The document provides information about Recovery Innovations, an organization that operates recovery response centers and living rooms using a no-force-first approach. Some key details:
- Recovery Innovations was founded in 1990 and now has over 800 staff, 62% of whom are peer support specialists in recovery themselves.
- They operate response centers and living rooms across multiple states that provide voluntary alternatives to hospitalization.
- By eliminating seclusion and restraint and focusing on peer support, hope, and creating healing spaces, they have seen reductions in hospitalizations, emergency department visits, and costs without increases in other issues.
- Surveys also found personal benefits for peer support specialists such as improved recovery, employment,
Started in 2011, Project 25 aims to solve the many difficulties associated not just with chronic homelessness, but especially those who are frequent users of public systems such as local hospitals and law enforcement. In its first year alone, Project 25 demonstrated the following results and these trends have continued into subsequent years. First year results include:
• 56 percent decline in number of hospitalizations
• 58 percent decrease in days spent in the hospital
• 62 percent drop in ambulance rides
• 66 percent reduction in emergency room visits
• 63 percent cut in costs
An Innovative Community Collaboration to Enhance the Continuumcitinfo
Presented by:
Cecile Tebo, LCSW, Program Administrator
New Orleans Police Department
Crisis Transportation Service
and
Lisa Romback, M.A., Program Director
NAMI New Orleans
(National Alliance on Mental Illness)
Affordable Health & Benefits Key Silver Discount Health Plan Presentationpdishman
This document summarizes the services offered by Affordable Health & Benefits, an organization that provides point-of-service healthcare savings programs as an alternative to insurance. They offer various membership programs starting at $17.95 per month that provide discounts on healthcare costs like hospital visits, prescriptions, dental care, and more. Members can save 10-60% on most services. The document outlines the various membership options and benefits in detail.
Crisis Now: Transforming Services is Within Our Reach (March 2016)David Covington
This new report from the National Action Alliance on Suicide Prevention's Crisis Services Task Force surveyed the status of mental health crisis care and the state of the art represented by new crisis care systems and solutions. The Task Force finds gaping holes in crisis care that are contributing to criminalization of people with mental illness, the increasing suicide rate, and rising health care costs. We present consensus recommendations to improve and expand crisis care, and discuss current policy opportunities.
Healthcare professionals are vital to the well-being of any community, and their importance is even more pronounced in environments such as correctional facilities and state hospitals, where mental health challenges are often significant. Imperial Locum, a leading medical staffing agency since 2014, is proud to announce multiple job openings for Psychiatrists across various correctional facilities and state hospitals in California. This article delves into the details of these opportunities, offering insights into the role, the benefits, and the unique support provided by Imperial Locum.
The document discusses building capacity in the National Native Alcohol and Drug Abuse Program (NNADAP) in Ontario. It provides background on NNADAP, describing its origins and scope. It notes trends like increasing complex needs, and initiatives like the National Anti-Drug Strategy and Honouring Our Strengths framework. However, NNADAP funding has not kept up, leading to high turnover as workers receive low salaries. The document calls for investing in NNADAP to support workers and the continuum of care outlined in initiatives like Honouring Our Strengths.
Started in 2011, Project 25 aims to solve the many difficulties associated not just with chronic homelessness, but especially those who are frequent users of public systems such as local hospitals and law enforcement. In its first year alone, Project 25 demonstrated the following results and these trends have continued into subsequent years. First year results include:
• 56 percent decline in number of hospitalizations
• 58 percent decrease in days spent in the hospital
• 62 percent drop in ambulance rides
• 66 percent reduction in emergency room visits
• 63 percent cut in costs
An Innovative Community Collaboration to Enhance the Continuumcitinfo
Presented by:
Cecile Tebo, LCSW, Program Administrator
New Orleans Police Department
Crisis Transportation Service
and
Lisa Romback, M.A., Program Director
NAMI New Orleans
(National Alliance on Mental Illness)
Affordable Health & Benefits Key Silver Discount Health Plan Presentationpdishman
This document summarizes the services offered by Affordable Health & Benefits, an organization that provides point-of-service healthcare savings programs as an alternative to insurance. They offer various membership programs starting at $17.95 per month that provide discounts on healthcare costs like hospital visits, prescriptions, dental care, and more. Members can save 10-60% on most services. The document outlines the various membership options and benefits in detail.
Crisis Now: Transforming Services is Within Our Reach (March 2016)David Covington
This new report from the National Action Alliance on Suicide Prevention's Crisis Services Task Force surveyed the status of mental health crisis care and the state of the art represented by new crisis care systems and solutions. The Task Force finds gaping holes in crisis care that are contributing to criminalization of people with mental illness, the increasing suicide rate, and rising health care costs. We present consensus recommendations to improve and expand crisis care, and discuss current policy opportunities.
