1. Community Support Services Training Direct Care Series – Session 1
Rutgers, The State University of New Jersey
School of Health Professions
Department of Psychiatric Rehabilitation and Counseling Professions

2. Learning Objectives ● Describe Community Support Services (CSS)
● Define the goals, values and principles of the wellness and recovery approach
● Identify how the wellness and recovery approach informs CSS service delivery
● Examine current agency service delivery model and identify changes needed to provide quality CSS services
● Explore potential barriers and solutions to agency change

3. Talking About Invisible Illness - Mental Illness
Video
Talking About Invisible Illness - Mental Illness

4. Community Support Services Consists of…
Mental health rehabilitation services and supports necessary to assist a consumer in achieving mental health rehabilitative and recovery goals as identified in the individualized recovery plan. This includes achieving and maintaining valued life roles
(Larosiliere, 2011)

5. Service Delivery (Larosiliere, 2011)
Rehabilitation Needs Assessment
Individualized Rehabilitation Plan
Skill Development
IMR Trainings
Crisis Intervention
Coordination of Services
(Larosiliere, 2011)

6. Group Exercise- Community Support Services

7. Group Exercise- Community Support Services
Participants will break up into six groups
Identify 1 recorder and 1 reporter
How is your assigned service delivered in your agency?
Looking at all 6 services:
What service do you spend the most time providing?
Are there any of these services that your agency is NOT providing? Why?
Is there a service that you could spend more time on that would benefit the consumers?

8. Historical Roots 1963 Community Mental Health Law Act
Deinstitutionalization
Community Support System

9. Community Support System
Community Support System is a network of responsible individuals organized to provide support needed to help people to be successful in the community of their choice; that is, in their housing, learning, working, and social environments.
(Stroul, 1989)

10. Community Support System
(Stroul, 1989)

11. Community Support Services
What are the motivating factors that guide your work?

12. Goals, Values and Principles
Goals: Desired states or objectives to strive for and achieve
Values: Beliefs and attitudes that influence our behavior
Principles: Guidelines that are consistent with our values and help us focus on the overall goals in the day-to-day provision of the wellness and recovery approach
(Pratt, Gill, Barrett & Roberts, 2014)

13. 3 Goals of the Wellness and Recovery Approach
Quality of Life
Recovery
Community Integration
…. Of meaning and purpose in one’s life
… which is a sense of belonging to contributing to, feeling comfortable in the larger community.

14. 6 Values of the Wellness and Recovery Approach
1. Belief that everyone has the right of self-determination.
2. Respect for the dignity and worth of every individual.
3. Optimism that everyone has the capacity to recover, learn and grow.
4. Holistic focus on multiple life domains including physical health and wellness.
5. Respect for cultural diversity and sensitivity to cultural traditions and preferences.
6. Promotion of valued social roles and normalized environments.
(Pratt, Gill, Barrett & Roberts, 2014)

15. Group Exercise: Values
Find a partner
Individually, write five areas in your life that you value most
Share your rationale for the five areas that you selected
Pass your list to your partner
Eliminate three areas from your partner’s list
Return the list to your partner
Open discussion

16. 12 Principles of the Wellness and Recovery Approach
Person-centered approach
Focus on work and career development
Partnership between service provider and service user
Assessment related to person chosen goals and environments
Partnership with family members and significant others
Emphasis on goal-related skills training, resource development, and environmental modifications
Utilization of peer support
Integration of treatment and rehabilitation services
Utilization of natural supports
Ongoing, accessible, and coordinated services
Strengths focus
Empirical orientation
(Pratt, Gill, Barrett & Roberts, 2014)

17. individual Exercise: Principles
Pick one principle that you find most important in your work
Share an instance when you have used this principle to guide your practice/work

18. (Centre for Addiction and Mental Health, 2008)
Supervision
“Clinical supervision is the formal provision, by approved supervisors, of a relationship based on educational and training that is work focused and which manages, supports, develops and evaluates the work of colleague/s. The main methods that supervisors use are corrective feedback on the supervisee’s performance, teaching and collaborative goal setting. It therefore differs from related activities, such as mentoring and coaching by incorporating and evaluative component. Clinical supervision’s objectives are “normative” (e.g., quality control), “restorative” (e.g., encouraging emotional processing)and “formative” (e.g. maintaining and facilitating supervisees competence and general effectiveness.)”
(Milne, 2007)
(Centre for Addiction and Mental Health, 2008)

19. Supervision and The Wellness and Recovery Philosophy
High quality practice of direct service providers is guided by strong supervision
Staff should be providing services while embracing the goals, values, and principles of the wellness and recovery philosophy
This should also translate into agency documentation

20. Supervision Strategies
Ride along/Side-by-side Supervision
Evaluating staff documentation
Other?

21. Css implementation
What types of barriers do you encounter when implementing CSS?
What are some possible solutions to overcome the barriers?

22. Learning Application
Provide examples of interventions you provided to consumers that promote community integration on these three levels:
Physical
Social
Psychological

23. Q&A and Evaluations
● Describe community support services (CSS) ● Define the goals, values, and principles of the wellness and recovery approach ● Identify how the wellness and recovery approach supports CSS service delivery ● Examine current agency service delivery model and identify changes needed to provide quality CSS services ● Explore potential barriers and solutions to agency change

24. Zakia Clay, MSW, LCSW, CPRP Anthony Zazzarino MA, LPC, ACS, CPRP
Contact Information
Zakia Clay, MSW, LCSW, CPRP
Ann Reilly MA, LSW, CPRP
Anthony Zazzarino MA, LPC, ACS, CPRP

25. References
Larosiliere, V (2011). Community Support Services [memo]. Retrieved from tice_to_providers.pdf.
Milne, D. (2007). An empirical definition of clinical supervision. British Journal of Clinical Psychology, 46,
Pratt, C. W., Gill, K. J., Barrett, N. M., & Roberts, M. M. (2014). Psychiatric rehabilitation. (3rd ed). San Diego, CA: Elsevier Inc.
Stroul, B. (1989). Comprehensive community support system. Psychosocial Rehabilitation Journal, 12(3), 9-26.