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Transcript

  • 1. Wayside House Inc.
    Michaelene Spence MA LADC
    July 14, 2011
  • 2. Wayside House Inc.
    Mainstreet Collaboration
    Family Treatment
    Center
    Women’s Treatment Center
    Supportive Housing
    Celebrating Families
    DBT
    Relapse
    Prevention
    Inpatient
    Residential
    Outpatient
    Non-
    Residential
  • 3. Wayside House History
    Overview
    1954-Founder Sally DeVay opens Wayside House Homeless Shelter
    1960’s-Scope changes to focus on Chemical Dependency
    2005- Scope changes to add Mental Health and Chemical Dependency
    2008- Changing to “meet clients where they are at”- Motivational Interviewing Initiative
  • 4. Minnesota Model
    Use vs. Abuse vs. Dependence
    Addiction is a brain disease
    People relapse the same as all other diseases
    Keep treating people regardless of relapse-we don’t kick them out
    Must determine where clients are at- what stage of change
  • 5. Stages of Change
    Pre-contemplation
    Contemplation
    Motivation
    Action
    Maintenance
  • 6. Then vs. Now
    Then
    NOW
    Client relapses in treatment and we ask them to leave the program
    Client relapses in house and they lose housing.
    Confrontational approach to treatment
    Wanting clients to do it our way. We are “the expert”
    Client is honest about relapse- we keep them in treatment.
    Client relapses in housing-we set them up with supportive services.
    Softer approach to promoting change. Respectful of MI.
    Meeting clients where they are at.
  • 7. Movement
    Why do we change?
    Impact on staff and clients
    Needs of clients change
    We obtain training on Best Practices
    Trends in how to help
    Staff beliefs change
    Staff resistance to change
    Staff relief about change
    Able to help more people
    Creating stronger relational connections
    Able to help people longer
    Clients keep coming back
  • 8. Strategies and Interventions
    Relationship with Child Protection
    Avoiding loss of parenting rights
    Avoiding loss of housing
    Relationship with Drug Court
    Avoiding jail
    Relationship with Supportive Housing Provider Network
    Providing education
    Avoiding loss of housing
  • 9. Future Needs
    Methadone Maintenance for Pregnant and Parenting Women
    Smaller Treatment Programs
    Adherence to Housing First Model
    “Wet” Houses

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