Transcript Consumer Centered Family Consultation Information Forum

Partnership for Developing a
Spectrum of Family
Services, Resources &
Supports for Personalized
Recovery Oriented Services
(PROS) Teams
Family Institute
for
Education, Practice & Research
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Welcome & Introductions
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Background on the Family Institute
Family Institute Personnel
Anne Smith
Beth Hoh
Doris Joy (FI/OMH)
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Thomas Jewell
Sherri Ladd
John Johnson (FI/OMH)
Office of Mental Health Personnel
David Bucciferro, Director, Rehabilitation Services Unit
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Overview
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PROS Information
The Vision: Involving Families in a
Recovery Oriented System
Spectrum of Family Services
Details of the Practice Improvement
Network (PIN)
Next Steps
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PROS Information
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The Office of Mental Health has worked
collaboratively with counties, mental health
service providers, and consumer groups to
design the Personalized Recovery Oriented
Services (PROS) program. The PROS license
gives counties and providers the ability to
integrate multiple programs into a
comprehensive rehabilitation service.
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PROS Information
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There are four Components in the PROS
program:
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Community Rehabilitation and Support (CRS)
Ongoing Rehabilitation and Support (ORS)
Clinical Treatment
Intensive Rehabilitation (IR)
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PROS Information
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The IR Component is composed of four
different services. Through Intensive
Rehabilitation Goal Acquisition, services are
designed to assist an individual to attain a
specific goal within a certain area, such as
education, housing or employment.
In addition, IR includes two evidence-based
practices: Family Psychoeducation and
Integrated Dual Disorder Treatment.
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Training the PROS Teams on the
Spectrum of Family Services
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The New York State Office of Mental Health
and the University of Rochester Medical
Center's Family Institute are offering PROS
providers an opportunity to participate in a
Practice Improvement Network (PIN) focused
on promoting family oriented services.
In this initiative, the core foundational
approach is Consumer Centered Family
Consultation (CCFC).
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The Vision:
Involving Families in a
Recovery Oriented
System
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Involving Families in a
Recovery Oriented System
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Creating a recovery oriented system insures that mental
health programs routinely offer (or link families to those in
the community who offer) comprehensive education and
support services to family members and others in the
consumers' social networks.
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Consumers choose to involve others in their treatment and
recovery through collaborative decision-making.
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Role of Providers
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Create an infrastructure (policies, procedures,
staff competencies, supervision, measured
performance indicators)
Integrate into the assessment, planning and
evaluation process integral to treatment
services
Partner with other stakeholders
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Vision of a Family Involving
Recovery Oriented System
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Assessment
Service Planning & Interventions
Evaluation & Performance Improvement
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Assessment
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Intake and ongoing assessments are
designed to identify:
The nature and quality of the consumers
relationship with members of their family
 The needs and wants of families
 The family resources and strengths related to
supporting the consumers treatment and
recovery
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Service Planning & Intervention
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Easily accessible system (e.g., designated role of
family services coordinator)
Full range of services integrated into the
consumers service plan
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Education
Communication
Problem solving
Using the mental health system
Emotional support and stigma reduction
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Service Planning & Interventions
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Knowledge of and linkages to NAMI and other
community supports
Strategies to identify, reach out to and involve
families
Reaching out to civic, religious, cultural and other
community resources
Families are involved in helping organizations to
create a family oriented system
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Evaluation and Performance
Improvement
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Progress notes in medical record
Agency collects, analyzes and acts upon
data that measures the performance of a
program with respect to family oriented
services.
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Spectrum of Family Oriented
Services, Resources & Supports
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Spectrum of Services and
Supports
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The goal is to promote a system that provides a
wide range of service and support options
A system in which access to services is supported
by treatment providers, advocacy organizations,
local and state government and support
associations
The spectrum of services matches the specific
needs, preferences and life circumstances of
families and consumers
Flexibility and adaptations based on cultural
values and preferences promote widespread access
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Spectrum of Family Services
“2 Categories”
Services, supports and resources provided by:
 A mental health services agency/program
 An advocacy and support organization (e.g.
NAMI)
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Spectrum of Family Oriented
Services, Supports & Resources
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Agency Led Services
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Integrate family into the intake, assessment and ongoing
care as agreed upon by consumer
Consumer Centered Family Consultation
Family Support Groups
Multifamily Groups
Resource Library
Family Information Nights
Family Education Curriculum
Family Therapy/Behavioral Family Therapy
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Consumer Centered Family
Consultation:
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Delivered by clinicians
Location and duration are flexible
Client may or may not be present
Needs, wants and goal assessment are core parts of a
consultation
Helps families with illness related concerns, education,
emotional support, and involving families in their
loved one’s treatment plan
May include a referral to adjunct services and
community supports
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CCFC is characterized by:
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Consumer Centeredness -The consumer is at the
center of all decisions.
