Rutgers, The State University of New Jersey. Department of Psychiatric Rehabilitation & Counseling Professions

Transcription

1 Zakia Clay, MSW, LCSW Ann Reilly MA, LSW, CPRP Anthony Zazzarino MA, LPC, CPRP Rutgers, The State University of New Jersey Describe Community Support Services (CSS) Define the goals, values and principles of the wellness and recovery approach Identify how the wellness and recovery approach informs CSS service delivery Examine current agency service delivery model and explore potential barriers and solutions to agency change Apply supervision strategies to daily practice Mental health rehabilitation services and supports necessary to assist a consumer in achieving mental health rehabilitative and recovery goals as identified in the individualized recovery plan. This includes achieving and maintaining valued life roles (Larosiliere, 2011)

2 Coordination of Services Comprehensive Rehabilitation Needs Assessment Crisis Intervention Individualized Rehabilitation Plan IMR Trainings Skill Development (Larosiliere, 2011) Participants will break up into six groups As a group, come up with one definition of the service you received (5 min) How is this service delivered in your agency?(10 min)

3 Share your groups definition of the service. Is there anything you would add/subtract? After hearing all 6 services: Are there any of these services that your agency is NOT providing? Why? What service do you spend the most time providing? Is there a service that you could spend more time on that would benefit the consumers? (30 min) 1963 Community Mental Health Law Act Deinstitutionalization Community Support System Community Support System is a network of responsible individuals organized to provide support needed to help people to be successful in the community of their choice; that is, in their housing, learning, working, and social environments. (Stroul, 1989)

4 (Stroul, 1989) As a supervisor, what skills are needed to support the direct care staff with implementing these services effectively? What are some of the current barriers you and your agency face with implementing these services? What is the philosophy that guides your work?

5 Goals: Desired states or objectives to strive for and achieve Values: Beliefs and attitudes that influence our behavior Principles: Guidelines that are consistent with our values and help us focus on the overall goals in the day-to-day provision of the wellness and recovery approach (Pratt, Gill, Barrett & Roberts, 2014) Community Integration Recovery Quality of Life 1. Belief that everyone has the right of selfdetermination. 2. Respect for the dignity and worth of every individual. 3. Optimism that everyone has the capacity to recover, learn and grow. 4. Holistic focus on multiple life domains including physical health and wellness. 5. Respect for cultural diversity and sensitivity to cultural traditions and preferences. 6. Promotion of valued social roles and normalized environments. (Pratt, Gill, Barrett & Roberts, 2014)

6 Find a partner Individually, write five areas in your life that you value most (2 min) Share your rationale for the five areas that you selected (10 min) Pass your list to your partner Eliminate three areas from your partner s list (1 min) Return the list to your partner Open discussion Person-centered approach Partnership between service provider and service user Partnership with family members and significant others Focus on work and career development Assessment related to person chosen goals and environments Emphasis on goal-related skills training, resource development and environmental modifications Utilization of peer support Integration of treatment and rehabilitation services Utilization of natural supports Ongoing, accessible, and coordinated services Strengths focus Empirical orientation (Pratt, Gill, Barrett & Roberts, 2014) 1. Count off to 12 to break into groups (each group will receive their own principle to focus on) 2. List some of the barriers to applying your principle to daily service delivery? (10 min) 3. Brainstorm possible solutions to overcome the barriers. (10 min) 4. Share ideas and discuss (3 min each group)

7 Supervision A method to ensure the organization's mandate is achieved through enhancing the supervisee s ability to provide effective service. Through discussion of routine and complex clinical situations, clinicians are better equipped to meet client needs, and that, in turn, contributes to improved outcomes. (Centre for Addiction and Mental Health, 2008) Supervision and The Wellness and Recovery Philosophy Staff should be providing services while embracing the goals, values, and principles of the wellness and recovery philosophy This should also translate into agency documentation BUT HOW CAN SUPERVISORS ENSURE THIS IS BEING DONE??? Balancing Act Clinical Administrative

8 Group Exercise: Prioritize Effective Supervision 2012 PRA Code-Section G: Supervision Newly developed section of the code High quality practice of direct service providers is guided by strong supervision PRA supervision guidelines are similar to other ethical codes and guidelines (Psychiatric Rehabilitation Association, 2012) 2012 PRA Code Highlights Supervisors who are psychiatric rehabilitation practitioners seek training and build competence in both clinical practice and supervision Supervisors ensure clear communication in establishing competency standards Supervisors support supervisees in setting professional development goals and detailing the tasks to achieve them (Psychiatric Rehabilitation Association, 2012)

9 2012 PRA Code Highlights (continued) Supervisors model and engage supervisees in objective and balanced self-assessment Supervisors inform supervisees about performance expectations, including competencies required, standards for acceptable completion of job duties, and any rules, policies, and procedures that relate to general practice (Psychiatric Rehabilitation Association, 2012) Performance Feedback Tools Some ideas: Employee Recognition Performance Appraisal Supervision Agenda Others? Group Exercise-Supervision Agenda

10 Supervision Strategies Some ideas: Ride along/side-by-side Supervision Evaluating staff documentation Others? Describe Community Support Services (CSS) Define the goals, values and principles of the wellness and recovery approach Identify how the wellness and recovery approach informs CSS service delivery Examine current agency service delivery model and explore potential barriers and solutions to agency change Apply supervision strategies to daily practice Centre for Addiction and Mental Health, (2008). Clinical Supervision Handbook: A Guide for Clinical Supervisors f or Addiction and Mental Health. Canada: CAMH. Larosiliere, V (2011). Community Support Services [memo]. Retrieved from tice_to_providers.pdf. Pratt, C. W., Gill, K. J., Barrett, N. M., & Roberts, M. M. (2014). Psychiatric rehabilitation. (3rd ed). San Diego, CA: Elsevier Inc. Stroul, B. (1989). Comprehensive community support system. Psychosocial Rehabilitation Journal, 12(3), 9-26.