Path

443 views
380 views

Published on

0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total views
443
On SlideShare
0
From Embeds
0
Number of Embeds
6
Actions
Shares
0
Downloads
2
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide
  • --Outreach and Engagement: Meets immediate and basic needs for food, clothing, and shelter. Nonthreatening, flexible approach to engage and connect people to services. --Housing with Appropriate Supports Options from Safe Havens to transitional and permanent supportive housing. Combines affordable, independent housing with flexible, supportive services. --Multidisciplinary Treatment Teams/Intensive Case Management Provides or arranges for an clinical, housing, and other rehabilitation needs. Features low caseloads (10-15:1) and 24-hour service availability. --Integrated Treatment for Co-occurring Disorders Coordinated clinical treatment of both mental illnesses and substance use. Reduces AODA, homelessness, and the severity of mental health problems. --Motivational Interventions/Stages of Change Helps prepare individuals for active treatment; incorporates relapse prevention strategies. Must be matched to an individual’s stage of recovery.
  • Path

    1. 1. PATH—Projects to Assist in the Transition From Homelessness Surviving Homlessness: Vicki -- Homeless Survivor Brad Munger – Previous PATH Provide In Rock County First Unitarian Society
    2. 2. PATH: Projects to Assist in the Transition from Homelessness U.S. Capitol
    3. 3. PATH: Projects to Assist in the Transition from Homelessness White House
    4. 4. PATH: Projects to Assist in the Transition from Homelessness Supreme Court
    5. 5. PATH: Projects to Assist in the Transition from Homelessness In the land of abundance . . .
    6. 6. PATH: Projects to Assist in the Transition from Homelessness Many citizens are trapped in homelessness . . .
    7. 7. PATH: Projects to Assist in the Transition from Homelessness . . . But not in our community . . . Everyone has someplace to stay . . . It might not be posh, but even the worst accommodations are adequate . . .
    8. 8. PATH: Projects to Assist in the Transition from Homelessness For example, consider the following dwelling place with it’s grand entrance . . .
    9. 9. PATH: Projects to Assist in the Transition from Homelessness The Foyer
    10. 10. PATH: Projects to Assist in the Transition from Homelessness Wright-Style Organic Architecture
    11. 11. PATH: Projects to Assist in the Transition from Homelessness Turtle Flats: 8-Unit Apartments
    12. 12. PATH: Projects to Assist in the Transition from Homelessness Classic Stone Flooring Throughout
    13. 13. PATH: Projects to Assist in the Transition from Homelessness All Natural Carpeting
    14. 14. PATH: Projects to Assist in the Transition from Homelessness Running Water . . . sometimes
    15. 15. PATH: Projects to Assist in the Transition from Homelessness The Living Room
    16. 16. PATH: Projects to Assist in the Transition from Homelessness Fireside Chat at the Hearth
    17. 17. PATH: Projects to Assist in the Transition from Homelessness The Study
    18. 18. PATH: Projects to Assist in the Transition from Homelessness The Kitchen
    19. 19. PATH: Projects to Assist in the Transition from Homelessness Efficiency w/Fridge
    20. 20. PATH: Projects to Assist in the Transition from Homelessness Mason Room—Art’s Bunk . . . Word on the street is that he hanged himself
    21. 21. PATH: Projects to Assist in the Transition from Homelessness Deluxe Efficiency!
    22. 22. PATH: Projects to Assist in the Transition from Homelessness Stone Toilet
    23. 23. PATH: Projects to Assist in the Transition from Homelessness Turtle Flats--The “Bunk”
    24. 24. PATH: Projects to Assist in the Transition from Homelessness Human Cold Storage
    25. 25. PATH: Projects to Assist in the Transition from Homelessness Airy Bedroom
    26. 26. PATH: Projects to Assist in the Transition from Homelessness “ Bunk”er Under the Recruiting Station
    27. 27. PATH: Projects to Assist in the Transition from Homelessness Cold Feet
    28. 28. PATH: Projects to Assist in the Transition from Homelessness Frozen Feet
