Psychosocial Rehabilitation and Recovery Services (PSR & RS) April 29, 2006 Robert C. Gresen, Ph.D. Department of Veterans Affairs Office of Mental Health Services

Psychosocial Rehabilitation and Recovery Services: Mission Advocate in VA Central Office for recovery oriented mental health care in VHA Promote PSR and recovery oriented services through education, consultation, program development, monitoring and evaluation Support coordination and integration of PSR and recovery oriented services

Patient Care Services Strategic Plan Promote the Psychosocial Rehabilitation model with a Recovery emphasis for veterans with Serious Mental Illness Mental Health Executive Steering Committee Workgroup Recommendations Approximately half of the 50 recommendations relate to PSR&RS section Mental Health Strategic Plan

PSR&RS Initiatives Program development - current Funding Guidance distributed to the field: Peer support 18, 37 Family psychoeducation 14, 21 Psychosocial Rehabilitation and Recovery Centers (PRRCs) 16, 26 Compensated Work Therapy (CWT) 10, 12 13, 13 (PT) Other Evidence based practices 16, 24

Other PSR&RS initiatives Consumer and family driven- stakeholder participation Mental Health Consumer Council Mental Health Executive Committee

Other PSR&RS Initiatives (continued) National Recovery Coordinator Resource to the field Oversee implementation of recovery initiative in VHA MH Appoint a Recovery Advisory Workgroup to provide expert advice and assistance

Educational Initiatives Satellite programs addressing the general principles of psychosocial rehabilitation and recovery for all mental health staff have been broadcast. Conferences have been held in vocational rehabilitation, peer support and Mental Health Intensive Case Management

Educational Initiatives (continued) Interprofessional Fellowship Program in Psychosocial Rehabilitation for psychiatrists, psychologists, social workers and mental health nurses funded by OAA Educational opportunities have been planned and supported by EES, OAA, OMHS, MIRECCs, VISNs and individual facilities

Other Plans for the Immediate Future Develop IL on PSR concepts Develop IL on peer support: definitions, basic concepts, models ….. Develop directive on Peer Support: policy, procedures, hiring practices, …. Directive for Supported Employment New Educational Initiatives

What VACO Needs From the Field for MHSP Implementation Support for basic premises of PNFCMH, e.g.: Mental Health Is Essential to Overall Health Everyone with a mental illness should have access to effective treatment and supports — essentials for living, working, learning, and participating fully in the communityEveryone with a mental illness should have access to effective treatment and supports — essentials for living, working, learning, and participating fully in the community Proactive response to calls for funding proposals and to generate ideas for proposals Communication to VACO Office of Mental Health Services about successes, obstacles, creative ideas, etc. (training/education)

Non-PSR&RS Initiatives Hybrid Title 38 Police Assessments Associated Health Handbook