Healthcare professionals are vital to the well-being of any community, and their importance is even more pronounced in environments such as correctional facilities and state hospitals, where mental health challenges are often significant. Imperial Locum, a leading medical staffing agency since 2014, is proud to announce multiple job openings for Psychiatrists across various correctional facilities and state hospitals in California. This article delves into the details of these opportunities, offering insights into the role, the benefits, and the unique support provided by Imperial Locum.
The document discusses building capacity in the National Native Alcohol and Drug Abuse Program (NNADAP) in Ontario. It provides background on NNADAP, describing its origins and scope. It notes trends like increasing complex needs, and initiatives like the National Anti-Drug Strategy and Honouring Our Strengths framework. However, NNADAP funding has not kept up, leading to high turnover as workers receive low salaries. The document calls for investing in NNADAP to support workers and the continuum of care outlined in initiatives like Honouring Our Strengths.
Lori Coyner (State Medicaid Director, Oregon Health Authority), Rachel Port (Public Policy Director, Central City Concern), Leslie Neugebauer (Director of Central Oregon Coordinated Care Organization, PacificSource), Pam Hester (Health and Housing Manager, CareOregon), and Josh Balloch (VP of Government Affairs and Health Policy, AllCare) present on Health as Housing at Neighborhood Partnerships' 2016 RE:Conference
Pinnacle pulse spring summer 2016 editionjulebug1954
This document provides updates on Pinnacle's expansion plans and new investments. It discusses the addition of new residential and outpatient treatment programs across several midwestern and eastern states. It also announces that Linden Capital Partners will become the company's new financial partner, allowing for further growth opportunities. Staff are assured that the leadership change will not affect day-to-day operations or their positions and benefits.
The document summarizes the Chicago Department of Public Health's role in supporting health care reform implementation and enrollment efforts. Key points include:
- CDPH is funding in-person assisters, navigators, and outreach workers to help enroll the over 500,000 uninsured adults and 40,000 uninsured children in Chicago.
- Initiatives include an Enroll Chicago Children's Initiative to enroll 5,000 uninsured CPS students and an Enroll Chicago Small Business Initiative focused on businesses with under 50 employees.
- CDPH is partnering with hospitals on community health needs assessments and implementation strategies to address priorities like mental health, obesity, and chronic diseases.
Trinity House aims to establish a licensed substance abuse rehabilitation center in Montville, NJ. It will offer 32-day inpatient treatment for men and women ages 18 and older, addressing substance abuse and co-occurring disorders through services focusing on sleep therapy, CBT, nutrition, exercise, yoga, meditation, 12-step work, and aftercare. The center plans to provide amenities like double rooms, on-site laundry, a full kitchen, and exercise equipment, with a management team led by experienced professionals in recovery, healthcare, finance, and community affairs.
Nurses providing care at home and at workAlbertaRN
Janice Keefe presented on her research investigating the impact of double duty caregiving (DDC) among nurses. Her research found that nurses who provided care at home for family members as well as caregiving at work experienced negative health outcomes, with those in the "living on the edge" group faring the worst. Her presentation called for policies and workplace supports to better recognize and assist double duty caregivers.
This document summarizes an app called My New Leaf that is designed to help people struggling with substance abuse and mental health issues. The app uses gamification and behavioral monitoring tools based on evidence-based methods. It has received several awards and honors. Experts in the field support the app and believe it can effectively engage and support young people in recovery through a confidential platform tailored to them. The goal is to implement the app to help agencies and individuals through technological partnerships.
Project 6's 2016 impact report summarizes the organization's activities and outcomes over the past year. It describes Project 6 developing new strategic goals and refreshing its core purpose to better support individuals struggling with substance use and complex needs. The report highlights Project 6 achieving positive outcomes for its service users despite increased challenges from austerity measures. It provides an overview of Project 6's services and outcomes in harm reduction, treatment, recovery, and community engagement.
Opportunities for Psychiatrists. in C.pdfhenry23185
Since 2014, Imperial Locum has been a leading medical staffing agency that specializes in providing top-tier staffing solutions for maximum healthcare facilities. We work closely with healthcare professionals to identify their staffing needs and provide a range of healthcare facilities. It includes registered nurses (RN), physicians, psychologists, dentists, and other healthcare providers. We understand the unique challenges people are facing in the healthcare industry. We are dedicated to providing personalized staffing solutions that meet the unique needs of our clients. We have a proven track record of providing qualified and dedicated healthcare professionals to patients, correctional facilities, and state hospitals.
DR TIM LEIGHTON AND KATHERINE JENKINS - WHAT CAN THE PAST TEACH US ABOUT THE ...iCAADEvents
The presentation and workshop will be a participatory session discussing the future of addictions counselling, and how decades of experience can inform best practice whilst also combining cutting edge research and treatment methods. Addictions counselling with individuals, couples, families and groups has become more complex and challenging. How can we de ne and describe the training and quali cations needed to ensure the best practice and the most e ective interventions? What is the relationship between the quality framework and the therapeutic work? The workshop will explore tensions that arise in practice as experienced by the audience, and suggest ways to get the training, support and continuing professional development you need. Tim and Katherine will be encouraging the audience to share their own thoughts and ideas.
