5.5 Karen Batia

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  • AMG How do we do our work? How is it organized?
  • 5.5 Karen Batia

    1. 1. National Alliance to End Homelessness ~ Accommodating All Families: Addressing Substance Abuse Karen Batia, Ph.D. [email_address] July 2011
    2. 2. Heartland Alliance ~ Philosophy of Care <ul><li>Human Rights </li></ul><ul><li>Strengths Based Assessment and Intervention </li></ul><ul><li>Harm Reduction </li></ul><ul><li>Trauma Informed </li></ul><ul><li>Invite, Recognize and Embrace Differences </li></ul>Heartland Alliance for Human Needs & Human Rights
    3. 3. Heartland Targeted Service Teams <ul><li>ACCESS (ACT -> Community Support Treatment Teams) </li></ul><ul><li>Street Outreach </li></ul><ul><li>FACT </li></ul><ul><li>Harm Reduction Housing/Residential </li></ul><ul><li>International FACES (Refugee Mental Health) </li></ul><ul><li>Healthcare Teams </li></ul>Heartland Alliance for Human Needs & Human Rights
    4. 4. Family Assertive Community Treatment Heartland Alliance for Human Needs & Human Rights <ul><li>Strengthening At-Risk Homeless Families </li></ul><ul><li>Conrad N. Hilton Foundation; Polk Brothers; McCormick Foundation; Prince Charitable Trust; City of Chicago </li></ul>
    5. 5. Who does FACT serve? <ul><ul><li>Single mothers between the ages of 18-25 </li></ul></ul><ul><ul><li>Mental health disorder </li></ul></ul><ul><ul><li>Substance use, domestic violence </li></ul></ul><ul><ul><li>At least one child under the age of five </li></ul></ul><ul><ul><li>The families must live in the city of Chicago </li></ul></ul>Heartland Alliance for Human Needs & Human Rights
    6. 6. The Team Approach <ul><li>Services are provided where the participant is (shelter, street, friend’s home, family member’s home, store, hospital, treatment center) </li></ul><ul><ul><li>Project Director </li></ul></ul><ul><ul><li>Child Parent Therapists </li></ul></ul><ul><ul><li>Substance Abuse Specialist </li></ul></ul><ul><ul><li>Housing Specialist </li></ul></ul><ul><ul><li>Senior Case Manager </li></ul></ul>Heartland Alliance for Human Needs & Human Rights
    7. 7. FACT Services <ul><li>Mother </li></ul><ul><li>Comprehensive Assessments </li></ul><ul><li>Therapy </li></ul><ul><li>Vocational/Educational </li></ul><ul><li>Employment </li></ul><ul><li>Housing </li></ul><ul><li>Groups </li></ul><ul><li>Case Management </li></ul><ul><li>Collaboration with other providers </li></ul><ul><li>Parenting </li></ul><ul><li>Psychological </li></ul><ul><li>Psychiatric </li></ul><ul><li>Health Education </li></ul><ul><li>Referral and Linkages </li></ul><ul><li>Child/ren </li></ul><ul><li>Comprehensive Assessments </li></ul><ul><li>Therapy (Child Parent Psychotherapy) </li></ul><ul><li>Educational </li></ul><ul><li>Case Management </li></ul><ul><li>Collaboration with other providers </li></ul><ul><li>Psychological </li></ul><ul><li>Psychiatric </li></ul><ul><li>Health Education </li></ul><ul><li>LIOP/TOTS </li></ul><ul><li>Early Head Start </li></ul><ul><li>Referral and Linkages </li></ul>Heartland Alliance for Human Needs & Human Rights
    8. 8. Harm Reduction <ul><ul><li>A set of practical strategies that reduce negative consequences of drug use and other high-risk behaviors </li></ul></ul><ul><ul><li>Incorporates strategies that range from safer use to managed use to abstinence </li></ul></ul><ul><ul><li>Meets and accepts drug users on their own terms </li></ul></ul><ul><ul><ul><ul><li>Harm Reduction Coalition </li></ul></ul></ul></ul>Heartland Alliance for Human Needs & Human Rights
    9. 9. Principles of Harm Reduction <ul><li>Risky behaviors are a biopsychosocial* phenomenon </li></ul><ul><li>Risky behaviors are initially adaptive </li></ul><ul><li>Behavior , set , and setting are central to understanding an individual’s actions </li></ul>Heartland Alliance for Human Needs & Human Rights *Biopsychosocial- a general model or approach that posits that biological, psychological (which entails thoughts, emotions, and behaviors), and social factors, all play a significant role in human functioning in the context of disease or illness.
    10. 10. Principles of Harm Reduction <ul><li>People who engage in high-risk behaviors have the right to sensitive treatment, and to not be expelled for the very behavior that brings them to treatment </li></ul><ul><li>Treatment should be based on the development of a needs hierarchy </li></ul><ul><li>People who engage in high-risk behaviors can and do participate in treatment </li></ul><ul><li>Success is related to self-efficacy </li></ul><ul><li>Any reduction in harm is a step in the right direction </li></ul>Heartland Alliance for Human Needs & Human Rights
    11. 11. Harm Reduction Values <ul><li>We promote the human rights of all participants, including those who engage in risky behaviors. </li></ul>Heartland Alliance for Human Needs & Human Rights
    12. 12. Harm Reduction Values <ul><li>Normalize risky behavior </li></ul><ul><li>Be nonjudgmental, including avoiding potentially judgmental labels </li></ul><ul><li>Avoid having preconceived goals </li></ul><ul><li>Provide choices </li></ul><ul><li>Value the individual’s information and input </li></ul><ul><li>Be aware of power differences </li></ul>Heartland Alliance for Human Needs & Human Rights
    13. 13. <ul><li>See small changes as successes </li></ul><ul><li>Build rapport and trust </li></ul><ul><li>Recognize ambivalence as normal </li></ul><ul><li>Emphasize the individual’s strengths </li></ul><ul><li>Emphasize personal responsibility for outcomes </li></ul>Harm Reduction Values Heartland Alliance for Human Needs & Human Rights
    14. 14. Harm Reduction Applications <ul><li>Safer driving – speed limits, seat belts, intoxication limits, air bags, defensive driving, abstinence…. </li></ul><ul><li>Safer sex – education about condom use to prevent disease and contraception, avoiding risky sexual practices, abstinence…. </li></ul>Heartland Alliance for Human Needs & Human Rights
    15. 15. Harm Reduction Applications <ul><li>Safer drug use – reduced use, avoiding risky routes of administration, drug substitution, safe using partners (designated driver), abstinence…. </li></ul><ul><li>Safer parenting – education about pre-natal care, regular doctors appointments, education about healthy and normal development, making appropriate child care plans, safe sleeping habits, use of car seats, healthy eating habits…. </li></ul>Heartland Alliance for Human Needs & Human Rights
    16. 16. MHRI Technical Assistance Projects <ul><li>Coalition building – Harm Reduction Housing Roundtable </li></ul><ul><li>Targeted training </li></ul><ul><li>Technical assistance (staff -> policy development) </li></ul><ul><li>Board consultation </li></ul><ul><li>Advocacy </li></ul>Heartland Alliance for Human Needs & Human Rights

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