Recovery … Changes the future

Principles of a Mental Health Recovery – Oriented System Melinda Shamp & Helen Ghebre Clinical Services & Policy Team Consultants DHS/Adult Mental Health Division Dr. Richard Oni, Executive Director, Progressive Individual Resources II & Village Wellness Center June 17, 2013,

Purpose The implementation of recovery principles can shape mental health programs by developing and delivering services that are reflective of, and relevant to, the people we serve who are seeking success in a variety of chosen roles, settings, and communities.

Objectives  Review the types of rehab options and continuing care services associated with the current mental health system in Minnesota  Learn the principles of recovery and implementation in practice  Examine how principles of practice ensure cultural responsiveness in a recovery ‐ oriented mental health system.

Recovery Construct SAMHSA Individuals and Families HOME ↑ Permanent Housing COMMUNITY ↑ Peer/Family/ Recovery Network Supports PURPOSE ↑ Employment/ Education HEALTH ↑ Recovery 11

Guiding Principles of Recovery oriented Systems of Care ~ SAMHSA aug 2009 & DHS AMHD 2010 National Summit on Recovery (2005 National Summit on Recovery (2005)  SAMHSA Working definition of Recovery  DHS/Adult MH Division (2010)  Working definition for Recovery & Mental Health  “A process of change through which an individual achieves improved health, wellness, and quality of life…” “A personal journey of healing to attain satisfaction in life, work, a home, and close relationships.”

Guiding Principles…  There are many pathways to recovery. Recovery is:  self-directed & empowering  involves a personal recognition of the need for change & transformation  Holistic  Unique & impacted by cultural beliefs & traditions. A person’s cultural experience often shapes the recovery path that is right for him/her  Exists on a continuum of improved health & wellness  Emerges from hope and gratitude  Involves a process of healing & self-redefinition  Involves addressing discrimination & transcending shame & stigma  Is supported by peers & allies  Involves re-joining & rebuilding life in the community  Recovery is a reality

Guiding Principles A recovery based service system promotes MN Adult MH Division Guiding Principles A recovery based service system promotes Hope. People will have a sense that things will improve & life’s goals can be met. Providers of mental health services will build on a person’s strengths & welcome peer & family involvement. Personal Choice. People will have a sense of empowerment & personal responsibility. Providers will respect a person’s direction in their individual service goals. Holistic Approach. Providers of mental health services will recognize the whole person: mind, body, spirit, culture & community. There is recognition that setbacks and successes are both parts of life’s goal achievement.

Minnesota’sCurrent Rehab Option Services Minnesota’s Current Rehab Option Services  Adult Rehabilitative MH Services (ARMHS)  Assertive Community Treatment (ACT)  Crisis Response Services  Day Treatment Services  Intensive MH Outpatient Services / Certified DBT  Intensive Residential Treatment Services IRTS …in addition, Community Support Services (CSP) & Community Recovery services (ICRS) Conducted Training & Reinforcement of Documentation Components that illustrates:  The Uniqueness of the Person  Real Choices  Attitudes & Rights  Dignity & Respect  Partnership & Communication Definitions about data elements and processes are shared across these platforms.

Transformation of a recovery-oriented mental health system  “The seeds of transformation grow from within us, so we start paying attention to who we are becoming & how we are being.”

Recovery Principles & Culturally Specific Service ~ National CLAS Standards

National Standards for Culturally and Linguistically Appropriate Services (CLAS)  Advance health equity  Improve quality  Help eliminate health care disparities  Wellness & Recovery

National Standards for Culturally and Linguistically Appropriate Services (CLAS)  PRINCIPLE STANDARDS Provide effective, equitable, understandable, and respectful quality care and services that are responsive to diverse cultural health beliefs and practices, preferred languages, health literacy, and other communications needs.

National Standards for Culturally and Linguistically Appropriate Services (CLAS) Theme 1: Governance, Leadership, and Workforce  Advance and sustain governance and leadership that promotes CLAS and health equity  Recruit, promote, and support a diverse governance, leadership, and workforce  Educate and train governance, leadership, and workforce in CLAS

National Standards for Culturally and Linguistically Appropriate Services (CLAS) Theme 2: Communication and Language Assistance:  Offer language assistance to individuals who have limited English proficiency and/or other communication needs, at no cost to them, to facilitate timely access to all health care and services.  Inform all individuals of the availability of language assistance services clearly and in their preferred language, verbally and in writing.  Ensure the competence of individuals providing language assistance, recognizing that the use of untrained individuals and/or minors as interpreters should be avoided.  Provide easy-to-understand print and multimedia materials and signage in the languages commonly used by the populations in the service area.

National Standards for Culturally and Linguistically Appropriate Services (CLAS) Theme 3: Engagement, Continuous Improvement, and Accountability  Infuse CLAS goals, policies, and management accountability throughout the organization’s planning and operations  Conduct organizational assessments  Collect and maintain demographic data  Conduct assessments of community health assets and needs

National Standards for Culturally and Linguistically Appropriate Services (CLAS) Theme 3: Engagement, Continuous Improvement, and Accountability, cont’d…  Partner with the community  Create conflict and grievance resolution processes  Communicate the organization’s progress in implementing and sustaining CLAS

Village Wellness Center From Theory to Practice

Definitions of Recovery  Recovery is personal  People define recovery in their own way!  Recovery is culturally based

What is EFFECTIVE for Mental Health Recovery? When asked what would be helpful in their road to recovery, our immigrant clients expressed the following: RespectUnderstanding Some one who knows about their culture Spoke their language Familiar with their community Helps them get a job and training English class Gives them hope Respects their spirituality