The document provides information about the Mental Health Recovery Center of Clinton & Warren Counties, including:
- It was previously known as the Mental Health Recovery Center of Clinton County and now serves both Clinton and Warren Counties.
- The center's mission is to support the communities through prevention, intervention, treatment, rehabilitation and asset building services to achieve recovery from mental illness, alcoholism, and drug addiction.
- Services provided in Warren County include crisis services, psychiatric services, case management, vocational rehabilitation, housing support, and residential services.
West End Impact is a charity located in Morecambe, Lancashire that aims to help people facing poverty and social exclusion. It operates a drop-in center that provides meals, advice, and support to over 400 individuals each year. Services include a food bank, benefits assistance, mental health support groups, and job training programs. The business plan outlines objectives over 2015-2018 to further meet community needs, strengthen operations, and improve financial sustainability. Recent outcomes show the positive impact of services on issues like homelessness, hunger, employment, addiction, and mental health.
In this WISE eLearning - Recovery 101 we will cover the meaning of recovery, key components of recovery, including person-centered and client-driven care, barriers to recovery, the case for recovery in mental health services, and ways to create and sustain a recovery-oriented workplace.
- Supportive housing provides permanent affordable housing combined with flexible voluntary services to help people live stable lives and reduce cycling between homelessness, incarceration, hospitals and shelters.
- Research shows supportive housing reduces recidivism and costs to criminal justice systems while improving health outcomes for tenants. It is an effective approach for people leaving incarceration who often face homelessness and other challenges.
- The document advocates for investing in supportive housing as part of comprehensive reentry efforts to improve lives and more efficiently use public resources.
CHAPTER ONE Introduction to Case ManagementSurviving and Thrivin.docxtiffanyd4
This document provides an overview of case management. It discusses how case management has evolved from a traditional model focused on managing clients to a modern approach focused on coordination of services, empowerment, and meeting client needs. Case management today involves assessment, planning, coordination, advocacy, and sometimes direct service provision. The roles and responsibilities of case managers have expanded and they work with diverse clients across different settings and communities. Case management principles emphasize integration of services, continuity of care, equal access, quality care, and client empowerment.
This document outlines a program called the Disorder Recovery Group for Pregnant Women and Mothers located in Atlantic County, New Jersey. The program aims to reduce stigma surrounding substance use disorders and assist women in finding recovery programs, prenatal care, housing, employment and counseling. It serves pregnant women and mothers over age 16 with substance use disorders. The program goals are to help women enter recovery and gain stability by increasing clients in treatment, obtaining prenatal care, securing housing for homeless clients, and providing counseling to 30 clients annually.
This document outlines a program called the Disorder Recovery Group for Pregnant Women and Mothers located in Atlantic County, New Jersey. The program aims to reduce stigma surrounding substance use disorders and assist women in finding recovery programs, prenatal care, housing, employment and counseling. It serves pregnant women and mothers over age 16 with substance use disorders. The program goals are to help women enter recovery and gain stability by increasing clients in treatment, obtaining prenatal care, securing housing for homeless clients, and providing counseling to 30 clients annually.
This document outlines a program called the Disorder Recovery Group for Pregnant Women and Mothers located in Atlantic County, New Jersey. The program aims to reduce stigma surrounding substance use disorders and assist women in finding recovery programs, prenatal care, housing, employment and counseling. It serves pregnant women and mothers over age 16 with substance use disorders. The program goals are to help women enter recovery and gain stability by increasing clients in treatment, obtaining prenatal care, securing housing for homeless clients, and providing counseling to 30 clients annually.
This document discusses Young People in Recovery (YPR), an organization that promotes recovery and improved quality of life for young people struggling with addiction. YPR's mission is to educate about recovery through sharing lived experiences, advocate for recovery support services, and collaborate with partners. They envision a world where all young people in or seeking recovery can reach their full potential. YPR operates through national and local chapters and councils to mobilize communities and ignite change at the grassroots level.
10 Most Promising Rehabilitation Centers to Watch in 2021 Vol-1.insightscare
The latest edition, '10 Most Promising Rehabilitation Centers to Watch in 2021-Vol 1' features few rehabilitation centers doing yeoman service in healing alcohol & substance abusers, mental health patients & those with medical issues.
Generational Changes is a for-profit agency that provides counseling and treatment programs to adolescents and adults in Fresno, California. It aims to guide families toward change, independence, and productivity through therapeutic counseling, substance abuse treatment, and mentoring. The agency predominantly serves the Hispanic population in West and Southwest Fresno through locations within a 10 mile radius. Services include individual and group counseling, substance abuse treatment, anger management, and academic support. The role of the client is to receive tailored services they have paid for to address their needs.
Recommendations for Urgent and Emergency Psychiatric HealthcareDavid Covington
NHS Clinical Commissioners and RI International together published today recommendations for urgent and emergency psychiatric healthcare, which resulted from a convening of international experts in crisis care in London in June 2018.
