1. People
Crisis as opportunity

2. Welcome to Rose House

3. Rose House About Rose House
Short-term Crisis Respites
Home-like alternatives to hospital psychiatric emergency departments and inpatient units
A successful model that has been studied and replicated across the United States and internationally
100% peer-run: all staff have personal lived experiences with mental health challenges and recovery
Over 20,000 psychiatric hospital days diverted and over 4,000 unique individuals served (People USA’s Rose Houses only)
Highly trained and skilled staff

4. Rose House Core Values Engagement Environments Mutuality Philosophy
that values customer service and person-centered communication
Environments
where people feel safe and comfortable
Mutuality
of staff who have had similar experiences and can empathize
Philosophy
that all people can find their own pathways to recovery and wellness

5. Rose House Massive Health Care Savings
Psychiatric Hospitalization
Avg. cost per person, per day in public hospital: $1,500 USD
Rose House
Cost per person, per day: $410 USD
Daily Savings
Per person, per day: $1,090 USD
Annual Savings
Per Rose House: over $2.38 million USD

6. Rose House What is a “crisis” / Why people come
Overwhelming feelings of emotional distress caused by any one or combination of the following:
Adverse thought- or behavior- patterns
The after-effects of trauma (short-term, long-term)
Acute psychiatric symptoms
Suicidal ideation
Addiction and chemical dependency
Living with chronic health issues
Strained relationships (family, friends, etc.)
Socio-economic stressors

7. Rose House Cycles of Crisis
Most Rose House guests meet the following criteria:
High ED Utilization History (e.g. 4 or more ED visits in calendar year)
High Admission History (e.g. 2 or more inpatient admissions in calendar year)
History of Substance Use Issues
Co-occurring Physical Health Issues:
Cardiovascular Disease
Respiratory Disease
Diabetes
High Risk of Hospital Readmission

8. Rose House Breaking Cycles of Crisis
Not only do Rose House guests not use hospitals when experiencing a crisis, but follow-up studies show that
88% of guests stay out of the hospital
99% attribute that success to Rose House
Multi-Year Study (n=296)

9. Rose House Testimonials
“I’ve never received this type of care at the hospital. I’ll definitely use the Rose House for help in the future.”
F.R. Kingston, NY
“In the last five years, I’ve avoided using the hospital ten times with the help of Rose House. It’s part of how I manage my mental health.”
D.B. Carmel, NY
“The staff made me feel safe. They also made me feel strong and ready to move forward with my life.”
J.C. Glens Falls, NY

10. Rose House How Rose House works
Rose Houses are open and immediately accessible 24/7/365 for hospital diversion.
The service is 100% voluntary, and guests can stay up to 5 nights (with a 1-2 day extension if/when needed).
While at the house, they have access to a full menu of services that includes
Peer Support & Engagement
Recovery & Wellness Education
Solution Planning
Personal Wellness Activities
Connections to Community Resources
Guests can come-and-go for their appointments, jobs, and other essential needs.
Each Rose House also has a built-in warm line for 24/7 telephone peer support to help people remain in their homes if and when possible.

11. Rose House Rose House Questionnaire – Entry vs. Exit
Do you understand what happened that caused you to come to the Rose House?
Are you aware of skills & resources that can help you in times of emotional distress?
Are you educated about ways to improve your mental health & overall wellness (i.e. your whole health)?
Have you examined the relationship between your overall wellness and your current situation?
Are you able to resolve the issues that brought you to the Rose House?
Do you know simple & effective ways to make yourself feel better?
Are you able to connect with useful resources in the community to help you move towards wellness?
Do you feel comfortable returning home after your Rose House stay? 1 2 3 4 5
No, not at all
No, not really
Neither yes nor no
Yes, somewhat
Yes, very much

12. Rose House Rose House Questionnaire – Entry vs. Exit
Q (n=134)
Q (n=132)
Question
Pre Avg.
Post Avg.
Difference 1
4.62
4.71
+ 0.09
4.80
4.90
+ 0.10 2
4.09
4.38
+ 0.29
4.14
4.56
+ 0.42 3
4.21
4.37
+ 0.16
4.26
+ 0.12 4
3.84
3.99
4.30
+ 0.31 5
3.57
3.93
+ 0.36
3.52
3.89
+0.37 6
3.90
4.25
+ 0.35
4.08
+ 0.01 7
3.98
4.23
+ 0.25
4.05
4.32
+ 0.27 8
3.68
3.82
+ 0.14
3.78

