Transcript Behavioral Health Alliance of Rural Pennsylvania (BHARP

Promoting Recovery Oriented Environments
BHARP
Behavioral Health Alliance of Rural Pennsylvania
 BHARP was established in the Fall of 2006. It is comprised of County
Mental Health Administrators, Human Service Directors and Single
County Authorities from 23 counties in Northcentral PA.
 The purpose of the BHARP is to allow the 23 counties in the Northcentral
region to participate in the implementation and monitoring of the
Department of Public Welfare contract with Community Care Behavioral
Health for the provision of Health Choices in this zone.
 In partnership with Office of Mental Health and Substance Abuse Services
(OMHSAS) and Bureau of Drug and Alcohol Programs (BDAP) and in
collaboration with other stakeholders, BHARP works to ensure that a
comprehensive, responsive, unified, cost-effective, recovery oriented
behavioral health system of care is available within the 23 county region.
 Administrative functions for the BHARP are performed by the Behavioral
Health Administrative Unit or BHAU. The BHAU is operated by a private
not-for-profit organization, Service Access Management, Inc. (SAM Inc.).
Promoting Recovery Oriented Environments
Behavioral Health Alliance of Rural Pennsylvania (BHARP)
North Central HealthChoices State Option Zone
Erie
Warren
McKean
Tioga
Potter
Susquehanna
Bradford
Wayne
Crawford
Wyoming
Forest
Elk
Venango
Cameron
Lycoming
Mercer
Clarion
Luzerne
Clearfield
Butler
Union
Centre
Armstrong
Beaver
Mifflin
Indiana
Snyder
Columbia
Montour
Monroe
Carbon
Northumberland
Northampton
Schuylkill
Lehigh
Juniata
Allegheny
Cambria
Blair
Westmoreland
Perry
Dauphin
Huntingdon
Washington
Berks
Fayette
Somerset
Montgomery
Lancaster
Fulton
Franklin
Adams
Bucks
Lebanon
Cumberland
Bedford
Greene
Pike
Clinton
Jefferson
Lawrence
Lackawanna
Sullivan
York
Average covered lives (January 2011-June 2011): 154,175
Chester
Delaware
Philadelphia
Covered lives by County/Joinder/Region
 Bradford 9, 049
 Sullivan 720
 Bradford/Sullivan:
9,769
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Columbia
Montour
Snyder
Union
 CMSU:
 Tioga 5,616
 Wayne 6,869
Northeast Region: 22,254
8,193
2,133
4,394
4,030
18,750
 Northumberland 13,913
 Schuylkill
21,560
East Region: 54,223
Promoting Recovery Oriented Environments
Covered lives by County/Joinder/Region
 Centre
 Huntingdon
 Mifflin
 Juniata
 HMJ:
 Clarion
10,121
6,778
5,844
 Clearfield 14,506
 Jefferson
7,771
2714
17, 263
Central Region: 27, 384
7,855
 Clearfield/Jefferson
22,361
West Region: 28, 205
Promoting Recovery Oriented Environments
Covered lives by County/Joinder/Region
 Cameron 994
 Elk
4,520
 Cameron/Elk:
5,514
 Potter
2,813
 McKean
7,521
 Forest
652
 Warren
5,606
 Forest/Warren: 6,258
Northwest Region 22, 106
Promoting Recovery Oriented Environments
BHARP Estimated Penetration Rates (%) for all services for all Counties
23.00%
20.10%
18.80%
20.00%
19.00%
18.30%
17.20%
16.50%
14.60%
21.00%
17.20%
16.60%
15.30%
14.70%14.40%
12.90%
13.50% 13.10%
13.70%
12.70%
11.60%
9.20%
Service Dates: April 1, 2011 through June 30, 2011
Promoting Recovery Oriented Environments
15.00%
14.90%
BHARP RECOVERY WORKGROUP
 The BHARP Recovery workgroup was formed in the Fall of 2007 to
address the issue of recovery-orientation in our counties which is an
identified priority of BHARP. The workgroup membership consists of
County MH/MR Administrators, SCAs, other County staff, BHAU staff,
Community Care network and quality staff, BDAP personnel,
OMHSAS personnel, PRO-A staff, providers, individuals/families in
services and other persons in recovery.
