who are we? steve miccio executive director people, inc. [email protected]
TRANSCRIPT
Who are we?
Projects to Empower and Organize the Psychiatrically Labeled, Inc.
PEOPLe, Inc.
Steve MiccioExecutive Director
PEOPLe, [email protected]
A peer run not for profit organization that provides advocacy and an array of recovery centered services to people with psychiatric labels in 7 Counties in New York.
PEOPLe, Inc.
Over the past 10 years PEOPLe has been developing and practicing pro-active diversion peer run services to assist people from crises and hospitalizations
A New Diversion Continuum
Home
Crisis
HospitalHome
Crisis
Hospital
Hospital Diversion HouseWarm LineIn-Home Peer CompanionshipSocial Structure (Nights Out)Emergency Department AdvocacyClinic Advocacy
Diversion Services
Persons seeking temporary residential care/respite care can stay from one to five nights in a warm, friendly, safe and supportive home-like environment where they can learn recovery and relapse prevention skills.
Hospital Diversion House The Rose House
Rose House’s services are designed to help ‘at risk’ individuals to break the cycle of learned helplessness and recidivism and to move away from what are often long histories of cycling from home to crisis to hospital, year after year.
Hospital Diversion House
In recent years, PEOPLe, Inc has developed a “warm line” service aimed at providing
phone-based crisis support at all hours of the day and night to help people to reduce or
avoid emergency room visits or psychiatric hospitalizations.
Peer Warm Line
PEOPLe, Inc offers in-home peer companionship in the event one does not
want to leave one’s home. A Peer Companion will visit an individual regularly
at his or her home or in the community, offering peer support, an empathetic ear and new techniques to help the person
avoid utilizing hospital services.
In Home Peer Companion
A social event in the community designed to provide weekly activities and/or events structured by participants. Nights Out connects people to each other and the communities natural supports.
As people grow socially they seem to become better equipped to focus more on wellness activities rather than symptom related activities.
Nights Out
Peers assist individuals in navigating the often-traumatic process of being screened and admitted/discharged to/from the hospital.
a booklet explains the process of the emergency room screening in language aimed at providing words of hope and support to the individual or family.
It improves compassionate care and overall outcomes.
Peer Emergency Room Advocacy/Services
Full time Peer Advocate stationed in the clinicRole is to assist people in navigating the
clinic servicesAssist people in developing Wellness PlansEducating people on how to develop recovery
goals and advocate for themselvesEducate people on “What is Therapy”
developing expectations and personal responsibility around recovery
Clinic Advocacy
Philosophy(Culture)
Engagement
Environment
Three Vital Components to Success
Recovery is the expectationCore Values Drive behaviorMutual RespectTransparency/honestyThe shared experience can provide hopeRe-thinking crisisWell trained and developed Staff
Philosophy
Recovery
Philosophy
Engageme
nt
Environme
nt
Building a trusting relationship can promote empowerment in individuals that can lead to more informed and self-determined decisions about ones care and quality of life choices.
Good engagement reduces fear of punitive actions
Sharing stories in an open and honest environment can make the relationship and experience more meaningful thus possibilities for change
Well trained and developed Staff
EngagementPhilosophy
Engagement
Environment
Safe and InvitingClean and home-likeWarm greeting Educational materials availableRecreational materials availablePrivacy
Environment
Philosophy
Engagement
Environ
ment
Total Guests Served 227Total Residence Days 748Total Warmline Calls 1253Total Off-Premises Visits 72 748 x $1,400 = $1,047,200 (Local hospital cost)*Rose House annual cost $264,000Unspent Medicaid/Insurance cost $783,200 *Based on average cost of local hospitals
Rose House Totals 2010
Research
College of St. Rose in Albany, NY
The purpose of the study was to compare consumer satisfaction with PEOPLe’s peer-run hospital diversion program versus a traditional inpatient program. Guests quality of life and success in coping with mental illness as a result of their experiences in both settings was also explored.
Preliminary results of unpublished longitudinal study
Year one
Purpose of Study
Being greeted warmly Orientation to the program Non-judgmental staff Explanation of program Expectations Involvement in treatment planning Understanding of the risks/ benefits of treatment Use of recovery based language Trauma sensitive treatment
Treatment Measures
Overall, 64% of respondents indicated that they experienced these elements of treatment at Rose House compared to 22% at inpatient hospital settings.
Results of Treatment Measures
Active listeningRespect of clientsTime spent with consumerEncouragement of interaction with peersEncouragement of RecoveryAvailability 24/7
Experiences with Staff Measures
Overall 76% of the respondents indicated that the treatment experience included the above Experiences with Staff measures. Conversely, 32% of the respondents indicated that in-patient settings included these measures.
Results of Experiences with Staff
Quality of physical environmentComfortable settingsGuest private spaceMeals availability tailored to the guest
schedulesGuests ability to set their own daily
schedules.
Measures of Experiences with Environment
Overall, 78% indicated Rose House has these elements in the program compared to 18% for inpatient hospital settings.
Results of Experiences with Environment
Services at Rose House are more person-centered, and less restrictive than inpatient hospitals.
Staff is more likely to be respectful in their approach to guests than hospital settings.
Summary
Guests report feeling comfortable with the treatment received, as well as the environment. They also see peer-run programs as reducing stigma associated with mental illness.
Summary, cont.
Rose House alumni are socially involved, and report satisfaction with theses activities. It appears that Rose House guests believe that peers provide help with recovery, companionship and feedback regarding their mental illness. This belief is associated with increased social involvement.
Community Involvement
In front of de Halte House in Eindhoven, Netherlands
The new staff in Netherlands!
Steve MiccioExecutive Director
PEOPLe, Inc.378 Violet Avenue, Poughkeepsie, NY
12601845-452-2728
Contact Information