Building Community: Through Finding Our Voice and Engaging in Dialogue, Part 2

Transcription

1 Building Community: Through Finding Our Voice and Engaging in Dialogue, Part 2 By Daniel Fisher,MD,PhD National Empowerment Center 1

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6 Healing Elements of Therapeutic Conversation: Dialogue as an Embodiment of Love The drama of the process lies not in some brilliant intervention by the professional, but in the emotional exchange among network members, including the professionals, who together construct or restore a caring personal community. Reference: Healing Elements of Therapeutic Conversation: Dialogue as an Embodiment of Love JAAKKO SEIKKULA, PH.D.w DAVID TRIMBLE, PH.D. Fam Proc 44: ,

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17 Part One:Self-determination through SELF- DIRECTED CARE Taking Charge of Our Own Lives. Prepared by: Patrick Hendry Executive Director Florida Peer Network 17

18 The Florida Self Determination Care (SDC) Program (Patrick Hendry, Florida SDC Program) Life Analysis Life Action Plan Life/recovery coaching Individualized budget Brokered services & Supports New Life Action Plans & Budgets Quarterly Review 18

19 Traditional approach Focus is on Managing the Illness Available Resources Available Supports Treatment Goals Person Source: Foundations of Person-Centeredness, Level 1 Workbook pg 18 19

20 Person centered approach Focus is on Promoting Recovery Person Dreams Natural Supports Resources Source: Foundations of Person-Centeredness, Level 1 Workbook pg 19 20

21 Comparing self-directed care and community mental health services in Florida Outcome measured Traditional Community Self-directed care MH Service Choose personal Goals 41% 82% Choose where they 27% 65% work Have intimate relations 43% 82% Satisfied with services 45% 81% Decide when to share info 38% 92% 21

22 Comparing self-directed care and community mental health services in Florida Outcome measured Traditional Community Self-directed care MH Service Participate in life of 30% 75% community Perform different 25% 83% social roles Choose services 42% 90% Exercise rights 42% 90% Have best possible health 22% 65% 22

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25 Results of Crisis Residential (CRP) vs. Inpatient Hospitalization (IP): Service Satisfaction Average 30 day satisfaction was higher for the CRP group than the IP group (p <.001). The strong difference in satisfaction remained throughout the outcome period. 25

26 Results of Crisis Residential vs. Inpatient Hospitalization: Rosenberg Self Esteem Analysis of the Rosenberg self esteem scale indicated average improvement across time only in the CRP condition, as seen by the non significant slope and the significant group x time interaction. 26

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28 How Medicaid can Promote Transformation STEPs to RECOVERY 2.Training and Education: a. For all Stakeholders and public to decrease stigma b. For professionals: Medicaid reimbursement would require CMEÕsin recovery c. Curricula designed, presented and evaluated by collaboration of consumers and professionals 28

29 How Medicaid can Promote Transformation STEPs to RECOVERY 2.Training and Education (cont.) Examples: d. PACE (Personal Assistance in Community Existence): recovery training for all stakeholders by NEC ( e. Finding Our Voice: Empowerment training for consumers By NEC f. WRAP: Wellness Recovery Action Planning by the Copeland Center 29

30 How Medicaid can Promote Transformation STEPs to RECOVERY g. Trauma-informed peer support training: Sheri Mead h. Peer specialist training: Georgia model 3.Evaluation a. Design of Recovery-based evaluation of all elements of the STEPs to Recovery b. Administer the evaluation by trained consumers 30

31 How Medicaid can Promote Transformation STEPs to RECOVERY c. Consumers analyze and prepare report for Medicaid (CQI for Medicaid in Mass.) 4.Planning and policy development a. Require consumers to occupy 25% of every policy board, and participate in a meaningful manner b. Training of the consumers to be strong advocates and understand board procedures c. Training of nonconsumers to see consumers as credible participants 31