Transcript Parallel Recovery Process: One Program’s Transformation

Parallel Recovery Process:
One Program’s Transformation
Journey
PRESENTERS:
COLLEEN ZANE, MS, OTR/L, CPRP
Occupational Therapist
AMRA HANDLINE, LSW, CPRP
Clinical Specialist
STEVEN BURKITT, MSW, CPRP
Program Manager
WELLNESS ALLIANCE
HORIZON HOUSE INC. PHILADELPHIA,
PA
Learning Objectives
Upon participating in this session, attendees will be able
to:
1.
Recognize the merits of parallel process as a tool in program
development.
2.
Understand that systems’ change occurs from within, when
creativity, inspiration, and active involvement are nurtured and
given the space to grow.
3.
Recognize that each service offers its own strengths, which
should be capitalized upon in order to create a unique program
environment that works for its specific stakeholders.
4.
Identify and understand the components of recovery and their
practical applications to program development.
Parallel Process
Occupational Therapy
General
Participation in
Meaningful
Activities
Parallel Play or
Parallel Groups
“occupations”
Student
Supervision
“personal
medicine”
Personal Medicine" is "the
things that give life meaning
and make life worth living."
-- P. Deegan
“
Psychotherapy
In psychotherapy,
it involves
employing your
own process to
benefit the client,
and the client’s
process to propel
your own.
-M. Formica
The Road to Recovery
Spring
2005
June 2003
April
2006
HH Inc,
commits to
recovery
oriented
services
President’s
New
Freedom
Commission
Nov. 2004
Dr. Evansjoins
Philadelphia’s
DBH
April
2007
HH Inc.
forms
Consumer
Advisory
Council
Nov.
2005
PA
A Call For
Change
Wellness
Alliance
launches
Oct.
2006
HH Inc.
proposes
The
Wellness
Alliance
Staff Roles & Program Structure
Program Director
(initially Project Director)
Medical Staff
-Doctor
-Nurse
OT
Team Leaders/Program Manager
Team 1
Team Leader
Clinical Specialist
Recovery Coaches
Certified Peer
Specialists
Team 2
Team Leader
Clinical Specialist
Recovery Coaches
Certified Peer
Specialists
Team 3
Team Leader
Clinical Specialist
Recovery Coaches
Certified Peer
Specialists
Age/Gender
Cultural/Ethnicity
Wellness
Alliance
Membership
Health
Environments
Initial Changes
Successes
 1st CPS hired
 Family & Friends Events
 Peer Leadership Council
established
 Introduced WRAP
 Recovery-oriented
Trainings
“I didn’t know I was allowed to go to
these places.”
Challenges
 Proposal vs. Wellness
Alliance Practice
 System Issues
 Staffing Issues
Staff’s Changing Role
Direct Care Staff
 Community Engagement
 Treatment vs. Recovery
Planning
 Person-Centered
 Recovery Language
 Changing Documentation
 Inclusion of External
Supports
 24-Hour On-call Supports
OT
 PH vs. WA
 Advocating & Promoting
 Team Consultation
 OT interventions
 Community Integration
 Education/Employment
Liaison
 Special Projects
 OTS Supervision
The Turnaround
SELF-DIRECTION & RESPONSIBILITY
 Need for Change: Frustration as motivation
 Taking Initiative: Learning Center Task Force (LCTF)
 Applying Theoretical Concepts to
Everyday Practice: CPRP study group
 Change Promotes Change: Steering Committee,
Public Relations
“I had some good role models. I didn’t want
to sit around playing cards- I wanted to get
involved and see what I can offer.”
Cassandra M.
“I choose my
own goals.”
Kathy M.
The Turnaround
MUTUAL SUPPORT AND RESPECT
 LCTF: interdisciplinary approach
 Starting Point: Input from all staff and program
members
 Creating a Framework for Change:
Group cycle
 Redefining Traditional Roles
“People care about me and treat me with dignity.
People here listen to you.” Daniel M.
“I am in the driver’s
seat, but I also
have a co-pilot for
when I get stuck.”
Arah C.
The Turnaround
INDIVIDUALIZED
 Ongoing Input:
Learning needs assessment
 Target: Unique characteristics of membership
 Intake Redefined
“I am doing things at my
own pace.” Daniel M.
The Turnaround
STRENGTH-BASED
•Taking it to the Streets: Community-based
learning
•The “tap on the shoulder” moment
“People recognize my strengths to help me
pursue my goals.” Daniel M.
The Turnaround
HOLISTIC
 Mind: psycho-educational groups (IMR, WRAP),
supported education (collaborative effort)
 Body: Project Health, healthy lifestyles, medical team
 Spirit: Spirituality group, shared experiences
 The Role of OT
“Getting better isn’t medication alone, I look to Jesus [faith]
as well.” Daniel M.
The Turnaround
EMPOWERMENT
• Management: Leadership behind the scene
• Staff: New ideas, initiatives and creative solutions
• Members: Peer Leadership Council, Peer Committees, member initiated
fundraisers (Thrift Store, WA Café)
“I felt good about telling staff I wanted to do things on
my own and not have my hand held. I am a go-getter
and want to be independent.” Daniel M.
Moving Forward
NON-LINEAR
 Ongoing evaluation: Steering Committee,
LCTF, Activities Grant, advocacy efforts
 Occasional setbacks
“Everything was
going fine until I
was incarcerated. It
slowed me down
with my goals, but
I’m getting back on
track.” Arah C.
 Learning from experience with
focus on continual growth:

