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Building Recovery Oriented Services. Chacku Mathai Associate Executive Director, NYAPRS. Why Focus on Recovery?. Recent Federal Legislation. The Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 (Public Law 110-343 , Section 511 )

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Building recovery oriented services

Building Recovery Oriented Services

ChackuMathai

Associate Executive Director, NYAPRS



Recent federal legislation
Recent Federal Legislation

  • The Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 (Public Law 110-343, Section 511)

    • Eliminates certain forms of discrimination in insurance coverage of mental health and addiction treatment benefits

    • Expands access to treatment for people with mental illness and/or addiction


Recent federal legislation1
Recent Federal Legislation

  • Patient Protection and Affordable Care Act (PPACA, 2010)

    • Requires that all health plans include treatment for substance use disorders among their basic benefits

    • Greatly expands coverage to people for whom treatment is unavailable

    • Hallmarks of the Act (access, quality, efficiency, effectiveness) may be able to be leveraged to provide services and supports to create the best opportunity for long-term recovery


Samhsa s strategic initiatives

SAMHSA’s Strategic Initiatives


Federal strategy samhsa
Federal Strategy - SAMHSA

SAMHSA’s Strategic Initiatives (2011-2014)

#4 Recovery Support—Partnering with people in recovery from mental and substance use disorders and family members to guide the behavioral health system and promote individual-, program-, and system-level approaches that foster health and resilience; increase permanent housing, employment, education, and other necessary supports; and reduce discriminatory barriers.

  • BRSS TACS (Bringing Recovery Support Services to Scale Technical Assistance Center)

  • Recovery Month



Working definition of recovery
Working Definition of Recovery

Recovery is a process of change through which individuals improve their health and wellbeing, live a self-directed life, and strive to achieve their full potential.

– SAMHSA, 2011


Samhsa guiding principles of recovery
SAMHSA Guiding Principles of Recovery

  • Hope

  • Person-Driven

  • Many Pathways

  • Holistic

  • Peer Support

  • Relational

  • Culture

  • Addresses Trauma

  • Strengths/Responsibility

  • Respect


Vision for recovery across communities
Vision for Recovery Across Communities

Recovery can be expected despite barriers and obstacles

Recovery can flourish when barriers and obstacles are lifted

We uncover abandoned and/or develop new hopes and dreams

We discover our personhood through our culture, strengths, values, and skills


Vision for recovery continued
Vision for Recovery (continued)

We recover together and engage communities as life-sustaining forces

We re-author the way we see ourselves

We (re)claim a meaningful life and roles

We give back to others what we have gained






Recovery – Oriented Treatment Planning

Clinical Supervision



Program Evaluation Treatment Planning


Program evaluation
Program Evaluation Treatment Planning

A traveler to a new land came across a peacock. Having never seen this kind of bird before, he took it for a genetic freak. Taking pity on the poor bird, which he was sure could not survive in such deviant form, he set about to correct nature’s error. He trimmed the long, colorful feathers, cut back the beak, and dyed the bird black. “There now,” he said, with pride in a job well done, “you look more like a standard guinea hen.”


Quality of Life Outcome Domains Treatment Planning

  • Housing/Home

  • Work/Career

  • Relational: Family/Friends/Romantic

  • Educational

  • Legal

  • Financial (Payee Status, e.g.)

  • Conservatorship

  • Incarceration

  • Hospitalization

  • Recreation/Leisure

  • Community/Citizenship

  • Health/Physical Wellbeing

  • Spiritual/Religion



MILESTONES OF RECOVERY Treatment Planning


Samhsa funded initiatives and opportunities
SAMHSA-Funded Initiatives and Opportunities Treatment Planning

http://www.samhsa.gov/recovery/

Recovery to Practice Resource Center: http://www.dsgonline.com/rtp/resources.html

Bringing Recovery Supports to Scale Technical Assistance Center Strategy (BRSS TACS)http://beta.samhsa.gov/brss-tacs

Resources for People with Co-Occurring Disorders


Engagement vs compliance
Engagement vs. Compliance Treatment Planning

What are the differences between engagement and compliance?

What can we look for to determine if a person or family is engaged?

What are they engaged with/to?


