The Implementation of Long Term Recovery Services in TCSO Substance Use Disorders Programs

Transcription

1 The Implementation of Long Term Recovery Services in TCSO Substance Use Disorders Programs R A U L G A R C I A, L M S W S U B S T A N C E U S E D I S O R D E R S P R O G R A M C O O R D I N A T O R, T C S O CO- C H A I R, A U S T I N R O S C I N I T I A T I V E

2 Objectives Key Learning Points Understand the key aspects of a recovery oriented system of care Understand the evolution of implementation and future components of adding ROSC Principles Understand the keys to community collaboration Lessons learned as take aways to implementing ROSC principles in your organization

3 Recovery Oriented Systems of Care

4 What is ROSC? What does it mean? Recovery Oriented Systems of Care Networks of organizations, agencies, community members that coordinate a wide spectrum of services to prevent, intervene in, and treat behavioral health issues Most Important Factors Integration Recovery focus for all health conditions Disease Management Model Chronic Care Long Term Recovery Focus 2-5 years of Recovery Community Collaboration Working Together

5 Important Factors in Understanding ROSC Support of Life in Recovery Home Health Purpose Community Guiding Principles Hope Person Centered Multiple Pathways Holistic Supported by Peers Relationships and Social Networks

6 ROSC ROSC ROSC ROSC What is translatable in Public Service? Continuum of Care Pre-Recovery Engagement Treatment Initiation and Stabilization Recovery Maintenance Enhancement of Quality of Life in Longterm Recovery

7 What is ROSC doing in the Austin Community? Austin ROSC Initiative A collection of stakeholders working to create a recovery oriented system of care Not an entity or organization History Started in 2011 Initial Phase of Education Philadelphia Field Study Current Phase of Action Process Education Collaboration Transformation Current Focus Project Oriented Offer assistance in the following Referral Networks Policy and Practice

8 TCSO Substance Use Disorders Programs

9 Historical Perspective of TCSO Substance Use Disorders Programs Drug and Alcohol Program Relapse Prevention Education 12 Step Meetings Changes Need for Separate Programs Looked for Expansion of Community Connections Creation of the Rise Up Program

10 Current Programming Assessment Process TCU Drug Screening II Form Key factor was motivation Programs/Outpatient Services POWER Program Education Based Rise Up Program Cognitive Based 12 Step Program AA, CA, NA Fellowships Recovery Support Programs Recovery Support Group Recovery Yoga Music Programs

11 Moving in a new direction Learned from ROSC Principles What we were doing Creating a Philosophical Shift in Practice Addressing the understanding of long term recovery Understanding of multiple pathways/person centered approach to recovery Holistic Approach to finding recovery What we weren t doing: Understanding the risk of untreated substance use disorders Understanding that true integration was recovery approach for all heath conditions Need for inclusion of community partners Ongoing provision of services after release

12 Looking through a different lens Historically looked through a mental health lens Depression Mania Psychosis Now looking through a Substance Use Lens Anxiety Poor Decision Making Impulse Control We have to begin to see these as equal Treating Substance use the same as mental health Stop blaming the victim More importantly that individuals can recover from any condition

13 Changes for the Future Transition from Jail to Community Model Initiating services at Booking Five Phase Model Four Levels of Service Development of Treatment Program Targeting high risk substance dependent individuals Looking for Jail Diversion Development of Substance Use Clinical Team Assigned Acute Unit Mirror Mental Health Services Integration Focus Community Partners Warm Hand Offs Initiating Services inside with direct connection outside

14 Key Factors in Implementation Educating staff Overcoming bias and stereotypes Same for any condition Combination Approach Bottom up initially Top down now Understand how applying principles translates in work already done Understand how to improve policy not change policy Practice will change policy Most importantly how are we working with others to help through the continuum

15 Austin ROSC Initiative and TCSO together moving forward

16 Creating Connections Setting the Stage Aligning Concepts: Changing how we think Aligning Practice: Changing how we use language and practices at all levels; implementing values based change Aligning Context: Changing regulatory environment, policies and procedures, community support CONCEPTS CONTEXT PRACTICE

17 Community Collaboration Goals Creating Leadership Sheriff Greg Hamilton buying in and leading charge for change Accountability for all community partners and collaborations to engage ROSC Principles Making Connections Connecting with established partners Creating direct service connections inside Helping identify the places in continuum is vital Everyone has a place to help Getting out of just what you do Person Centered Approach Client Perspective Fragile Engaging Complex System Case Manager Perspective Empathy Personalized Approach

18 Community Collaboration Efforts Travis County Sheriff s Partners Becoming the guiding organization in the community to incorporate ROSC Prinicples into all practice Austin ROSC Pilot/Networking Project Effort to practice ROSC in our community Creating first ROSC Oriented Referral Network in Austin Network for Organizations Sobriety Center Support Creating Leadership to help guide development through ROSC Principles

19 Lessons Learned No direct answers Ask questions Are we truly working with organizations across the continuum? What can we do? What can we do with others? Allow the process to be its own People and organizations will challenge conventional wisdom Work to strengths Let organizations take center stage Go with the willing Bridge the gap between providers and recovery support services

20 Questions? "Give a man a fish and you feed him for a day. Teach a man to fish and you feed him for a lifetime. -Chinese Proverb

21 How to get involved? Travis County Sheriff s Office Mary Moran, ReEntry Administrator Mary.Moran2@co.travis.tx.us Raul Garcia, Substance Use Disorders Program Coordinator Raul.Garcia@co.travis.tx.us Susan Perryman-Evans, Programs Manager Susan.Perrymanevans@co.travis.tx.us Austin ROSC Initiative Raul Garcia, Co-Chair Pat Malone, Co-Chair patmalonelaw@gmail.com Jason Howell, Education and Advocacy Coordinator jason.howell@soberhood.org