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CONSUMER SPEAK BEFORE COD TREATMENT

IMPLEMENTING A COD PROGRAM IN THE RIO HONDO CLINIC AND YOU CAN DO IT TOO JEFF JOHNSON, MSW DWAYNE CLEMENTS—DMH EMPLOYEE—PEER ADVOCATE DOREEN HANNA—PEER ADVOCATE INTERN/VOLUNTEER JOHN CZERNEK—PEER ADVOCATE INTERN/VOLUNTEER JANET WALKER—CONSUMER/VOLUNTEER WELCOME.

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CONSUMER SPEAK BEFORE COD TREATMENT

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  1. IMPLEMENTING A COD PROGRAM IN THE RIO HONDO CLINICAND YOU CAN DO IT TOOJEFF JOHNSON, MSWDWAYNE CLEMENTS—DMH EMPLOYEE—PEER ADVOCATEDOREEN HANNA—PEER ADVOCATE INTERN/VOLUNTEERJOHN CZERNEK—PEER ADVOCATE INTERN/VOLUNTEERJANET WALKER—CONSUMER/VOLUNTEERWELCOME

  2. CONSUMER SPEAKBEFORE COD TREATMENT DWAYNE

  3. CONSUMER SPEAKBEFORE COD TREATMENT DWAYNE DOREEN

  4. CONSUMER SPEAKBEFORE COD TREATMENT DWAYNE DOREEN JOHN

  5. CONSUMER SPEAKBEFORE COD TREATMENT DWAYNE DOREEN JOHN JANICE

  6. It started looking like this: Sandy Mills, MA and more, developed the COD Program under “Wellness” with Leticia Guzman-Soydan, Clinic Director  A small team was formed: Leticia Guzman-Soydan, LCSW; Clinic Director Sandy Mills, MA and more Jeff Johnson, MSW Dr. Panguluri, MD; Psychiatrist Supervisor

  7. CREATING THE ROLES OF THE TEAM IF WE BUILD IT HOW WILL THEY COME AND HOW WILL WE SERVE THEM? • Developing Roles in the Treatment of COD Participants • Develop a system of communication for everyone • Days of the week, space, individual work assignments etc. • Open Groups and Closed Groups? • Integration of Peers/Consumers in the team and TX process • How do we handle relapse—Drug testing • Create a referral form • Team meeting agenda items and times • Getting the word out to the clinic • Form an outside resource development plan • Creating a WELCOME MAT for everyone who is referred • Establish treatment protocols (Review DMH Policy on COD TX) • Integrated treatment is not total recovery (See Wellness Recovery Model) • TOTAL RECOVERY=medical, dental, all health concerns/spiritual etc. • Develop a curriculum for 6 – 7 months • How many can be enrolled in closed groups • Looking at Outcome Measures—Which ones make (cents)$$ • What is the protocol for medication, missed appointments • GRADUATION and Community integration

  8. WHITE ELEPHANT IN A SNOW STORM

  9. “Our elephants are either standing on us, beside us, in front of us, or behind us—it depends on the angle we want to see them. Talking about them has the same perspective.”Jeff Johnson—2004—In a Walmart Parking lot talking to a single mom. Some of our white elephants Proper Assessment of Referrals to the COD Program (Some CM may want to dump) Providing Medication Support to COD clients (known & unknown) How do we handle participant situations whereby the participant does not want to change psychiatrist and their psychiatrist is hesitant to provide medication support Referrals from other community resources through community relationship development Hierarchy of the program And many more—everyone has their own

  10. Program Objectives were developed(This is for demonstration purposes ONLY, performed on a closed course—Do not try this at home) Leticia Guzman-Soydan—Visionary, clinic director Donie yoo, lcsw—jeff’s supervisor—assisted in clinical treatment applications Sandy—COD support, education, assist with program development Jeff—Program Facilitator, learned student of Sandy Mills, MA and more and Program development Dr. panguluri, md—psychiatrist for all cod participants—clinic md program support

  11. It started to look like this Add: Debra Cifuentes Hernandez, BA Medical Caseworker—case management, co-facilitate the groups—administer wellness program data Dwayne Clements, Peer Advocate (intern at this time)—co facilitate all groups, co-facilitate all cod assessments, community relations development, link participants to community resources, participant support Luis Orozco, BSW—Housing Specialists/Medical Caseworker—housing issues, case management One other Peer Advocate intern—program support, co-facilitate groups

  12. CONSUMER SPEAKONSET OF COD TREATMENT DWAYNE

  13. CONSUMER SPEAKONSET OF COD TREATMENT DWAYNE DOREEN

  14. CONSUMER SPEAKONSET OF COD TREATMENT DWAYNE DOREEN JOHN

  15. CONSUMER SPEAKONSET OF COD TREATMENT DWAYNE DOREEN JOHN JANICE

  16. EVOLUTION OF A MODELIN THE BEGINNING(wouldn’t this be a great phrase to start a book?)

  17. …AND NOW WE LOOKED LIKE THIS

  18. STARTING TO GROW

  19. …AND THEN THERE WAS FRIDAY

  20. ASSESSMENT & PROGRAM IMPLEMENTATION The consumer assessment & program objectives must match UNDERSTANDING THE CHANGES OF RECOVERY SCALE HANDOUT STAGES OF CHANGE

  21. Prochaska and DiClemente’s Stages of Change Model Pre-contemplation Not currently considering change: "Ignorance is bliss Contemplation Ambivalent about change: "Sitting on the fence" Not considering change within the next month Preparation Some experience with change and are trying to change: "Testing the waters" Planning to act within 1month Action Practicing new behavior for 3-6 months Maintenance Continued commitment to sustaining new behavior Post-6 months to 5 years Relapse Resumption of old behaviors:

  22. PEER ADVOCATES & VOLUNTEERS ARE THE KEY TO SUCCESS Become involved in Peer Advocate Training Programs Train and Motivate Consumers Provide Structure for a sound volunteer program Everybody has a time—A time to give—A time to receive Following the Recovery Model— Proper Mentoring,Training and Practice Makes Near Perfect • welcome

  23. Create a welcome environment for peer to peer support WELCOME

  24. NOW MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY Engagement Group (CR) Participation Group #1 (PR) M & M Friday AA/NA/COD Panel (CR) COD Education Group (PR) COD Life Skill/Coping Skill (PR) Life Beyond Mental Illness (PR) Participation Group #2 (PR) M & M Friday Movie (CR) Wellness & Beyond (PR) COD 12-Step Group (CR) Spirituality Group (CR)

  25. Assessment & UtilizationWellness—Something for everyone MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY ENGAGEMENT GROUP (CR) COD LIFE SKILLS/COPING SKILLS GRP (PR) COD PARTICIPATION GRP #1 (PR) M & M FRIDAY PANEL GRP (CR) COD EDUCATION GRP (PR) WELLNESS & BEYOND (PR) COD PARTICIPATION GRP #2 (PR) MOVIE LIFE BEYOND MENTAL ILLNESS (PR) SPIRITUALITY GRP (CR) COD 12-STEP GRP (CR)

  26. Q & A PANEL DWAYNE CLEMENTS, PEER ADVOCATE JOHN CZERNEK, CONSUMER/VOLUNTEER DOREEN HANNA, CONSUMER/VOLUNTEER JANICE WALKER, CONSUMER/VOLUNTEER JEFF JOHNSON, MSW/FACILITATOR

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