1. An Introduction to the Via Hope Recovery Institute
Texas Council of Community Centers
Behavioral Health Consortium
January 12, 2012

2. Presenters Sam Shore Texas Department of State Health Services
Anna Jackson
Via Hope Texas Mental Health Resource

3. DSHS Perspectives on Recovery
National Context, State Vision, Current Strategies

4. National Context
National Context—A Good and Modern Recovery Based System of Care
Prevention and early intervention are crucial
Recovery orientation, importance of peer services
Integration of Substance Use and Mental Health
Whole Health

5. Hope, Resilience, and Recovery for Everyone
MHSA Vision
Hope, Resilience, and Recovery for Everyone

6. MHSA Mission
To improve health and well-being in Texas by providing leadership and services that promote hope, build resilience, and foster recovery.

7. Seven MHSA Goals
Implement effective administration strategies to empower staff to achieve the division’s mission.
Promote resilience-based and culturally competent substance abuse prevention and mental health promotion across the lifespan.

8. Seven MHSA Goals
Implement a statewide behavioral health recovery model.
Maximize service delivery through accountable and sustainable partnerships.

9. SAMHSA Working Definition of Recovery*
A process of change through which individuals improve their health and wellness, live a self-directed life, and strive to reach their full potential. *Both mental health and substance use disorders.

10. SAMHSA Working Definition of Recovery*
4 Dimensions that support a life in recovery:
Health: Overcoming or managing one's disease(s) as well as living in a physically and emotionally healthy way.
Home: A stable and safe place to live.
Purpose: Meaningful daily activities, such as a job, school, volunteerism, family caretaking, or creative endeavors, and the independence, income, and resources to participate in society.
Community: Relationships and social networks that provide support, friendship, love, and hope.
*Both mental health and substance use disorders.

11. DSHS Recovery Strategy
Division-wide strengths-based assessment: Recovery Knowledge Inventory and Capacity Survey.
Promote recovery and resilience at the state, provider, and individual levels.

12. DSHS Recovery Strategy
Promote greater integration of mental health and substance use disorder services.
Behavioral health services with physical health services.
Emphasis on the development and integration of peer support services through training, certification, and collaboration.

13. Via Hope Recovery Institute
Background and Overview

14. Background/Context
Via Hope created from SAMHSA Mental Health Transformation Grant.
Training and technical assistance.
Promote system transformation.
Change traditional system, culture, and practice.
Become more recovery-oriented, strengths-based, person centered, and focused on resilience.
A partnership between Texas Department of State Health Services, Mental Health America of Texas, and NAMI Texas.

15. Background/Context Evolution in approach:
FY’2010: Peer Specialist Learning Community.
Designed to encourage/facilitate use of peer specialists.
Highlighted need to consider organizational culture.
10 LMHAs, 1 Consumer-Operated Service Provider.
FY’2011: Recovery Focused Learning Community.
Designed to encourage re-orientation of philosophy to recovery focus.
Highlighted importance of peer support in recovery model.
5 Hospitals, 10 LMHAs

16. Background/Context Lessons learned in two years:
Importance of focusing on system change.
Need to continue support for organizations that have started down this road.
Learning collaborative approach is effective.
Need to cultivate/support Texas leaders.
Need process to disseminate concepts, continually bring in new participants.
Need to collaborate more closely with DSHS/MHSA.

17. Aims of the Recovery Institute
Help organizations develop culture that support and expect recovery.
Promote consumer, youth, and family voice in a transforming system.
Build on progress made to date.
Provide different levels of engagement.
Continually bring in new participants.
Build Texas capacity, Texas leadership.

