This document summarizes a housing initiative program for homeless youth living with HIV. The 3-year program housed 22 youth and the majority were able to maintain their housing. At intake, most clients had substance abuse issues and involvement with foster care. The program involved engagement with clients, assisting with housing searches, and stabilization. Challenges included inadequate crisis response and separate treatment systems. Key accomplishments were housing and educating clients. A case study describes one client's journey from crisis to stabilization through detox, housing, employment, and sobriety support groups. Reflections on improving the program model are also provided.
Changing Behavior What Does It Mean and How Do We Do It (3 of 3)Rotary International
Wells, toilets, water towers, and pipelines. Even the
well-designed elements of Rotary water, sanitation, and
hygiene (WASH) projects can fail if people don’t use
them. There are many reasons people might hesitate
to use a communal toilet. It’s important to understand
the reasons before you build the toilet. Learn about
behavior change and its role in WASH programs, how it’s
connected with culture and community values, and how
to incorporate it into your WASH projects and measure
the outcomes.
Moderator: F. Ronald Denham, Water and Sanitation
Rotarian Action Group Chair Emeritus, Rotary Club of
Toronto Eglinton, Ontario, Canada
The Child Illness Resilience Program: Promoting the wellbeing and resilience of families living with childhood chronic illness. Presentation at the 16th International Mental Health Conference by the Hunter Institute of Mental Health.
Behavioral Health Workforce Development
Webinar Broadcast: December 13th, 2018 | 3 p.m. EST
The need to address the behavioral health workforce shortage has never been greater, and behavioral health education and training targeted at the needs of health centers is a way to make an impact. Training the next generation to deliver behavioral health and primary care services as a part of integrated, interprofessional teams, including opioid use disorder and other substance use disorder treatments, is crucial to establishing a strong, dedicated behavioral health workforce in health centers. During this webinar, you will hear from the CHCI’s Chief Behavioral Health Officer and CHCI Behavioral Health Staff as they provide insight into the crucial components of effectively training behavioral health students working toward different behavioral health degrees. Sharing from their decades of experience supervising, our expert panel will discuss strategies to successfully navigate training and educating the next generation of the behavioral health workforce at your health center.
This workshop was presented at the Queensland Mining Industry Health and Safety Conference 2014 and presents progress on the Working Well Program and ways to support mental health in the workplace.
Changing Behavior What Does It Mean and How Do We Do It (3 of 3)Rotary International
Wells, toilets, water towers, and pipelines. Even the
well-designed elements of Rotary water, sanitation, and
hygiene (WASH) projects can fail if people don’t use
them. There are many reasons people might hesitate
to use a communal toilet. It’s important to understand
the reasons before you build the toilet. Learn about
behavior change and its role in WASH programs, how it’s
connected with culture and community values, and how
to incorporate it into your WASH projects and measure
the outcomes.
Moderator: F. Ronald Denham, Water and Sanitation
Rotarian Action Group Chair Emeritus, Rotary Club of
Toronto Eglinton, Ontario, Canada
The Child Illness Resilience Program: Promoting the wellbeing and resilience of families living with childhood chronic illness. Presentation at the 16th International Mental Health Conference by the Hunter Institute of Mental Health.
Behavioral Health Workforce Development
Webinar Broadcast: December 13th, 2018 | 3 p.m. EST
The need to address the behavioral health workforce shortage has never been greater, and behavioral health education and training targeted at the needs of health centers is a way to make an impact. Training the next generation to deliver behavioral health and primary care services as a part of integrated, interprofessional teams, including opioid use disorder and other substance use disorder treatments, is crucial to establishing a strong, dedicated behavioral health workforce in health centers. During this webinar, you will hear from the CHCI’s Chief Behavioral Health Officer and CHCI Behavioral Health Staff as they provide insight into the crucial components of effectively training behavioral health students working toward different behavioral health degrees. Sharing from their decades of experience supervising, our expert panel will discuss strategies to successfully navigate training and educating the next generation of the behavioral health workforce at your health center.
This workshop was presented at the Queensland Mining Industry Health and Safety Conference 2014 and presents progress on the Working Well Program and ways to support mental health in the workplace.
The ppt is prepared to serve the need of curriculum for post graduate students interested in learning about the counselling for terminal disease esp. HIV/AIDS.
