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A peer run not for profit organization that provides advocacy and an array of recovery centered services to people with psychiatric labels in 7 Counties in New York. . PEOPLe, Inc.. Over the past 10 years PEOPLe has been developing and practicing pro-active diversion peer run services to assist people from crises and hospitalizations .
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1. Who are we? Projects to Empower and Organize the Psychiatrically Labeled, Inc.PEOPLe, Inc.
2. A peer run not for profit organization that provides advocacy and an array of recovery centered services to people with psychiatric labels in 7 Counties in New York.
PEOPLe, Inc.
3. Over the past 10 years PEOPLe has been developing and practicing pro-active diversion peer run services to assist people from crises and hospitalizations A New Diversion Continuum
4.
Hospital Diversion House
Warm Line
In-Home Peer Companionship
Social Structure (Nights Out)
Emergency Department Advocacy
Clinic Advocacy Diversion Services
5. Persons seeking temporary residential care/respite care can stay from one to five nights in a warm, friendly, safe and supportive home-like environment where they can learn recovery and relapse prevention skills. Hospital Diversion House The Rose House
6. Rose House’s services are designed to help ‘at risk’ individuals to break the cycle of learned helplessness and recidivism and to move away from what are often long histories of cycling from home to crisis to hospital, year after year. Hospital Diversion House
7. In recent years, PEOPLe, Inc has developed a “warm line” service aimed at providing phone-based crisis support at all hours of the day and night to help people to reduce or avoid emergency room visits or psychiatric hospitalizations. Peer Warm Line
8. PEOPLe, Inc offers in-home peer companionship in the event one does not want to leave one’s home. A Peer Companion will visit an individual regularly at his or her home or in the community, offering peer support, an empathetic ear and new techniques to help the person avoid utilizing hospital services. In Home Peer Companion
9.
A social event in the community designed to provide weekly activities and/or events structured by participants. Nights Out connects people to each other and the communities natural supports.
As people grow socially they seem to become better equipped to focus more on wellness activities rather than symptom related activities. Nights Out
10. Peers assist individuals in navigating the often-traumatic process of being screened and admitted/discharged to/from the hospital.
a booklet explains the process of the emergency room screening in language aimed at providing words of hope and support to the individual or family.
It improves compassionate care and overall outcomes. Peer Emergency Room Advocacy/Services
11.
Full time Peer Advocate stationed in the clinic
Role is to assist people in navigating the clinic services
Assist people in developing Wellness Plans
Educating people on how to develop recovery goals and advocate for themselves
Educate people on “What is Therapy” developing expectations and personal responsibility around recovery Clinic Advocacy
12. Three Vital Components to Success
13.
Recovery is the expectation
Core Values Drive behavior
Mutual Respect
Transparency/honesty
The shared experience can provide hope
Re-thinking crisis
Well trained and developed Staff
Philosophy
14.
Building a trusting relationship can promote empowerment in individuals that can lead to more informed and self-determined decisions about ones care and quality of life choices.
Good engagement reduces fear of punitive actions
Sharing stories in an open and honest environment can make the relationship and experience more meaningful thus possibilities for change
Well trained and developed Staff
Engagement
15.
Safe and Inviting
Clean and home-like
Warm greeting
Educational materials available
Recreational materials available
Privacy Environment
16. Total Guests Served 227
Total Residence Days 748
Total Warmline Calls 1253
Total Off-Premises Visits 72
748 x $1,400 = $1,047,200 (Local hospital cost)*
Rose House annual cost $264,000
Unspent Medicaid/Insurance cost $783,200 *Based on average cost of local hospitals
Rose House Totals 2010
17. Research
18. The purpose of the study was to compare consumer satisfaction with PEOPLe’s peer-run hospital diversion program versus a traditional inpatient program. Guests quality of life and success in coping with mental illness as a result of their experiences in both settings was also explored.
Preliminary results of unpublished longitudinal study
Year one Purpose of Study
19.
Being greeted warmly
Orientation to the program
Non-judgmental staff
Explanation of program
Expectations
Involvement in treatment planning
Understanding of the risks/ benefits of treatment
Use of recovery based language
Trauma sensitive treatment
Treatment Measures
20. Overall, 64% of respondents indicated that they experienced these elements of treatment at Rose House compared to 22% at inpatient hospital settings. Results of Treatment Measures
21. Active listening
Respect of clients
Time spent with consumer
Encouragement of interaction with peers
Encouragement of Recovery
Availability 24/7
Experiences with Staff Measures
22.
Overall 76% of the respondents indicated that the treatment experience included the above Experiences with Staff measures. Conversely, 32% of the respondents indicated that in-patient settings included these measures.
Results of Experiences with Staff
23. Quality of physical environment
Comfortable settings
Guest private space
Meals availability tailored to the guest schedules
Guests ability to set their own daily schedules. Measures of Experiences with Environment
24.
Overall, 78% indicated Rose House has these elements in the program compared to 18% for inpatient hospital settings.
Results of Experiences with Environment
25. Services at Rose House are more person-centered, and less restrictive than inpatient hospitals.
Staff is more likely to be respectful in their approach to guests than hospital settings. Summary
26. Guests report feeling comfortable with the treatment received, as well as the environment. They also see peer-run programs as reducing stigma associated with mental illness.
Summary, cont.
27. Rose House alumni are socially involved, and report satisfaction with theses activities. It appears that Rose House guests believe that peers provide help with recovery, companionship and feedback regarding their mental illness. This belief is associated with increased social involvement.
Community Involvement
29. Steve Miccio
Executive Director
PEOPLe, Inc.
378 Violet Avenue, Poughkeepsie, NY 12601
845-452-2728
stevemiccio@projectstoempower.org
www.projectstoempower.org
Contact Information