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Community Partnerships

Community Partnerships. What Helps…What Hinders. Recovery is Community Oriented. VA Mental Health Strategic Plan Emphasizes community partnering Emphasizes community orientation Recovery Systems/Measurements Emphasize community integration Support blending of service in the community.

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Community Partnerships

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  1. Community Partnerships What Helps…What Hinders

  2. Recovery is Community Oriented VA Mental Health Strategic Plan • Emphasizes community partnering • Emphasizes community orientation Recovery Systems/Measurements • Emphasize community integration • Support blending of service in the community

  3. Transformation of System and Staff • Where will it come from? How will it arrive? • Leadership with vision, passion, commitment • Psychologists are leaders, program leaders, service chiefs, directors of training • Psychologists are agents of change

  4. Mental Health Recovery What Helps and What Hinders Onken, S., Dumont, J., Ridgway, P., Dorman, D. and Ralph, Ruth

  5. Elements Evaluated • Basic Material Resources • Social Relationships • Hope, Sense of Meaning, Purpose • Choice • Peer Support • Formal Services • Formal Service System Staff

  6. Hinders Discontinuity, burnout, overworked Low expectations, negative messages Misunderstanding, mistrust Coercion, power-over, formal roles 5. Paternalism, no understanding of consumers’ experiences, superior, disrespectful Helps Continuity, one-on-one relationship, availability Hopeful, positive expectations, belief that recovery is possible Understanding, trustworthy, honest, open Partnership & collaboration, treated as equals 5. Listened to, believe staff are authentic, caring, respectful Staff

  7. Hinders Culturally insensitive, not much staff diversity Foster dependency, discourage and undermine consumer participation Inadequate knowledge and training Helps Culturally sensitive Fosters self-empowerment 8. Improved and ongoing education and training, consumers involved as trainers

  8. Chronicity Diagnostic groupings; “case;” lumped together; “chronics” Pessimistic prognosis; “broken brain” Pathology/deficits; vulnerabilities are emphasized; problem orientation Fragmented Biological/Psychosocial, oppression models Recovery Unique identity; person oriented; person first language Hope and realistic optimism Strengths/hardiness and resilience; self-righting capacity is emphasized Integrated Bio-Psycho-Social-Spiritual; holistic Chronicity vs. Recovery Paradigms

  9. Chronicity Professional assessment of “best interests” and needs; paternalism Professional control; expert services Power over; force; coercion; compliance Reliance on formal supports or “independence” Social segregation; formal program settings; deviancy amplifying artificial settings Recovery Self definition of goals and needs; voice; consumer driven; self-determination Self help; mutuality; experiential wisdom; self care; partnering with professionals Empowerment Choice Emphasis on natural supports; interdependency Community integration; real life niches; in vivo services and supports Chronicity vs Recovery

  10. Chronicity Maintenance; stabilization; risk avoidance Patient; client; consumer role Resource limitations; poverty Helplessness; passivity; adaptive dependency Recovery Active growth; new skills and knowledge; dignity of risk Normative roles; natual life rhymns Asset building; opportunities Self-efficacy; self-sufficiency; self-reliance Chronicity vs. Recovery

  11. Challenge If you are a Chief of Service, a Supervisor or a Program Manager: • How will my staff get training? • How will I assure competency? • How will I promote PSR&R in my programs and services? • Am I currently developing or supporting PSR&R services in my setting?

  12. Challenge If you are a Director of Training: • Do I have PSR&R trainings in my seminar series? • Do I have staff who can model PSR&R values, skills and services • Do I have a PSR&R rotation? If you have an academic appointment: • How embedded is PSR&R education and training in your setting?

  13. News from the practicum settings • Preparation for internship applications • Perception of value of training opportunity to enhance overall value of candidacy • What, then, do Psychology Internship sites value in internship applications/applicants? • Directors of Training: If you value it, they will come.

  14. Potential Barriers • Staff • Access • System Knowledge • Values Concerning Partnering • What does partnering do for me? • What workload will it produce? • Will I lose workload? • How does this benefit veterans?

  15. Why Partner? • No system of services has all the resources it needs • Each system has strengths and vulnerabilities • Combining strengths makes each system more powerful

  16. Community Partnership • Local Mental Health Authority IS The Community • VA has peer support expertise Peer Support expertise in the community = Independence Center

  17. April 2007 Activities INDEPENDENCE CENTER “Friends Supporting Friends through Recovery” 2111 Austin Ave (254) 756-0258 Monday-Friday 8AM to 2PM ACTIVITIES

  18. April 2007 Activities INDEPENDENCE CENTER “Friends Supporting Friends through Recovery” 2111 Austin Ave (254) 756-0258 Monday-Friday 8AM to 2PM GROUPS

  19. Check out their web site: • www.independencecenteronline.org

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