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Building Community: Through Finding Our Voice and Engaging in

Dialogue, Part 2By Daniel Fisher, MD, PhD

National Empowerment Centerwww.power2u.org

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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 44:461–475, 2005

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Part One: Self-determination through SELF-DIRECTED CARE Taking Charge of Our Own Lives…….

Prepared by: Patrick Hendry

Executive Director

Florida Peer Network

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The Florida Self DeterminationCare (SDC) Program

(Patrick Hendry, Florida SDC Program)

Life AnalysisLife Action Plan

Life/Recovery CoachingIndividualized BudgetBrokered Services & SupportsNew Life Action Plans & Budgets Quarterly Review

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Traditional approach

Available Resources

Treatment Goals

AvailableSupports Person

Focus is on “Managing the Illness”

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Source: Foundations of Person-Centeredness, Level 1 Workbook – pg 18

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Person-centered approach

ResourcesDreamsNatural

SupportsPerson

Focus is on “Promoting Recovery”

1 2 3 4

Source: Foundations of Person-Centeredness, Level 1 Workbook – pg 19

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Comparing self-directed care and

community mental health services in Florida

Outcome measured Traditional Community MH Service

Self-directed care

Participate in life of community

30% 75%

Perform different social roles

25% 83%

Choose services 42% 90% Exercise rights 42% 90%

Have best possible health

22% 65%

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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.

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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.

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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 CME’s in recovery

c. Curricula designed, presented and evaluated by collaboration of consumers and professionals

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