A Call for Change Toward a RecoveryOriented Mental Health Service System for Adults

1
A Call for ChangeToward a Recovery-Oriented
Mental Health Service System for Adults

• Presented by
• Butler County Leadership and Recovery Committee
• PowerPoint based on a presentation by Shelley
  Bishop,
• Office of Mental Health and Substance Abuse
  Services

2
Why a Call for Change?

• People with serious mental illness do, in fact,
  recover
• Voices of those who have experienced recovery
  created recovery movement
• Recovery movement impacting the mental health
  system at all levels
• Federal governments call for sweeping
  transformation
• Office of Mental Health and Substance Abuse
  Services (OMHSAS) desire to formally move PA
  transformation forward

3
How Did We Get To Recovery? Long-Term Studies

• Between 45-65 of people with schizophrenia will
  experience significant improvements over time,
  some recovering fully
• 80 of people experiencing a major depressive
  episode will recover fully
• Outcome for bipolar disorder lies somewhere
  between the two (i.e., 60-75)

4
Views of MH Recovery

• Resolution of acute episodes of illness, distress
  or disruption
• Return to full or partial functioning in most
  aspects of ones life regaining valued social
  roles
• Worker, parent, student
• The act of gaining something that was lost
• Sense of personal comfort or safety
• Confidence in speaking out
• A new lease on life

5
PA A Call for Change Recovery Definition

• Recovery is a self-determined and holistic
  journey that people undertake to heal and grow.
  Recovery is facilitated by relationships and
  environments that provide hope, empowerment,
  choices and opportunities that promote people
  reaching their full potential as individuals and
  community members.

6
SAMHSA (Substance Abuse and Mental Health
Services Administration) Consensus Statement on
Mental Health Recovery

• Self-direction
• Empowerment
• Individualized and Person-Centered
• Holistic
• Non-Linear
• Strengths-Based
• Peer Support
• Respect
• Responsibility

7
Consensus - continued

• Hope
• Recovery provides the essential and motivating
  message that people can and do overcome the
  barriers and obstacles that confront them.

8
But we already do that!

• Recovery is not a model
• Recovery is not merely another service program
• Recovery is not business as usual
• Recovery is not an add-on or just a new name for
  the same programs
• Recovery is often not what is done, but how its
  done

9
OPEN MINDS

• OPEN DOORS

10
Are We There Yet?

• Being recovery-oriented means that a service or
  system makes a strong honest commitment to a
  set of principles and beliefs about the ability
  of each person with a mental illness to grow,
  change and have a life that is personally rich
  and fulfilling, with or without the presence of
  symptoms of a disorder.
• Systems continually evaluate their attitudes,
  policies and practices to align with values and
  principles.

11
Are We There Yet? Basic Domains

• Validated Personhood
• Person-centered Decision Making Choice
• Connection Community Integration, Social
  Relationships
• Basic Life Resources
• Self-care, Wellness Finding Meaning
• Rights and Informed Consent
• Peer Support/Self Help

12
Are We There Yet?Basic Domains

• Participation, Voice, Governance Advocacy
• Treatment Services
• Worker Availability, Attitude Competence
• Addressing Coercive Practices
• Outcome Evaluation Accountability

13
Indicators

• The heart of the change
• By individual perspective, service/program, and
  county/state level
• Unless services and the system can demonstrate
  that personal recovery outcomes are being
  attained, it is not a successful system.

14
Transformation Focus

• Culture
• Clinical Practices/Tools
• Relationships
• Funding Strategies
• Regulatory Review Revision

15
Advancing Recovery

• Transformation Leadership Peer Activities
• Peer Professionals
• Peer Specialists
• Peers as staff in consumer-run programs
• Peers involved in mutual support
• Defining what these mean in our system
• Leading transformation instead of adapting to
  existing culture
• Taken from Consumer-Directed Transformation
  to a
• Recovery-Based Mental Health System
• National Empowerment Center

16
TransformationYour Call to Change

• Identify leaders
• Visioning
• Promote discussion dialogue
• Identify specific problems challenges
• Self-check
• Be honest
• Forge new partnerships
• Make a commitment and take action

17
Making Change Happen

• Vision/Message
• Mission, Vision, Guiding Principles, Goals
  Objectives
• Consensus
• Planning processes
• Implementation
• Policy, procedures
• Monitoring
• Indicators, outcomes, satisfaction

18
Recovery is Person CenteredPat Deegan, PhD

• Persons Role
• Personal power
• Personal knowledge
• Personal responsibility
• Person in context of life is focus
• Person is self-determining

• Professional Role
• Power sharing
• Exchange information
• Shared decision making
• Co-investigator
• Professional is expert consultant on journey

19
Challenges Barriers

• Systems, like people, do not change easily.
  Every system is perfectly designed to stay
  exactly the way it is. For meaningful change to
  occur, some discomfort, imbalance, uncertainty
  and acceptance of risk are prerequisite.

20
A Step in the Right Direction

• Consider expanding your board membership to
  include more meaningful representation from
  individuals who have accessed mental health
  services.
• It is essential to have consumer input into the
  organization in order to become truly
  recovery-oriented.
• Honestly assess your current operations and make
  an effort to plan your journey toward providing
  recovery oriented services.
• Utilize the Indicators in A Call for Change to
  guide you through this process. Revisit them
  often as the basis for program assessments and
  planning.

21
What can we do to help?

• We realize that sometimes agencys have
  difficulty recruiting consumers as members of the
  board.
• If you are interested in assistance with this
  process, please contact ________.
• Also, if you are in need of training/planning
  assistance in your move to become a recovery
  oriented organization, please do not hesitate to
  call.

22
Thank you for time and the work you do in our
community!