changes in mental health services overview consumer education and support statewide call-in:...

Changes in Mental Health Changes in Mental Health ServicesServicesOverviewOverview

Consumer Education and Support Consumer Education and Support Statewide Call-In: September 27, Statewide Call-In: September 27,

20072007

OverviewOverviewChanges in Mental Health Changes in Mental Health

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OBJECTIVES FOR TODAY’S CALLOBJECTIVES FOR TODAY’S CALL1. 1. Participants will obtain a brief historical Participants will obtain a brief historical

overview of the process of change in the overview of the process of change in the mental health systemmental health system

2. 2. Participants will learn about common Participants will learn about common emotional responses to changeemotional responses to change

3. 3. Participants will understand changes made in Participants will understand changes made in the new mental health services, and the the new mental health services, and the goals/objectives of those changesgoals/objectives of those changes

4. 4. Participants will understand the role of Participants will understand the role of consumers in the new mental health servicesconsumers in the new mental health services


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GUIDELINES FOR TODAY’S CALLGUIDELINES FOR TODAY’S CALL1. All Speakers Will Use Person-First Language1. All Speakers Will Use Person-First Language

2. All Acronyms Will Be Spelled Out and 2. All Acronyms Will Be Spelled Out and DefinedDefined

3. Diverse Experiences Will Be Heard and 3. Diverse Experiences Will Be Heard and ValidatedValidated


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What is Change?What is Change?

to make different…to make different…

to transform….to transform….

to switch direction or course... to switch direction or course...


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How does Change make us feel?How does Change make us feel?

……scaredscared

……excitedexcited

……unsureunsure

……angryangry


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Why Change?Why Change?

……to improve and expand servicesto improve and expand services

……to focus on evidenced-based to focus on evidenced-based practicespractices

……because consumers wanted changebecause consumers wanted change


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The Consumer and Agency Staff develop a The Consumer and Agency Staff develop a collaborative, recovery-based treatment collaborative, recovery-based treatment

plan.plan.

The The IIndividualized ndividualized TTreatment reatment PPlan identifies lan identifies the service(s) that will assist the consumer the service(s) that will assist the consumer

to meet their recovery goals and objectives).to meet their recovery goals and objectives).


ServicesServicesWhat services have been developed or changed ?What services have been developed or changed ?

……Community Support (CS)Community Support (CS)

Individual (CSI)Individual (CSI)

Group (CSG)Group (CSG)

Team (CST)Team (CST)

Residential (CSR)Residential (CSR)

……Psychosocial Rehabilitation (PSR)Psychosocial Rehabilitation (PSR)

……Assertive Community Treatment (ACT)Assertive Community Treatment (ACT)


ServicesServicesCommunity Support Individual (CSI) is…Community Support Individual (CSI) is…

…… delivered most of the time outside of the agency delivered most of the time outside of the agency officeoffice

…… consists of therapeutic interventions that facilitate consists of therapeutic interventions that facilitate illness self-management, identification and use of illness self-management, identification and use of natural support, and use of community resourcesnatural support, and use of community resources

…… skill building activities on an individual basis to skill building activities on an individual basis to assist the consumer in the development of assist the consumer in the development of functional, functional, interpersonal, family, coping, and interpersonal, family, coping, and community living community living that are negatively impacted by that are negatively impacted by the consumer’s mental the consumer’s mental illness.illness.


ServicesServicesCommunity Support Group ( CSG) is…Community Support Group ( CSG) is…

…… delivered most of the time outside of the agency delivered most of the time outside of the agency officeoffice

…… skill building activities on a group basis to assist skill building activities on a group basis to assist the consumer in the development of functional, the consumer in the development of functional, interpersonal, family, coping, and community interpersonal, family, coping, and community living that are negatively impacted by the living that are negatively impacted by the

consumer’s consumer’s mental illness.mental illness.

…… services in a group setting ranging in size from 2-services in a group setting ranging in size from 2-15 15 consumersconsumers


ServicesServicesCommunity Support Team ( CST) is…Community Support Team ( CST) is…

…… uses the expertise of a multi-staff teamuses the expertise of a multi-staff team

…… address more complex needs of the consumer address more complex needs of the consumer

…… sstep-down service from the more intense servicestep-down service from the more intense services

…… cconsists of therapeutic interventions that facilitate onsists of therapeutic interventions that facilitate illness self-management, skill building, illness self-management, skill building,

identification and use of natural support, and use of identification and use of natural support, and use of community resourcescommunity resources


ServicesServicesCommunity Support Residential (CSR) is…Community Support Residential (CSR) is…

…… available to consumers who live in available to consumers who live in supervised supervised sitessites

… … able to emphasize the process of assisting able to emphasize the process of assisting consumers to be a greater part of their consumers to be a greater part of their communitycommunity


ServicesServicesPsychosocial Rehabilitation (PSR) is …Psychosocial Rehabilitation (PSR) is …

…… a facility based servicea facility based service

…… delivered in conjunction with Community Supportdelivered in conjunction with Community Support

…… a service that promotes self-directed engagement a service that promotes self-directed engagement in in leisure, recreation, and community social leisure, recreation, and community social activitiesactivities

…… able to assist consumers in achieving their social, able to assist consumers in achieving their social, educational, and vocational goalseducational, and vocational goals

…… helpshelps facilitate independent living, adaptation, facilitate independent living, adaptation, problem solving, coping skills development problem solving, coping skills development

Assertive Community Treatment (ACT) is …Assertive Community Treatment (ACT) is …

…… an evidenced based practicean evidenced based practice

…… an interdisciplinary team which consists of a an interdisciplinary team which consists of a psychiatrist, Nurse, Team Leader, and other psychiatrist, Nurse, Team Leader, and other StaffStaff

…… an intensive integrated rehabilitative crisis, an intensive integrated rehabilitative crisis, treatment, and rehabilitative servicetreatment, and rehabilitative service

…… intended to promote symptom stability,as well as intended to promote symptom stability,as well as restore personal care, community living, and restore personal care, community living, and

social social skills.skills.


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ServicesServicesService Intensity LevelService Intensity Level

MostLeast

CSI..CSG..CST..PSR..ACT..CSR

Consumers may move within the continuum of services. The level of intensity and services

offered is based on assessments, medical necessity, and consumer choice


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HOW CAN I GET MORE INFORMATION?HOW CAN I GET MORE INFORMATION?

http://www.dhs.state.il.us/revisedRule132/indhttp://www.dhs.state.il.us/revisedRule132/index.aspex.asp


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GUIDELINES FOR Q & AGUIDELINES FOR Q & A1. All Speakers Will Use Person-First Language1. All Speakers Will Use Person-First Language2. All Acronyms Will Be Spelled Out and Defined2. All Acronyms Will Be Spelled Out and Defined3. Diverse Experiences Will Be Heard and Validated3. Diverse Experiences Will Be Heard and Validated4. 4. Each Individual Will Ask One Question, Then Pass Each Individual Will Ask One Question, Then Pass

To the Next Person.To the Next Person.4. When Finished Speaking, Conclude With “Thank You”4. When Finished Speaking, Conclude With “Thank You”5. Written Questions Can Be Sent To:5. Written Questions Can Be Sent To:– [email protected]@illinoisillinois..govgov (fax: 309-693-5101) (fax: 309-693-5101)– [email protected]@illinois.gov (fax: 618-833-8336) (fax: 618-833-8336)


ServicesServicesTHANK YOU!THANK YOU!

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