1. South Central MIRECC Recovery and Psychosocial Rehabilitation Training Lisa Martone, APN, CPRP Coordinator, MHICM, CAVHS

2. MIRECC and VISN 16 Sponsored Training Two trainings: Little Rock June 2004 May 2006

3. Brief Review

4. Recovery Outcomes Independence Employment Satisfying relationships Improved quality of life

5. Core Interventions Medications Training in self-management of illness Assertive community treatment Family psycho-education Supported employment Integrated treatment for co-occurring substance abuse disorders

6. Outcomes

7. Number of persons who were inserviced/trained at each facility

8. Outcome More than 500 persons have been trained or inserviced in the Recovery Model and Psychosocial Rehabilitation evidence- based practices

9. Topics of training

10. Outcomes Basic Introduction to Model and evidence based practices Motivational Interviewing Functional Assessments and other tools of PSR Skills Training Supported Employment Recovery Planning and Consumer Choice Reintegration Relationship Building Integration of Dual Diagnosis Interventions Cognitive Behavioral Training

11. Programming or Practice Changes in Existing Programming

12. Outcomes Person-Centered Planning (revising TX planning) Services better reflect veteran choices Veteran choices in treatment interventions have been expanded Staff education

13. Programming or Practice Additions

14. Outcomes Peer Support Program Consumer Council Family Psycho-education CBT Groups DBT Group Skills Training PTSD Skills Training Supported Employment Journal Club Implementation of Recovery Committees

15. Funding for Recovery Initiatives

16. Outcomes All sites have received some new recovery funding including: PSR Fellowship (Little Rock) PRRC Supported Employment Expansion of Vocational Rehabilitation programs Funding for MHICM or expansion of existing programs Funding for local Recovery Coordinators

17. USPRA CPRP Certification

18. Outcomes Many staff interested in CPRP certification—2 actually have completed Seventeen staff completed Instructor Training for the Psychiatric Rehabilitation Certificate Program from the University of Chicago (2004) Issues:  Funding  Recognition

19. Plans for additional training and implementation

20. Review current literature and develop educational modules and other materials for new staff hired for the Recovery Initiative Fund staff travel to USPRA national meeting Revise annual evaluations to reflect implementation of Recovery/PSR philosophy/practices Quarterly supervisory meetings with staff regarding caseload and implementation of model Provide training for families and caregivers in the model Continue to work with VA leadership regarding importance of embracing model Implement the WRAP program Increase staff certification in CPRP Obtain station membership in USPRA

21. Other thoughts

22. Monthly PSR Call for staff Staff who have been trained are go-to persons as local experts on the model VISN 16 Recovery Committee Excellent collaboration and sharing between VISN 16 and 17 Infrastructure and support to successfully implement the funded initiatives Ongoing plans to continue training VISN wide VISN 17 Center of Excellence will focus on PSR