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Parallel Recovery Process: One Program’s Transformation Journey

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.

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Parallel Recovery Process: One Program’s Transformation Journey

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  1. 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

  2. Learning Objectives Upon participating in this session, attendees will be able to: • Recognize the merits of parallel process as a tool in program development. • Understand that systems’ change occurs from within, when creativity, inspiration, and active involvement are nurtured and given the space to grow. • 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. • Identify and understand the components of recovery and their practical applications to program development.

  3. Parallel Process Psychotherapy Occupational Therapy In psychotherapy, it involves employing your own process to benefit the client, and the client’s process to propel your own. -M. Formica “Personal Medicine" is "the things that give life meaning and make life worth living." -- P. Deegan

  4. The Road to Recovery

  5. Staff Roles & Program Structure

  6. Initial Changes Successes Challenges • 1st CPS hired • Family & Friends Events • Peer Leadership Council established • Introduced WRAP • Recovery-oriented Trainings • Proposal vs. Wellness Alliance Practice • System Issues • Staffing Issues “I didn’t know I was allowed to go to these places.”

  7. 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

  8. Recovery Components

  9. 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 choose my own goals.” Kathy M. “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.

  10. 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 “I am in the driver’s seat, but I also have a co-pilot for when I get stuck.” Arah C. “People care about me and treat me with dignity. People here listen to you.” Daniel M.

  11. 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.

  12. 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.

  13. 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.

  14. 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.

  15. Moving Forward “Everything was going fine until I was incarcerated. It slowed me down with my goals, but I’m getting back on track.” Arah C. NON-LINEAR • Ongoing evaluation: Steering Committee, LCTF, Activities Grant, advocacy efforts • Occasional setbacks • Learning from experience with focus on continual growth: • 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.

  16. Hopes for the Future 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 “We hope to get better; hope gives me a reason to live, it gives me strength.” Cassandra M.

  17. 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?

  18. Contact Information Amra Handline, LSW, CPRP Amra.handline@hhinc.org 215-386-1600 x207 Colleen Zane, MS, OTR/L, CPRP Colleen.zane@hhinc.org 215-386-1600 x241 Steven Burkitt, MSW, CPRP Steven.burkitt@hhinc.org 215-386-1600 x250

  19. 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].

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