Community Support Services Training Direct Care Series – Session 1 Rutgers, The State University of New Jersey School of Health Professions Department of Psychiatric Rehabilitation and Counseling Professions

Learning Objectives ● 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 identify changes needed to provide quality CSS services ● Explore potential barriers and solutions to agency change

Talking About Invisible Illness - Mental Illness Video Talking About Invisible Illness - Mental Illness

Community Support Services Consists of… 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)

Service Delivery (Larosiliere, 2011) Rehabilitation Needs Assessment Individualized Rehabilitation Plan Skill Development IMR Trainings Crisis Intervention Coordination of Services (Larosiliere, 2011)

Group Exercise- Community Support Services

Group Exercise- Community Support Services Participants will break up into six groups Identify 1 recorder and 1 reporter How is your assigned service delivered in your agency? Looking at all 6 services: What service do you spend the most time providing? Are there any of these services that your agency is NOT providing? Why? Is there a service that you could spend more time on that would benefit the consumers?

Historical Roots 1963 Community Mental Health Law Act Deinstitutionalization Community Support System

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)

Community Support System (Stroul, 1989)

Community Support Services What are the motivating factors that guide your work?

Goals, Values and Principles 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)

3 Goals of the Wellness and Recovery Approach Quality of Life Recovery Community Integration …. Of meaning and purpose in one’s life … which is a sense of belonging to contributing to, feeling comfortable in the larger community.

6 Values of the Wellness and Recovery Approach 1. Belief that everyone has the right of self-determination. 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)

Group Exercise: Values Find a partner Individually, write five areas in your life that you value most Share your rationale for the five areas that you selected Pass your list to your partner Eliminate three areas from your partner’s list Return the list to your partner Open discussion

12 Principles of the Wellness and Recovery Approach Person-centered approach Focus on work and career development Partnership between service provider and service user Assessment related to person chosen goals and environments Partnership with family members and significant others 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)

individual Exercise: Principles Pick one principle that you find most important in your work Share an instance when you have used this principle to guide your practice/work

(Centre for Addiction and Mental Health, 2008) Supervision “Clinical supervision is the formal provision, by approved supervisors, of a relationship based on educational and training that is work focused and which manages, supports, develops and evaluates the work of colleague/s. The main methods that supervisors use are corrective feedback on the supervisee’s performance, teaching and collaborative goal setting. It therefore differs from related activities, such as mentoring and coaching by incorporating and evaluative component. Clinical supervision’s objectives are “normative” (e.g., quality control), “restorative” (e.g., encouraging emotional processing)and “formative” (e.g. maintaining and facilitating supervisees competence and general effectiveness.)” (Milne, 2007) (Centre for Addiction and Mental Health, 2008)

Supervision and The Wellness and Recovery Philosophy High quality practice of direct service providers is guided by strong supervision 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

Supervision Strategies Ride along/Side-by-side Supervision Evaluating staff documentation Other?

Css implementation What types of barriers do you encounter when implementing CSS? What are some possible solutions to overcome the barriers?

Learning Application Provide examples of interventions you provided to consumers that promote community integration on these three levels: Physical Social Psychological

Q&A and Evaluations ● Describe community support services (CSS) ● Define the goals, values, and principles of the wellness and recovery approach ● Identify how the wellness and recovery approach supports CSS service delivery ● Examine current agency service delivery model and identify changes needed to provide quality CSS services ● Explore potential barriers and solutions to agency change

Zakia Clay, MSW, LCSW, CPRP Anthony Zazzarino MA, LPC, ACS, CPRP Contact Information Zakia Clay, MSW, LCSW, CPRP Zakia.Clay@shp.rutgers.edu Ann Reilly MA, LSW, CPRP Reillya2@shp.rutgers.edu Anthony Zazzarino MA, LPC, ACS, CPRP ASZ28@shp.rutgers.edu

References Larosiliere, V (2011). Community Support Services [memo]. Retrieved from http://www.state.nj.us/humanservices/dmhs/info/CSS_No tice_to_providers.pdf. Milne, D. (2007). An empirical definition of clinical supervision. British Journal of Clinical Psychology, 46, 437-447. 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.