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Becoming A Community Member

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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 ...

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.

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  • 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 Becoming A Community Member Presentation Transcript

  • Becoming a Community Member, Not just a Consumer Skills for Successful Integration in Supported Housing ACLAIMH Conference November 3, 2010 Olga Brito, MA, LMSW, Maria Nicolai, MA, and Suzette Sclafani, LMSW
  • The Bridge
    • The Bridge's mission is to change lives by offering help, hope and opportunity to the most vulnerable in our community through mental health, substance abuse treatment, housing, vocational training, job placement, healthcare, education and creative arts therapy.
  • Supported Housing Mission
    • To provide residential permanency and to maintain stability through support, advocacy, and respect for each individual’s right to live in the least restrictive setting, while helping residents achieve independence, self determination and live productively within their community.
  • Our Clients at Intake
    • Axis I diagnosis of serious mental illness
    • Adults (18 and over)
    • Psychiatric stability
    • Capable of follow up with one’s own treatment
    • Able to self-medicate
    • Able to travel unaccompanied
    • Able to seek out assistance
    • Good to fair ADL skills
  • Staff
    • Experience and comfort working with the mentally ill
    • Strong advocacy skills
    • Common sense
    • Able to work as part of a team
    • Flexibility, creativity
    • “ Good learner”
    • Good communicator
    • Able to seek assistance
  • What do staff need?
    • Supervision
    • Consistency
    • Clear Policies and Procedures
    • To know that they are not alone
    • Access to resources
    • Training
    • To have fun!
  • Service Plans
    • Treatment Goal
      • Medication adherence
      • ADL Skills
      • Program adherence
      • Benefit continuance
    • Life Goals (client centered)
      • Relationships
      • Vocational
      • Leisure time
      • Hobbies
      • Healthy habits
  • Maslow's hierarchy of needs
  • How to get there
    • Staff must “buy in” to the process.
    • Person Center Planning
    • Engagement and motivation
    • Be creative
    • Never say “No”, stay positive
    • Keep your eyes (and the clients eyes) on the prize.
  • Summary
    • There is no magic solution,
    • The perfect client does not exist,
    • Neither does the perfect staff.
    • There will always be resistance from clients and staff.
    • There is always a way to make it work, but
    • Things never go as planned.
  • Contact
    • The Bridge
    • 248 West 108 th Street
    • New York NY, 10025
    • 212-663-3000
    • www.thebridgeny.org