1. 1 Welcome to the Spectrum of Family Services Resources & Supports for NYS PROS Teams This informational forum will begin shortly. You may download the PIN application at You may download the PIN application at www.nysfamilyinstitute.org www.nysfamilyinstitute.org If you are having trouble getting onto the webinar please call 1-800-244-9194 and enter code 990024 then # If you are having trouble getting onto the webinar please call 1-800-244-9194 and enter code 990024 then #

2. 2 Spectrum of Family Services Resources & Supports for NYS PROS Teams Informational Forum, Winter, 2011 Spectrum of Family Services Resources & Supports for NYS PROS Teams Informational Forum, Winter, 2011

3. 3 Welcome & Introductions Family Institute for Education, Practice & Research Family Institute for Education, Practice & Research Anne Smith, Director Thomas Jewell, Research Coordinator Beth Hoh, Trainer Consultant Doris Joy (FI/OMH), Trainer Consultant Sherri Ladd, Admin. Assistant John Johnson (FI/OMH), Trainer Consultant Office of Mental Health Personnel Office of Mental Health Personnel David Bucciferro, Director, Rehabilitation Services Unit Nancy Koltko, Mental Health Program Specialist

4. 4 Overview PROS Background PROS Background The Vision: Involving Families in a Recovery The Vision: Involving Families in a Recovery Oriented System Oriented System Spectrum of Family Services Spectrum of Family Services Practice Improvement Network (PIN) Practice Improvement Network (PIN) Next Steps & Question Session Next Steps & Question Session

5. 5 PROS Four Components to PROS: Four Components to PROS: Community Rehabilitation and Support (CRS) Ongoing Rehabilitation and Support (ORS) Clinical Treatment Intensive Rehabilitation (IR)

6. 6 Intensive Rehabilitation Composed of four different services Composed of four different services Services designed around goals: Services designed around goals: Education Education Housing Housing Employment Employment Two evidence-based practices: Two evidence-based practices: Family Psychoeducation Integrated Dual Disorder Treatment Integrated Dual Disorder Treatment

7. 7 The Spectrum of Family Services Training The Spectrum of Family Services Training Core foundational approach: Core foundational approach: Consumer Centered Family Consultation (CCFC) Consumer Centered Family Consultation (CCFC) Additional Family Services Additional Family Services Other Resources Available Other Resources Available

8. 8 The Vision: A Family Involving Recovery Oriented System

9. 9 Creating such a system will insure that mental health programs routinely offer (or link families to those in the community who offer) comprehensive education and support services to family members and others in the consumers' social networks. Creating such a system will insure that mental health programs routinely offer (or link families to those in the community who offer) comprehensive education and support services to family members and others in the consumers' social networks. Consumers choose to involve others in their treatment and recovery through shared decision- making. Consumers choose to involve others in their treatment and recovery through shared decision- making. Involving Families in a Recovery Oriented System

10. 10 Role of Providers Create an infrastructure Create an infrastructure Integrate into the assessment, planning and evaluation process integral to treatment services Integrate into the assessment, planning and evaluation process integral to treatment services Partner with other stakeholders Partner with other stakeholders

11. 11 The Vision: A Family Involving Recovery Oriented System Assessment Assessment Service Planning & Interventions Service Planning & Interventions Evaluation & Performance Improvement Evaluation & Performance Improvement

12. 12Assessment Intake and ongoing assessments are designed to identify: Intake and ongoing assessments are designed to identify: The nature and quality of the consumers relationship with members of their family The nature and quality of the consumers relationship with members of their family Wants and needs of consumers & their families Wants and needs of consumers & their families The family resources and strengths related to supporting the consumers treatment and recovery The family resources and strengths related to supporting the consumers treatment and recovery

13. 13 Service Planning & Intervention Easily accessible family system Easily accessible family system Full range of services integrated into the consumers service plan Full range of services integrated into the consumers service plan Education Education Communication Communication Problem solving Problem solving Using the mental health system Using the mental health system Emotional support and stigma reduction Emotional support and stigma reduction

14. 14 Service Planning & Interventions Knowledge of and linkages to NAMI and other community supports Knowledge of and linkages to NAMI and other community supports Strategies to identify, reach out to and involve families Strategies to identify, reach out to and involve families Reaching out to civic, religious, cultural and other community resources Reaching out to civic, religious, cultural and other community resources Families are involved in helping organizations to create a family oriented system Families are involved in helping organizations to create a family oriented system

15. 15 Evaluation & Performance Improvement Progress notes in medical record Progress notes in medical record Agency collects, analyzes and acts upon data that measures the performance of a program with respect to family oriented services. Agency collects, analyzes and acts upon data that measures the performance of a program with respect to family oriented services.