    29. 29. Serving People Who are Mentally Ill and Homeless <ul><li>Mental illness accounts for more disease burden in the United States than cancer and is just edged out by cardio-vascular disease. </li></ul><ul><li>5.4% of the US population suffer from a major mental illness. </li></ul><ul><li>2.6% of the US citizens suffer from a severe and persistent mental illness. </li></ul><ul><li>0.5% of the US population receive Social Security Benefits for mental health reasons. </li></ul><ul><li>Schizophrenia is more prevalent than epilepsy (1.3%) </li></ul><ul><li>Nearly a third of all homeless people are estimated to have a severe and persistent mental illness. </li></ul><ul><li>5% are homeless at any given time. </li></ul><ul><li>Half of homeless have a substance use issue. </li></ul><ul><li>16% of jail populations are mentally ill--20% of prisons. </li></ul>
    30. 30. Serving People Who are Mentally Ill and Homeless System-Level Values (and last but not least)
    31. 31. Serving People Who are Mentally Ill and Homeless <ul><li>Chapter 2: The Population: Understanding the characteristics of people with serious mental illnesses and/or co-occurring substance use disorders who become homeless, and the barriers they face to residential stability and sobriety. </li></ul><ul><li>Person-Related Risk Factors: </li></ul><ul><li>Acute symptoms of illness (largely “ positive” symptoms such as: paranoia, anxiety, hallucinations, formal thought disorder, depression, etc.). </li></ul><ul><li>Residual symptoms (such as asociability, poor hygiene and apartment upkeep, inability to budget money, isolation, amotivation, sleep disturbance, dependency, impaired practical judgment, etc.). </li></ul>
    32. 32. Serving People Who are Mentally Ill and Homeless <ul><li>Chapter 2: Population: Understanding people with serious mental illnesses and the barriers they face to residential stability and sobriety. </li></ul><ul><li>Complicating Factors: </li></ul><ul><li>Unpredictable nature of mental illnesses with waxing and waning of symptoms. </li></ul><ul><li>Substance abuse. </li></ul><ul><li>Victimization to physical or sexual abuse is correlated with homelessness, particularly if perpetrated by a family member. </li></ul><ul><li>Sexual abuse trauma in is found to be highly prevalent among homeless women. </li></ul>
    33. 33. Serving People Who are Mentally Ill and Homeless <ul><li>Chapter 2: Population: Understanding people with serious mental illnesses and the barriers they face to residential stability and sobriety. </li></ul><ul><li>Environmental Risk Factors: </li></ul><ul><li>Discharge plans at hospitals & jails being inadequate. </li></ul><ul><li>Community support services lacking. </li></ul><ul><li>Inattention to consumer preferences , especially involving autonomy and privacy. </li></ul><ul><li>Lack of affordable housing. </li></ul><ul><li>Insufficient disability benefits: Nationwide 80% of one’s SSI check is required to get a one-bedroom in 1990 </li></ul><ul><li>Lack of coordination between mental health and substance abuse systems. </li></ul>
    34. 34. Serving People Who are Mentally Ill and Homeless Person-Centered Values <ul><li>Choic e --giving real choices! </li></ul><ul><li>Voice --’Nothing about us without us!” </li></ul><ul><li>Empowermen t --e ducated and empowered to make choices right down to setting goals in their treatment plan! </li></ul><ul><li>Dignity and Respec t --and person-first language! </li></ul><ul><li>Hop e -- recovery of hope is essential for recovery from any illness! </li></ul>
    35. 35. Serving People Who are Mentally Ill and Homeless System-Level Values <ul><li>Believe in Recover y --prosthetic hope and optimism essential! </li></ul><ul><li>“ Any Door is the Right Door”-- homeless rarely show up at the door. </li></ul><ul><li>Mainstream Resources Preferred the only real long-term solution. </li></ul><ul><li>Be Flexible & Offer Low-Demand Services --safety and survival are priority. </li></ul><ul><li>Tailor Services to Individual Needs --strengths, preferences, needs, and personal motivations. </li></ul>
    36. 36. Serving People Who are Mentally Ill and Homeless System-Level Values (continued) <ul><li>Develop Culturally Competent Services --Race, ethnicity, and culture influence everything. Providers should be multicultural and multilingual. </li></ul><ul><li>Involve Consumers and Recovering Persons -- valuable contributions as agency staff and as active members of planning councils and advisory boards. </li></ul>“ Hey, there’s that hybrid again! Man, check out the mileage! And ‘super-ultra low emissions’! Let’s save the world together!”