18. Key Partners and Staff Texas Department of State Health Services
Sam Shore, Wendy Latham
Via Hope, Texas Mental Health Resource
Anna Jackson, Olivia Flournoy, Dennis Bach
The University of Texas Center for Social Work Research
Stacey Manser Stevens, Michele Murphy-Smith, Wendy Brooks

19. Stakeholder Involvement
Each level of the Recovery Institute:
Will have a work group consisting of DSHS staff, Via Hope Advisory Board Members, members of the Texas recovery community.
Incorporates people in recovery as collaborators, colleagues, and key stakeholders in the change process.
Includes efforts to build in-state training and technical assistance capacity and local champions.

20. Recovery Institute Initiatives

21. Awareness Raising Level One – Two Components Periodic Webinars
Via Hope-sponsored (issues as they emerge from field).
SAMHSA-sponsored (e.g. Recovery to Practice).
“Recovery Reads” Book Club.
Monthly selection and discussion questions.
Designed for licensed professionals, peer specialists and peers that receive services.
Open to anyone, participate at level of interest.
Sign up online.

22. Leadership Academy Level Two 1 day launch event in Austin.
Each participant to attend a regional seminar--locations to be determined (not Austin).
Monthly conference calls or webinars.
20 organizations accepted, with up to 4 participants from each—some centers and hospitals invited local advocacy organizations to join their teams.
2 Hospitals, 17 LMHAs, 1 Advocacy Organization

23. Leadership Academy Level Two
Bring new voices into the recovery discussion.
Increase understanding of recovery concepts.
Deepen engagement and commitment to transformation.
Begin process of organizational self assessment.

24. Recovery Oriented Organizational Change Initiative
Level Three
Competitive application; 5 organizations accepted.
2 Hospitals, 5 LMHAs.
Requires Executive Sponsor and Change Team.
Requires greater level of commitment to working on recovery orientation.
Starts at sites in February

25. Recovery Oriented Organizational Change Initiative
Level Three
Continue to deepen recovery orientation throughout change units, ultimately entire organization.
Initial day of on site consultation.
2 days of foundational training.
Ongoing coaching and technical assistance.
David Stayner and Associates.
UT-CSWR – Michele Murphy-Smith, Phd
Further develop use of peer specialists.
Technical Assistance from experts in field and local apprentices.

26. Person Centered Recovery Planning Implementation Pilot
Level Four
Person Centered Planning is described as “a collaborative process resulting in a recovery oriented treatment plan; is directed by consumers and produced in partnership with care providers and natural supporters for treatment and recovery; supports consumer preferences and a recovery orientation” (Adams & Grieder, 2005).

27. Person Centered Recovery Planning Implementation Pilot
Level Four
Janis Tondora, Yale Program on Recovery and Community Health (YPRCH Team Lead).
Olivia Flournoy, Via Hope (Texas lead).
One day seminar held for DSHS staff and key stakeholders on November 2nd, planning sessions on Nov. 3rd.
DSHS-level team incorporating key stakeholders involved in targeted technical assistance to address systemic barriers to successful implementation.

28. Person Centered Recovery Planning Implementation Pilot
Level Four
Training and Technical Assistance Components
General training for staff on-site.
Pilot team consultation.
Meet and greet for the 2 sites.
2-day skills training.
Intensive, case-based technical assistance (site teams, state team, peer specialists).
Training for peer specialists.
Launch with local recovery community.

29. Person Centered Recovery Planning Implementation Pilot
Level Four
DSHS internal stakeholder involvement.
Ongoing commitment by DSHS to approach.
Competitive application; two organizations selected for first phase.
One hospital and one center serving some of the same folks—Austin State Hospital and Bluebonnet Trails.
Multi-year effort to achieve widespread adoption of approach—FY2012 is just the first year.

30. Presentation Possibilities
Future Via Hope
Presentation Possibilities
Evaluation data from related Via Hope initiatives—The University of Texas at Austin Center for Social Work Research
Via Hope, UT-CSWR, and DSHS on specific Recovery Institute Projects/ Levels
Consumer Operated Service Provider Institute
Family Partner training and Certification Program
Peer Specialist Training and Certification
Youth and Young Adult Engagement Initiatives

31. Questions and Comments