16. 16 Spectrum of Family Services Resources & Supports Spectrum of Family Services Resources & Supports

17. 17 Spectrum of Family Services Resources & Supports The goal is to promote a system that provides a wide range of service and support options The goal is to promote a system that provides a wide range of service and support options A system in which access to services is supported by treatment providers, advocacy organizations, local and state government and support associations A system in which access to services is supported by treatment providers, advocacy organizations, local and state government and support associations

18. 18 Spectrum of Family Services Resources & Supports The spectrum of family services matches the specific needs, preferences and life circumstances of families and consumers The spectrum of family services matches the specific needs, preferences and life circumstances of families and consumers Flexibility and adaptations based on cultural values and preferences promote widespread access Flexibility and adaptations based on cultural values and preferences promote widespread access

19. 19 Agency Led Services Agency Led Services Integrate family into the intake, assessment and ongoing care as agreed upon by consumer Integrate family into the intake, assessment and ongoing care as agreed upon by consumer Consumer Centered Family Consultation Consumer Centered Family Consultation Family Support Groups Family Support Groups Multifamily Groups Multifamily Groups Resource Library Resource Library Family Information Nights Family Information Nights Family Education Curriculum Family Education Curriculum Behavioral Family Therapy Behavioral Family Therapy Spectrum of Family Services Resources & Supports

20. 20 Consumer Centered Family Consultation (CCFC) characterized by: Consumer Centeredness -The consumer is at the center of all decisions. Consumer Centeredness -The consumer is at the center of all decisions. Collaboration-CCFC promotes an equal partnership between consumers, families and providers. Collaboration-CCFC promotes an equal partnership between consumers, families and providers. Education Orientation- CCFC provides basic information about: mental health diagnoses, causes, treatments and services; family guidelines on how to support the consumer and family; and community and agency resources. Education Orientation- CCFC provides basic information about: mental health diagnoses, causes, treatments and services; family guidelines on how to support the consumer and family; and community and agency resources.

21. 21 Consumer Centered Family Consultation Delivered by clinicians Delivered by clinicians Location and duration are flexible Location and duration are flexible Client may or may not be present Client may or may not be present Wants, needs and goal assessment are core components of a consultation Wants, needs and goal assessment are core components of a consultation Helps families with illness related concerns, education, emotional support and involving families in their loved one’s treatment plan Helps families with illness related concerns, education, emotional support and involving families in their loved one’s treatment plan May include a referral to adjunct services and community supports May include a referral to adjunct services and community supports

22. 22 Family Support Group Led by clinicians Led by clinicians Fixed schedule (e.g., once per month) Fixed schedule (e.g., once per month) Fixed time frame (e.g., 90-min meetings) Fixed time frame (e.g., 90-min meetings) Brings family members together without consumer Brings family members together without consumer Emotional support and information are key components Emotional support and information are key components

23. 23 Family Psychoeducation Led by professionals and linked to a clinical program Led by professionals and linked to a clinical program Lasts 9 months – several years Lasts 9 months – several years Involves single or multiple families Involves single or multiple families Usually diagnosis-specific Usually diagnosis-specific Focused primarily on recipient outcomes Focused primarily on recipient outcomes Eligible for Medicaid reimbursement Eligible for Medicaid reimbursement Truly evidence-based (approximately 3 decades of research evidence) Truly evidence-based (approximately 3 decades of research evidence)

24. 24 Resource Library Delivered by family members, clients, and/or clinicians Delivered by family members, clients, and/or clinicians Informational materials available free of charge for families Informational materials available free of charge for families Family member can request specific materials via a menu of available resources Family member can request specific materials via a menu of available resources

25. 25 Family Informational Nights Delivered by family members, clients and/or clinicians Delivered by family members, clients and/or clinicians One or more sessions One or more sessions Held monthly, quarterly or semi-annually Held monthly, quarterly or semi-annually Typically an “overview” of mental illness or an overview and introduction to a specific agency and its services Typically an “overview” of mental illness or an overview and introduction to a specific agency and its services

26. 26 Family Education Curriculum Delivered by family members, clients, and/or clinicians Delivered by family members, clients, and/or clinicians 60-90 minute sessions 60-90 minute sessions Lasts from 1-12 classes Lasts from 1-12 classes Topic oriented (e.g., relapse prevention; signs and symptoms of mental illness) Topic oriented (e.g., relapse prevention; signs and symptoms of mental illness)