SRF Webinar - What It Will Take to Make Coordinated Specialty Care Available ...wef
Presentation made March 22, 2017, during the live webinar hosted by Schizophrenia Research Forum (SRF). Event recording and additional slides at http://www.schizophreniaforum.org/forums/achieving-effective-treatment-early-psychosis-united-states
SRF Webinar: Beyond DUP - Addressing Disengagement in Community-based Early I...wef
Presentation made March 22, 2017, during the live webinar hosted by Schizophrenia Research Forum (SRF). Event recording and additional slides at http://www.schizophreniaforum.org/forums/achieving-effective-treatment-early-psychosis-united-states
Presentation by Tracey Hennessy and Tracy Wilson, North Metropolitan TAFE, The Fine Balance of Peer Work. Presented at the Western Australian Mental Health Conference 2019.
Based on the report from the Washington State Board of Health, this presentation, made to the State
and King County Boards of Health on December 13, 2007, suggests a public health model for approaching delivery
of mental health services.
Presentation by Lucy Jestin and Richelle Seales. Womens Health and Family Services, Be Well program. Presented at the Western Australian Mental Health Conference 2019.
Person Centered Care through Integrating a Palliative Approach: Lessons from ...BCCPA
Aging adults are entering residential care facilities with more advanced disease than in the past and their length of stay is shorter. Most health care providers in these facilities do not receive targeted education and training in palliative care, nor are they confident to have crucial conversations about goals of care and end of life challenges with residents and their families. Due to limited capacity to manage predictable symptoms related to end of life and insufficient planning, many residents are transferred to hospital in crisis and die in the Emergency Department or acute care wards.
This presentation will showcase some of the initiatives by identifying common themes, unique features of each and strategies for success. Opportunity will be given for delegates to ask questions and brainstorm how lessons learned from these initiatives could inform the care provided at their own facility.
Presented by:
- Jane Webley, RN LLB Regional lead, End of Life, Vancouver Coastal Health (EPAIRS and the Daisy project)
- Dr Christine Jones, Island Health (SSC project: Improving end of life outcomes in residential care facilities: A palliative approach to care)
- Kathleen Yue, RN, BSN, MN, CHPCN (c) Education Coordinator, BC Center for Palliative Care
The concept of advance care planning outlined. The Assisted Decision Making (Capacity) Act 2015. Using Think Ahead as a tool to engage with advance care planning and with advance healthcare directives
This is the presentation my team at @UX4Good gave to our client, Ray Crossman and The Adler School. Our challenge was to find ways to help Adler bring awareness about mental health to the community, in a way where it's not stigmatized as *disorders* but perceived as another part of *wellness*.
Team Mental Health included:
*Brynn Evans (me!)
*Laurel McDowell
*Mekayla Beaver
*Riley Graham
*David Everly
*Bill Welense
*Will Hacker
*Nina Bieliauskas
Leadership at the Bedside – Making the Change that Needs to HappenBCCPA
This panel presentation looks at the role of LPNs and HCAs within the context of the continuing care system. Along with changes to the regulation of LPNs, HCA education has changed including skills to work in both acute, residential and community setting with higher complexity of residents / client. Despite this there is little support for the transition for care needs. The HCA is the unrecognized leaders that support RN/LPN teams and have taken on many roles and responsibilities. The problem that has plagued the LPN and HCA working relationship has been the absence of role clarity for both professions and enhancing value for both working together collaboratively. The presentation will look at a LPN/HCA model that could better serve the health system.
Presented by:
- Anita Dickson, President, Licensed Practical Nurses Association of BC (LPNABC)
- Brenda Childs, Treasurer, LPNABC
Presentation by Michael Sheehan, from Relationships Australia WA - Whose recovery is it anyway? The risk of imposing our notions of what recovery "should" be in recovery-focused mental health services. Presented at the Western Australian Mental Health Conference 2019.
The ppt is prepared to serve the need of curriculum for post graduate students interested in learning about the counselling for terminal disease esp. HIV/AIDS.