Presentation with Lifeline Director Dr. John Draper and Arizona Medicaid Director Tom Betlach on the Crisis Now model, business case, Retreat facility model and Arizona Medicaid contracting and financing approach/details.
Lori Coyner (State Medicaid Director, Oregon Health Authority), Rachel Port (Public Policy Director, Central City Concern), Leslie Neugebauer (Director of Central Oregon Coordinated Care Organization, PacificSource), Pam Hester (Health and Housing Manager, CareOregon), and Josh Balloch (VP of Government Affairs and Health Policy, AllCare) present on Health as Housing at Neighborhood Partnerships' 2016 RE:Conference
Pinnacle pulse spring summer 2016 editionjulebug1954
This document provides updates on Pinnacle's expansion plans and new investments. It discusses the addition of new residential and outpatient treatment programs across several midwestern and eastern states. It also announces that Linden Capital Partners will become the company's new financial partner, allowing for further growth opportunities. Staff are assured that the leadership change will not affect day-to-day operations or their positions and benefits.
The document summarizes the Chicago Department of Public Health's role in supporting health care reform implementation and enrollment efforts. Key points include:
- CDPH is funding in-person assisters, navigators, and outreach workers to help enroll the over 500,000 uninsured adults and 40,000 uninsured children in Chicago.
- Initiatives include an Enroll Chicago Children's Initiative to enroll 5,000 uninsured CPS students and an Enroll Chicago Small Business Initiative focused on businesses with under 50 employees.
- CDPH is partnering with hospitals on community health needs assessments and implementation strategies to address priorities like mental health, obesity, and chronic diseases.
Trinity House aims to establish a licensed substance abuse rehabilitation center in Montville, NJ. It will offer 32-day inpatient treatment for men and women ages 18 and older, addressing substance abuse and co-occurring disorders through services focusing on sleep therapy, CBT, nutrition, exercise, yoga, meditation, 12-step work, and aftercare. The center plans to provide amenities like double rooms, on-site laundry, a full kitchen, and exercise equipment, with a management team led by experienced professionals in recovery, healthcare, finance, and community affairs.
Nurses providing care at home and at workAlbertaRN
Janice Keefe presented on her research investigating the impact of double duty caregiving (DDC) among nurses. Her research found that nurses who provided care at home for family members as well as caregiving at work experienced negative health outcomes, with those in the "living on the edge" group faring the worst. Her presentation called for policies and workplace supports to better recognize and assist double duty caregivers.
This document summarizes an app called My New Leaf that is designed to help people struggling with substance abuse and mental health issues. The app uses gamification and behavioral monitoring tools based on evidence-based methods. It has received several awards and honors. Experts in the field support the app and believe it can effectively engage and support young people in recovery through a confidential platform tailored to them. The goal is to implement the app to help agencies and individuals through technological partnerships.
Project 6's 2016 impact report summarizes the organization's activities and outcomes over the past year. It describes Project 6 developing new strategic goals and refreshing its core purpose to better support individuals struggling with substance use and complex needs. The report highlights Project 6 achieving positive outcomes for its service users despite increased challenges from austerity measures. It provides an overview of Project 6's services and outcomes in harm reduction, treatment, recovery, and community engagement.
Opportunities for Psychiatrists. in C.pdfhenry23185
Since 2014, Imperial Locum has been a leading medical staffing agency that specializes in providing top-tier staffing solutions for maximum healthcare facilities. We work closely with healthcare professionals to identify their staffing needs and provide a range of healthcare facilities. It includes registered nurses (RN), physicians, psychologists, dentists, and other healthcare providers. We understand the unique challenges people are facing in the healthcare industry. We are dedicated to providing personalized staffing solutions that meet the unique needs of our clients. We have a proven track record of providing qualified and dedicated healthcare professionals to patients, correctional facilities, and state hospitals.
DR TIM LEIGHTON AND KATHERINE JENKINS - WHAT CAN THE PAST TEACH US ABOUT THE ...iCAADEvents
The presentation and workshop will be a participatory session discussing the future of addictions counselling, and how decades of experience can inform best practice whilst also combining cutting edge research and treatment methods. Addictions counselling with individuals, couples, families and groups has become more complex and challenging. How can we de ne and describe the training and quali cations needed to ensure the best practice and the most e ective interventions? What is the relationship between the quality framework and the therapeutic work? The workshop will explore tensions that arise in practice as experienced by the audience, and suggest ways to get the training, support and continuing professional development you need. Tim and Katherine will be encouraging the audience to share their own thoughts and ideas.
The document provides information about the Mental Health Recovery Center of Clinton & Warren Counties, including:
- It was previously known as the Mental Health Recovery Center of Clinton County and now serves both Clinton and Warren Counties.
- The center's mission is to support the communities through prevention, intervention, treatment, rehabilitation and asset building services to achieve recovery from mental illness, alcoholism, and drug addiction.
- Services provided in Warren County include crisis services, psychiatric services, case management, vocational rehabilitation, housing support, and residential services.
