1. Unity Adult IP Care Model Session 2, November 17, 2015

2. Agenda  Introductions  Review Unity Values  Outcome goals  Brainstorm Activity: Programming Content  Brainstorm Activity: Programming Schedule

3. Unity Values: Common Themes  Patient-centered care/advocacy  Teamwork/collaboration  Relationships important  Peer/family support network important for healing  Addictions and homeless services  Compassion/empathy (recognizing our shared humanity)  Trust and respect  Diversity/inclusion  Innovation/creativity  Empowerment  Relentless vision of well-being and hope  Joy  Integration with community/continuity of care

4. Defending our current state Defensiveness is one of the mechanisms we use when we are feel unsafe in a conversation, and can cause a conversation to go astray. It can be seen in:  Overstating your position  Not listening to others, and listening more to your own inner conversation Where Does Defensiveness Come From? When we feel unsafe whenever we fear Being found to be less than what they want others to perceive them as being A loss of status Our self-image is under challenge Our self-esteem is threatened

5. SHIFTING DEFINESIVENESS TO A STATE OF CURIOUSITY AND DISCOVERY  Defensiveness only causes you to become more entrenched in your position. Whereas curiosity and discovery enable you to make sense of why you are reacting the way you are, (or why the other person is reacting they way they are, if they have become defensive).  Seek to understand  Curiosity and discovery will cause you to ask better questions of yourself such as "Why am I reacting this way?“, "What is triggering me to feel vulnerable?" Asking these types of questions enables you to shift your thinking.  Lead to opening our minds to new ideas and possibilities

6. Outcome Goals  Discharge: medication compliance (realistic, affordable, individualized to preferences); a plan (safety, treatment, connection not just appointment); outpatient plan; warm handoff, feel free to come back; peer connection; family feeling supported, connected, informed; option to return for ongoing group; team cohesion without patient; family feeling supported, connected and informed;  Addictions: patient preference, assess current place, provide education / options, not judge, specific group  Have skills- different than on admit  Education about their illness, options  New hobbies  Healthy life skills  Insurance  Identify the patients support system crisis  Crisis stabilization  Establish hope/trust  Understand pt. history  Safest d/c plan possible  Identify barriers to continued care  Create welcoming community  Safety plan  Empowering through education  Increase leisure skills for positive lifestyle through group  Coping skills – practice them  Safety plan  Better impulse control

7. Outcome Goals  Superior overall experience, constantly improving  Comprehensive, patient driven, and doable d/c plan  Better handoff to outpatient  Peer support as part of d/c plan  Medication plan  Shameless return option  Start the continuum of care to the next step  Improve patient and family/support knowledge  Implement care plan with short term and long term goals  Stabilization  Increased resilience  Connection to community  Safety all around  Furthering community and patient plans  Empowerment and involvement  Keeping it real/realistic and culturally informed  Optimize/maximize outpatient resources  Achieve optimum stability: to allow access to resource; state of hope; state of safety; learn skills for living (strategies for success); pt. activation/ empowerment  Adequate access to medications and medical care  The patient will feel Unity is a place of safety and healing that if needed they would return/ recommend to others  Normalizing mental health care

8. Task for the Day: Programming Design  Parameters  Plan for 4-6 hours of programming each day  Should include family  RCCS Model requires a community meeting  Group size 10-12 patients  Include outdoor time in coordination with Peds  Other?

9. Breakout Activity: Programming Menu  Brainstorm a menu of types of programming (groups/topics)  Report back to the group  Capture common themes

10. Breakout Activity: Schedule  Create two programming schedules by acuity  Report to the group  Capture common themes

11. Next Steps

12. Thank you!