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Projects to Empower and Organize the Psychiatrically Labeled, Inc. PEOPLe, Inc.

Projects to Empower and Organize the Psychiatrically Labeled, Inc. PEOPLe, Inc. Who are we?. Steve Miccio Executive Director PEOPLe, Inc. stevemiccio@projectstoempower.org. PEOPLe, Inc.

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Projects to Empower and Organize the Psychiatrically Labeled, Inc. PEOPLe, Inc.

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  1. Projects to Empower and Organize the Psychiatrically Labeled, Inc.PEOPLe, Inc. Who are we? Steve Miccio Executive Director PEOPLe, Inc. stevemiccio@projectstoempower.org

  2. PEOPLe, Inc. • A peer run not for profit organization that provides advocacy and an array of recovery centered services to people with psychiatric labels in 7 Counties in New York.

  3. A New Diversion Continuum • Over the past 10 years PEOPLe has been developing and practicing pro-active diversion peer run services to assist people from crises and hospitalizations

  4. Diversion Services • Hospital Diversion House • Warm Line • In-Home Peer Companionship • Social Structure (Nights Out) • Emergency Department Advocacy • Clinic Advocacy

  5. Hospital Diversion HouseThe Rose House • Persons seeking temporary residential care/respite care can stay from one to five nights in a warm, friendly, safe and supportive home-like environment where they can learn recovery and relapse prevention skills.

  6. Hospital Diversion House • Rose House’s services are designed to help ‘at risk’ individuals to break the cycle of learned helplessness and recidivism and to move away from what are often long histories of cycling from home to crisis to hospital, year after year.

  7. Peer Warm Line In recent years, PEOPLe, Inc has developed a “warm line” service aimed at providing phone-based crisis support at all hours of the day and night to help people to reduce or avoid emergency room visits or psychiatric hospitalizations.

  8. In Home Peer Companion PEOPLe, Inc offers in-home peer companionship in the event one does not want to leave one’s home. A Peer Companion will visit an individual regularly at his or her home or in the community, offering peer support, an empathetic ear and new techniques to help the person avoid utilizing hospital services.

  9. Nights Out • A social event in the community designed to provide weekly activities and/or events structured by participants. Nights Out connects people to each other and the communities natural supports. • As people grow socially they seem to become better equipped to focus more on wellness activities rather than symptom related activities.

  10. Peer Emergency Room Advocacy/Services • Peers assist individuals in navigating the often-traumatic process of being screened and admitted/discharged to/from the hospital. • a booklet explains the process of the emergency room screening in language aimed at providing words of hope and support to the individual or family. • It improves compassionate care and overall outcomes. 

  11. Clinic Advocacy • Full time Peer Advocate stationed in the clinic • Role is to assist people in navigating the clinic services • Assist people in developing Wellness Plans • Educating people on how to develop recovery goals and advocate for themselves • Educate people on “What is Therapy” developing expectations and personal responsibility around recovery

  12. Three Vital Components to Success

  13. Philosophy • Recovery is the expectation • Core Values Drive behavior • Mutual Respect • Transparency/honesty • The shared experience can provide hope • Re-thinking crisis • Well trained and developed Staff

  14. Engagement • Building a trusting relationship can promote empowerment in individuals that can lead to more informed and self-determined decisions about ones care and quality of life choices. • Good engagement reduces fear of punitive actions • Sharing stories in an open and honest environment can make the relationship and experience more meaningful thus possibilities for change • Well trained and developed Staff

  15. Environment • Safe and Inviting • Clean and home-like • Warm greeting • Educational materials available • Recreational materials available • Privacy

  16. Rose House Totals 2010 Total Guests Served 227 Total Residence Days 748 Total Warmline Calls 1253 Total Off-Premises Visits 72 748 x $1,400 = $1,047,200 (Local hospital cost)* Rose House annual cost $264,000 Unspent Medicaid/Insurance cost $783,200 *Based on average cost of local hospitals

  17. Research College of St. Rose in Albany, NY

  18. Purpose of Study • The purpose of the study was to compare consumer satisfaction with PEOPLe’s peer-run hospital diversion program versus a traditional inpatient program. Guests quality of life and success in coping with mental illness as a result of their experiences in both settings was also explored. • Preliminary results of unpublished longitudinal study • Year one

  19. Treatment Measures • Being greeted warmly • Orientation to the program • Non-judgmental staff • Explanation of program • Expectations • Involvement in treatment planning • Understanding of the risks/ benefits of treatment • Use of recovery based language • Trauma sensitive treatment

  20. Results of Treatment Measures • Overall, 64% of respondents indicated that they experienced these elements of treatment at Rose House compared to 22% at inpatient hospital settings.

  21. Experiences with Staff Measures • Active listening • Respect of clients • Time spent with consumer • Encouragement of interaction with peers • Encouragement of Recovery • Availability 24/7

  22. Results of Experiences with Staff • Overall 76% of the respondents indicated that the treatment experience included the above Experiences with Staff measures. Conversely, 32% of the respondents indicated that in-patient settings included these measures.

  23. Measures of Experiences with Environment • Quality of physical environment • Comfortable settings • Guest private space • Meals availability tailored to the guest schedules • Guests ability to set their own daily schedules.

  24. Results of Experiences with Environment • Overall, 78% indicated Rose House has these elements in the program compared to 18% for inpatient hospital settings.

  25. Summary • Services at Rose House are more person-centered, and less restrictive than inpatient hospitals. • Staff is more likely to be respectful in their approach to guests than hospital settings.

  26. Summary, cont. • Guests report feeling comfortable with the treatment received, as well as the environment. They also see peer-run programs as reducing stigma associated with mental illness.

  27. Community Involvement • Rose House alumni are socially involved, and report satisfaction with theses activities. It appears that Rose House guests believe that peers provide help with recovery, companionship and feedback regarding their mental illness. This belief is associated with increased social involvement.

  28. In front of de Halte House in Eindhoven, Netherlands The new staff in Netherlands!

  29. Contact Information Steve Miccio Executive Director PEOPLe, Inc. 378 Violet Avenue, Poughkeepsie, NY 12601 845-452-2728 stevemiccio@projectstoempower.org www.projectstoempower.org

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