1. Changes in Mental Health Services Overview Consumer Education and Support Statewide Call-In: September 27, 2007

2. Overview Changes in Mental Health Services OBJECTIVES FOR TODAY’S CALL 1. Participants will obtain a brief historical overview of the process of change in the mental health system 2. Participants will learn about common emotional responses to change 3. Participants will understand changes made in the new mental health services, and the goals/objectives of those changes 4. Participants will understand the role of consumers in the new mental health services

3. Overview Changes in Mental Health Services GUIDELINES FOR TODAY’S CALL 1. All Speakers Will Use Person-First Language 2. All Acronyms Will Be Spelled Out and Defined 3. Diverse Experiences Will Be Heard and Validated

4. Overview Changes in Mental Health Services What is Change? to make different… to transform…. to switch direction or course... to switch direction or course...

5. Overview Changes in Mental Health Services How does Change make us feel? …scared…excited…unsure…angry

6. Overview Changes in Mental Health Services Why Change? …to improve and expand services …to focus on evidenced-based practices …because consumers wanted change

7. Overview Changes in Mental Health Services The Consumer and Agency Staff develop a collaborative, recovery-based treatment plan. The Individualized Treatment Plan identifies the service(s) that will assist the consumer to meet their recovery goals and objectives).

8. Overview Changes in Mental Health Services What services have been developed or changed ? …Community Support (CS) Individual (CSI) Group (CSG) Team (CST) Residential (CSR) …Psychosocial Rehabilitation (PSR) …Assertive Community Treatment (ACT)

9. Overview Changes in Mental Health Services Community Support Individual (CSI) is… …delivered most of the time outside of the agency office …consists of therapeutic interventions that facilitate illness self-management, identification and use of natural support, and use of community resources …skill building activities on an individual basis to assist the consumer in the development of functional, interpersonal, family, coping, and community living that are negatively impacted by the consumer’s mental illness.

10. Overview Changes in Mental Health Services Community Support Group ( CSG) is… …delivered most of the time outside of the agency office …skill building activities on a group basis to assist the consumer in the development of functional, interpersonal, family, coping, and community living that are negatively impacted by the consumer’s mental illness. …services in a group setting ranging in size from 2-15 consumers

11. Overview Changes in Mental Health Services Community Support Team ( CST) is… …uses the expertise of a multi-staff team …address more complex needs of the consumer …step-down service from the more intense services …consists of therapeutic interventions that facilitate illness self-management, skill building, identification and use of natural support, and use of community resources

12. Overview Changes in Mental Health Services Community Support Residential (CSR) is… …available to consumers who live in supervised sites … able to emphasize the process of assisting consumers to be a greater part of their community

13. Overview Changes in Mental Health Services Psychosocial Rehabilitation (PSR) is … …a facility based service …delivered in conjunction with Community Support … a service that promotes self-directed engagement in leisure, recreation, and community social activities … able to assist consumers in achieving their social, educational, and vocational goals … able to assist consumers in achieving their social, educational, and vocational goals …helps facilitate independent living, adaptation, problem solving, coping skills development

14. Assertive Community Treatment (ACT) is … …an evidenced based practice … an interdisciplinary team which consists of a psychiatrist, Nurse, Team Leader, and other Staff … an intensive integrated rehabilitative crisis, treatment, and rehabilitative service … intended to promote symptom stability,as well as restore personal care, community living, and social skills. Overview Changes in Mental Health Services

15. Service Intensity Level Most Least CSI..CSG..CST..PSR..ACT..CSR Consumers may move within the continuum of services. The level of intensity and services offered is based on assessments, medical necessity, and consumer choice

16. Overview Changes in Mental Health Services HOW CAN I GET MORE INFORMATION? http://www.dhs.state.il.us/revisedRule132/ind ex.asp http://www.dhs.state.il.us/revisedRule132/ind ex.asp

17. Overview Changes in Mental Health Services GUIDELINES FOR Q & A 1. All Speakers Will Use Person-First Language 2. All Acronyms Will Be Spelled Out and Defined 3. Diverse Experiences Will Be Heard and Validated 4. Each Individual Will Ask One Question, Then Pass To the Next Person. 4. When Finished Speaking, Conclude With “Thank You” 5. Written Questions Can Be Sent To: –Nanette.Larson@illinois.gov (fax: 309-693-5101) Nanette.Larson@illinois.gov –Bryant.Davis@illinois.gov (fax: 618-833-8336) Bryant.Davis@illinois.gov

18. Overview Changes in Mental Health Services THANK YOU!