310 likes | 568 Views
Integrating Mental Health Recovery into Social Work. SAMHSA Recovery-to-Practice Project Council on Social Work Education (CSWE ) http://www.cswe.org/recovery Presentation developed by CSWE Contact: Jessica Holmes, jholmes@cswe.org Presented by Susan Rogers,
E N D
Integrating Mental Health Recovery into Social Work SAMHSA Recovery-to-Practice Project Council on Social Work Education (CSWE) http://www.cswe.org/recovery Presentation developed by CSWE Contact: Jessica Holmes, jholmes@cswe.org Presented by Susan Rogers, CSWE Steering Committee Member and Director, National Mental Health Consumers’ Self-Help Clearinghouse srogers@mhasp.org
Recovery to Practice Year 1 – Situational Analysis (3/2010 – 9/2011) Year 2 – Develop training outline Year 3 – Develop training manual and pilot test training Year 4 – Continue pilot testing and finalize training Year 5 – Implement training 10/2013 to 9/2014
Situational Analysis: Methodology • Qualitative • Focus groups • Interviews • Discussion forums • Comments from individuals with lived experience • Syllabi review • Review of state documents and training materials • Literature review • Review of professional organizations • Site visits
Situational Analysis: Methodology • Quantitative • CSWE Annual Survey of Social Work Programs • NASW Workforce Studies • Mental Health, United States
Situational Analysis: Methodology • Stakeholders engaged: • Individuals with lived experience of psychiatric conditions • Practitioners • Students • Educators • Field Education Directors • Field Instructors
Social Workers and Mental Health • More than 100,000 social work students enrolled • Master’s level concentrations: • 49 programs offered “mental health” • 39 offered “health and mental health” • 111 offered “direct practice/clinical”
Social Workers and Mental Health • Social workers are estimated to provide almost half of all mental health services. • 36.8% of licensed social workers identify mental health as primary sector of employment.
Positive Findings • Strong theoretical connections • Recognition of the term recovery • Ready “acceptance” of the idea of recovery • Integration of some recovery components • Longstanding commitment to cultural competency and social justice • Some programs have begun to infuse trauma-informed practice • Social workers can provide a unique role
Negative Findings • Dissonance between social work theory and practice • Weak integration of some recovery components (e.g., hope, peer support) • Confusion about definition of recovery • Wide use of medical model and deficits thinking • Only small number infusing recovery as a whole • Need to enact organizational policy change • Funding uncertainty
Recovery-oriented Social Workers • Use hope-inducing behaviors and practices • Believe individuals can and do recover • Amplify clients’ voices • Engage in goal-directed treatment • Facilitate individual choice and self- determination • Include family and significant others (with permission) • Expect life beyond the mental health system - community and social inclusion • Emphasize natural community supports • Recommend peer support networks and services
Comparing the Two Approaches From The Strengths Model(3rd ed.), Rapp & Goscha, 2012, p. 95)
Some Challenges Chronic thinking Practitioner cynicism - It is not enough for the practitioner to engage in a series of empowering practices if the practitioner has no hope that the consumer can achieve recovery (Simon, 1994) - Importance of recognizing the nonlinear aspect of the recovery process
Comments from Alternatives 2010 Caucus “In terms of my recovery process, I was in contact with a lot of different professionals – psychologists, psychiatrists, social workers – and I think the person was helpful regardless of their professional standing. The social workers were most helpful because they did offer that hope, that possibility of recovery, whether they knew what that framework was or not.”
Trauma-Informed Care • Literature clear on importance of recognizing signs of trauma and trauma-informed care • Peers said this was an area where social workers are lacking....
“I felt dismissed, patronized, demeaned and ignored in the system. Everything I was taught as a child in my trauma was reinforced in my journey through the system.” -Alternatives 2010
“The biggest thing that was so frustrating was that, even though it was in the record that I had a traumatic brain injury, they had no under-standing whatsoever of the effects of trauma…. It was me educating them about what I needed.” - Alternatives 2010
Peer Participation in Social Work • Stand-out examples exist • Via peer support • Co-teaching of courses or class guests • Participation in organizational policy “I’ve learned more from my data collecting of personal stories than from any of my mental health courses” - APM Discussion Participant, 2010 Peer participation is not the norm.
Culturally Competent Practice “…Recovery cannot take place outside the context of a person’s culture, sexual orientation, or spiritual beliefs” - Faculty interviewee, 2010 • Necessity of culturally competent practice has been included in: • Conferences/training events • NASW Code of Ethics • CSWE Educational Policy and Accreditation Standards • Needs constant attention
Plan for Social Work • Provide a holistic training • Build on existing partnerships between schools and field instructors • Training will target: • Field instructors • Social work programs/faculty
Structure for the Curriculum Target audience: Field Instructors • Curriculum components • 3 webinars (with CEUs) • Competencies for Recovery-oriented Social Work Practice • Language for field contracts/assessments
Structure for the Curriculum Secondary target: Social work education programs • Curriculum components • Launch at CSWE Annual Program Meeting • Posted webinars • Competencies document • Model syllabi • Recovery bibliography • Student exercises
Training Manual Development • Steering Committee • Webinar Presenters • CSWE Director of Accreditation • SAMHSA and Development Services Group • Comments from participants at conferences • CSWE’s Annual Program Meeting • Alternatives Conference • APA’s Institute
Webinar 1: Introduction to Mental Health Recovery in Social Work Learning Objectives • Define recovery • List 2 milestones in the evolution of the recovery movement • List 3 of the 10 components of recovery • Identify 2 similarities between social work and recovery • Identify 1 area of social work practice that would change if recovery-oriented practice is implemented Presenters • Lauren Spiro (National Coalition for Mental Health Recovery) • Patrick Sullivan (Indiana University) • Video Clips • Paolo del Vecchio (SAMHSA) • MSW with lived experience Goal Educate social workers about mental health recovery
Webinar 2: Mental Health Recovery Competencies in Social Work Learning Objectives • Identify 2 methods for involving individuals with lived experience throughout the process • List 5 competencies for social work practice in a recovery framework • Identify 2 recovery-oriented practices • Describe 1 opportunity and 1 challenge in implementing the recovery model Presenters • Patrick Sullivan (Indiana University) • Debbie Plotnick (Mental Health Association of Southeastern Pennsylvania) • Video Clips • Charles Curie (Curie Group, LLC & former SAMHSA administrator) • Richard Goscha(University of Kansas) Goal Teach competencies needed to integrate mental health recovery into social work practice
Webinar 3: Infusing Mental Health Recovery in Social Work Field Instruction Goal Infuse mental health recovery in field instruction Learning Objectives • List 5 competencies for social work practice in a recovery framework • Describe a model recovery-oriented agency • Identify at least 3 recovery practices essential to the student field experience • List at least 1 potential example of student assessment measures Presenters • Lauren Spiro (National Coalition for Mental Health Recovery) • Marylou Sudders (Massachusetts Society for the Prevention of Cruelty to Children) • Video Clips • King Davis (University of Texas at Austin) • Marvin Southard (LA County Department of Mental Health) • MSW student in recovery agency (Recovery Empowerment Network)
Plan for Piloting Curriculum • Expected pilot participants (Stakeholder Representatives) • Utilize the already established network of people (interviews, focus groups, etc.) to solicit pilot participants • Field instructors, MFP fellows, students, consumers, faculty members • At least 10 individuals • Initial pilot trainings occuredearly September 2012.