panel discussion facilitated by karen amon, john kroneck and kari gulvas september 17, 2013 recovery...
TRANSCRIPT
PANEL DISCUSSION FACILITATED BY KAREN AMON, JOHN KRONECK AND KARI GULVAS
SEPTEMBER 17, 2013
Recovery and Integrated Services – Taking It to the
Streets
Panel Participants
Karen Amon – Co-Chair Regional RISC, BABH ACT and IDDT Clinical Program Manager
John Kroneck – Montcalm Health Promotion Coordinator, Cherry Street Health Services
Kari Gulvas – Co-Chair Regional RISC, Recovery Systems Coordinator, RCA/AAM/BABH
Leigha Compson – Recovery Coordinator, Wedgwood Christian Services
Geoffrey Jones – Chair Montcalm RISC, Montcalm Recovery Community
Haven Ward – Vice-Chair Montcalm RISC, Montcalm Recovery Community
Will Volesky – Kairos/Holy Cross Mental Health and Substance Use Provider
4 Objectives for Today’s Session
Participants will understand the organizational dynamics of setting the foundation and framing the structure for integrated recovery services
Participants will understand the importance of combining the Recovery Oriented Systems of Care and the Integrated Services Workgroup to develop truly integrated mental health and substance use disorder services
Participants will understand the role of local providers in organizing and coordinating communities for effective integration
Participants will hear from members of local recovery communities regarding their experience of leading system change
Brief History of Us
Regional Recovery Oriented Systems of Care (ROSC) developed 2010
Inclusionary effort for Prevention professionals, Treatment professionals, Individuals in Recovery and interested Community Stakeholders
Developed and adapted Principles, Guiding Elements of Success, Mission and Vision
Regional Integrated Services Workgroup (ISW) developed 2006
Membership included Huron Behavioral Health, Tuscola Behavioral Health, Shiawassee County CMH, Montcalm Behavioral Health and providers for Bay-Arenac Behavioral Health
Developed Purpose Statement with specific focus areas of concentration
RCA SUD Side BABH MH Side
Reorganization – 2012Regional ROSC – Regional ISW
Asked by Regional PIHP to consider reorganization/consolidation of all agency workgroups/ taskforces
RCA ROSC and BABH ISW met separately to analyze “common ground”
Common ground – “the only way to maximize services is by working together in partnership and collaboration”
Common ground – “healthy communities help to sustain recovery and promote wellness for all”
Reorganization – 2012Regional ROSC – Regional ISW
Groups met together to define common purpose – one “joint structure” to build upon
Joint agreement – improve communication, coordination, and partnership among all system stakeholders
Joint agreement – help systems provide person-centered integrated treatment and recovery services in a comprehensive, continuous, integrated way.
Reorganization – 2012Regional ROSC – Regional ISW
Developed joint Action Plan with goals/objectives – 3 workgroups support the Action Plan
Renamed the group – Recovery and Integrated Services Collaborative (RISC)
The Cornerstone for Change ---- Relationships, relationships, relationships are key!!!!!!
Regional RISC Success
New relationships built
Increased awareness and understanding
New education was shared
New understanding about limits of each system
Broader inclusion of co-occurring issues, trauma-informed services, evidence based practices and stage of change readiness
Outcomes to Date
Increased positive relationships --- proactive and progressive attitudes
Sitting at the table together on a regular basis
More people are receiving co-occurring treatment in both systems
Improved collaboration between the two systems
Local communities picking up the effort
Outcomes to Date
Identified “vulnerable” people and processes to enhance their episode of care (both systems)
Came up with best practices on how to work collaboratively
Better trained staff because of training between and across both systems (trauma, MI, Stages of Change, etc.)
Coordinated training between the two systems
Lessons Learned
Relationships are critical to succeeding
Must build on core of “trust”
Developing common language is key
Focus on the strengths of the group
Lessons Learned
Must have “action” along with visioning
Participants must be open to new learning - new ideas
Financial systems are still siloed – this is challenging
Passionate partners -- “Champions” are essential to success
Lessons Learned
Active and conscious effort to continuously evaluate
Formal system processes are necessary
Having the right people in leadership
Leaders provide empowerment – guidance
“Taking It to the Streets”
Enhancing Recovery in Montcalm County
Isabella County
Mecosta County
Newaygo County
Kent County
Ionia County
Gratiot County
Clinton County
Montcalm
Call for Pilot Projects
Joint Venture
Regional Recovery & Integrated Systems of Care
Recovery Community Cherry Health Promotion
ServicesNorth Kent Guidance
ServicesWedgwood Christian Services
Strategic Prevention FrameworkAssessment:Profile population needs, resources, and readiness to address needs and gaps.
