USPRAs Core Principles: Living, Working, and Playing Well Rene - - PDF document

USPRA’s Core Principles:

Living, Working, and Playing Well

Reneé Kopache, MS, CPRP

Coordinator of Wellness Management Hamilton County Mental Health and Recovery Services Board

Al Rowlett, LCSW, MBA, CPRP

Chief Operations Officer Turning Point Community Programs

Defining Psychiatric Rehabilitation Defining Psychiatric Rehabilitation

Psychiatric rehabilitation promotes recovery, full community integration and improved quality of life for persons who have been diagnosed with any mental health condition that seriously impairs functioning. Psychiatric rehabilitation services are collaborative, person directed, and individualized, and an essential element of the human services spectrum and should be evidence-based. They focus on helping individuals develop skills and access resources needed to increase their capacity to be successful and satisfied in the living, working, learning, and social environments of their choice.

Core Principles & Values

The core principles and values are meant to further describe key elements of psychiatric rehabilitation practice. Principle 6: Psychiatric rehabilitation practices support full integration of people in recovery into their communities where they can exercise their rights of citizenship, as well as to accept the responsibilities and explore the opportunities that come with being a member of a community and a larger society.

SAMHSA Consensus Statement on recovery: Self-direction Empowerment Responsibility

Core Principles & Values

Principle 8: Psychiatric rehabilitation practices facilitate the development of personal support networks by utilizing natural supports within communities, peer support initiatives, and self- and mutual-help groups.

SAMHSA Consensus Statement on recovery: Peer Support

Principle 9: Psychiatric rehabilitation practices strive to help individuals improve the quality of all aspects of their lives; including social, occupational, educational, residential, intellectual, spiritual, and financial.

SAMHSA Consensus Statement on recovery: Holistic

Community Integration

Community Integration

Community integration is defined as… The opportunity to live in the community and be valued for one’s uniqueness and abilities, like everyone else.

Salzer, Mark, eidtor (2006) Psychiatric Rehabilitation Skills in Practice: A CPRP Preparation and Skills Workbook, pg, 1. USPRA: Linthicum, MD

Community Integration

Community Integration (Opportunity)

Community Integration Outcomes

Community Presence and Participation Well-Being and Recovery UPENN Collaboration on Community Integration: www.upennrrtc.org

Integration: Living Well

The Five R’s:

Recovery Residence Roles Relationships Responsibility

Integration: Working Well

CAREER:

Creating an Identity Aspirations Respected (valued) Equality Experiencing

growth

Responsibility

Integration: Playing Well

THRIVE:

Time Healthy Recreation Interactive Vacation Engaged

In other words….

Community integration is about more than

having a job, place to live, food to eat, and “peer” support.

It involves an identity shift….from “being mentally

ill” to being a person

It involves being involved….not socially isolated

and inactive

It involves having a life, and living life, beyond

mental illness and the mental health system …including having a role in the community that doesn’t involve mental illness (neighbor, volunteer, coach, parent, voter, etc.)

In Other Words Con’t

It involves being a part of a social network based on

common roles/interests rather than having a psychiatric condition

It involves being a citizen and having all of the

responsibilities of citizenship

It is the right of all people

Redefining Supports

Changes in Types of Peer Support Across Stages of Recovery

10 3 1 1 7 10 4 4 4 7 10 7 1 4 7 10 2 4 6 8 10 12 Hope Empow erment Self-Responsibility Meaningful Role Stages of recovery Importance of type of peer support (10 = most, 1 = least)

non-structured contact (hospital, agency) Tx program/group peer to peer/self-help natural support

The Integration Process

Stages of Recovery Level of Integration

Hope Empowerment Responsibility Meaningful Role

Little or none X X Partial X X X X Full X X X X

HOPE AUTHORITY ENGAGEMENT HEALING

Supporting Community Integration

Anderson, G. and B. (2004) Recovery Oriented Leadership. Community Activators and MHA Village.

What does HOPE mean to you?

What does HEALING mean to you?

What does AUTHORITY mean to you?

What does ENGAGEMENT mean to you?

What do staff say about the individuals we are privileged to serve and the services provided?

• You want your services to reflect

the following:

The Citizen or Community Member The person’s home, a local business, the neighborhood school Individual Support Personal Futures Plan Personal circles of support Self-determination and relationships Quality of life as experienced by the person affected

Interventions

Listening is the key to this work. The best motivational advice we can give you is to listen carefully to individuals your serve. They will tell you what has worked and what hasn’t. What moved them forward and shifted them backward. Whenever you are in doubt about what to do, LISTEN.

Miller & Rollnick (2002) Motivational Interviewing

Interventions con’t

1) Ask open ended questions

• a. Disadvantages of the status quo
• b. Advantages of change
• c. Optimism about change
• d. Intention to change

2) Using the importance ruler 3) Exploring the importance ruler (scale of 1-10) 4) Elaborating

Interventions con’t

5) Querying extremes 6) Looking Back 7) Looking Forward 8) Exploring Goals & Values

Miller & Rollnick (2002) Motivational Interviewing

Q & A and Contact Information

Renee Kopache

Hamilton County Mental Health and Recovery Services Board reneek@hamilton.mhrsb.state.oh.us

Alfred Rowlett

Turning Point Community Programs AlRowlett@tpcp.org