27. 27 Behavioral Family Therapy Major focus is on individual clients and their families Major focus is on individual clients and their families Basic Knowledge of illness Basic Knowledge of illness Communication Skills Communication Skills Problem Solving Skills & Goal Achievement Problem Solving Skills & Goal Achievement Minimum time is 3-6months Minimum time is 3-6months More likely to be between 18 months and 2- years More likely to be between 18 months and 2- years

28. 28 Spectrum of Family Oriented Services, Supports & Resources Community Led Services Community Led Services National Alliance on Mental Illness National Alliance on Mental Illness Basics Basics Connection Connection Family to Family Family to Family In our own Voice In our own Voice Peer to Peer Peer to Peer

29. 29 NAMI Basics New signature education program focused on children and adolescents living with mental illnesses. New signature education program focused on children and adolescents living with mental illnesses. Designed to educate: Designed to educate: parents parents other caregivers other caregivers Developed around elements that have been extensively tested and found to be highly effective in the field. Developed around elements that have been extensively tested and found to be highly effective in the field.

30. 30 NAMI Connections Recovery oriented support group for adults living with mental illness. Recovery oriented support group for adults living with mental illness. Provides a place that offers respect, understanding, encouragement, and hope. Provides a place that offers respect, understanding, encouragement, and hope. Offers a casual and relaxed approach to sharing the challenges and successes of coping with mental illness. Offers a casual and relaxed approach to sharing the challenges and successes of coping with mental illness.

31. 31 Family-to-Family Education The Family-to-Family curriculum provides participants with clear, accurate, and practical information on topics such as: The Family-to-Family curriculum provides participants with clear, accurate, and practical information on topics such as: Biology of mental illness Biology of mental illness Medications and Research Medications and Research Crisis management Crisis management Communication Skills Communication Skills Problem Solving Problem Solving Self-care Self-care Advocacy and Recovery Advocacy and Recovery

32. 32 In Our Own Voice A public education program developed by NAMI. A public education program developed by NAMI. Two trained consumer speakers share personal stories about living with mental illness and achieving recovery. Two trained consumer speakers share personal stories about living with mental illness and achieving recovery.

33. 33 Peer-to-Peer An experiential learning program for people with serious mental illness who are interested in establishing and maintaining their wellness and recovery. An experiential learning program for people with serious mental illness who are interested in establishing and maintaining their wellness and recovery. Consists of nine, two-hour units and is taught by a team of three trained "mentors" who are personally experienced at living well with mental illness. Consists of nine, two-hour units and is taught by a team of three trained "mentors" who are personally experienced at living well with mental illness.

34. 34 Spectrum of Family Services Practice Improvement Network (PIN) Spectrum of Family Services Practice Improvement Network (PIN)

35. 35 Spectrum of Family Services Practice Improvement Network Voluntary group of PROS providers in NYS formed together to focus on a common improvement effort (Practice Improvement Network-PIN) over a 9-month period Voluntary group of PROS providers in NYS formed together to focus on a common improvement effort (Practice Improvement Network-PIN) over a 9-month period Integrating effective family involving services into the PROS Programs over a 9-month period Integrating effective family involving services into the PROS Programs over a 9-month period The core family service: Consumer Centered The core family service: Consumer Centered Family Consultation Additional family services will be introduced Additional family services will be introduced Continued resource & supervision Continued resource & supervision

36. 36 Practice Improvement Network Method (PIN) A PIN consists of a network of PROS providers and a resource panel working in partnership to plan, implement and evaluate approaches to involve family members in a way that supports the consumer’s service plan and recovery. A PIN consists of a network of PROS providers and a resource panel working in partnership to plan, implement and evaluate approaches to involve family members in a way that supports the consumer’s service plan and recovery. The resource panel includes: The resource panel includes: Faculty of the Family Institute; experts in staff and supervisory training on a full range of family oriented service as well as organizational implementation, PROS regulations, data analysis and outcome evaluation. Faculty of the Family Institute; experts in staff and supervisory training on a full range of family oriented service as well as organizational implementation, PROS regulations, data analysis and outcome evaluation.