West End Impact is a charity located in Morecambe, Lancashire that aims to help people facing poverty and social exclusion. It operates a drop-in center that provides meals, advice, and support to over 400 individuals each year. Services include a food bank, benefits assistance, mental health support groups, and job training programs. The business plan outlines objectives over 2015-2018 to further meet community needs, strengthen operations, and improve financial sustainability. Recent outcomes show the positive impact of services on issues like homelessness, hunger, employment, addiction, and mental health.
In this WISE eLearning - Recovery 101 we will cover the meaning of recovery, key components of recovery, including person-centered and client-driven care, barriers to recovery, the case for recovery in mental health services, and ways to create and sustain a recovery-oriented workplace.
- Supportive housing provides permanent affordable housing combined with flexible voluntary services to help people live stable lives and reduce cycling between homelessness, incarceration, hospitals and shelters.
- Research shows supportive housing reduces recidivism and costs to criminal justice systems while improving health outcomes for tenants. It is an effective approach for people leaving incarceration who often face homelessness and other challenges.
- The document advocates for investing in supportive housing as part of comprehensive reentry efforts to improve lives and more efficiently use public resources.
CHAPTER ONE Introduction to Case ManagementSurviving and Thrivin.docxtiffanyd4
This document provides an overview of case management. It discusses how case management has evolved from a traditional model focused on managing clients to a modern approach focused on coordination of services, empowerment, and meeting client needs. Case management today involves assessment, planning, coordination, advocacy, and sometimes direct service provision. The roles and responsibilities of case managers have expanded and they work with diverse clients across different settings and communities. Case management principles emphasize integration of services, continuity of care, equal access, quality care, and client empowerment.
This document outlines a program called the Disorder Recovery Group for Pregnant Women and Mothers located in Atlantic County, New Jersey. The program aims to reduce stigma surrounding substance use disorders and assist women in finding recovery programs, prenatal care, housing, employment and counseling. It serves pregnant women and mothers over age 16 with substance use disorders. The program goals are to help women enter recovery and gain stability by increasing clients in treatment, obtaining prenatal care, securing housing for homeless clients, and providing counseling to 30 clients annually.
This document outlines a program called the Disorder Recovery Group for Pregnant Women and Mothers located in Atlantic County, New Jersey. The program aims to reduce stigma surrounding substance use disorders and assist women in finding recovery programs, prenatal care, housing, employment and counseling. It serves pregnant women and mothers over age 16 with substance use disorders. The program goals are to help women enter recovery and gain stability by increasing clients in treatment, obtaining prenatal care, securing housing for homeless clients, and providing counseling to 30 clients annually.
This document outlines a program called the Disorder Recovery Group for Pregnant Women and Mothers located in Atlantic County, New Jersey. The program aims to reduce stigma surrounding substance use disorders and assist women in finding recovery programs, prenatal care, housing, employment and counseling. It serves pregnant women and mothers over age 16 with substance use disorders. The program goals are to help women enter recovery and gain stability by increasing clients in treatment, obtaining prenatal care, securing housing for homeless clients, and providing counseling to 30 clients annually.
This document discusses Young People in Recovery (YPR), an organization that promotes recovery and improved quality of life for young people struggling with addiction. YPR's mission is to educate about recovery through sharing lived experiences, advocate for recovery support services, and collaborate with partners. They envision a world where all young people in or seeking recovery can reach their full potential. YPR operates through national and local chapters and councils to mobilize communities and ignite change at the grassroots level.
10 Most Promising Rehabilitation Centers to Watch in 2021 Vol-1.insightscare
The latest edition, '10 Most Promising Rehabilitation Centers to Watch in 2021-Vol 1' features few rehabilitation centers doing yeoman service in healing alcohol & substance abusers, mental health patients & those with medical issues.
Generational Changes is a for-profit agency that provides counseling and treatment programs to adolescents and adults in Fresno, California. It aims to guide families toward change, independence, and productivity through therapeutic counseling, substance abuse treatment, and mentoring. The agency predominantly serves the Hispanic population in West and Southwest Fresno through locations within a 10 mile radius. Services include individual and group counseling, substance abuse treatment, anger management, and academic support. The role of the client is to receive tailored services they have paid for to address their needs.
Recommendations for Urgent and Emergency Psychiatric HealthcareDavid Covington
NHS Clinical Commissioners and RI International together published today recommendations for urgent and emergency psychiatric healthcare, which resulted from a convening of international experts in crisis care in London in June 2018.
Presentation with Lifeline Director Dr. John Draper and Arizona Medicaid Director Tom Betlach on the Crisis Now model, business case, Retreat facility model and Arizona Medicaid contracting and financing approach/details.
Zero Suicide in Healthcare: The Story of an International Declaration and Soc...David Covington
Keynote at the 2018 Suicide Prevention Australia conference in Adelaide, South Australia traces the story of Zero Suicide and highlights the champions who have led this breakout innovation. Suicide prevention has labored heroically to stand in the gap (like Leonidas' fateful Spartans) but we need a massive infusion of support, and Zero Suicide activates healthcare as a partner.
