community partnerships

Community PartnershipsCommunity PartnershipsWhat Helps…What HindersWhat Helps…What Hinders

Recovery is Community Recovery is Community OrientedOriented

VA Mental Health Strategic PlanVA Mental Health Strategic Plan• Emphasizes community partneringEmphasizes community partnering• Emphasizes community orientationEmphasizes community orientation Recovery Systems/MeasurementsRecovery Systems/Measurements• Emphasize community integrationEmphasize community integration• Support blending of service in the Support blending of service in the

communitycommunity

• Where will it come from? How will it Where will it come from? How will it arrive?arrive?

• Leadership with vision, passion, Leadership with vision, passion, commitmentcommitment

• Psychologists are leaders, program Psychologists are leaders, program leaders, service chiefs, directors of leaders, service chiefs, directors of trainingtraining

• Psychologists are Psychologists are agents of changeagents of change

Transformation of System and Transformation of System and StaffStaff

Mental Health RecoveryMental Health RecoveryWhat Helps and What HindersWhat Helps and What Hinders

Onken, S., Dumont, J., Ridgway, P., Onken, S., Dumont, J., Ridgway, P., Dorman, D. and Ralph, RuthDorman, D. and Ralph, Ruth

Elements EvaluatedElements Evaluated• Basic Material ResourcesBasic Material Resources• Social RelationshipsSocial Relationships• Hope, Sense of Meaning, PurposeHope, Sense of Meaning, Purpose• ChoiceChoice• Peer SupportPeer Support• Formal ServicesFormal Services• Formal Service System StaffFormal Service System Staff

StaffStaff HindersHinders1.1. Discontinuity, burnout, Discontinuity, burnout,

overworkedoverworked2.2. Low expectations, Low expectations,

negative messagesnegative messages3.3. Misunderstanding, mistrustMisunderstanding, mistrust4.4. Coercion, power-over, Coercion, power-over,

formal rolesformal roles5. 5. Paternalism, no Paternalism, no

understanding of understanding of consumers’ experiences, consumers’ experiences, superior, disrespectful superior, disrespectful

HelpsHelps1.1. Continuity, one-on-one Continuity, one-on-one

relationship, availabilityrelationship, availability2.2. Hopeful, positive Hopeful, positive

expectations, belief that expectations, belief that recovery is possiblerecovery is possible

3.3. Understanding, trustworthy, Understanding, trustworthy, honest, openhonest, open

4.4. Partnership & collaboration, Partnership & collaboration, treated as equalstreated as equals

5. Listened to, believe staff are 5. Listened to, believe staff are authentic, caring, respectfulauthentic, caring, respectful

HindersHinders6.6. Culturally insensitive, not much Culturally insensitive, not much

staff diversitystaff diversity7.7. Foster dependency, discourage Foster dependency, discourage

and undermine consumer and undermine consumer participationparticipation

8.8. Inadequate knowledge and Inadequate knowledge and trainingtraining

HelpsHelps6.6. Culturally sensitiveCulturally sensitive7.7. Fosters self-Fosters self-

empowermentempowerment8. Improved and ongoing 8. Improved and ongoing

education and training, education and training, consumers involved as consumers involved as trainerstrainers

Chronicity vs. Recovery Chronicity vs. Recovery ParadigmsParadigms

ChronicityChronicity1.1. Diagnostic groupings; Diagnostic groupings;

“case;” lumped together; “case;” lumped together; “chronics”“chronics”

2.2. Pessimistic prognosis; Pessimistic prognosis; “broken brain”“broken brain”

3.3. Pathology/deficits; Pathology/deficits; vulnerabilities are vulnerabilities are emphasized; problem emphasized; problem orientationorientation

4.4. Fragmented Fragmented Biological/Psychosocial, Biological/Psychosocial, oppression modelsoppression models

RecoveryRecovery1.1. Unique identity; person Unique identity; person

oriented; person first oriented; person first languagelanguage

2.2. Hope and realistic Hope and realistic optimismoptimism

3.3. Strengths/hardiness and Strengths/hardiness and resilience; self-righting resilience; self-righting capacity is emphasizedcapacity is emphasized

4.4. Integrated Bio-Psycho-Integrated Bio-Psycho-Social-Spiritual; holisticSocial-Spiritual; holistic

Chronicity vs RecoveryChronicity vs RecoveryChronicityChronicity

5.5. Professional assessment of Professional assessment of “best interests” and needs; “best interests” and needs; paternalismpaternalism

6.6. Professional control; expert Professional control; expert servicesservices

7.7. Power over; force; coercion; Power over; force; coercion; compliancecompliance

8.8. Reliance on formal supports Reliance on formal supports or “independence”or “independence”

9.9. Social segregation; formal Social segregation; formal program settings; deviancy program settings; deviancy amplifying artificial settingsamplifying artificial settings

RecoveryRecovery5.5. Self definition of goals and Self definition of goals and

needs; voice; consumer needs; voice; consumer driven; self-determinationdriven; self-determination

6.6. Self help; mutuality; Self help; mutuality; experiential wisdom; self care; experiential wisdom; self care; partnering with professionalspartnering with professionals