13. Rose House Public Health Surveillance Well-Being Scale– Entry vs
Rose House Public Health Surveillance Well-Being Scale– Entry vs. 30-day Follow
1. For each statement listed, please indicate whether you personally agree or disagree. 1a. I am satisfied with my life 1b. My life has a clear sense of purpose 1c. Most days I feel a sense of accomplishment from what I do 1 2 3 4 5
Strongly Disagree
Strongly Agree

14. Rose House Public Health Surveillance Well-Being Scale– Entry vs
Rose House Public Health Surveillance Well-Being Scale– Entry vs. 30-day Follow
Q (n=134)
Q (n=132)
Question
Pre Avg.
Post Avg.
Difference 1a
3.02
3.69
+ 0.67
2.75
3.48
+ 0.73 1b
3.22
3.94
+ 0.72
3.08
3.67
+ 0.59 1c
3.10
3.96
+ 0.86
2.87
3.26
+ 0.39

15. Rose House Public Health Surveillance Well-Being Scale– Entry vs
Rose House Public Health Surveillance Well-Being Scale– Entry vs. 30-day Follow
2. How much of the time during the past 30 days have you felt 2a. Cheerful 2b. Hopeless 1 2 3 4 5
None of the time
Some of the time
All of the time

16. Rose House Public Health Surveillance Well-Being Scale– Entry vs
Rose House Public Health Surveillance Well-Being Scale– Entry vs. 30-day Follow
Q (n=134)
Q (n=132)
Question
Pre Avg.
Post Avg.
Difference 2a
2.88
3.72
+ 0.84
2.72
2.83
+ 0.11 2b
2.97
2.52
- 0.45
2.93
2.30
- 0.63

17. Rose House Public Health Surveillance Well-Being Scale– Entry vs
Rose House Public Health Surveillance Well-Being Scale– Entry vs. 30-day Follow
3. How satisfied are you with the following items 3a. Your family life 3b. Your friiends and social life 3c. Your energy level 1 2 3 4 5 6 7 8 9 10
Very dissatisfied
Very Satisfied

18. Rose House Public Health Surveillance Well-Being Scale– Entry vs
Rose House Public Health Surveillance Well-Being Scale– Entry vs. 30-day Follow
Q (n=134)
Q (n=132)
Question
Pre Avg.
Post Avg.
Difference 3a
4.36
6.41
+ 2.05
4.40
4.89
+ 0.49 3b
5.12
6.67
+ 1.55
4.58
5.78
+ 1.2 3c
4.64
6.78
+ 2.14
4.77
5.96
+ 1.19

19. Rose House Public Health Surveillance Well-Being Scale– Entry vs
Rose House Public Health Surveillance Well-Being Scale– Entry vs. 30-day Follow
4. In general, would you say your health is 1 2 3 4 5
Excellent
Very good
Good
Fair
Poor
5. During the past 30 days, for about how many days have you felt very healthy and full of energy?
# of Days

20. Rose House Public Health Surveillance Well-Being Scale– Entry vs
Rose House Public Health Surveillance Well-Being Scale– Entry vs. 30-day Follow
Q (n=134)
Q (n=132)
Question
Pre Avg.
Post Avg.
Difference 4
3.33
2.96
- 0.37
3.64
3.22
- 0.42 5
9.80
14.69
+ 4.89
8.37
14.21
+ 5.84

21. Rose House External Research
The Impact of a Consumer Run Hospital Diversion Program on Quality of Life and Recovery: A Comparative Study
Presented by:
Michael J. Bologna, PhD, MSW, Associate Professor of Counseling The College of Saint Rose, Albany, New York
Richard T. Pulice, Ph.D., MPH, Associate Professor of Social Work The College of Saint Rose, Albany, New York
Presented at:
The 137th American Public Health Association Conference November, 2009
Philadelphia , PA

22. Rose House External Research
Summary
The results of this program evaluation indicate that services at Rose House are more client-centered, and less restrictive than inpatient hospitals. Staff is more likely to be respectful in their approach to clients than hospital settings. Clients who experience the Rose House diversion program, report feeling comfortable with the treatment received, as well as the environment. They also see peer-run programs as reducing stigma associated with mental illness.
For the most part Rose House alumni are socially involved, and report satisfaction with theses activities. Rose House clients believe that peers and peer-run programs provide valuable help with the recovery process.