Dual Diagnosis in the United States: Past, Present and Future

1. Dual Diagnosis in the United States: Past, Present and Future Professional Development for Supports Coordinators and SC Supervisors

2. Disclaimer The information presented here is meant to increase your awareness. The content and images contained in some of the videos used in this presentation may be disturbing or may bring up unpleasant memories for those who lived it or know someone who live it. Terminology used during the course of history will be used in this presentation. Many of these terms are considered offensive today. They are used here to provide historical perspective.

3. Objectives By the end of this training, the learner will: Have working knowledge of the history of intellectual disability Understand the importance of remembering the past to enhance the future Recognize the history of abuse and neglect in both the mental health and intellectual disability systems Identify ways in which the future of dual diagnosis services can benefit individuals with an intellectual disability

4. Main Menu

5. Dual Diagnosis in the United States: Past, Present and Future Part 1

6. Understanding History Paying attention to our history helps us: Avoid making past mistakes again Understand the present Plan for the future

7. Understanding History

8. Understanding History

9. Understanding History

10. John F. Kennedy – Feb. 5, 1963 “We as a Nation have long neglected the mentally ill and the mentally retarded. This neglect must end, if our Nation is to live up to its own standards of compassion and dignity and achieve the maximum use of its manpower.”

11. Dual Diagnosis in the United States: Past, Present and Future Part 2

12. Understanding History

13. Stories from the Darkness

14. Stories from the Darkness

15. Stories from the Darkness Suffer the Little Children https://video2.tiu11.org/videos/video/66/?access_token=shr00000000667305732413549371358751970176293 Note: Depending on the speed of your internet connection, the video may take a couple minutes to begin playing.

16. Stories from the Darkness Final Asylum https://video2.tiu11.org/videos/video/85/?access_token=shr00000000853352502808241096308623996983299 Note: Depending on the speed of your internet connection, the video may take a couple minutes to begin playing.

17. Stories from the Darkness

18. Reflections What changes have occurred to prevent this from happening again? Some of the changes that you identified might include: Increased opportunities for advocacy and self-advocacy Increased education for the community and professionals Reduction or elimination of the use of chemical or physical restraints Increased monitoring by advocates, the community and government

19. Reflections How does this help in your role to provide supports? Ways you may have identified are: A better understanding of the experiences of the people I help support Increase in empathy and awareness of what has occurred in the past Provide a perspective in why locating individualized supports and services is important

20. Reflections What might you do differently? Thank you! Please talk to your supervisor, training director or mentor about how they may be able to support you in making these changes.

21. Dual Diagnosis in the United States: Past, Present and Future Part 3

22. Different Meanings of Dual Diagnosis Intellectual Disability Field - Intellectual Disability - Mental Health Need Mental Health Field - Mental Illness and - Substance Abuse of Dependence Issues

23. Can people with an intellectual disability experience mental illness? The Answer: YES!

24. The Power of Words

25. People First Language

26. A Tale of Two Systems

27. 1990s: Positive Approaches

28. Dual Diagnosis Initiatives Need to get info about current practices Dual Diagnosis Treatment Teams – West nurse perhaps?

29. Dual Diagnosis Initiatives Mobile Crisis Teams For individuals in crisis and at immediate risk of institutionalization Based on the specific needs and challenges of the person Can include specialists from both the Mental Health and Intellectual Disability service systems Focused on providing strategies and support for the person and the team to be able to continue services in the community.

30. Local Dual Diagnosis Options Services differ county to county but focus on: Prevention, support, consultation & crisis stabilization Supporting maintenance or return to community For individuals with a broad range of DD level of care needs For more information on services available, contact: Local mental health managed care organizations Local Health Care Quality Unit

31. Dual Diagnosis Needs Dual Diagnosis specific, mental health treatments and programs Continued integration of mental health and intellectual and developmental disability systems Increased training and education to the: Mental health system about various intellectual/developmental disabilities Intellectual disability system about mental health issues

32. A Voice • Advocacy • Community • Respect • Everyday Lives • Recovery The past also reminds us of the mission that people with a dual diagnosis have spent decades striving for:

33. Main Menu This concludes this training series of Dual Diagnosis in the United States: Past, Present, and Future.

34. References

35. THANK YOU!