Becoming A Community Member

537 views

Published on

Today graduate supported housing involves many varied supports and treatment options. Supported housing is not just about the activities of daily living and stability anymore, there is a need to incorporate broader life goals such as family, marriage and relationships, employment, education and hobbies.

Published in: Health & Medicine
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total views
537
On SlideShare
0
From Embeds
0
Number of Embeds
14
Actions
Shares
0
Downloads
0
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide
  • Personalized Recovery Oriented Services (PROS)
    Clinic Services
    Vocational Services
    OASAS Program
    Personalized Recovery Oriented Services (PROS)
    Clinic Services
    Vocational Services
    OASAS Program
    Personalized Recovery Oriented Services (PROS)
    Clinic Services
    Vocational Services
    OASAS Program
    Supervised Community Residence (Super CR)
    Apartment Treatment
    Community Residence/Single Room Occupancy (CR/SRO)
    Community Care/Supported Housing, a.k.a. “Permanent” or “Graduate”
    Iyana House, Sheridan Hill House
    Multiple Scatter-Site and Congregate Programs in Manhattan & The Bronx
  • Integration starts with our mission.
    Describe programs and modalities in supported housing at the Bridge
  • SPMI
    Stable fro the last 2 years no recent psychiatric hospitalization
    ADL includes budgeting, bill paying, cooking, food shopping etc
    Able to follow medical and psychiatric treatment
    Abel to get meds from pharmacy, know how to use them and storage
    Able to seek help when needed.
    Clean for a reasonable time
  • They have to be in the clients corner at all time
    Flexible not only with their time but able to change gears in a minute notice
  • Consistence on Supervision, directives
    Policies are the same for everyone,
    No favoritism with other staff or clietns.
    Resources that includes recreational activities, not only treatment related. Cell phones, computers, etc.
    Trainings on Safety, substance use/abuse including harm reduction, motivational interviewing; professional Boundaries, effective communication,
    Know that they can make mistakes and learn from them
    Supervision, meaning support, teaching, respect, able to use their strengths and know their weaknesses and how to deal with them
  • Living VS surviving
  • Get your staff to buy into the idea that the clients can do. That they do not need to be taken care of.
    Engaging clients in the creation of the service plans goals
    Delay gratification
    Lots of prying
    Redirect negative thoughts
    Collaborative relationship
    Engaging not only the clients but everyone involved in their life i.e. other service providers, family members, friends
    There is always a way, be creative in the problem solving,
    Not everything have to be by the book!
    Need to know what motivate the client, Staff needs to know that this process can take some time and requires a good/therapeutic relationship with the client
  • Becoming A Community Member

    1. 1. Becoming a CommunityBecoming a Community Member, Not just aMember, Not just a ConsumerConsumer Skills for Successful Integration inSkills for Successful Integration in Supported HousingSupported Housing ACLAIMH ConferenceACLAIMH Conference November 3, 2010November 3, 2010 Olga Brito, MA, LMSW, Maria Nicolai, MA, and Suzette Sclafani, LMSWOlga Brito, MA, LMSW, Maria Nicolai, MA, and Suzette Sclafani, LMSW
    2. 2. The BridgeThe Bridge The Bridge's mission is to change lives byThe Bridge's mission is to change lives by offering help, hope and opportunity to the mostoffering help, hope and opportunity to the most vulnerable in our community through mentalvulnerable in our community through mental health, substance abuse treatment, housing,health, substance abuse treatment, housing, vocational training, job placement, healthcare,vocational training, job placement, healthcare, education and creative arts therapy.education and creative arts therapy.
    3. 3. Supported Housing MissionSupported Housing Mission • To provide residential permanency and toTo provide residential permanency and to maintain stability through support, advocacy,maintain stability through support, advocacy, and respect for each individual’s right to live inand respect for each individual’s right to live in the least restrictive setting, while helpingthe least restrictive setting, while helping residents achieve independence, selfresidents achieve independence, self determination and live productively within theirdetermination and live productively within their community.community.
    4. 4. Our Clients at IntakeOur Clients at Intake • Axis I diagnosis of serious mental illnessAxis I diagnosis of serious mental illness • Adults (18 and over)Adults (18 and over) • Psychiatric stabilityPsychiatric stability • Capable of follow up with one’s own treatmentCapable of follow up with one’s own treatment • Able to self-medicateAble to self-medicate • Able to travel unaccompaniedAble to travel unaccompanied • Able to seek out assistanceAble to seek out assistance • Good to fair ADL skillsGood to fair ADL skills
    5. 5. StaffStaff • Experience and comfort working with the mentally illExperience and comfort working with the mentally ill • Strong advocacy skillsStrong advocacy skills • Common senseCommon sense • Able to work as part of a teamAble to work as part of a team • Flexibility, creativityFlexibility, creativity • ““Good learner”Good learner” • Good communicatorGood communicator • Able to seek assistanceAble to seek assistance
    6. 6. What do staff need?What do staff need? • SupervisionSupervision • ConsistencyConsistency • Clear Policies and ProceduresClear Policies and Procedures • To know that they are not aloneTo know that they are not alone • Access to resourcesAccess to resources • TrainingTraining • To have fun!To have fun!
    7. 7. Service PlansService Plans • Treatment GoalTreatment Goal – Medication adherenceMedication adherence – ADL SkillsADL Skills – Program adherenceProgram adherence – Benefit continuanceBenefit continuance • Life Goals (client centered)Life Goals (client centered) – RelationshipsRelationships – VocationalVocational – Leisure timeLeisure time – HobbiesHobbies – Healthy habitsHealthy habits
    8. 8. Maslow's hierarchy of needsMaslow's hierarchy of needs
    9. 9. How to get thereHow to get there • Staff must “buy in” to the process.Staff must “buy in” to the process. • Person Center PlanningPerson Center Planning • Engagement and motivationEngagement and motivation • Be creativeBe creative • Never say “No”, stay positiveNever say “No”, stay positive • Keep your eyes (and the clients eyes) on theKeep your eyes (and the clients eyes) on the prize.prize.
    10. 10. SummarySummary • There is no magic solution,There is no magic solution, • The perfect client does not exist,The perfect client does not exist, • Neither does the perfect staff.Neither does the perfect staff. • There will always be resistance from clients andThere will always be resistance from clients and staff.staff. • There is always a way to make it work, butThere is always a way to make it work, but • Things never go as planned.Things never go as planned.
    11. 11. ContactContact The BridgeThe Bridge 248 West 108248 West 108thth StreetStreet New York NY, 10025New York NY, 10025 212-663-3000212-663-3000 www.thebridgeny.orgwww.thebridgeny.org

    ×