Peer supports is the key to transformation of mental health systems and the start of a bonafide social movement, akin to the revolutions we've seen with the disability community.
In 2016, the National Action Alliance for Suicide Prevention published “Crisis Now: Transforming Care is Within Our Reach.” Alignment with these practices cuts cost of care substantially, reduces the need for psychiatric hospital bed usage, ED visits and law enforcement overuse; resulting in better health and declines in suicide rate, justice system involvement/ incarcerations and psychiatric boarding. These challenges are simply greater than previously acknowledged, but the Washington State supreme court ruling on the unconstitutionality of boarding, the suicide death of Virginia State Senator Creigh Deeds’ son, the insistence of hospitals nationwide about the costs and safety and the series of violent incidents from Columbine forward are changing the expectations. These innovative approaches pioneered under the leadership of Arizona Medicaid are now being replicated throughout the US.
The Retreat Model: Crisis Facility AlternativesDavid Covington
1. The document discusses the "Retreat Model" of crisis care, which provides alternatives to overnight hospitalization for people in distress, including 24/7 outpatient care, 23-hour observation, and 2-4 day crisis stabilization.
2. The Retreat Model is distinguished by its open, home-like physical layout; prominent use of staff with lived experience of mental health issues; and substantial positive impacts on hospitals, law enforcement, jails and psychiatric inpatient facilities.
3. Examples of Retreat Model centers that have opened since the 1990s in various locations across the United States are provided, demonstrating that this model provides a publicly-funded, high-quality alternative to hospital emergency rooms for people experiencing mental
New Crisisnow.com Website dedicated to transforming mental health crisis syst...David Covington
National Association of State Mental Health Program Directors (NASMHPD) Executive Director, Dr Brian Hepburn,announced today the creation of a new website dedicated to providing the
framework needed to optimize mental health crisis services within communities.
Suicide Prevention Experts Convene in Washington DCDavid Covington
Last year, over 45 thousand people died by suicide in the U.S., one person every 11.7 minutes, while over a million people attempted suicide. With suicide rates in the U.S. steadily climbing, suicide remains the 10th leading cause of death in the US, the American Association of Suicidology (AAS) recognizes that the only way to impact this serious public health issue is to draw from scientific research and initiate implementation of effective strategies. We anticipate over 1,500 attendees to this year’s conference in the heart of political advocacy, Washington, D.C, April 18 - 21,
2018 at the Hyatt Regency Capitol Hill.
American Association of Suicidology Honors US Rep Grace F. NapolitanoDavid Covington
The American Association of Suicidology has selected U.S. Representative Grace F. Napolitano as the recipient of their 2018 Public Policy Award for her dedication to suicide prevention through public service. Napolitano will receive the award at the AAS's annual conference for her work co-chairing the Congressional Mental Health Caucus, co-leading the House Suicide Prevention Task Force, and advocating for the National Strategy for Suicide Prevention as a member of the National Action Alliance for Suicide Prevention. The conference aims to encourage action in suicide prevention by bringing together over 1,500 academics, researchers, crisis professionals, and survivors.
RI International Fife Crisis to Recovery MuralDavid Covington
Amazing mural in the RI International Fife crisis center by staff member Lucy who uses art to cope with some of the challenges she faces and has faced in her life.
Crisis Now Business Case - Update for NASMHPDDavid Covington
In February 2018, shared this presentation on the NASMHPD monthly update call on the history, context and future development and recommendations for Crisis Now.
The Arizona Crisis Now Model: AHCCCS OutcomesDavid Covington
In 2016, the National Action Alliance for Suicide Prevention published “Crisis Now: Transforming Care is Within Our Reach.” Alignment with these practices cuts cost of care substantially, reduces the need for psychiatric hospital bed usage, ED visits and law enforcement overuse; resulting in better health and declines in suicide rate, justice system involvement/ incarcerations and psychiatric boarding. These challenges are simply greater than previously acknowledged, but the Washington State supreme court ruling on the unconstitutionality of boarding, the suicide death of Virginia State Senator Creigh Deeds’ son, the insistence of hospitals nationwide about the costs and safety and the series of violent incidents from Columbine forward are changing the expectations. These innovative approaches pioneered under the leadership of Arizona Medicaid are now being replicated throughout the US.
The Arizona Crisis Now Model: AHCCCS OutcomesDavid Covington
In 2016, the National Action Alliance for Suicide Prevention published “Crisis Now: Transforming Care is Within Our Reach.” Alignment with these practices cuts cost of care substantially, reduces the need for psychiatric hospital bed usage, ED visits and law enforcement overuse; resulting in better health and declines in suicide rate, justice system involvement/ incarcerations and psychiatric boarding. These challenges are simply greater than previously acknowledged, but the Washington State supreme court ruling on the unconstitutionality of boarding, the suicide death of Virginia State Senator Creigh Deeds’ son, the insistence of hospitals nationwide about the costs and safety and the series of violent incidents from Columbine forward are changing the expectations. These innovative approaches pioneered under the leadership of Arizona Medicaid are now being replicated throughout the US.