37. 37 Practice Improvement Network Method (PIN) QIT members expectations: Attend one-day training in CCFC Attend one-day training in CCFC Institute the Consumer Centered Family Consultation model in the PROS Program Institute the Consumer Centered Family Consultation model in the PROS Program Participate and collaborate with their designated PIN through monthly conference calls over a 9-month period. Participate and collaborate with their designated PIN through monthly conference calls over a 9-month period. Select and receive additional training in family service offerings from the Family Institute. Select and receive additional training in family service offerings from the Family Institute.

38. 38 Roles: Quality Improvement Team Agency/Program Administrator-support and endorse initiative, attend 1-day training Agency/Program Administrator-support and endorse initiative, attend 1-day training PROS Program Leader/Team Leader–attend one day training, champion the initiative with the PROS Team; participate in monthly conference calls with assigned PIN. PROS Program Leader/Team Leader–attend one day training, champion the initiative with the PROS Team; participate in monthly conference calls with assigned PIN. Data Collector-may attend 1-day training, submit monthly date to Family Institute. Data Collector-may attend 1-day training, submit monthly date to Family Institute.

39. 39 Data Simple Simple Streamlined Streamlined The data will be used: The data will be used: To collect the numbers of consultations taking place in the agency, the PIN and NYS. To collect the numbers of consultations taking place in the agency, the PIN and NYS. To analyze the effectiveness of the CCFC model. To analyze the effectiveness of the CCFC model. Provide feedback to agencies based on the information provided. Provide feedback to agencies based on the information provided. One of the three QIT members will go onto the FI website on a monthly basis. One of the three QIT members will go onto the FI website on a monthly basis. Complete a brief questionnaire (no more than 5-7 questions) Complete a brief questionnaire (no more than 5-7 questions)

40. 40 Quality Improvement Team Key individuals from each agency comprise the Quality Improvement Team (QIT). Key individuals from each agency comprise the Quality Improvement Team (QIT). The QIT includes: The QIT includes: Executive level leadership or designee Executive level leadership or designee PROS Program leader/supervisor/family specialist PROS Program leader/supervisor/family specialist Data Person-someone who can collect and submit data (This person could be a peer specialist interested in family services or anyone who may champion the goals of the PIN). Data Person-someone who can collect and submit data (This person could be a peer specialist interested in family services or anyone who may champion the goals of the PIN). All 3 QIT team members are encouraged to attend trainings/phone calls etc. All 3 QIT team members are encouraged to attend trainings/phone calls etc.

41. 41 Training “Roll Out” CCFC Trainings will begin in March 2011 CCFC Trainings will begin in March 2011 One-day training running from 9:00 am to 4:30 pm One-day training running from 9:00 am to 4:30 pm 24 participant limit in each training 24 participant limit in each training Regional trainings to minimize time away from the work Regional trainings to minimize time away from the work The number of trainings will be decided as a result of how many PROS team apply to be in the initiative. The number of trainings will be decided as a result of how many PROS team apply to be in the initiative. In order to offer regional trainings we need applicants to provide space large enough to accommodate 24-30 people. Please call Sherri Ladd @ 585-279-7902 to make arrangements. In order to offer regional trainings we need applicants to provide space large enough to accommodate 24-30 people. Please call Sherri Ladd @ 585-279-7902 to make arrangements. Future trainings for additional family programs will be arranged in this same format Future trainings for additional family programs will be arranged in this same format

42. 42 NEXT STEPS

43. 43 Application Process Requirements Complete the following: Application to join the Spectrum of Family Services Practice Improvement Network of PROS Providers in NYS Application to join the Spectrum of Family Services Practice Improvement Network of PROS Providers in NYS Application Coversheet Application Coversheet Organizational Characteristics Data Sheet Organizational Characteristics Data Sheet Identification of Quality Improvement Team Sheet Identification of Quality Improvement Team Sheet

44. 44 Selection Criteria Any PROS Program that applies within the allotted time will be accepted. Any PROS Program that applies within the allotted time will be accepted. In the event the demand exceeds the Family Institute resources, the following selection criteria will be employed: In the event the demand exceeds the Family Institute resources, the following selection criteria will be employed: Completeness and timeliness of application Completeness and timeliness of application Type, size and location of the programs Type, size and location of the programs

45. 45 Application: www.nysfamilyinstitute.org Mail application in triplicate to: Anne M. Smith, LMSW, Executive Director Family Institute for Education, Practice & Research 315 Science Parkway Suite 400 Rochester, NY 14620 Deadline: Friday, February 18 th 2011 For questions contact Anne Smith at: E-mail: Annem_smith@urmc.rochester.edu Telephone: 585-279-7903

46. 46 Questions?