What if Everyone Embraced Recovery?
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The document emphasizes the empowerment of individuals with disabilities through community and peer support, reflecting on the progress made since the Americans with Disabilities Act. It discusses the evolution of mental health treatment from traditional models to peer-led systems, aiming to enhance personal recovery and participation. Significant milestones in the recovery movement and self-help methodologies are outlined.
![“[In the disability empowerment
movement] we don’t have a token seat
at the table. We lead the table.”](https://image.slidesharecdn.com/2018-07-19adelaiderecoverypeers-180720064024/85/What-if-Everyone-Embraced-Recovery-13-320.jpg)
![Center for Psychiatric Rehab
William Anthony &
Boston University
“There is a revolution brewing in the
field of severe mental illness… It is a
revolution in vision – in what is
believed to be possible… It will be up
to consumers and family members to
lead this [recovery].”
In 1973, 13 leaders formed Psychiatric
Rehabilitation Association (PRA)](https://image.slidesharecdn.com/2018-07-19adelaiderecoverypeers-180720064024/85/What-if-Everyone-Embraced-Recovery-48-320.jpg)
What if Everyone Embraced Recovery?
- 1. What If… Everyone Embraced Recovery DAVID W. COVINGTON, LPC, MBA CEO & PRESIDENT, RI INTERNATIONAL ADELAIDE 2018
- 3. What Does It Mean… To Live in Community
- 10. What If… I Don’t Move to the Back of the Bus
- 11. What If… I Am Not Afraid
- 12. What If… My Answer is… Yes, I Can
- 13. “[In the disability empowerment movement] we don’t have a token seat at the table. We lead the table.”
- 14. Celebrate the 25th Anniversary of the Americans with Disabilities Act
- 29. What If… I Don’t Move to the Back of the Bus
- 30. What If… I Am Not Afraid
- 31. What If… My Answer is… Yes, I Can
- 32. Polling Question #2The Americans with Disabilities Act gives civil rights protections and guarantees equal opportunity in public accommodations, employment, transportation, government services, and telecommunications. The ADA also applies to Mental Health. A. True B. False
- 34. “We stand on the doorstep to make momentous progress in advancing the cause of this new civil rights struggle started by the work of President Kennedy over 50 years ago.” New Civil Rights Struggle
- 35. What If… Everyone Embraced Recovery
- 36. What If… I Don’t Move to the Back of the Bus
- 37. What If… I Am Not Afraid
- 38. What If… My Answer is… Yes, I Can
- 39. Do things TO people Do things FOR people Do things WITH people Few peer leaders & care Peer driven system 1 2 3 4 5
- 41. The First Support Groups Alcoholics Anonymous The 12-Step program of substance recovery founded in the early ‘30s provided a demonstration of the power of self-help and support from a “peer” although the “peer” was called a “sponsor.” There is evidence Native Americans were doing something of the same as early as 1772.
- 42. A Mind That Found Itself Clifford Beers Galvanized the mental hygiene reform movement and founded the organization that would later become Mental Health America, which led to systematic reforms and continuous advocacy presence
- 44. I Am Not Afraid Judi Chamberlin “On Our Own”
- 45. National Council on Disabilities Report “Patient privileges, such as the ability to wear their own clothes, leave the confines of psychiatric facility, or receive visitors, should instead be regarded as basic rights”
- 46. Primary Era: 2000 - present
- 47. First Clubhouse Model John Beard (Fountain House) in New York revolutionized the old “day treatment” programs to a new approach where those served were “members” and not “patients,” and given meaningful roles in the clubhouse and community.
- 48. Center for Psychiatric Rehab William Anthony & Boston University “There is a revolution brewing in the field of severe mental illness… It is a revolution in vision – in what is believed to be possible… It will be up to consumers and family members to lead this [recovery].” In 1973, 13 leaders formed Psychiatric Rehabilitation Association (PRA)
- 49. WRAP Mary Ellen Copeland First structured tool for self-help for individuals with mental health challenges. The key concepts of WRAP (hope, personal responsibility, education, self-advocacy, and support) laid the foundation for self-help recovery.
- 50. On June 22, 1999, the US Supreme Court held that unjustified segregation of persons with disabilities constitutes discrimination in violation of the Americans with Disabilities Act and stated that people with psychiatric disabilities are legally entitled to live in communities of their choosing Lois Curtis
- 52. Peer Support as Science Surgeon General’s Report on Mental Health Introduced “self-help groups” and peer supports as an emerging evidence based practice and chronicled the history of the recovery movement
- 53. Medicaid-billable Service Wendy Tiegreen & Larry Fricks Georgia was the first state to have peer supports approved by CMS (Arizona followed the next year) and laid the ground work for a national sea change with more than 20 states following suit. Recovery Innovations began using the phrase “Peer Support Specialist” in 1999.
