Who we are

1. WESTERN REGION BEHAVIORAL HEALTH ORGANIZATON WITH BEACON HEALTH STRATEGIES, LLC AND COORDINATED CARE SERVICES, INC. WRBHO Provider Webinar Developing Peer and Family Support Services Throughout the Inpatient to Aftercare Transition April 13, 2012 10:00 to 11:00 am Special Guests: Peer and Family Services and County Directors Teams

2. WESTERN REGION BEHAVIORAL HEALTH ORGANIZATON WITH BEACON HEALTH STRATEGIES, LLC AND COORDINATED CARE SERVICES, INC. Welcome Muting Meeting Objectives: Continue conversations that began during the February 29, 2012 All Stakeholder Meeting tied to improving inpatient to outpatient transitions. Learn more about peer and family support services available in our community. Learn how to begin to build a peer service within an inpatient program… one example anyway.

3. WESTERN REGION BEHAVIORAL HEALTH ORGANIZATON WITH BEACON HEALTH STRATEGIES, LLC AND COORDINATED CARE SERVICES, INC. Our Peer and Family Services Panel • Joe Woodward, Executive Director, Housing Options, Inc. • Nancy Craig, Parent Advisor, OMH Western Field Office • Topic: Models and Effectiveness of Peer and Family Support Service • Robert Dempsey, Planning and Recipient Affairs Specialist, Monroe County OMH • Chris Mangione, Manager of Clinical Operations, WBHO/Beacon • Topic: WRBHO Work that Supports Peer and Family Support Services • Mike Arcarisi, Social Worker, Rochester General Hospital • Lilly Colon • Topic: Experiences of Peer Support Services at Rochester General Hospital

4. Housing Options Made Easy, IncPresentsA Unique Perspective on an Internationally Recognized Innovative Peer Housing Program and more

5. Who we are Housing Options Made Easy, Inc. is a not-for-profit supported housing and community support agency developed and operated by and for recipients of mental health services in which operates approximately 400 scattered site apartments in 6 counties in Western New York and is the lead agency with a multi county Recovery Center Welcome Home! It’s what we do.

6. GuidingPrinciples Agency provides services that are peer driven Our board is to be no less than 51% peers Majority of staff are recipients We operate a housing first model Treat people as individuals and not diagnoses Develop services that reflect individuality Respectful treatment and understanding of individual choice Encourage self responsibility and community integration in personal decision making

7. WHAT WE DO Supported Housing Peer Advocacy Services Long Term Care Services Mentor/Support for Other Peer Run Agencies Advocacy Training Self-help Support Groups Community Empowerment Friendship Line Benefit Advisement and trainings Family and Parenting Support/Linkage Lead agency, for a multi-county Recovery Center in the southern Tier of WNY 7

8. Supportive Housing Program for Individuals/Families • Housing stability • Community and school stability • Creating meaning and purpose in life • Motivating for recovery/wellness • Improving self-esteem • Providing opportunities for love and support • Helping individual and families to feel connected to others and integrated into the community • Creating natural support opportunities through the activities of other family members • Providing a valued social and family role • Assisting with educational/vocational and employment opportunities

9. Supportive Housing Program for Individuals/Families(Continued) • We work with individuals and families in overcoming barriers: • Avoiding treatment because of fear of loss of custody • Having increased symptoms during pregnancy • Having disrupted sleep because of child care and feeding schedules • Dealing with the stresses of parenting • Dealing with limitations of financial, housing, work, and social opportunities • Facing the potential trauma of loosing child custody • Facing prejudice and stigma because they are parents with mental illness • Parent needing to be hospitalized • Supporting and providing referrals for separation, divorce, domestic violence 9

10. Supportive Housing Program for Individuals and Families(Continued) Services offered to families in addition to what we offer everyone: • Being role models of successful parents with mental illness • Peer sharing • Informing of state laws regarding custody and abuse • Modeling parenting skills • Connecting with appropriate and needed parenting and child services • Assisting with referrals regarding pregnancy care • Helping with family reunification 10

11. Supportive Housing Program for Individuals and Families(Continued) Outcomes • Reduced stigma • Community integration • Productive roles • Reduction in crisis • Housing stability • Financial stability • Educational stability • Cost savings • Increased social support • Improved social functioning • Improved self-esteem and empowerment • Increased family stability • Strengthened self advocacy 11

