<Site Name> Organizational Relapse Prevention Plan <Presenter, Credentials, SIF Role> June 14, 2017 Please Include: Site Name Presenter Name, Credentials, SIF Role

Signs of Relapse Pick several measurements that are hard for you to maintain now or you had to work to get established Pick the signs that mean the most to you Examples on slide: 9

Who will Monitor? Determine who is responsible for monitoring which signs of organizational relapse. Examples on slide 10

How to Monitor Signs of Relapse? Where will signs of relapse be found? How will sign of relapse be addressed when they arise? Example on Slide 11

Organizational Processes In Place to Support Our Plan How to ensure fidelity to ORPP Example on slide 12

Organization Processes Needed to Replace AIMS Support Examples on slide 13

Training Plans for Existing and New Staff Examples on slide 14

Distributing the Plan/Review of Plan Examples on slide 15

Signs of Relapse - Example Less warm connections, overall lower caseload Patients staying for long term therapy- calling this a therapy program Less PHQ-9s being done Few RPP done Patients not improving without a consult Waiting list Delete

Who will Monitor? - Example CM for their caseload Lead for the whole team PC for review of caseload stats as well All to bring up good issues Delete

How to Monitor Signs of Relapse? Example CM/therapist will review their caseload and follow up with patients accordingly CM do report for manager monthly Team meeting discusses registry information weekly Manager discusses variations with individuals first as a team discussion to help CM find out how others are keeping to the model and later if needed 1:1 Delete

Organizational Processes In Place to Support Our Plan - Example Weekly team meetings with PC Weekly team meetings just CM and therapists Monthly program review meeting Chart monitors quarterly to see if care model, PST, EBT is being done Keep upper management in the process so they support its maintenance All clinic staff meeting every 6 months to discuss how things are working for all involved Delete

Organization Processes Needed to Replace AIMS Support - Example ---- will do a monthly report of the statistics – similar to AIMS Overview Report Set a standard that is expected and review each month CM’s review of registry together in team meeting Policy and procedure book Delete

Training Plans for Existing and New Staff - Example Review of PST skills – training in other brief EBT models Use of modules from the SIF website/more careful monitoring of adherence to the model in the beginning Delete

Distributing the Plan/Review of Plan - Example Have a book for materials Write procedures for new employees Evaluate program monthly and do a full review yearly Delete