empowering people for recovery plenary, oslo (june 2015)
TRANSCRIPT
Empowering People for Recovery
DAVID COVINGTON, LPC, MBA—RECOVERY INNOVATIONS, INC.
http://davidwcovington.com
In mental health, it all starts with peer voice & inclusion in system design and leadership
Key to Person-Centered Care
Polling Question #1
Which of the following best characterizes your agency approach to patients (peers)?
Stage 1 - We do services to peopleStage 2 - We do services for peopleStage 3 - We do services with peopleStage 4 – In addition to clinical/medical staff, we have a few peer leaders and/or ancillary peer supports servicesStage 5 - We have a peer driven system of care, where peers represent more than 25% of staff
Three Forces
Psychiatric Inpatient Asylums
Stag
e 1
Primary Era: 1800 - 1972
Community Mental Health Centers
Stag
e 2
Primary Era: 1963 - present
Psychiatric Rehabilitation
Stag
e 3
Primary Era: 2000 - present
Symbolic Peer Leadership
Stag
e 4
Primary Era: 2010 - present
Peer Driven Systems of Care
Stag
e 5
Primary Era: Emerging Innovation
Recovery Empowerment Continuum Characteristics Perspective Stage 1 Stage 2 Stage 3 Stage 4 Stage 5
Traditional Psychosocial Rehabilitation
Philosophy/ContinuumPeer-Driven
CarePeer-Driven
SystemMotto Done to Done for Done with Done by
Characteristics
Clinical team identifies goals and develops service plans.
Compliance with directives is focal point activities.
Strong dependence on
system & artificial (paid)
supports with no individual risk
taking or family engagement.
Genuine voice and
participation with some support for
individual risk taking &
engagement in natural
supports.
Self-directed care is a core value
with peers holding some
leadership and advocacy
positions within the system.
Many roles in the system are filled by peers,
including workforce,
governance, etc. Not a token
gesture.
Core Value
Clinically sound professional services & stability
Safety and security with a goal of stability
Personal recovery through
collaboration
Personal recovery through self-directed care
Culture change through peer leaders and
staffing
Person(s)Compliant Dependent
Respected (Voice)
Leader Empowered
Subservient Institutionalized Involved Advocate LeadersStaff Member
Prescriptive Caretaker Partner Consultant PeersDirective Protector Guide Support Advocate
Organization
Clinically driven Protective Collaborative Recovery driven Peer-driven Provider is expert Risk Averse Engaging Person is expert Peer-staffed
Risk Taking
Discouraged Blocked Supported Encouraged Expected
1950
Compliance/Directive
1980
Dependent/Care Taker
2010Voice & Participation
PresentAction & Leadership
FuturePeer-Driven
System
Peer Leadership & Workforce
Welcoming Environments
Recovery Coaching/Values1. Organizational
commitment2. Quality training pre-
employment3. Recovery training for
all staff 4. Job-specific peer
support roles6. “Tipping point” critical
mass 7. Develop career ladder 8. Parity for peer workers9. Remember, it’s real
work, not sheltered work or therapy
Traditional Language Recovery/Opportunity
Consumer Guest
Sub-acute Psych Inpatient Living Room
23 Hour Observation Retreat
24/7 Crisis Walk-in Front Lobby
Crisis Center Recovery Response Center
Crisis Opportunity
Intake Recovery Partnership
Assessment Getting to Know Each Other
Psychosocial History Telling My Story
Treatment Plan Recovery Solutions
Recovery Language
Polling Question #2
The Americans with Disabilities Act gives civil rights protections and guarantees equal opportunity in public accommodations, employment, transportation, government services, and telecommunications. The ADA also applies to Mental Health.
A. TrueB. False
New Civil Rights Struggle
“We stand on the doorstep to make momentous progress in
advancing the cause of this new civil rights struggle started by the work of President Kennedy
over 50 years ago.”
DEC’s Phil Pangrazio
“[In the disability empowerment movement] we don’t have a token seat at the
table. We lead the table.”
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