What is pcp taking a closer look
What is PCP? Treatment PlanningTaking a Closer Look

Person-Centered Planning

  • is a collaborative process resulting in a recovery-oriented treatment plan

  • is directed by consumers and produced in partnership with care providers and natural supporters

  • supports consumer preferences and a recovery orientation

    Adams/Grieder


Literature references
Literature References Treatment Planning

Adams, Grieder, (2005) Treatment Planning for Person-Centered Care

Anthony, W.A. (2000). A recovery-oriented service system: setting some system level standards. Psychiatric Rehabilitation Journal, 24(2), 159–168.

Davidson, L & White, W. (2007). The concept of recovery as an organizing principle for integrating mental health and addiction services. Journal of Behavioral Health Services and Research, Journal of Behavioral Health Services and Research, 34(2), 1094-3412.

Drake, Mueser, Brunette, (2007) Management of persons with co-occurring severe mental illness and substance use disorder: program implications, World Psychiatry 2007; 6:131-136

Gagne, C., White, W., & Anthony, W.A. (2007). Recovery: A common vision for the fields of mental health and addictions. Psychiatric Rehabilitation Journal, 31(1): 32–37.

Hill, T. (2010). Addiction Recovery Peer Service Roles: Recovery Management in Health Care Reform. Faces and Voices of Recovery.

Ragins, (2007) Concrete Approaches to Recovery Based Transformation

Sheedy C. K., and Whitter M. (2009). Guiding Principles and Elements of Recovery-Oriented Systems of Care: What Do We Know From the Research? HHS Publication No. (SMA) 09-4439. Rockville, MD: Center for Substance Abuse Treatment, Substance Abuse and Mental Health Services Administration.


Literature references1
Literature References Treatment Planning

Substance Abuse and Mental Health Services Administration. (2011). Leading Change: A Plan for SAMHSA’s Roles and Actions 2011–2014. HHS Publication No. (SMA) 11–4629. Rockville, MD: Substance Abuse and Mental Health Services Administration.

Substance Abuse and Mental Health Services Administration, and Center for Mental Health Services (2007).Systems Integration. COCE Overview Paper 7. DHHS Publication No. (SMA) 07-4295. Rockville, MD:

White, W. (2008) Recovery Management and Recovery-Oriented Systems of Care: Scientific Rationale and Promising Practices. Pittsburgh, PA: Institute of Research, Education & Training in Addiction.

White, W. (2009). Peer-based addiction recovery support: History, theory, practice, and scientific evaluation. Chicago, IL: GreatLakes Addiction Technology Transfer Center and Philadelphia Department ofBehavioral Health and Mental Retardation Services.


Resources
Resources Treatment Planning

  • Selected Papers of William White

    • http://www.williamwhitepapers.com

  • Outreach and Engagement in Homeless Services: A Review of the Literature

    • http://homeless.samhsa.gov/ResourceFiles/m1tifkgu.pdf

  • Treatment Planning for Person-Centered Care (Adams, Grieder)

  • Practice Guidelines for Recovery-Oriented Behavioral Health Care

    • http://www.ct.gov/dmhas/lib/dmhas/publications/practiceguidelines.pdf

  • Getting in the Driver’s Seat of Your Plan

    • http://www.ct.gov/dmhas/lib/dmhas/publications/PCRPtoolkit.pdf


Resources1
Resources Treatment Planning

  • Faces and Voices of Recovery

    • http://www.facesandvoicesofrecovery.org

  • Young People in Recovery

    • http://youngpeopleinrecovery.org

  • NYAPRS Economic Self-Sufficiency Curriculum and Workbook

    • http://www.nyaprs.org/community-economic-development/toolkit/

  • Bringing Recovery Supports to Scale Technical Assistance Center

    • http://beta.samhsa.gov/brss-tacs/

  • Recovery to Practice

    • http://www.samhsa.gov/recoverytopractice/


Contact Information Treatment Planning

Chacku MathaiAssociate Executive DirectorNew York Association of Psychiatric Rehabilitation Services, [email protected] Lunievicz, BA, RYTDirector Training [email protected] & Caribbean Addiction Technology Transfer CenterNational Development & Research Institutes, Inc.71 W 23rd Street, 8th FloorNew York, NY 10010www.ndri.org, www.training.ndri.org


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