2016 Recovery Workforce Summit: Display Poster Presentations

The University of Arizona, Workforce Development Program will show ways to address the morbidity and mortality crisis that affects people with a serious mental illness in this country. They will show the root causes of some of these disparities and how they can be adressed by creating and promoting integrated healthcare systems within the community. Presenters will give examples of tools that have been created for use in Southern Arizona and that observors can use or teach them to create custom tools for use in their own communities.

Adherence to the National Health Care for Homeless Council and American Diabetes Association guidelines in Diabetic Homeless Veterans: A Case Series Study

Deina Nemiary, MD, MPH, Psychosocial Rehabilitation Fellow, Veteran's Affairs Connecticut Healthcare System/Errera Community Care Center
Anne Klee, PhD, CPRP, Assistant Professor Yale/PSR Fellowship Program Director, VA Connecticut Health Care System/Errera Community Care Center

In the United States, diabetes is the seventh leading cause of death and poor self-management of diabetes increases the risk for death (National Diabetes Fact Sheet, 2011). While diabetes appears to occur at approximately the same rate in the adult homeless population as in the general population (Bernstein, Meurer, Plumb, & Jackson, 2015), diagnosis and management of diabetes among homeless adults can be particularly challenging (HCH Clinicians’ Network, 2013). Each year in the U.S., an estimated 2.3-3.5 million individuals are homeless (Bernstein et al., 2015). Homeless persons compared to the general population are more prone to become ill, their hospitalizations rates are four times higher and they are three to four times more likely to die at a younger age (Maness & Khan, 2014). Homelessness is associated with a host of negative outcomes, including a wide range of chronic medical conditions, mental and substance use disorders, unstable employment, low wages, uninsurance, and mortality (Maness & Khan, 2014).

Recovery-oriented Community Reintegration: Harnessing the Power of Personally Meaningful Engagement Beyond the Inpatient Psychiatric Setting

Michael Rollock, PhD, HSP, Assistant Professor/Attending Psychologist, Augusta University/East Central Regional Hospital
Tiffany Snow, BA, Work Therapy Coordinator, East Central Regional Hospital
Bianca McIntosh, LCSW, Licensed Clinical Social Worker-Mental Health, East Central Regional Hospital

Once discharged from an inpatient psychiatric facility, individuals with severe and persistent mental illnesses (SPMI) often experience a psychosocial sequela of challenges for which they have not been adequately prepared. This includes being subject to social stigma and experiencing self-stigma related to mental illness, having difficulty generalizing behavioral coping skills from the hospital to various community settings, and experiencing low self-esteem and self-efficacy, which can lead to diminished motivation to change maladaptive behaviors or to engage in wellness and recovery-related activities. The recovery-oriented Community Reintegration Program (CRP), developed by a transdisciplinary team of healthcare providers at an inpatient psychiatric hospital, was created to more effectively facilitate successful and sustained transitions to the community by addressing these issues. CRP empowers individuals with SPMI to make progress toward their recovery goals through purposeful, community-based engagement where relevant skills are practiced, personal strengths are identified and built upon, and resilience and confidence are developed in contextually salient learning environments. Grounded in recovery-oriented cognitive therapy, the mission of the program is to fill the gap that exists between hospital-based services and community-based living for individuals with behavioral health challenges and developmental disabilities. The poster will discuss the conceptual and practical considerations of program implementation.

You Can Do it! Integrating Health and Wellness into your PR Practice

Jillian Park, CPRP, Associate Director Psychiatric Rehabilitation, Skills of Central PA
Michelle Tibbens, BSN, Nurse Navigator, Skills of Central PA
Sarah Mays, CPRP, Associate Psychiatric Rehabilitation Director, Skills of Central PA
Kelly Shuler, CPRP, Director Psychiatric Rehabilitation, Skills of Central PA

During this presentation, presenters will share their experience in integrating a physical health and wellness component to their psych rehab programs. This discussion will highlight the "triple aim" outcome goals: enhancing care, improving health and reducing costs. Presenters will demonstrate how they facilitated a strong partnership with their BH-MCO, implemented initial program roll out, addressed barriers, and developed program outcomes. Presenters will review key concepts in encouraging participants to take an active role in their wellness as well as share some significant success stories. Presenters will discuss ongoing collaborations with physical health care and mental health providers. Audience participation will be encouraged through leading a discussion of attendees’ experiences, questions and comments.