- 54. CMS Guidelines
- 55. Courtesy of Appalachian Consulting Group, Ike Powell and Larry Fricks
- 56. WELL & WHAM In 2001, Recovery Innovations married peer support with education by creating WELL (Wellness and Empowerment in Life and Living) as a new self-help approach to the former case management approach of compliance and monitoring of “activities of daily living.” In 2012, the Center for Integrated Health Solutions (SAMHSA/HRSA) created WHAM (Whole Health Action Management) 2-day, in person peer support training Set whole health and resiliency goals 10 Health and Resiliency Factors
- 57. Don Berwick What ‘Patient- Centered’ Should Mean: Confessions Of An Extremist
- 60. Towards a Recovery System of Care Perspective Stage 1 Stage 2 Stage 3 Stage 4 Stage 5 Traditional Psychosocial Rehabilitation Philosophy/Continuum Peer-Driven Care Peer-Driven System Motto Done to Done for Done with Done by Character- istics Clinical team identifies goals and develops service plans. Compliance with directives is point activities. Strong dependence on system & artificial (paid) supports with no individual risk taking or family engagement. Genuine voice and participation with some support for individual risk taking & engagement in natural supports. Self-directed care is core value with peers holding some leadership and advocacy positions within the system. Many roles filled by peers, including workforce, governance, etc. a token gesture. Core Value Clinically sound professional services & stability Safety and security with a goal of stability Personal recovery through collaboration Personal recovery through self- directed care Culture change through peer leaders and staffing Person(s) Compliant Dependent Respected (Voice) Leader Empowered Subservient Institutionalized Involved Advocate Leaders Staff Member Prescriptive Caretaker Partner Consultant Peers Directive Protector Guide Support Advocate Organization Clinically driven Protective Collaborative Recovery driven Peer-driven Provider is expert Risk Averse Engaging Person is expert Peer-staffed Risk Taking Discouraged Blocked Supported Encouraged Expected 1950 Compliance/ Directive 1980 Dependent/ Care Taker 2010 Voice & Participation Present Action & Leadership Future Peer-Driven System
- 61. Which of the following are reasons a peer staff at a Community Mental Health Center should be terminated? A. Sleeping with a client B. Not showing up to work the first day C. Stealing from the organization D. Being re-hospitalized for mental health E. Reporting hearing active hallucinatory voices
- 63. Difference
- 71. Difference Contribution Biker Bluegrass Fan ConnectedFather Geek Boss Traveler Friend Gamer Son Difference Sports Fan Husband Clinician Hopes & Dreams Speaker MBA Business Owner Brother Southerner Uncle Citizen Runner Employee
- 74. Lived Expertise
- 77. Me too
- 78. What If… I Don’t Move to the Back of the Bus
- 79. I Am Not Afraid What If…
- 80. My Answer is… Yes, I Can What If…
- 83. 1. Organizational commitment 2. Quality training pre-employment 3. Recovery training for all staff 4. Job-specific peer support roles 6. “Tipping point” critical mass 7. Develop career ladder 8. Parity for peer workers 9. Remember, it’s real work, not sheltered work or therapy
- 84. Traditional Language Recovery/Opportunity Consumer Guest Sub-acute Psych Inpatient Living Room 23 Hour Observation Retreat 24/7 Crisis Walk-in Front Lobby Crisis Center Recovery Response Center Crisis Opportunity Intake Recovery Partnership Assessment Getting to Know Each Other Psychosocial History Telling My Story Treatment Plan Recovery Solutions
- 85. What If… I Don’t Move to the Back of the Bus
- 86. What If… I Am Not Afraid
- 87. What If… My Answer is… Yes, I Can
Editor's Notes
- #33: The answer is True.
- #42: http://www.narconon-news.org/drug-facts/history-of-alcohol-treatment.html
- #48: http://psychnews.psychiatryonline.org/newsarticle.aspx?articleid=1284563
- #49: http://www.bu.edu/cpr/products/multimedia/sample-tvr2.pdf
- #51: http://
- #53: SAMHSA recognized peer support services and Consumer operated programs as evidence based practices in 2002 and 2009 respectively http://profiles.nlm.nih.gov/ps/access/NNBBHS.pdf
- #55: http://downloads.cms.gov/cmsgov/archived-downloads/SMDL/downloads/SMD081507A.pdf “Peer Support services are an evidence based model of mental health care which consists of a qualified peer support provider who assists individuals with their recovery from mental illness and substance use disorders. CMS recognizes that the experiences of peer support providers, as consumers of mental health and substance use services, can be an effective component of the State’s delivery of effective treatment.”
- #57: http://www.integration.samhsa.gov/health-wellness/wham/wham-training
- #58: http://content.healthaffairs.org/content/28/4/w555.long
- #62: CHOICES Network believes the answer is A & C only.