Capacity:Mobilize and/or build capacity to address needs.
Planning:Develop a comprehensive strategic plan.
Implementation:Implement evidence-based prevention programs and activities.
Evaluation:Monitor, evaluate, sustain, and improve or replace those that fail.
A SAMHSA Best Practices Model
Sustainabili
ty &
Cultural
Competenc
e
STEERINGCOUNCIL
STEERINGCOUNCIL
RCA & SERVICEPROVIDERS
RCA & SERVICEPROVIDERS
VOLUNTEERSVOLUNTEERS
RECOVERYCOMMUNITYRECOVERYCOMMUNITY
LOCAL COMMUNITYLOCAL COMMUNITY
FUNDINGFUNDINGSUPPORTSUPPORT
RESOURCESRESOURCES
RELATIONSHIPSRELATIONSHIPS
FAMILIESFAMILIES
PEOPLE IN RECOVERYPEOPLE IN RECOVERY
EXTENDED COMMUNITYEXTENDED
COMMUNITY
FUNDINGFUNDING
RESOURCESRESOURCES
RELATIONSHIPSRELATIONSHIPS
SUPPORTSUPPORT
Montcalm RISC Goals
Community
Resource Mapping
Transitional Housing
Coordination of
Services and
Resources
Education in
the Communi
ty
Goal 1: COORDINATION OF SERVICES AND RESOURCES
Objective 1: Establishing and Maintaining a Steering Committee
Objective 2: Create a Usable and Flexible System Specifically for Recoverees and their Families
Goal 1: COORDINATION OF SERVICES AND RESOURCES
Objective 1: Establishing and Maintaining a Steering Committee
Objective 2: Create a Usable and Flexible System Specifically for Recoverees and their Families
Goal 2: EDUCATION IN THE COMMUNITY
Objective 1: Resource Networking
Objective 2: Perform a Public Education Strengths and Gaps Analysis
Goal 2: EDUCATION IN THE COMMUNITY
Objective 1: Resource Networking
Objective 2: Perform a Public Education Strengths and Gaps Analysis
Goal 4: TRANSITIONAL HOUSING
Objective 1: Develop Women’s Transitional Housing Availability
Objective 2: Identify Recovery-Friendly Landlords and Funding Options for Housing Needs
Goal 4: TRANSITIONAL HOUSING
Objective 1: Develop Women’s Transitional Housing Availability
Objective 2: Identify Recovery-Friendly Landlords and Funding Options for Housing Needs
Goal 3: RESOURCE MAPPING
Objective 1: Mapping Community Assets and Needs with respect to the Four Key Support Areas
Objective 2: Increase Employment Opportunities for Recoverees
Objective 3: Focus for Family of Recovering Person
Goal 3: RESOURCE MAPPING
Objective 1: Mapping Community Assets and Needs with respect to the Four Key Support Areas
Objective 2: Increase Employment Opportunities for Recoverees
Objective 3: Focus for Family of Recovering Person
Recovery Supports
Montcalm County RISC is committed to developing a system of supports that is holistic and flexible to meet the unique set of needs for each individual served.
“Alcohol-and drug-dependent individuals with histories of
homelessness, incarceration, and lack of social support for sobriety
are particularly vulnerable to relapse without the provision of
long-term community-based services that support sobriety,”
(McAllister Henderson & Polcin, 2008, para. 3).
Recovery Supports
Our objective was to not only identify recovery resources in our community but also to map the resources.
The map can be used by helping professionals, (e.g., recovery coaches), family members, individuals in the community, and others.
Resource Mapping
Plotting resources on a map Helps to locate resources that are closest to client
homes more efficiently Minimizes transportation issues
Analysis of the mapped resources creates the opportunity to advocate for new resources in underserved areas (i.e., “resource deserts”).
Case Example
Julie is a twenty-something mother of two who is on probation with a substance use charge. She was recently released from jail and is staying with her aunt temporarily while she tries to find a place to live. Her aunt has been threatening to kick her out as she is struggling to provide basic needs for her own family. Julie is currently unemployed and has a spotty work history given her issues with the law and substance use patterns. She dropped out of school when she was an eleventh grader and has never had a driver’s license. Julie has been sober for about three months and states that she is motivated to continue her recovery to ensure she is able to retain custody of her two young children. Currently she is feeling overwhelmed as she struggles to provide food for her children and manage severe pain for some dental problems she has been experiencing. She is referred to a local agency for a substance use evaluation.
