1. QCSI III Charter Teams Report Out Meeting
Illinois Division of Mental Health Quality & Safety Improvement Initiative
Charter Team Topic: Treatment Recovery Philosophy & Policy
Hospital: Chicago Read Mental Health Center
QCSI III Charter Teams Report Out Meeting
June 24, 2013 – Springfield, IL
DRAFT: For Review and Discussion

2. DRAFT: For Review and Discussion
Charter Team Members
Meredith Kiss, MA Quality Manager
Denise Blumenthal, LCSW
Gilda Vilches, MN, RN
Dr. Debra Marsico, PhD
Dr. Charles Stiava, PsyD
Celeste Januszewski, OTLR
April Meeks, MHT
Ashley Bae, LCSW
Laura Barrett-Bombe, OTLR
Dr. James Corcoran, MD
Judy Scott, Patient Advocate
Angela Espinosa, RHIT
DRAFT: For Review and Discussion

3. Treatment Recovery Philosophy and Policy: Overview of Deliverables
Design, develop and pilot a training process that will ensure all staff have acceptable levels of knowledge and understanding of the Treatment Recovery Philosophy and Policy (TRPP)
Develop processes and tools for evaluating patient and staff knowledge and understanding of TRPP
Identify a core set of activities that indicate appropriate TRPP use and provide recommendations for related evaluation and monitoring of that usage
DRAFT: For Review and Discussion

4. QCSI Charter Team Work Process
Team Recovery met weekly in face to face meetings and established mini task forces for each part of the planned initiative to report back the committee of ongoing progress
“Recovery Liaisons” were assigned to each unit to solicit input from person(s) served about the task as their ability to participate in the live weekly meetings was difficult
Resources from SAMHSA, NASMHPD and Yale University were researched and brought to the committee for review and sanction as viable tools and assessments
Team Leader & Patient Advocate investigated the use of the Principles of Recovery at other respective hospitals as well as the role of the Recovery Specialist in staff direct training and intervention
DRAFT: For Review and Discussion

5. Difficulties/Barriers
It was a requirement of the charter team task that there be participation by a person served. Identifying a patient who could attend weekly meetings without interfering with their treatment proved difficult. This barrier was resolved by establishing a “Recovery Liaison” from the committee for each unit to consult with patients and report back to the committee weekly.
An anticipated barrier at time of full implementation is staff resistance in a cultural workforce with limited turnover.
Despite efforts to incorporate a Recovery oriented component in the job description for every DMH employee, the office of the Director of Human Resources for DHS informed us this was not possible.
DRAFT: For Review and Discussion

6. Deliverables/Work Products
Design, develop and pilot a training process that will ensure all staff have acceptable levels of knowledge and understanding of the Treatment Recovery Philosophy and Policy (TRPP)
Mandatory staff training will consist of 3 tiers
New Hire Orientation
Annual Refresher
Opportunities for Improvement (incidental training)
Drafted a proposed Program Directive for a Recovery oriented treatment philosophy to be adopted by each employee of DMH
DRAFT: For Review and Discussion

7. Deliverables/Work Products
Develop processes and tools for evaluating patient and staff knowledge and understanding of TRPP
Education in a computer based learning format as well as post-test materials for staff training
Inclusion of a Recovery discussion in each daily Community Meeting format
Recovery Stories: Guests living with a mental illness come to speak to staff and patients about their journey of Recovery bi-monthly

8. Deliverables/Work Products
Identify a core set of activities that indicate appropriate TRPP use and provide recommendations for related evaluation and monitoring of that usage
Recovery Rounds: An interactive process of evaluation of each treatment milieu conducted by a person served with a member of the Circle of Hope Committee
A copy of the Principles of Recovery be provided to all persons served upon admission in their “Welcome Packets”
Inclusion of a Recovery objective and Recovery competency in every DMH annual performance evaluation

9. Outstanding Questions/Issues
Evaluation of patients’ knowledge of TRPP
Team Recovery initially considered a survey at discharge related to patient’s understanding of TRPP, however, the team felt it was redundant given the current Patient Satisfaction Survey already addresses Recovery in its instrument.
DRAFT: For Review and Discussion

10. Lessons Learned/Recommendations
It is Team Recovery’s belief that, in order to set the expectation that all staff embrace the Principles of Recovery while providing optimal care to patients, ongoing performance evaluations and related competencies must include a Recovery component. It is for that reason that Team Recovery reached out to the DHS Human Resources Director’s Office to propose an addition of Recovery to all DMH job descriptions and employee performance evaluations with an accompanying competency (as previously mentioned).
Adopt and implement “10 Ways to Make Your Recovery Message Visible.” Guidelines on how to enhance your treatment settings to convey a look and feel of hope and recovery.
DRAFT: For Review and Discussion