SRF Webinar - What It Will Take to Make Coordinated Specialty Care Available ...wef
Presentation made March 22, 2017, during the live webinar hosted by Schizophrenia Research Forum (SRF). Event recording and additional slides at http://www.schizophreniaforum.org/forums/achieving-effective-treatment-early-psychosis-united-states
SRF Webinar: Beyond DUP - Addressing Disengagement in Community-based Early I...wef
Presentation made March 22, 2017, during the live webinar hosted by Schizophrenia Research Forum (SRF). Event recording and additional slides at http://www.schizophreniaforum.org/forums/achieving-effective-treatment-early-psychosis-united-states
Presentation by Tracey Hennessy and Tracy Wilson, North Metropolitan TAFE, The Fine Balance of Peer Work. Presented at the Western Australian Mental Health Conference 2019.
Based on the report from the Washington State Board of Health, this presentation, made to the State
and King County Boards of Health on December 13, 2007, suggests a public health model for approaching delivery
of mental health services.
Presentation by Lucy Jestin and Richelle Seales. Womens Health and Family Services, Be Well program. Presented at the Western Australian Mental Health Conference 2019.
Person Centered Care through Integrating a Palliative Approach: Lessons from ...BCCPA
Aging adults are entering residential care facilities with more advanced disease than in the past and their length of stay is shorter. Most health care providers in these facilities do not receive targeted education and training in palliative care, nor are they confident to have crucial conversations about goals of care and end of life challenges with residents and their families. Due to limited capacity to manage predictable symptoms related to end of life and insufficient planning, many residents are transferred to hospital in crisis and die in the Emergency Department or acute care wards.
This presentation will showcase some of the initiatives by identifying common themes, unique features of each and strategies for success. Opportunity will be given for delegates to ask questions and brainstorm how lessons learned from these initiatives could inform the care provided at their own facility.
Presented by:
- Jane Webley, RN LLB Regional lead, End of Life, Vancouver Coastal Health (EPAIRS and the Daisy project)
- Dr Christine Jones, Island Health (SSC project: Improving end of life outcomes in residential care facilities: A palliative approach to care)
- Kathleen Yue, RN, BSN, MN, CHPCN (c) Education Coordinator, BC Center for Palliative Care
The concept of advance care planning outlined. The Assisted Decision Making (Capacity) Act 2015. Using Think Ahead as a tool to engage with advance care planning and with advance healthcare directives
This is the presentation my team at @UX4Good gave to our client, Ray Crossman and The Adler School. Our challenge was to find ways to help Adler bring awareness about mental health to the community, in a way where it's not stigmatized as *disorders* but perceived as another part of *wellness*.
Team Mental Health included:
*Brynn Evans (me!)
*Laurel McDowell
*Mekayla Beaver
*Riley Graham
*David Everly
*Bill Welense
*Will Hacker
*Nina Bieliauskas
Leadership at the Bedside – Making the Change that Needs to HappenBCCPA
This panel presentation looks at the role of LPNs and HCAs within the context of the continuing care system. Along with changes to the regulation of LPNs, HCA education has changed including skills to work in both acute, residential and community setting with higher complexity of residents / client. Despite this there is little support for the transition for care needs. The HCA is the unrecognized leaders that support RN/LPN teams and have taken on many roles and responsibilities. The problem that has plagued the LPN and HCA working relationship has been the absence of role clarity for both professions and enhancing value for both working together collaboratively. The presentation will look at a LPN/HCA model that could better serve the health system.
Presented by:
- Anita Dickson, President, Licensed Practical Nurses Association of BC (LPNABC)
- Brenda Childs, Treasurer, LPNABC
Presentation by Michael Sheehan, from Relationships Australia WA - Whose recovery is it anyway? The risk of imposing our notions of what recovery "should" be in recovery-focused mental health services. Presented at the Western Australian Mental Health Conference 2019.
Healthcare Innovation Summit 2016: Students present their experience as part of the selected group participating in a student hotspotting experience, a collaborative effort between various universities and NEEDS Foundation to educate medicine students and attend the marginalized populations.
Chapter 10Intervention Reporting, Investigation, and AsseEstelaJeffery653
Chapter 10
Intervention: Reporting, Investigation, and Assessment
Culturally Sensitive Intervention:
Cultural Competence Defined
• Culture: goes beyond race and ethnicity, including religious
identification, gender identity/expression, & sexual
orientation.