In 2016, metropolitan area Phoenix law enforcement engaged nearly 22,000 individuals that they transferred directly to crisis facilities and mobile crisis without visiting a hospital ED. This is Crisis Now.
The Way Forward: Federal Action for a System That Works for All People Living...David Covington
Report to Congress December 13, 2017 from the Interdepartmental Serious Mental Illness Coordinating Committee led by SAMHSA Assistant Secretary for Mental Health Dr. Elinore McCance-Katz and including 14 non-federal members.
AAS Dream Speaker Results Post Phoenix 2017 SurveyDavid Covington
Nearly 400 participants in the 50th anniversary American Association of Suicidology conference replied to a survey, in which they shared their ideas for dream speakers at the 2018 conference.
The skin is the largest organ and its health plays a vital role among the other sense organs. The skin concerns like acne breakout, psoriasis, or anything similar along the lines, finding a qualified and experienced dermatologist becomes paramount.
How to Control Your Asthma Tips by gokuldas hospital.Gokuldas Hospital
Respiratory issues like asthma are the most sensitive issue that is affecting millions worldwide. It hampers the daily activities leaving the body tired and breathless.
The key to a good grip on asthma is proper knowledge and management strategies. Understanding the patient-specific symptoms and carving out an effective treatment likewise is the best way to keep asthma under control.
Test bank for karp s cell and molecular biology 9th edition by gerald karp.pdfrightmanforbloodline
Test bank for karp s cell and molecular biology 9th edition by gerald karp.pdf
Test bank for karp s cell and molecular biology 9th edition by gerald karp.pdf
Test bank for karp s cell and molecular biology 9th edition by gerald karp.pdf
Travel vaccination in Manchester offers comprehensive immunization services for individuals planning international trips. Expert healthcare providers administer vaccines tailored to your destination, ensuring you stay protected against various diseases. Conveniently located clinics and flexible appointment options make it easy to get the necessary shots before your journey. Stay healthy and travel with confidence by getting vaccinated in Manchester. Visit us: www.nxhealthcare.co.uk
- Video recording of this lecture in English language: https://youtu.be/Pt1nA32sdHQ
- Video recording of this lecture in Arabic language: https://youtu.be/uFdc9F0rlP0
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Cell Therapy Expansion and Challenges in Autoimmune DiseaseHealth Advances
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
5-hydroxytryptamine or 5-HT or Serotonin is a neurotransmitter that serves a range of roles in the human body. It is sometimes referred to as the happy chemical since it promotes overall well-being and happiness.
It is mostly found in the brain, intestines, and blood platelets.
5-HT is utilised to transport messages between nerve cells, is known to be involved in smooth muscle contraction, and adds to overall well-being and pleasure, among other benefits. 5-HT regulates the body's sleep-wake cycles and internal clock by acting as a precursor to melatonin.
It is hypothesised to regulate hunger, emotions, motor, cognitive, and autonomic processes.
4. 1996
X
X
5 16 16
RRC Henderson
Henderson, NC
2006
X
X
2
2
RRC Pierce Co
Tacoma, WA
2009
X
X
RRC Ellendale
Ellendale, DE
2012
X
X
Hope House
Bakersfield, CA
2011
X
RRC Houston
Houston, TX
2014
X
Living
Room
Peoria, AZ
Retreat
RRC Peoria
Location
Region
Population
Funder
Annual
Funding
3.9 M
Magellan
$8.0 M
250 K
Cardinal Innovations
$2.4 M
800 K
Optum Health Pierce
$4.1 M
Urban
Rural
Annual
Admits
Involuntary
Begin
Date
Voluntary
Recovery
Response Center
Program
Capacity
Front Room
Legal
Status
Ave Length of Stay
(days)
Recovery Response Centers
1.7
8
750
7.2
5
4 10
2,500
2.0
5
6
0
1,650
0.5
X
350 K
Delaware DSAMH
$3.0 M
14
X
3,500
X
200
20.5
X
850 K
Kern County
$1.7 M
16 16
3.500
1.7
4M
Optum Health
$6.0 M
X
X
X
4
11. No Force First Strategy
“The leadership of RI believes the elimination of all types of force
has many benefits to their organization. The very presence of
coercion within their crisis centers would reflect poorly on all the
other programs run by RI, and most importantly harm the very
people RI is trying to help. RI believes that the highest price of all
is the price paid by the people being restrained ---due to their
recovery being stalled by a practice that can disempower them;
break their spirit; and reignite a sense of helplessness and
hopelessness. The use of force is very traumatizing in nature,
especially for those who have a history of physical or sexual abuse.
The development and implementation of a NFF policy within a
recovery approach to helping has convinced the authors that the
implementation of a NFF policy should become a best practice in
the treatment of people with severe psychiatric disorders.”