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Formal Graduation
Wellness Garden
Integrative HealthCare Center
Community-based learning & volunteerism
Involvement of members in decision-making
Introducing new & non-traditional concepts
“Sometime you have to take a step back
before you go forward.” Cassandra M.
Hopes for the Future
“We hope to get better;
hope gives me a reason
to live, it gives me
strength.” Cassandra M.
We hope to achieve:






increase in graduation
increase community-based
partnerships
increase in peer support and
independence
improved family involvement
more peer co-led groups
inclusion of all level staff in
getting CPRP credentials
Thoughts to Ponder
 Who is involved in program development?
What role do the members play?
◦ Are staff/members strengths utilized?
 Are all levels of staff participating in the interdisciplinary
dialogue?
◦
◦
What is the role of medical staff?
 Do you have a goal-directed vision?
 What is the role of management in supporting creativity
and positive changes?
 How do you celebrate successes? How are achievements
recognized?
 What are the outcome measures?
Contact Information
Amra Handline, LSW, CPRP
[email protected]
215-386-1600 x207
Colleen Zane, MS, OTR/L, CPRP
[email protected]
215-386-1600 x241
Steven Burkitt, MSW, CPRP
[email protected]
215-386-1600 x250
References
Anthony, W., & Cohen, M., & Farkas, M., & Gagne, C. (2002). Psychiatric Rehabilitation. 2nd
Edition. Boston: Center for Psychiatric Rehabilitation.
Formica, Michael J. (2009). The Me in You: Parallel Process in Psychotherapy. Retrieved from:
http://www.psychology today.com/blog/enlightenened-living
Hughes, R. & Weinstein, D .(2000). Best Practices in Psychosocial Rehabilitation. Columbia, Md:
Association of Psychosocial Rehabilitation Services.
Horizon House. (2006). A Proposal to the Department of Behavioral Health City of Philadelphia,
Pilot Transformation Plan for Wellness Alliance. Philadelphia, PA.
Pennsylvania Department of Public Welfare, Office of Mental Health and Substance Abuse
Services. (2005). A Call for Change Toward a Recovery-Oriented Mental Health Service
System for Adults. Harrisburg, Pa: Joan Erney.
Pratt, C., & Gill, K., & Barrett, N., & Roberts, M. (2007). Psychiatric Rehabilitation. 2nd Edition.
Burlington, MA: Elsevier Academic Press.
Spaniol, L., & Gagne, C., & Koehler, M. (1997). Disability Psychological and Social Aspects of
Psychiatric. Boston: Center for Psychiatric Rehabilitation.
U.S. Department of Health and Human Services, SAMSA Center for Mental Health Services.
(2006). National Consensus Statement on Mental Health Recovery. [Brochure].