Collaboration-CCFC promotes an equal partnership
between consumers, families and providers.
Education Orientation- CCFC provides basic
information about: mental health diagnoses, causes,
treatments and services; family guidelines on how to
support the consumer and family; and community and
agency resources.
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Family Support Group
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Led by clinicians
Fixed schedule (e.g., once per month)
Fixed time frame (e.g., 90-min meetings)
Brings family members together without
consumer
Emotional support and information are key
components
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Formal Family Psychoeducation
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Led by a professionals and linked to a clinical
program
Lasts 9 months – several years
Involves single or multiple families
Usually diagnosis-specific
Focused primarily on recipient outcomes
Eligible for Medicaid reimbursement
Truly evidence-based (approximately 3 decades
of research evidence)
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Resource Library
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Delivered by family members, clients, and/or
clinicians
Informational materials available free of charge
for families
Resource library may be maintained at
community agency or local NAMI affiliate
Family member can request specific materials
via a menu of available resources
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Family Informational Nights
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Delivered by family members, clients, and/or
clinicians
One or more sessions
Held monthly, quarterly or semi-annually
Typically an “overview” of mental illness or an
overview and introduction to a specific agency
and its services
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Family Education Curriculum
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Delivered by family members, clients, and/or
clinicians
Typically 60-90 minute sessions
Typically lasts from 1-12 classes
Usually topic oriented (e.g., relapse prevention;
signs and symptoms of mental illness)
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Behavioral Family Therapy
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Combined with appropriate psychotropic medications
consumers and relatives can expect:
 To gain mastery over the illnesses
 Experience fewer relapses and rehospitalizations
 Attain higher levels of social & occupational
functioning
 Enjoy a better quality of life
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Spectrum of Family Oriented
Services, Supports & Resources
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Community Led Services
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National Alliance on Mental Illness
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Basics
Connection
Family to Family
In our own Voice
Peer to Peer
Monthly support groups
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Details about the Upcoming
Practice & Improvement Network
Spectrum of
Family Services
“Roll Out”
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Practice Improvement Network
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The Family Services Practice Improvement
Network (PIN) is a voluntary group of PROS
providers in NYS formed together to focus on
a common improvement effort.
The common improvement effort is integrating
effective family involving services into the
PROS Programs.
The family service is Consumer Centered
Family Consultation.
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Practice Improvement Network
Method (PIN)
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A PIN consists of a network of PROS providers and
a resource panel who work in partnership to plan,
implement and evaluate approaches to involve family
members in a way that supports the consumer’s
service plan and recovery.
The resource panel includes faculty of the Family
Institute for Education, Practice & Research; experts
in staff and supervisory training on a full range of
family oriented services, organizational
implementation, PROS regulations, data analysis and
outcome evaluation.
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Practice Improvement Network
Method (PIN)
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The first step for a PROS program joining the
PIN is to identify 2-3 key individuals in the
PROS program who will take primary
responsibility to work with the resource panel
and to oversee the implementation of family
services in the PROS program.
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Practice Improvement Network
Method (PIN)
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Key individuals from each agency comprise
the Quality Improvement Team (QIT).
The QIT includes:
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Executive level leadership/designee
PROS Program leader/supervisor
Data Person-someone who can collect and submit
data-this person could be a peer specialist
interested in family services or anyone who may
champion the goals of the PIN.
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Phase One Key Performance
Indicators: Initial and Ongoing
Engagement and Involvement
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# and % of face to face proactive family
consultations provided on a monthly basis
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# and % of face to face meetings with
consumer to discuss the involvement of
family members or others in their treatment
and recovery
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Phase One Key Performance Indicators
cont.
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Family members perception of the quality
of the consultation service (Zagat style)
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Satisfaction
Helpfulness
Culturally respected
Categorizing the disposition of each
consultation
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NEXT STEPS
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Selection Criteria
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In the event the demand exceeds supply of
resources, the following selection criteria will
be employed:
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Completeness, timeliness of application
Type, size and location of the applicants
Cultural, racial, ethnic characteristics of the
population served
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Application Process
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“Application to Join a Family Services
Practice Improvement Network of PROS
Providers”
Application coversheet
Organizational Characteristics Data Sheet
Identification of Quality Improvement Team
Sheet
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Submit all material in triplicate to:
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Anne M. Smith, LMSW
Executive Director
Family Institute for Education, Practice & Research
315 Science Parkway Suite 400
Rochester, NY 14620
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Deadline: ____________________
Questions may be submitted via email to Anne Smith at:
Email: [email protected]
Telephone: 585-279-7903.
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