness of mental health interventions and commitment to supporting recovery.
  • An understanding of factors which can affect recovery in mental health.
  • IT literacy including Microsoft Office and Internet or a willingness to learn.
  • Strong verbal and written communication skills.
  • The ability to work well in a multi-disciplinary team.
  • Empathy, good listening skills, approach-ability and common sense.
  • Enthusiastic, motivated, and positive in outlook.

Support for the Peer Support Role

For those in the NHS, they will receive formal/structured induction, training and on-going supervision, including a network of other peer support workers employed within the NHS.

Within the charity sector, induction, training, and ongoing supervision varies between organisations.

What is the Most Challenging/Difficult Part of the Role

Experience of what is challenging or difficult will depend on the background of the peer supporter, and below are some examples.

  • Aspects of the role can prove to be mentally demanding and stressful.
  • The peer supporter is required to provide mental effort and concentration due to confidentiality and the sensitivity of information, which is being given and sought.
  • There are emotional demands when communicating with distressed, anxious, worried individuals or relatives.
    • It is necessary to maintain a non-judgemental approach when discussing sensitive issues.
  • The peer supporter will have lived experience of mental health issues.
    • It is necessary for the peer supporter to demonstrate the ability to take personal responsibility with regards to their own personal recovery needs, limitations and support needs.
  • To assist members of staff/volunteers in providing comprehensive recovery focussed support to individuals who have a range of physical, mental and emotional issues and who may display verbal and/or physical aggression.
  • To work with individuals who may have negative preconceptions of health and social care, having had experience of discrimination from other services/organisations/people due to their mental health issue(s).
  • Responding to acute symptoms of relapse and challenging behaviour of individuals in isolated or public locations while unsupervised in the community.
  • Using initiative when alone with individuals in crisis and instigating emergency procedures in conjunction with trained staff.

Useful Courses

There are a number of optional/mandatory courses which a potential peer supporter can attend.

  • Individual Recovery Outcomes Counter (I.ROC).
  • Recovery in Practice.
  • Wellness Recovery Action Planning (WRAP).
  • Recovery & WRAP.
  • Coaching.
  • Personal Planning.
  • Managing Risk.
  • Managing Actual and Potential Aggression.
  • Scottish Mental Health First Aid.
  • Applied Suicide Intervention Skills Training.
  • Mental Health Awareness.
  • Self Harm Awareness.
  • HOPE Toolkit (Home, Opportunity, People, and Empowerment).
  • SVQ 3 in Healthcare (superseded by SVQ 3 Social Services and Healthcare at SCQF Level 7).
    • To work in the NHS you must have a recognised healthcare qualification.
    • This is a work-based course.
    • Can have an equivalent as defined by the Scottish Social Services Council (SSSC).
    • Mandatory to apply for role in some organisations, others state willingness to work towards, and some state relevant previous experience working with individuals who have mental health issues.
  • PDA in Mental Health Peer Support or a relevant course in peer support.
    • Mandatory to apply for role in some organisations, others state willingness to work towards.

Co-Workers

In peer support you will work with a variety of volunteers and professionals in a mix of roles, including:

  • Clinical staff (psychiatrists, psychologists, nurses etc.).
  • Recovery Worker.
  • Recovery Practitioner.
  • Peer Worker.
  • Community Addiction Worker.

Further Reading

References

Christie, L. (2016) Peer Support Roles in Mental Health Services. Available from World Wide Web: https://www.iriss.org.uk/sites/default/files/2016-06/insights-31.pdf. [Accessed: 21 January, 2021].

Book: Building Motivational Interviewing Skills

Book Title:

Building Motivational Interviewing Skills: A Practitioner Workbook.

Author(s): David B. Rosengren.

Year: 2017.

Edition: Second (2nd).

Publisher: The Guildford Press.

Type(s): Paperback and Kindle.

Synopsis:

Many tens of thousands of mental health and health care professionals have used this essential book – now significantly revised with 70% new content reflecting important advances in the field – to develop and sharpen their skills in motivational interviewing (MI).

Clear explanations of core MI concepts are accompanied by carefully crafted sample dialogues, exercises, and practice opportunities. Readers build proficiency for moving through the four processes of MI – engaging, focusing, evoking, and planning – using open-ended questions, affirmations, reflective listening, and summaries (OARS), plus information exchange.