Resource Mapping Model
Substance use literature identifies four primary categories of support that are instrumental in recovery:EmotionalInformationalInstrumentalAffiliation
Resource Mapping Model
The objective of categorizing resources is to help individuals in recovery identify key supports needed to maintain sobriety.
By organizing recovery resources into four main categories, matching individuals with resources is more efficient.
Resource Mapping Model
The map creation process involvedUtilizing the model’s four main categories as a foundationDeveloping resource subcategories for each categoryIdentifying specific resources
for each subcategoryRequesting ongoing input
and feedback from the community.
Resource Category: Emotional Supports
Emotional Supports are defined as “demonstrations of empathy, caring, and
concern in such activities as peer mentoring and recovery coaching as well
as recovery support groups”. (Kaplan, 2008)
Resource Category: Affiliation Supports
Affiliation Supports are defined as opportunities “to establish positive social connections with others in recovery so as to learn social and recreational skills in an alcohol-and drug-free environment.”
(Kaplan, 2008).
Resource Category: Instrumental Supports
Instrumental Supports are defined as “concrete assistance in task
accomplishment, especially with stressful or unpleasant tasks (e.g., filling out applications, obtaining
public benefits) or providing supports such as child care, transportation to
support group meetings, and clothing closets” (Kaplan, 2008).
Resource Category: Informational Supports
Informational Supports are defined as “provision[s] of health and wellness
information, educational assistance, and help acquiring new skills, ranging from life skills to employment readiness and
citizenship restoration (e.g., voting rights, driver’s license)” (Kaplan, 2008).
Resource Map Category Summary
Resource Maps
To view the map for each category, click on the desired button below:
Resource Booklet
Next Steps
Distribution and awarenessMaintenance planCollecting feedbackAdvocacy for new resourcesEmployment Network
Montcalm County RISC’s commitment to diversity is critical to the success of a recovery system and thus the success of recovering
individuals, for “treatment professionals and
researchers now believe that there are many
aspects of recovery and there are numerous
pathways to follow. There is no single solution that
works for everyone,” (Promises Treatment
Centers, n.d., para. 3).
References
Kaplan, L., (2008). The Role of Recovery Support Services in Recovery-Oriented Systems of Care. Center for Substance Abuse Treatment, Substance Abuse and Mental Health Services Administration. DHHS Publication No. (SMA) 08-4315.
McAllister Henderson, D., & Polcin, D. (2008). A clean and sober place to life: Philosophy, structure and purported therapeutic factors in sober living houses. Journal of Psychoactive Drugs. 40(2). 153.
Nishimura, N., Priest, R., Pruett, J. 2007. The role of meditation in addiction recovery. Counseling and Values. 52(1). 71.
Promises Treatment Centers. (n.d.). How to build and maintain a solid system in recovery.
Closing
Questions?
Contact Information
Montcalm RISC [email protected] (616) 232-6891
Leigha Compson [email protected] (616) 255-6334
RCA RISC www.riverhaven-
ca.org (989) 497-1344
Kari [email protected](989) 497-1384
Resource Map
Each map is color coded by subcategory.
Resource Maps
Clicking on one pin displays the resource details
Resource Map
Clicking on the resource title takes you to the resource website
Resource Map
Clicking on the resource address takes you to a new page to get driving directions to the site.
Case Example
The results of the assessment indicate that Julie meets diagnostic criteria for substance use.
Weekly counseling is recommended and Julie agrees to participate. The first counseling session is scheduled.
Treatment goals are established, some of which are supported through the assignment of a recovery coach.
Case Example
Julie is introduced to a recovery coach who begins meeting with her individually.
To support her treatment plan, Julie’s specific recovery support needs are assessed by the recovery coach.
Plans to meet the needs are developed using the resource map.
Case Example
Case Example
Case Example
Case Example
Throughout the process, Julie’s recovery coach uses the Montcalm County Recovery Supports Resource Directory.To date, the directory contains over 725 resources! It’s available electronically online as well as in booklet form.
Closing
Questions?
Contact Information
Montcalm RISC [email protected] (616) 232-6891
Leigha Compson [email protected] (616) 255-6334
RCA RISC www.riverhaven-
ca.org (989) 497-1344
Kari [email protected](989) 497-1384