12. Supporting Data Since 2002 our recipients have reported: • 90% have less need for crisis intervention • 99% have found their housing stability has improved • 96% that their ability to live more independently has improved • 94% indicate improvement in daily living skills • 90% have reported an improvement in social and personal relationships *Please see our website www.housingoptions.org for additional information 12

13. We also offer a Long Term Supported Housing Program… 13

14. For Additional Information: Housing Options Made Easy, Inc. 75 Jamestown Street Gowanda, New York 14070 Phone 716-532-5500 or 1-800-421-1114 Best Practice in Supportive Housing for Families Author: Nancy J. Wewiorski http://homelessness.samhsa.gov/resource/view.aspx?id=48233 www.housingoptions.org

15. WBHO Work That Supports Peer and Family Services…. • Robert Dempsey • Christine Mangione

16. Community Based Family Support ProvidersIn-Patient and Community ProvidersA Partnership in the Making…Nancy Craig

17. Why Partner • Lived Experience • Family Engagement & Motivation Specialists • Professional Training & Credentialed • Parent Empowerment Project (Parents as Change Agents) • Dr. Kimberly Hoagwood - Columbia University • Families Together in NYS • Out-comes • Family Needs and Strengths FANS • Dr. John Lyons • Empowerment Scale • Dr. Marleen Radigan

18. Family Support Providers Assessment & Outcomes Family Needs & Strengths: FANS is 15 questions in advocacy, skill & knowledge development, support groups, respite, & emotional support • knowledge of needs • knowledge of rights and responsibilities, • knowledge of service options • satisfaction with youth’s living arrangements • satisfaction with youth’s educational arrangements • listening ability • communication ability • organizational skills • talents/interests • recreation • social resources • optimism • Involvement • satisfaction with school participation • satisfaction with current services

19. FANS results indicate high levels of parent & caregiver needs in the areas of expertise. FS Providers successfully targeted the areas of greatest need identified by parents

20. Empowerment Scale When faced with a problem the parent / caregiver takes the initiative to identify resources and resolve challenges. Parent has a safety plan they can implement and use. Parent feels they have a voice in improving services and reducing mental health stigma in their community. Parent focuses on strengths as well as needs Parent can get information to better understand needs of child and family. Parent takes steps to learn new ways to meet their individual goals Respite (formal and informal) is utilized as a form of stress management. Parent develops natural and community resources and accesses as needed. Parent knows what steps to take when concerned that services are not meeting their needs.

21. Various Support Opportunities Offered By Family Support Providers Conduct outreach and engagement Provide 1:1 assistance & support helping families connect to and participate in services; in-patient and community based. Work with families to discern their strengths, needs and priorities Accompany parents to meetings to assure they have voice, access, & ownership in process Instill Hope and Optimism via “lived experience” Mentor to increase parents’ feelings of self-efficacy Partner with parent to reduce feelings of isolation Serve as members of wraparound and child and family planning teams Help families identify goals and track progress Support families to develop informal networks of support Provide respite and skill-building services Provide Family recreation opportunities Coach in constructive self-advocacy skills Help families learn about services, procedures, and rights Empower parents through education and training

22. Continued…. • Participate as a team member in specific evidence-based treatment models • Coach in effective parenting strategies • Provide information and referral • Lead, mentor, & hire new leaders • Serve as cultural brokers within organizations and systems • Train clinicians and other program staff on Family Driven Care model • Help families understand mental health treatment options • Facilitate effective family-provider partnerships • Participate in program and system-level planning and oversight bodies • Regional Technical Assistance team, OCFS Region II Joint Planning, System of Care, Community Services Boards, • Provide Instrumental support

23. Experience of Rochester General Hospital Collaborative relationship between Inpatient Psychiatric Unit and Peer Advocacy Team for Habilitation (PATH Program) -Mike Arcarisi and Lilly Colon Supporting individuals on the inpatient unit Supporting individuals during transition Supporting individuals after discharge Impact support had for individuals

24. Contact Information Joe Woodward: 1-800-421-1114 joe@housingoptions.org Nancy Craig: 716- 432-6238 Nancy.Craig@omh.ny.gov Robert Dempsey: 585-753-2696 RDempsey@monroecounty.gov Chris Mangione: 585-613-7652 Christine.Mangione@beaconhs.com Mike Arcarisi: 585-922-3882 David.Arcarisi@rochestergeneral.org Lilly Colon: 585-922-7008 Lilly.Colon@rochestergeneral.org