• Cultural Competence: “a heightened consciousness of how
culturally diverse populations experience their uniqueness
and deal with their differences and similarities within a larger
social context” (NASW, 2015, p.10)
Culturally Sensitive Intervention: Putting
Cultural Competence into Practice
• Determine family’s level of acculturation and the reason for
their immigration
• Assess how the family views a social worker’s power
• Understand how the family views itself, and their sense of
family cohesion
• Acknowledge varying communication styles
• Learn about culture, but do not over-generalize
• Consult with bilingual and bicultural staff
• Know how one’s (helping professional’s) own values interface
with the client’s
Understanding the Intervention
Process: Reporting
• Mandated reporters: individuals who, in their professional
relationship with the child and family, may encounter child
maltreatment.
• State laws specify repointing agency, reportable conditions,
responsibility of mandated reporters, and the investigation
process
• Although anonymous reports may be accepted, they are not
preferred since they do not allow for follow-up questions
Understanding the Intervention
Process: Child Protection Teams
• Child Protection Teams (CPT): comprised of staff from
different disciplines
• Ex) School-based CPT include an administrator, a guidance
counselor, school nurse, and one or two teachers.
• Suspicions of child maltreatment are brought to CPT.
• If CPT agrees with the report, then the child protection
agency is notified.
• CPTs are effective in medical facilities & churches.
Understanding the Intervention Process:
Investigation & Assessment
• Intake worker meets with the child & his/her family to assess
risk, protective factors, and impact of disclosure on stability of
the family
• If the report is substantiated, the worker identifies goals and
strategies for the family
• If unsubstantiated, the case is referred or closed
• Treatment planning and services begins
• Must evaluate the family’s progress and revise service plan as
necessary
Understanding the Intervention Process:
Family Reactions & Home Visiting
• The family is in a state of crisis, disequilibrium, when
disclosure takes place, experiencing fear: fear of authority,
fear of having the child removed, the fear of helplessness.
• Responses (defense mechanisms) to fear: denial, projection,
blaming the system, antagonism towards social services, or
withdrawal.
• Workers must evaluate the family’s strengths too.
• Home visitation allows assessment, but also requires
additional sensitivity and interviewing skills.
Assessing Risk and Protective
Factors
• Is the ...
Northumberland County Project Presentation February 2024.pdfDataNB
Primary healthcare often lacks the integration and coordination of care for complex-needs patients: patients with a combination of multiple chronic conditions, who are high-cost users, and are often older. Care is benefitted from coordination among health and social services, and community organizations. A new care coordination model is needed to assist these complex-needs patients.
This presentation will discuss and summarize this project, which developed a new care coordination model, with the goal to strengthen primary healthcare in the community for complex-needs patients. Using a novel, technology-enabled, integrated case-management approach, the overall goal was to decrease rates of ER visits and acute hospital admissions.
1. Working with Homeless
Youth Living with HIV:
The Youth Housing Initiative @
JRI Health
Jorgette Theophilis
January, 2015
2. Brief History
• Funded by HUD and designated a Special
Project of National Significance
• Began recruiting eligible youth in 2012
• Over the course of the three-year program,
22 youth obtained their own units
– Vast majority kept their housing throughout this
period
3. Key Characteristics of Clients at Entry:
• Educational attainment:
– 74% of original group possessed at least a high school diploma or GED
– Of these, 27% with some college and 9% with either Associate’s or
Bachelor’s
• Minority reported addiction to substances:
– 2- crystal meth
– 1- cocaine
– 1-heroin
– 1- alcohol
• 30% had involvement with the foster care system:
• Clients fell into two main categories at entry:
– In crisis:
– Functioning
4. Key Characteristics, continued
• All but one engaged in medical care at entry
• Low rates of medication adherence while
homeless
• High level of food insecurity
• Two trained as peer health educators prior to
contracting HIV
• Mode of infection:
– MSM: 73%
– Perinatal: 18%
– Other: 9%
• Almost all reported regular marijuana use
5. Client Assets at Entry
• Many had artistic outlets
• Demonstrated self-awareness and honesty
• Three attended AA and/or NA
