1. Practical Strategies for Building Active Community Lives Community Integration Strategies For Continuous Quality Improvement Forum Montgomery County, Pennsylvania Tuesday, April 27, 2010 Richard C. Baron, MA Co-Director, Knowledge Translation Activities Jonathan C. David, Ph.D. UPenn Collaborative on Community Integration

2. UPENN Collaborative on Community Integration for People with Psychiatric Disabilities University of Pennsylvania Philadelphia, PA www.upennrrtc.org 215.746.6713 jdavid@mhasp.org 267-507-3813

3. Practical Strategies Agenda  Community Integration Fundamentals Definitions Justifications Principles Domains  An Action Plan Assess Priorities Explore Resources Identify Barriers Offer Support Update Plan  Examples  Questions & Answers

4. Community Integration: Definition The opportunity to live in the community, and be valued for one’s uniqueness and abilities, like everyone else (Salzer, 2006)

5. Community Integration: Alternative Definitions  “It’s what recovery is for.”  “It means weaving into the whole even that parts that are uncomfortable and don’t seem to fit, even the parts that are complicated and painful.” (Lisa Koon)

6. Community Integration: Why? Housing – segregated into impoverished communities Employment – 85% unemployment rate Social Networks – 50% of non-disabled contacts Parenting – 2.8 times more likely to lose custody Civic Life – 37 states restrict the right to vote

7. Community Integration: Why Not?  Would participate  Should participate  Could participate

8. Community Integration Principles I: Recognizing Rights, Roles, and Responsibilities Community Integration… 1.…is a right. 2.…offers opportunities in varied roles. 3.…promotes a sense of responsibility.

9. Community Integration Principles II: Promoting Opportunities Community Integration offers opportunities… 4.…to move from institutional services to community care. 5.…to move from staff-directed activities to self- directed activities. 6.…to move from the psychiatric milieu to engagement in the community.

10. Community Integration Principles III: Implementing Effective Strategies Community Integration… 7.…is founded on consumer choice 8.…utilizes natural supports and community resources

11. Community Integration Principles III: Implementing Effective Strategies Community Integration… 9.…identifies environmental barriers Discrimination Disempowerment Poverty Transportation Staff attitudes

12. Community Integration Principles III: Implementing Effective Strategies Community Integration… 10. …offers individual supports Encouraging new goals Accessing community resources Skills training Personal assistance Financial assistance

13. Domains of Community Integration Housing Employment Friendships Family Peer Support Religion/Spirituality Leisure & Recreation Civic Life Intimate Relationships Health & Wellness Education Finances

14. Three Evidence-Based Strategies to Avoid Change  We already do this  We have no resources to do this  This will never work

15. Practical Strategies  Assess Needs & Priorities  Explore Community Resources  Identify Environmental Barriers  Offer Individualized Supports  Update the Plan

16. Practical Strategies: Assess Needs & Priorities Counselor/client assessment of current levels of community integration Expression of interest in progress in varied domains Setting priorities: feasibility, importance, opportunity Overcoming counselor/client anxiety

17. Practical Strategies: Explore Community Resources What already exists for non-disabled citizens What entry requirements are there What demands does participation make Sharing information gathering responsibility

18. Practical Strategies: Identify Environmental Barriers Consumer/staff/community attitudes Regulations and legislation Financial resources Community discrimination

19. Practical Strategies: Offer Individualized Supports Staff training Accompaniment Community mentors Financial assistance

20. Practical Strategies: Update the Plan  An initial plan  who, what, where, when, how  A plan to review  A plan to revise

21. For More Information University of Pennsylvania Collaborative on Community Integration www.upennrrtc.org Regional Mental Health Services Coordination Office www.fivecountymh.org