 One focus area has been to integrate the MH and D&A principles,
strategies, values and language of recovery. Another focus is to
incorporate the opportunities and challenges of providing recoveryoriented services in our rural counties.
 “OUR PRIMARY PURPOSE IS TO PROMOTE AND SUPPORT THE
ENHANCEMENT OF RECOVERY-ORIENTED ENVIRONMENTS
WITHIN BHARP COUNTIES.”
Promoting Recovery Oriented Environments
Robert Fleming
Cindy Zembryki
CHIPP Consortium Coordinator
Clearfield/Jefferson
Administrator
Cameron/Elk
Barbara Gorrell
Mary Lyn Cadman
SCA Administrator
Columbia/Montour/Snyder/Union (CMSU)
Quality Improvement Specialist
CMSU Behavioral Health
Bonnie Tolerico
Susan Ford
Executive Director
Wayne County Drug and Alcohol Commission
Executive Director
Clearfield/Jefferson Drug and Alcohol Commission
Catherine Arbogast
Recovery Workgroup Members
Trish Rosenstein
SCA Administrator
Centre County MH/MR Drug and Alcohol
Vice President Business & Clinical Development
Beacon Light Behavioral Health
Chris Wysocki
Tracy Mitchell
Administrator
Juniata Valley Tri-County MH/MR Program
Huntington/Mifflin/Juniata
Associate Quality Manager
Community Care Behavioral Health
Jeff Geibel
Virginia L. Dikeman
Drug and Alcohol Program Supervisor
Bureau of Drug and Alcohol Programs
Mental Health Program Representative
Office of Mental Health and Substance Abuse Services
Jill Pecht
Thanaaa Bey
Clinical Director
Clear Concepts Counseling
Training Specialist
PRO-A
Denise Moore
FBMH Program Director
Cen-Clear Child Services Inc.
Recovery Workgroup Members
Pam Killinger
Community Member
Jen McLaughlin
Genny Dailey
Senior Program Director
Community Services Group
Special Projects Coordinator
Behavioral Health Administrative Unit (BHAU)
Cheryl Floyd
Executive Director
Pennsylvania Recovery Organizations Alliance (PRO-A)
 that behavioral health is essential to health – for
individuals, families, and communities
that prevention works,
 that treatment is effective,
and that people can and do recover from mental
health and substance use disorders.
Source: http://www.samhsa.gov
The Journey To Date
 Fall 2007: The workgroup was charged with defining the philosophy
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and identifying characteristics of a recovery oriented system of care.
Winter 2007 – Spring 2009: Identified Common characteristics.
Defined Philosophy Statement. Created Language Statement.
April 2009-August 2009: Implemented a recovery survey to gauge the
current recovery-orientation in the counties and to identify strengths
and gaps. There were 400 responses from county offices and
providers. Reviewed the recovery related questions on the
Consumer/Family Satisfaction Team (CFST) surveys
September 2009-January 2010: Recommendations & Goals were
finalized.
September 2011: Conference – “Making Spiritual and Physical Health
Connections”
October 2011 – December 2012: Wellness Campaign & Local Projects
Promoting Recovery Oriented Environments
Common Characteristics of both
MH and D&A Environments
PRINCIPLES:
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Broad heterogeneity of populations and outcomes
Focus on person and environment
Long-term perspective
Recovery is a process and a continuum
Non linear process of recovery
Family involvement is helpful
Mutual support is crucial
Spirituality may be a critical component of recovery
Multiple pathways to recovery
Common Characteristics continued
VALUES:
 Person-centered
 Partnerships
 Growth
 Choice
 Strengths perspective
 Focus on wellness and health
 Cultural diversity
Promoting Recovery Oriented Environments
Common Characteristics continued
STRATEGIES TO FACILITATE RECOVERY:
 Treatment as an array/menu of services
 Coordinated treatment
 Assertive linkages to communities of recovery
 Skills for valued roles
 On-going, flexible recovery-enhancing services
 Advocacy
 Cultural competency
Common Characteristics continued
INGREDIENTS OF A RECOVERY-ORIENTED SYSTEM:
· Prevention
· Rehabilitation
· Vocational and educational supports
· Community education and support
· Family education and support
· Basic support (housing, nutrition, income)
· Protection and advocacy
Promoting Recovery Oriented Environments
· Treatment
· Mutual support
· Spirituality
· Enrichment
· Legal aid
BHARP recommends the following documents as resources on recovery-oriented
language:
IAPSRS Language Guidelines (2003) (available at www.uspra.org)
PA D&A Coalition White Paper (2010) (available at www.bharp.org - Resources)
Recovery-oriented language is person-centered and not
focused on a diagnostic label.
