fairweather lodge: life and employment in a fairweather lodge setting
TRANSCRIPT
FAIRWEATHER LODGE: Life and Employment in a Fairweather Lodge Setting
PANEL PARTICIPANTS
Sallianne Brown RN, CPRP, Clinical Coordinator – Transitional Services, Inc Pittsburgh, PA (CCL Board member)
William C. McHenry, Lodge Coordinator – New Visions, Inc Shippensburg, PA (CCL Board member)
Jennifer Mullins, Lodge Coordinator – Transitional Services, Inc. Pittsburgh, PA
Various Lodge Members from TSI and New Visions,
TODAY’S OBJECTIVES:
PARTICIPANTS WILL BE ABLE TO:
Describe the principles of the Fairweather Lodge model.
Describe operating components of Fairweather Lodge.
Summarize benefits of Fairweather Lodge to its member and communities.
Identify resources to assist them in “next steps” when considering establishing a Lodge.
Identify some future initiatives appropriate to the Lodge model.
HISTORY OF FAIRWEATHER LODGE
Dr. George W. (Bill) Fairweather’s book, Community Life for the Mentally Ill, based on his research at the Veteran’s Hospital in Palo Alto, was released in 1963. He had begun his work there in 1960.
Later, under a grant from the National Institute of Mental Health (NIMH), Fairweather set out to promote the Lodge Model nationally, in what became known as “The Dissemination Project.” One of the first community based programs designed and tested with a randomized experimental design
Longitudinal follow –up of 40 months demonstrated that significant outcomes were not short lived.
Reference- Fairweather, G.W., Sanders, D.Cressler, D and Maynard, H. (1969) Community Life of the Mentally Ill
Fairweather stunned the mental health profession by using terms like, “full citizenship,” “meaningful roles in society,” and “equal social status” to describe the desired outcomes of his project.
Community Life for the Mentally Ill, gave birth to the “patients’ rights” movement in psychiatry and the “strength-based” approach to mental illness – a belief that a patient’s strengths were at least as important as the patient’s illness.
There are over 100 Lodges in the US today.
CURRENT LOCATIONS OF LODGES IN THE US
CURRENT ADAPTATIONS OF THE MODEL
Woman with children- TexasMen leaving incarceration- MinnesotaVeterans- California, Iowa, PALodge Members at Large
LODGES IN PENNSYLVANIA
LODGE PRINCIPLES
Principle I. The lodge must provide a safe, healthy and caring environment, which reinforces the recovery process.
Principle II. The Lodge must be part of the plan for managing symptoms and promoting good mental health.
Principle III. Services must be available as long as the participant wants and needs them.
LODGE PRINCIPLES
Principle IV. People with psychiatric disabilities increase their community success and raise their social status through employment, through accumulating wealth, and through direct (not third-party) consumerism.
Principle V. Above and beyond economic roles, participants need to perceive(and to have) meaningful social roles in both the Lodge and the larger community.
Principle VI. Successful Lodges resemble a healthy family.
LODGE PRINCIPLES
Principle VII. In order to progress, people with psychiatric disabilities need autonomy commensurate with their behavioral performance, with the ultimate goal of full autonomy. Similarly, the Lodge needs autonomy commensurate with its behavioral performance, with total autonomy being the ultimate goal.
Principle VIII. Lodges must not be dependent on resources from any single entity.
PRACTICAL APPLICATION OF LODGE LIFE
Admission Criteria Each Lodge is different as to age, gender and other funding criteria
Most important is a desire to live with others cooperatively
Must want to work, ideally in the Lodge’s business if possible
Must be able to contribute to the Lodge’s financial obligations – rent, utilities, food, etc
Must be able to contribute to the Lodge’s upkeep
Acceptance Process Screened by staff for eligibility
Final decision with other Lodge members
PRACTICAL APPLICATION OF LODGE LIFE Principles of Self Governance
Members decide who will live at their Lodge
Members agree on House Rules and means to enforce them
Members do things together
Members support each others’ recovery, including medication and substance use
Lodges support health and safety for its members
Members act as a family; focusing on building strong relationships with each other
Staff are only consultants
PRACTICAL APPLICATION OF LODGE LIFE
Business and Employment Lodge run businesses Outside employment/training Community Partners Funding for training Creativity is key to entrepreneurship
STANDARDS AND OUTCOMES
Standards for Certification Developing Lodge
Acclaimed Lodge
Exemplary Lodge
Outcome Compilation and Analysis Lodge principle implementation is basis for fidelity outcomes
Individual elements are weighed based on importance. The fidelity tool has shown validity over time nationally.
http://www.theccl.org/FairweatherLodge/Standards.aspx
COST EFFECTIVENESS OF LODGE MODEL
Fair Weather Lodge (FWL)
Homeless Shelter
Incarceration Inpatient
$11.00 / day PP $110 / day PP $120 / day PP $460 - $600 / day PP
$15,750 / year $40,000 / year $44,000 / year Avg $193,500 / year
“NEXT STEPS” TO STARTING A LODGE
Funding Availability
Creativity is the key: endowments, grants (public and private), homeless funding
Proof of Model
Quality Fidelity to the Model is maintained
Cost effectiveness is far below other service models for housing/programming
Dedicated or Targeted Population
Many new initiatives for specific populations are being funded publically and through private organizations.
“NEXT STEPS” TO STARTING A LODGE
Partnerships and Technical Assistance State/OMHSAS has been long in support of Lodges
FY 2002-2013, $210,000
PA State Fairweather Lodge Coalition Network of experienced Lodge providers and coordinators
National Coalition for Community Living Monthly calls
Conferences
Consultation available
“NEXT STEPS” TO STARTING A LODGE
More about the Coalition for Community Living
National Organization and Board
Toolkit available
Fidelity standards, outcome reporting and certification
Annual Conference
For more information about CCL, visit
www.theccl.org
LOOKING TO THE FUTURE
Expansion of Businesses - PASURegional Training LodgesVeterans LodgesTransition Age YouthBusinesses as social entrepreneurial enterprises –
Greenlight ProductsNew initiatives and Innovations
PERSPECTIVES
Lodge Impact on:MembersCoordinators NeighborhoodsMental Health System
MEMORIAL TO DR. FAIRWEATHER AT 2015 NATIONAL CONFERENCE IN PITTSBURGH – 9/23/15
MEMORIAL TO DR. FAIRWEATHER AT 2015 NATIONAL CONFERENCE IN PITTSBURGH – 9/23/15
MEMORIAL TO DR. FAIRWEATHER AT 2015 NATIONAL CONFERENCE IN PITTSBURGH – 9/23/15
MEMORIAL TO DR. FAIRWEATHER AT 2015 NATIONAL CONFERENCE IN PITTSBURGH – 9/23/15
MEMORIAL TO DR. FAIRWEATHER AT 2015 NATIONAL CONFERENCE IN PITTSBURGH – 9/23/15
MEMORIAL TO DR. FAIRWEATHER AT 2015 NATIONAL CONFERENCE IN PITTSBURGH – 9/23/15