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Projects to Empower and Organize the Psychiatrically Labeled, Inc. 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. . PEOPLe, Inc.. Over the past 10 years PEOPLe has been developing and practicing pro-active diversion peer run services to assist people from crises and hospitalizations .

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

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    1. Who are we? Projects to Empower and Organize the Psychiatrically Labeled, Inc. PEOPLe, Inc.

    2. 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. PEOPLe, Inc.

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

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

    5. 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. Hospital Diversion House The Rose House

    6. 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. Hospital Diversion House

    7. 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. Peer Warm Line

    8. 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. In Home Peer Companion

    9. 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. Nights Out

    10. 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.  Peer Emergency Room Advocacy/Services

    11. 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 Clinic Advocacy

    12. Three Vital Components to Success

    13. 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 Philosophy

    14. 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 Engagement

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

    16. 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 Rose House Totals 2010

    17. Research

    18. 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 Purpose of Study

    19. 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 Treatment Measures

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

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

    22. 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. Results of Experiences with Staff

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

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

    25. 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. Summary

    26. 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. Summary, cont.

    27. 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. Community Involvement

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

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