Recovery-oriented language fosters hope and avoids
stereotypical and stigmatizing terms.
The ultimate goal of recovery-oriented language is to
make contact with the person not their disease and to
give every individual the value, respect, and dignity
he/she deserves.
Our Philosophy on the Journey of Recovery
 Recovery is a continuous lifelong process
 It requires linkages to recovery support services,
natural supports and community supports
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Each individual self-directs his/her recovery
journey
 Each individual has ownership of his/her recovery
 Recovery oriented environments provide:
-Person-centered planning
-Partnerships between individuals receiving services and those
providing services
-Linkages to community based supports
Our Philosophy on the Journey of Recovery
Formal systems of care that are focused on
recovery:
- Actively welcome and engage people when and where they
approach the system
- Allow formal and natural supports to work together
- Balance the management of treatment and the
empowerment of the individual to maximize successful outcomes
It is necessary to combine the best of the
medical and recovery models of care
It is necessary to bridge the gap between
behavioral and physical health care delivery
This initiative reflects our intention to promote and to support
the enhancement of recovery-oriented environments in all of
our communities. Communities have always been an important
part of rural life and we hope to strengthen those connections –
creating relationships between the formal and informal
networks of care. The vision is to nurture communities where
individuals have the opportunity to attain and maintain health,
wellness, and on-going recovery. The mission is to work
towards the evolution and transformation of the behavioral
healthcare system. It could be considered a ‘Rural Call for
Change’.
Promoting Recovery Oriented Environments
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Information and resources
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Education and training opportunities
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Enrichment and partnership opportunities
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Technical assistance options
Promoting Recovery Oriented Environments
Recommendations and Key
Activities
Recommendation #1: BHARP will develop and promote a shared
understanding of recovery-oriented environments throughout
the Drug and Alcohol and Mental Health systems.
 Distribute Recovery brochures – “Promoting Recovery Oriented
Environments” and “Recommendations & Goals” (handouts)
 Provide information to local Boards/Advisory Councils,
Committees and Coalitions, Advocacy groups, and Providers
 Promote on-going local dialogues between MH and D&A system
stakeholders
 Establish the topics of health, wellness, and on-going recovery as
regular agenda items at local meetings
Promoting Recovery Oriented Environments
Recommendations and Key
Activities
Recommendation #2: BHARP will collect and provide
access to information, tools and other resources on
creating and maintaining recovery-oriented
environments in rural areas.
 Create information clearinghouse on BHARP website
 Develop reference book on Prevention programs,
Promising practices, and Evidenced-Based practices
Promoting Recovery Oriented Environments
Recommendations and Key
Activities
Recommendation #3: BHARP will encourage the service system to
work assertively with individuals to explore and to make
connections with natural supports in their community which
will assist individuals to attain recovery and to sustain on-going
recovery.
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Provide information and education
Create a resource manual
Held 2011 Recovery Conference & are developing local projects
Promote acceptance and work towards decreasing stigma and
discrimination
Promoting Recovery Oriented Environments
Recommendations and Key
Activities
Recommendation #4: BHARP will encourage the service system
to work assertively to build linkages between an individual’s
behavioral and physical healthcare which will assist individuals
to attain and maintain recovery and wellness.
 Create awareness through Wellness Campaign
 Provide information and education using SAMHSA Wellness
Campaign tools
 Build resource manual for both behavioral healthcare providers
and physical healthcare providers
Promoting Recovery Oriented Environments
Promoting Recovery Oriented Environments
www.bharp.org
Promoting Recovery Oriented Environments
Promoting Recovery Oriented Environments