• Most had established close relationships with
medical teams
6. Service Delivery Systems
•Seven major systems:
– Benefits (SNAP, EA, SSI, TAFDC)
– Housing
– Medical Care
– Mental Health
• Inpatient
• Outpatient
– Substance Abuse treatment
• Inpatient
• Outpatient
– Job training/linkage & education
– Criminal Justice
8. Engagement:
• Built rapport with clients
• Conducted comprehensive assessment to identify
service needs
• Crisis management
• Assisted with public benefit applications
• Completed MBHP application for housing voucher
• Made referrals as necessary
9. Housing Search
• Assisted with housing search
• Taught youth to interact effectively with
landlords and property managers
• Attended lease signing with client
• Assisted in completing furniture and
security deposit applications
10. Stabilization
• Use motivational interviewing tools to elicit client’s main
motivators
• Complete Career Interest Inventory
• Explore opportunities for permanent housing
• Create or revise a resume
• Meet with JRI Peer Support team as needed
• Update Needs Assessment, review goals, and client
action plan
• Introduce Financial Literacy Tools
• Meet regularly with case manager to develop a plan for
self-sufficiency
• Ensure all clients are linked to mainstream benefits
11. Our Approach
• Created a multi-disciplinary team
• Took a holistic approach in client work, learning as
doing, adapting as needed
• Focused on permanent housing early on
• Focused on employment and education
• Relied on texting as primary mode of communication
• Incorporated a developmental approach; Developed new
partnerships with range of organizations, including
community college
• Worked much more closely with housing partner during
leasing up period
12. Challenges
• Emerging mental illness compounded by
substance abuse—
– inadequate crisis response system for youth;
– lack of psychiatrists and psychologists with
expertise in treating adolescence;
– Separate systems for inpatient/outpatient
mental health & substance abuse treatment
– No coordination or sharing of client
information with medical/outpatient mental
health services
13. Challenges
• Treating the symptoms vs. the cause?
• Insufficient time in detox and psych units
Resistance to therapy
14. Key Program Accomplishments:
– 22 youth obtained housing voucher
– 6 graduated to permanent housing
– Viral load suppression prevalence increased from 50% at
baseline to 75% at end of program
– One client completed his Associate’s and another entered
college during this program
– Created new partnerships with local community college and
local emergency youth shelter
– Strengthened and broadened already-existing partnerships
15. Case Study 1: Background
• Living on streets at time of entry
• Struggling with polydrug abuse
• Emerging mental illness & PTSD
• Newly-diagnosed
• Escorting
16. Case study of Client in Crisis at Entry
Intake:
Referred by
Peer Support
program at JRI
• In medical care,
but not
consistently
Housing:
• Applied for
subsidy
• Conducted
housing search
Detox for 30-
days:
In a dual
diagnosis unit
17. Case study of Client in Crisis at Entry
Post-detox:
• Released to
community-based
program for 30 days
• Resumed using
• Prescribed anti-
psychotics; anti-
depressants and
mood stabilizer
Resumed
Housing Search:
• Conducted housing
search
• Found apartment
• Moved in
Accessed
community
resources:
Rental startup
Furniture bank
As housing stabilized, engagement in medical care increased to high level
18. Case study of Client in Crisis at Entry
Crisis intervention:
• Came to office with
suicidal ideation
• Intervention by local
crisis team
• Brief stay in MGH
psych unit
• No coordination of
services between
crisis team; hospital;
PCP. and community
resources
Crisis involving police:
• Taken by police to
McLean’s for two-week
inpatient stay
• Evaluated by team who
could identify symptoms
but not diagnosis
because of drug use
• No follow up on site for
post-release services
• Released again to CB
services
Post-release:
Joined AA
Connected with CB-
services
Prescribed psych meds by
PCP
Refuses therapy or peer
support
19. Case study of Client in Crisis at Entry
Arrested &
imprisoned:
• While in jail,
detoxed &
• Took psych meds
and stabilized
On parole:
Obtained a
series of jobs;
held them for
few weeks-
months
• Applied to MA
Rehabilitation
Commission
• Opted for sponsor at
AA, measure of
increased commitment
to program
20. If we had to do it all over again…..
• Develop a congregate model
• Use housing as a leverage for
engagement in education and/or
employment
• Incorporate group activities
• Include mindfulness programming
21. Continued…...
• Develop and offer on-site multidisciplinary
mental health available on a drop-in basis
• Hire a part-time education/job
development coach