An Introduction to the Via Hope Recovery Institute Texas Council of Community Centers Behavioral Health Consortium January 12, 2012

Presenters Sam Shore Texas Department of State Health Services sam.shore@state.dshs.tx.us Anna Jackson Via Hope Texas Mental Health Resource anna@mhatexas.org

DSHS Perspectives on Recovery National Context, State Vision, Current Strategies

National Context National Context—A Good and Modern Recovery Based System of Care Prevention and early intervention are crucial Recovery orientation, importance of peer services Integration of Substance Use and Mental Health Whole Health

Hope, Resilience, and Recovery for Everyone MHSA Vision Hope, Resilience, and Recovery for Everyone

MHSA Mission To improve health and well-being in Texas by providing leadership and services that promote hope, build resilience, and foster recovery.

Seven MHSA Goals Implement effective administration strategies to empower staff to achieve the division’s mission. Promote resilience-based and culturally competent substance abuse prevention and mental health promotion across the lifespan.

Seven MHSA Goals Implement a statewide behavioral health recovery model. Maximize service delivery through accountable and sustainable partnerships.

SAMHSA Working Definition of Recovery* A process of change through which individuals improve their health and wellness, live a self-directed life, and strive to reach their full potential. *Both mental health and substance use disorders.

SAMHSA Working Definition of Recovery* 4 Dimensions that support a life in recovery: Health: Overcoming or managing one's disease(s) as well as living in a physically and emotionally healthy way. Home: A stable and safe place to live. Purpose: Meaningful daily activities, such as a job, school, volunteerism, family caretaking, or creative endeavors, and the independence, income, and resources to participate in society. Community: Relationships and social networks that provide support, friendship, love, and hope. *Both mental health and substance use disorders.

DSHS Recovery Strategy Division-wide strengths-based assessment: Recovery Knowledge Inventory and Capacity Survey. Promote recovery and resilience at the state, provider, and individual levels.

DSHS Recovery Strategy Promote greater integration of mental health and substance use disorder services. Behavioral health services with physical health services. Emphasis on the development and integration of peer support services through training, certification, and collaboration.

Via Hope Recovery Institute Background and Overview

Background/Context Via Hope created from SAMHSA Mental Health Transformation Grant. Training and technical assistance. Promote system transformation. Change traditional system, culture, and practice. Become more recovery-oriented, strengths-based, person centered, and focused on resilience. A partnership between Texas Department of State Health Services, Mental Health America of Texas, and NAMI Texas.

Background/Context Evolution in approach: FY’2010: Peer Specialist Learning Community. Designed to encourage/facilitate use of peer specialists. Highlighted need to consider organizational culture. 10 LMHAs, 1 Consumer-Operated Service Provider. FY’2011: Recovery Focused Learning Community. Designed to encourage re-orientation of philosophy to recovery focus. Highlighted importance of peer support in recovery model. 5 Hospitals, 10 LMHAs

Background/Context Lessons learned in two years: Importance of focusing on system change. Need to continue support for organizations that have started down this road. Learning collaborative approach is effective. Need to cultivate/support Texas leaders. Need process to disseminate concepts, continually bring in new participants. Need to collaborate more closely with DSHS/MHSA.

Aims of the Recovery Institute Help organizations develop culture that support and expect recovery. Promote consumer, youth, and family voice in a transforming system. Build on progress made to date. Provide different levels of engagement. Continually bring in new participants. Build Texas capacity, Texas leadership.

Key Partners and Staff Texas Department of State Health Services Sam Shore, Wendy Latham Via Hope, Texas Mental Health Resource Anna Jackson, Olivia Flournoy, Dennis Bach The University of Texas Center for Social Work Research Stacey Manser Stevens, Michele Murphy-Smith, Wendy Brooks

Stakeholder Involvement Each level of the Recovery Institute: Will have a work group consisting of DSHS staff, Via Hope Advisory Board Members, members of the Texas recovery community. Incorporates people in recovery as collaborators, colleagues, and key stakeholders in the change process. Includes efforts to build in-state training and technical assistance capacity and local champions.

Recovery Institute Initiatives

Awareness Raising Level One – Two Components Periodic Webinars Via Hope-sponsored (issues as they emerge from field). SAMHSA-sponsored (e.g. Recovery to Practice). “Recovery Reads” Book Club. Monthly selection and discussion questions. Designed for licensed professionals, peer specialists and peers that receive services. Open to anyone, participate at level of interest. Sign up online. www.viahope.org/programs/recovery-institute

Leadership Academy Level Two 1 day launch event in Austin. Each participant to attend a regional seminar--locations to be determined (not Austin). Monthly conference calls or webinars. 20 organizations accepted, with up to 4 participants from each—some centers and hospitals invited local advocacy organizations to join their teams. 2 Hospitals, 17 LMHAs, 1 Advocacy Organization

Leadership Academy Level Two Bring new voices into the recovery discussion. Increase understanding of recovery concepts. Deepen engagement and commitment to transformation. Begin process of organizational self assessment.

Recovery Oriented Organizational Change Initiative Level Three Competitive application; 5 organizations accepted. 2 Hospitals, 5 LMHAs. Requires Executive Sponsor and Change Team. Requires greater level of commitment to working on recovery orientation. Starts at sites in February

Recovery Oriented Organizational Change Initiative Level Three Continue to deepen recovery orientation throughout change units, ultimately entire organization. Initial day of on site consultation. 2 days of foundational training. Ongoing coaching and technical assistance. David Stayner and Associates. UT-CSWR – Michele Murphy-Smith, Phd Further develop use of peer specialists. Technical Assistance from experts in field and local apprentices.

Person Centered Recovery Planning Implementation Pilot Level Four Person Centered Planning is described as “a collaborative process resulting in a recovery oriented treatment plan; is directed by consumers and produced in partnership with care providers and natural supporters for treatment and recovery; supports consumer preferences and a recovery orientation” (Adams & Grieder, 2005).

Person Centered Recovery Planning Implementation Pilot Level Four Janis Tondora, Yale Program on Recovery and Community Health (YPRCH Team Lead). Olivia Flournoy, Via Hope (Texas lead). One day seminar held for DSHS staff and key stakeholders on November 2nd, planning sessions on Nov. 3rd. DSHS-level team incorporating key stakeholders involved in targeted technical assistance to address systemic barriers to successful implementation.

Person Centered Recovery Planning Implementation Pilot Level Four Training and Technical Assistance Components General training for staff on-site. Pilot team consultation. Meet and greet for the 2 sites. 2-day skills training. Intensive, case-based technical assistance (site teams, state team, peer specialists). Training for peer specialists. Launch with local recovery community.

Person Centered Recovery Planning Implementation Pilot Level Four DSHS internal stakeholder involvement. Ongoing commitment by DSHS to approach. Competitive application; two organizations selected for first phase. One hospital and one center serving some of the same folks—Austin State Hospital and Bluebonnet Trails. Multi-year effort to achieve widespread adoption of approach—FY2012 is just the first year.

Presentation Possibilities Future Via Hope Presentation Possibilities Evaluation data from related Via Hope initiatives—The University of Texas at Austin Center for Social Work Research Via Hope, UT-CSWR, and DSHS on specific Recovery Institute Projects/ Levels Consumer Operated Service Provider Institute Family Partner training and Certification Program Peer Specialist Training and Certification Youth and Young Adult Engagement Initiatives

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