Transcript Cultural Considerations in Mental health recovery

Recovery …
Changes the
future
Principles of a Mental
Health Recovery –
Oriented System
Melinda Shamp & Helen Ghebre
Clinical Services & Policy Team Consultants
DHS/Adult Mental Health Division
Dr. Richard Oni, Executive Director,
Progressive Individual Resources II & Village
Wellness Center
June 17, 2013,
Purpose
The implementation of recovery principles
can shape mental health programs by
developing and delivering services that are
reflective of, and relevant to, the people we
serve who are seeking success in a variety
of chosen roles, settings, and communities.
Objectives
 Review
the types of rehab options and continuing care
services associated with the current mental health system
in Minnesota
 Learn the principles of recovery and implementation in
practice
 Examine how principles of practice ensure cultural
responsiveness in a recovery‐ oriented mental health
system.
Recovery Construct
SAMHSA
11
HOME
↑ Permanent
Housing
HEALTH
↑ Recovery
Individuals
and
Families
PURPOSE
↑ Employment/
Education
COMMUNITY
↑ Peer/Family/
Recovery
Network
Supports
Guiding Principles of Recovery oriented
Systems of Care ~ SAMHSA aug 2009 & DHS AMHD 2010
National Summit on
Recovery (2005)
SAMHSA Working definition
of Recovery
“A process of change through which
an individual achieves improved
health, wellness, and quality of life…”
DHS/Adult MH Division (2010) “A personal journey of healing to
attain satisfaction in life, work, a home,
Working definition for
and close relationships.”
Recovery & Mental Health

Guiding Principles…
 There
are many pathways to
recovery. Recovery is:
 self-directed & empowering
 involves a personal recognition
of the need for change &
transformation
 Holistic
 Unique & impacted by cultural
beliefs & traditions. A person’s
cultural experience often
shapes the recovery path that
is right for him/her
 Exists
on a continuum of
improved health & wellness
 Emerges from hope and
gratitude
 Involves a process of healing &
self-redefinition
 Involves addressing
discrimination & transcending
shame & stigma
 Is supported by peers & allies
 Involves re-joining & rebuilding
life in the community
 Recovery is a reality
MN Adult MH Division Guiding Principles
A recovery based service system promotes
Hope. People will have a sense that
things will improve & life’s goals can
be met. Providers of mental health
services will build on a person’s
strengths & welcome peer & family
involvement.
Holistic Approach. Providers of
mental health services will
recognize the whole person:
mind, body, spirit, culture &
community. There is
Personal Choice. People will have a recognition that setbacks and
sense of empowerment & personal
successes are both parts of
responsibility. Providers will respect a life’s goal achievement.
person’s direction in their individual
service goals.
Minnesota’s Current Rehab Option Services
 Adult
Rehabilitative MH Services
(ARMHS)
 Assertive Community Treatment
(ACT)
 Crisis Response Services
 Day Treatment Services
 Intensive MH Outpatient Services
/ Certified DBT
 Intensive Residential Treatment
Services IRTS
…in addition, Community Support
Services (CSP) & Community
Recovery services (ICRS)
Conducted Training &
Reinforcement of Documentation
Components that illustrates:
 The Uniqueness of the Person
 Real Choices
 Attitudes & Rights
 Dignity & Respect
 Partnership & Communication
Definitions about data elements
and processes are shared across
these platforms.
Transformation of a
recovery-oriented
mental health system

“The seeds of transformation
grow from within us, so we
start paying attention to who
we are becoming & how we
are being.”
Recovery
Principles &
Culturally Specific
Service ~
National CLAS
Standards
National Standards for Culturally and
Linguistically Appropriate Services (CLAS)
 Advance
 Improve
 Help
health equity
quality
eliminate health care disparities
 Wellness & Recovery
National Standards for Culturally and
Linguistically Appropriate Services (CLAS)
 PRINCIPLE
STANDARDS
Provide effective, equitable, understandable, and
respectful quality care and services that are
responsive to diverse cultural health beliefs and
practices, preferred languages, health literacy,
and other communications needs.
National Standards for Culturally and
Linguistically Appropriate Services (CLAS)
Theme 1: Governance, Leadership, and Workforce
 Advance
and sustain governance and
leadership that promotes CLAS and health
equity
 Recruit, promote, and support a diverse
governance, leadership, and workforce
 Educate and train governance, leadership, and
workforce in CLAS
National Standards for Culturally and
Linguistically Appropriate Services (CLAS)
Theme 2: Communication and Language Assistance:




Offer language assistance to individuals who have limited English
proficiency and/or other communication needs, at no cost to
them, to facilitate timely access to all health care and services.
Inform all individuals of the availability of language assistance
services clearly and in their preferred language, verbally and in
writing.
Ensure the competence of individuals providing language
assistance, recognizing that the use of untrained individuals
and/or minors as interpreters should be avoided.
Provide easy-to-understand print and multimedia materials and
signage in the languages commonly used by the populations in
the service area.
National Standards for Culturally and
Linguistically Appropriate Services (CLAS)
Theme 3: Engagement, Continuous Improvement, and
Accountability
 Infuse CLAS goals, policies, and management accountability
throughout the organization’s planning and operations
 Conduct organizational assessments
 Collect and maintain demographic data
 Conduct assessments of community health assets and needs
National Standards for Culturally and
Linguistically Appropriate Services (CLAS)
Theme 3: Engagement, Continuous Improvement, and
Accountability, cont’d…
 Partner with the community
 Create conflict and grievance resolution processes
 Communicate the organization’s progress in
implementing and sustaining CLAS
Village Wellness Center
From Theory to Practice
Definitions of Recovery
 Recovery
is personal
 People define recovery in
their own way!
Recovery
is culturally
based
What is EFFECTIVE for Mental Health Recovery?
When asked what would be helpful in their road to recovery,
our immigrant clients expressed the following:
Respect
Understanding
Some one who knows about their culture
Spoke their language
Familiar with their community
Helps them get a job and training
English class
Gives them hope
Respects their spirituality