1 Building Community: Through Finding Our Voice and Engaging in Dialogue, Part 2 By Daniel Fisher, MD, PhD National Empowerment Center

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Healing Elements of Therapeutic Conversation: Dialogue as an Embodiment of Love “The drama of the process lies not in some brilliant intervention by the professional, but in the emotional exchange among network members, including the professionals, who together construct or restore a caring personal community.” Reference: Healing Elements of Therapeutic Conversation: Dialogue as an Embodiment of Love JAAKKO SEIKKULA, PH.D. w DAVID TRIMBLE, PH.D. Fam Proc 44:461–475,

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17 Part One: Self-determination through SELF-DIRECTED CARE Taking Charge of Our Own Lives……. Prepared by: Patrick Hendry Executive Director Florida Peer Network

18 The Florida Self Determination Care (SDC) Program (Patrick Hendry, Florida SDC Program) Life Analysis Life Action Plan Life/Recovery Coaching Individualized Budget Brokered Services & Supports New Life Action Plans & Budgets Quarterly Review

19 Traditional approach Available Resources Treatment Goals Available Supports Person Focus is on “Managing the Illness” Source: Foundations of Person-Centeredness, Level 1 Workbook – pg 18

20 Person-centered approach Resources Dreams Natural Supports Person Focus is on “Promoting Recovery” Source: Foundations of Person-Centeredness, Level 1 Workbook – pg 19

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Results of Crisis Residential (CRP) vs. Inpatient Hospitalization (IP): Service Satisfaction Average 30-day satisfaction was higher for the CRP group than the IP group (p <.001). The strong difference in satisfaction remained throughout the outcome period. 25

Results of Crisis Residential vs. Inpatient Hospitalization: Rosenberg Self-Esteem Analysis of the Rosenberg self-esteem scale indicated average improvement across time only in the CRP condition, as seen by the non-significant slope and the significant group x time interaction. 26

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