In a large-size format with lay-flat binding for easy photocopying, the volume includes more than 80 reproducible worksheets. Purchasers get access to a companion website where they can download and print the reproducible materials.

New to This Edition

  • Fully revised and restructured around the new four-process model of MI.
  • Chapters on exploring values and goals and “finding the horizon.”
  • Additional exercises, now with downloadable worksheets.
  • Teaches how to tailor OARS skills for each MI process.
  • Integrates key ideas from positive psychology.

Verbal and Non-Verbal Skills

Verbal Skills

The skills you should use to show you are listening to the person are simple:

Listen without interrupting.

Pay attention.

Ask appropriate questions to make sure that you are both clear on what is being said.

Listen to the words and the tone of voice and look at the body language – all will give you clues as to how the person is feeling.

Check your understanding of what is being said by saying something like ‘it sounds like you are saying (or feeling)… have I understood that right?’

Summarise facts and feelings.

Minimal prompts such as, ‘Mmm’, ‘Ah’, or ‘I see’, may be all that is necessary to keep the conversation going.

It is okay to have long pauses in the conversation. The person may simply be thinking or lost for words. If you say something to fill what you see as an embarrassing silence, you may break the train of thought or rapport between you.

Sitting quietly, but attentively, through a period of silence will demonstrate that you value being with the other person. This is more effective than anything you may say will demonstrate.

Non-Verbal Skills

Make use of non-verbal skills (or body language) such as:

Be attentive.

Keep eye contact comfortable – do not stare or avoid eye contact.

Keep an open body position – try not to cross your arms across your body.

Sit down, even when the other person is standing – it will make you seem less threatening.

Try not to sit directly opposite, facing the other person – this may seem as though you are invading their space.

Non-Judgemental Listening

Non-judgemental listening involves:

Listening actively by doing all that you can to make sure you understand what the person is saying to you.

Resisting the urge to fix the person’s problems by offering advice.

Putting aside your own feelings and attitudes temporarily, so that you can listen without judging the person.

Accepting the person exactly as they are.

Making no moral judgement about their situation.

Feeling and expressing genuine concern for the person.

How to Listen

To listen and communicate non-judgmentally is one of the five basic steps in mental health first aid. It is a term you will find used throughout the website.

This website cannot train you to be a counsellor or a therapist, but you can develop some basic listening skills that will be useful in many situations.

Are You Really Listening?

Most of the time we do not really listen to what others are saying. This is not because we are being rude or uncaring. Usually when we are in conversation with someone else, we find ourselves going off on other trains of thought because something that has been said has reminded us of other things. Other times we are thinking about our reply and only giving the speaker part of our attention.

When we are listening to the other person, part of our mind is thinking about our own reactions to what they are saying. This is a normal response, and in everyday situations it usually works well.

In a situation where a person is distressed or having a mental health crisis, it is very important to pay more attention and put non-judgemental listening skills into practice.

Being An Effective Listener

While you are paying attention to the feelings of the other person, it is important to be aware of your own feelings and thoughts.

Attending to a person who may be distressed may bring up a number of responses, such as fear, irritation, sadness, or a sense of being overwhelmed.

These are normal responses to a difficult situation. However, it is important that the listener continues to be open to listening respectfully, and attempts to avoid reacting to what is being shared.

That means focusing on the distressed person, and understanding how it feels to be in their place.

This may be difficult, depending on the relationship between the listener and the distressed person. Sometimes it is especially difficult if the person is a close friend or relative. If you feel that your relationship is preventing you from being an effective listener, it may be best to get the help of someone else who is not so close to the person. However, in a crisis you may not have this option.

Remember that during a crisis, you are offering the distressed person a place of safety based on respect. acceptance, and understanding – and you may be saving their life.

After the conversation, you may feel unsettled, shocked, confused, or angry. You may wish to share this with someone, to acknowledge your own experience. In doing so, you should maintain the person’s privacy by withholding their name or any details that could identify them. This is not the same as accessing appropriate assistance for the person if they need it (e.g. if they are suicidal) when you will need to reveal their identity.

Always remember that you are human, and that feeling a mixture of emotions is a normal human response.