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5.5 Michaelene Spence


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5.5 Michaelene Spence

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