7.7. Empowerment ChoiceEmpowerment Choice8.8. Emphasis on natural supports; Emphasis on natural supports;

interdependencyinterdependency9.9. Community integration; real Community integration; real

life niches; in vivo services life niches; in vivo services and supportsand supports

Chronicity vs. RecoveryChronicity vs. RecoveryChronicityChronicity

10.10. Maintenance; Maintenance; stabilization; risk stabilization; risk avoidanceavoidance

11.11. Patient; client; consumer Patient; client; consumer rolerole

12.12. Resource limitations; Resource limitations; povertypoverty

13.13. Helplessness; passivity; Helplessness; passivity; adaptive dependencyadaptive dependency

RecoveryRecovery10.10. Active growth; new skills Active growth; new skills

and knowledge; dignity of and knowledge; dignity of riskrisk

11.11. Normative roles; natual Normative roles; natual life rhymnslife rhymns

12.12. Asset building; Asset building; opportunitiesopportunities

13.13. Self-efficacy; self-Self-efficacy; self-sufficiency; self-reliancesufficiency; self-reliance

ChallengeChallengeIf you are a Chief of Service, a Supervisor If you are a Chief of Service, a Supervisor

or a Program Manager:or a Program Manager:• How will my staff get training?How will my staff get training?• How will I assure competency?How will I assure competency?• How will I promote PSR&R in my How will I promote PSR&R in my

programs and services?programs and services?• Am I currently developing or supporting Am I currently developing or supporting

PSR&R services in my setting?PSR&R services in my setting?

ChallengeChallengeIf you are a Director of Training:If you are a Director of Training:• Do I have PSR&R trainings in my seminar Do I have PSR&R trainings in my seminar

series?series?• Do I have staff who can model PSR&R Do I have staff who can model PSR&R

values, skills and servicesvalues, skills and services• Do I have a PSR&R rotation?Do I have a PSR&R rotation?If you have an academic appointment:If you have an academic appointment:• How embedded is PSR&R education and How embedded is PSR&R education and

training in your setting?training in your setting?

News from the practicum News from the practicum settingssettings• Preparation for internship applicationsPreparation for internship applications• Perception of value of training opportunity Perception of value of training opportunity

to enhance overall value of candidacyto enhance overall value of candidacy• What, then, do Psychology Internship sites What, then, do Psychology Internship sites

value in internship value in internship applications/applicants?applications/applicants?

• Directors of Training: If you value it, they Directors of Training: If you value it, they will come.will come.

Potential BarriersPotential Barriers• StaffStaff• AccessAccess• System KnowledgeSystem Knowledge• Values Concerning PartneringValues Concerning Partnering

– What does partnering do for me?What does partnering do for me?– What workload will it produce?What workload will it produce?– Will I lose workload?Will I lose workload?– How does this benefit veterans?How does this benefit veterans?

Why Partner?Why Partner?• No system of services has all the No system of services has all the

resources it needsresources it needs• Each system has strengths and Each system has strengths and

vulnerabilitiesvulnerabilities• Combining strengths makes each Combining strengths makes each

system more powerfulsystem more powerful

Community PartnershipCommunity Partnership• Local Mental Health Authority IS The Local Mental Health Authority IS The

CommunityCommunity• VA has peer support expertiseVA has peer support expertise

Peer Support expertise in the community Peer Support expertise in the community ==

Independence CenterIndependence Center

Activities

2111 Austin Ave (254) 756-0258 Monday-Friday 8AM to 2PM

SunSun MonMon TueTue WedWed ThuThu FriFri SatSat

11 22CERAMICS: CERAMICS: 12:3012:30FREETHROW: FREETHROW: 11:0011:00

33HORSESHOES: HORSESHOES: 10:3010:30MOVIES 1:00MOVIES 1:00CHECKERS: 10:30CHECKERS: 10:30BINGO: 1:00BINGO: 1:00

44ART: 1:00ART: 1:00

55DOMINOES:10:30DOMINOES:10:30POOL TOURN: POOL TOURN: 12:3012:30

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ACTIVITIES

Activities

2111 Austin Ave (254) 756-0258 Monday-Friday 8AM to 2PM

SunSun MonMon TueTue WedWed ThuThu FriFri SatSat

11 22PEER SUPPORT 10:30PEER SUPPORT 10:30BBBs 11:00BBBs 11:00SPANISH 1:00SPANISH 1:00

33BASIC COMP 10:30BASIC COMP 10:30SUB. ABUSE 10:30SUB. ABUSE 10:30ADV COMP. 1:ADV COMP. 1: 0000

44MENTAL MENTAL WELLNESS 1:00WELLNESS 1:00

55BASIC COMP 10:30BASIC COMP 10:30ADV COMP. 1:00ADV COMP. 1:00GOAL SETTING 1:00GOAL SETTING 1:00

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GROUPS

Check out their web site:Check out their web site:• www.independencecenteronline.orgwww.independencecenteronline.org

community partnerships

Documents

formal supports

program leaders

service chiefs

chief of service

psrr services

program manager

formal roles5

overworkedlow expectations