“The Development and Implementation of No Force First as a Best
Practice.” Psychiatric Services, May, 2012
12. No Force First Outcomes
Reduction in ED mental health patients
Bebee Hospital ED Transfers to IMD
90
80
70
83
72 73
61 63 60
62
55
60
Number 50
Transfers
40
30
20
10
0
44
39
51
44 42
36
46
43
36
• Beebe Healthcare is
a 210 bed general
hospital serving
southern Delaware.
• In August, 2012
Recovery
Innovations opened
a 23-hour RRC
nearby. Beebe
reports a significant
reduction in ED
psychiatric patients
following the RRC
opening.
13. No Force First Outcomes;
Reduced Hospitalizations
Psychiatric Recovery Center Hospitalizations
30.0%
25.0%
20.0%
15.0%
10.0%
5.0%
0.0%
3
-0
ul
J
p
Se
3
-0
3
-0
ov
N
Central
4
-0
an
J
M
4
-0
ar
West
M
4
-0
ay
Total
4
-0
ul
J
During the period
shown there were an
average of 900 PRC
admissions per
month.
A reduction in
hospitalization rate
from 20% to 10%
=1,080 annual
hospital admissions
= $10 M + per year
(($550 per hospital
day with an average
length of stay of 18
days in 2003).
26. Personal benefits from being a peer support provider
Percent
Helping others has helped me in my own recovery
I feel more self-confident
I feel more emotionally stable
I am more satisfied with my life in general
I am more interested in my future career opportunities now
I am more financially stable
I have been able to connect more with family
I am able to do more recreational/leisure time things
I have been able to socialize more with friends
I have been able to begin saving money
I have taken a paid vacation
I have a nicer place to live
I now have company benefits like medical or dental coverage
I purchased my own vehicle
I have been able to reduce the medication
87.1%
78.7%
72.7%
72.3%
68.7%
67.1%
44.2%
42.6%
39.8%
38.2%
34.9%
32.5%
31.3%
26.5%
20.5%
49. Outcomes; Reduced Hospitalizations
Psychiatric Recovery Center Hospitalizations
30.0%
25.0%
One hospitalization
cost $9,900 ($550 per
hospital day with an
average length of stay
of 18 days).
During the period
shown there were an
average of 900 PRC
admissions per
month.
20.0%
15.0%
10.0%
5.0%
0.0%
3
l- 0
Ju
p
Se
3
-0
3
-0
ov
N
Central
4
-0
an
J
M
4
-0
ar
West
M
4
-0
ay
Total
4
l- 0
Ju
A reduction in
hospitalization rate
from 20% to 10%
=1,080 annual
hospital admissions =
$10,692,000 per year.
55. No Force First - Risk Sharing
Old Way ~ Managing and Controlling
New Way ~ Risk Sharing ~No Force First
Full body strip search
Safety through risk-sharing discussion
All personal property secured
After review, property retained by guest
Staff behind the wall in glass enclosure
No walls. Open spaces promote relationship
Uniformed security guards 24/7
Safety through relationship
Video surveillance throughout
Relationship; being-with promotes healing
All staff wear hospital scrubs
Street clothes minimize us/them barriers
Seclusion room to control
Use de-escalation techniques and relationship
Lack of privacy
Guest can have key to their bedroom
Common toilet/shower facility
Toilet/shower in guest bedroom
Outside and smoke break limited
Open outside access
Once a week visiting
Family and friends welcome at all times
No unsupervised phone access
Guests keep their cell phone
Outside communication restricted
Internet and email available
All medications staff administered
Medication self-administration is offered
56. 1. Routine
2. Moderate
3. High
Risk Sharing Issue
Is age a factor in assigning space?
□ Yes
□ No
Comments
Is gender a factor in assigning space?
□ Yes
□ No
Comments
Rate each item
Describe the Risk Sharing Plan for 3 or higher
Developmental Level
Risk Rating
Plan:
Danger to Self
Risk Rating
Plan:
Danger to Others
Risk Rating
Plan:
Other Self Harm Concerns
Risk Rating
Plan:
Trauma History
Risk Rating
Plan:
Elopement risk
Risk Rating
Plan:
Recent Domestic Violence Concerns
Risk Rating
Plan:
Need for Privacy/Quiet
Privacy Rating
Plan:
Physical Disabilities
Risk Rating
Describe:
Medical Needs
Risk Rating
Describe:
Substance Intoxication
Risk Rating
Plan:
Substance Withdrawal Risk
Risk Rating
Plan:
Level of Medication Monitoring Needed
Level
Plan:
Fire Setting Concerns
Risk Rating
Plan:
Other Concerns
Risk Rating
Describe:
Space Assignment □ Private Room
Engagement Support □ 1:1 Continuous Companion
Other Risk Sharing Comments
□ Double Room
okay
□ Wellness
Checks q 15
□ Continuous line of sight
□ Close to nursing/medical staff
□ Wellness Checks q 1 hr
56