    37. 37. Serving People Who are Mentally Ill and Homeless: Essential Services-- Evidence Based <ul><li>Outreach and Engagement: </li></ul><ul><li>Meets immediate and basic needs for food, clothing, and shelter. </li></ul><ul><li>Non-threatening, flexible approach to engage and connect people to services. </li></ul><ul><li>Housing with Appropriate Supports </li></ul><ul><li>Options from Safe Havens to transitional and permanent supportive housing. </li></ul><ul><li>Combines affordable, independent housing with flexible, supportive services. </li></ul><ul><li>Multidisciplinary Treatment Teams/Intensive Case Management </li></ul><ul><li>Provides or arranges for an clinical, housing, and other rehabilitation needs. </li></ul><ul><li>Features low caseloads (8:1) and 24-hour service availability. </li></ul><ul><li>Integrated Treatment for Co-occurring Disorders </li></ul><ul><li>Coordinated clinical treatment of both mental illnesses and substance use. </li></ul><ul><li>Reduces AODA, homelessness, and the severity of mental health problems. </li></ul><ul><li>Motivational Interventions/Stages of Change </li></ul><ul><li>Helps prepare individuals for active treatment; incorporates relapse prevention strategies. </li></ul><ul><li>Must be matched to an individual’s stage of recovery. </li></ul>
    38. 38. Serving People Who are Mentally Ill and Homeless: Essential Services-- Evidence Based (continued) <ul><li>Modified Therapeutic Communities </li></ul><ul><li>Views the community as the therapeutic method for recovery from substance use. </li></ul><ul><li>Have been successfully adapted for people who are homeless and people with co-occurring disorders. </li></ul><ul><li>Self-Help Programs </li></ul><ul><li>Often includes the 12-step method, with a focus on personal responsibility. </li></ul><ul><li>May provide an important source of support for people who are homeless. </li></ul><ul><li>Involvement of Consumers and Recovering Persons </li></ul><ul><li>Can serve as positive role models, help reduce stigma, and make good team members. </li></ul><ul><li>Should be actively involved in the planning and delivery of services. </li></ul><ul><li>Prevention Services </li></ul><ul><li>Reduces risk factors and enhance protective factors. </li></ul><ul><li>Includes supportive services in housing, discharge planning, and additional support during transition periods. </li></ul>
    39. 39. Serving People Who are Mentally Ill and Homeless: Other Essential Services <ul><li>Primary Health Care: Includes outreach and case management to provide access to a range of comprehensive health services. </li></ul><ul><li>Mental Health and Substance Abuse Treatment: Provides access to a full range of outpatient and inpatient services (e.g., counseling, detox, self-help/peer support). </li></ul><ul><li>Psychosocial Rehabilitation: Helps individuals recover functioning and integrate or re-integrate into their communities. </li></ul><ul><li>Income Support and Entitlement Assistance: Outreach and case management to help people obtain, maintain, and manage their benefits. </li></ul><ul><li>Employment, Education, and Training: Requires assessment, case management, housing, supportive services, job training and placement, and follow-up. </li></ul><ul><li>Services for Women: Programs focus on women’s specific needs, e.g., trauma, childcare, parenting, ongoing domestic violence, etc. </li></ul>Gr “ Yeah, but how do you get a haircut without any income!”
    40. 40. Serving People Who are Mentally Ill and Homeless: Other Essential Services (continued) <ul><li>Low-Demand Services: Helps engage individuals who initially are unwilling or unable to engage in more formal treatment. </li></ul><ul><li>Crisis Care: Responds quickly with services needed to avoid hospitalization and homelessness. </li></ul><ul><li>Family Self-Help/Advocacy: Helps families cope with family members’ illnesses and addictions to prevent homelessness. </li></ul><ul><li>Cultural Competence: Accepts differences, recognizes strengths, and respects choices through culturally adapted services. </li></ul><ul><li>Criminal Justice System Initiatives: Features diversion, treatment, and re-entry strategies to help people remain in or re-enter the community. </li></ul>
    41. 41. Serving People Who are Mentally Ill and Homeless Quality of Life! Tallest Peace Pole in the World Vicki’s Apartment!

    ×