Recovery Oriented Health Care: A Framework for Integrating the Physical Health Dimension of Wellness and Recovery

Tracy Carney, CPRP, Senior Recovery Resiliency Specialist, Community Care Behavioral Health
Suzanne Daub, LCSW, Senior Director for PH-BH Integration Initiatives, Community Care Behavioral Health

Community Care Behavioral Health has developed tool kits of interventions that have two key aims: increasing individual engagement in their health and wellness and building the skills and confidence of community providers to support individual activation. This workshop introduces these tools and the Recovery and Wellness framework behind them. This workshop will emphasize the central role of the community provider in realizing individual and system level goals of recovery and improved health outcomes. It can be challenging to simultaneously manage Recovery and Wellness program initiatives and too often these themes get fragmented or siloed within organizations. Using group discussion and case examples, we will look at the ways in which recovery and wellness complement each other and must be integrated. Exercises throughout the presentation will provide the opportunity to use tools that guide wellness assessment and build individual engagement and activation. Workshop participants will also learn concrete ways to demonstrate their value to the larger healthcare system through identifying strategies that build ongoing partnerships with primary care and specialty medical providers.

Nutritional Protocols For Treating Psychotropic Drug Induced Metabolic Disorders

Raymond Sedillo, BA, MNT, CPRP, Vocational Education Counselor, The Mental Health Center of Denver/2Succeed in Education and Employment

My poster presentation will provide a high-level explanation of the Metabolic Syndrome and its components. It will examine the role of low-grade systemic inflammation and how psychotropic/antipsychotic drugs can instigate the development of the Metabolic Syndrome in the mental health community. The presentation will focus on the following components: insulin resistance, obesity, diabetes, hypertension and heart disease. This information will be followed by an explanation of the benefits of high-quality nutrition and regular exercise and how when combined, they can alleviate some of the adverse metabolic effects caused by psychotropic medications and the Metabolic Syndrome. And finally, the presenter will talk about specific foods and dietary strategies that have been proven useful against the Metabolic Syndrome. The presenter will also discuss those foods that should be avoided if one suffers from psychotropic drug induced metabolic disorders.

How Good is Partial Hospitalization for People with Bipolar Disorder or Major Depressive Disorder?-- A Pilot Study of Integrated Psychiatric Rehabilitation in a Day Hospital Program

Su-Ting Hsu, MD, ScD, Staff Psychiatrist, Department of Community of Psychiatry, Kaohsiung Municipal Kai-Syuan Psychiatric Hospital
Nai-Ying Ko, RN, PhD, Professor of Department of Nursing, Department of Nursing, College of Medicine, National Cheng Kung University

Partial hospitalization is the most common modality of psychiatric rehabilitation in Taiwan, yet was designed mainly for people with schizophrenia. This pilot project aims to integrate evidence-based psychological interventions for people with major depressive or bipolar disorder, including the Interpersonal and Social Rhythm therapy(IPSRT), psychoeducation on mental illness and medication, physical fitness activities, group psychotherapy, occupational and recreational therapies, into a three-month day treatment program. Ten participants with major depressive or bipolar disorder will be enrolled for each program, and 30 in total in this project which is scheduled from December 2015 to August 2016. Program evaluation is adopted as study design. The threshold for intention to treat is set as 80% attendance of IPSRT and whole program. The outcome domains include symptoms, function, recovery, and quality of life. Symptoms are measured by the Center for Epidemiological Studies Depression Scale (CES-D) or Young's Mania Rating Scale. Function is measured by the Global Functioning Scale, Personal and Social Performance Scale, and Social Functioning Scale for Psychiatric Patients. Other measures include the Stages of Recovery Scale for Persons with Persistent Mental Illness, Social Rhythm Metric-II 17 items edition, and WHOQOL-Bref. This poster will present available data though the project is ongoing.

Cultural Differences in the Meaning of Work for Individuals Living with Mental Illness

Uma Millner, PhD, Scientist Researcher, Boston University Center for Psychiatric Rehabilitation

Objective: This mixed methods study explored cultural differences in what work means for ethnically diverse individuals with mental illness living in the United States. This study is one of the first to systematically assess cultural differences in the realm of employment for this population. Methods: A national sample of 137 Asian American and White American individuals with mental illness responded to a structured questionnaire that included a combination open-ended and closed questions. This survey, World of Work (WoW) was developed utilizing the results of a previous meaning of work study. Quantitative data were analyzed to explore differences in the perspectives on work for the two cultural groups and qualitative data revealed the particular experiences of Asian Americans. Results: Work played a significant role in an individual’s process of recovery from their psychiatric condition across both ethnic groups. There were important differences in specific areas as well e.g. systemic barriers faced by Asian Americans. These differences were further evident in the qualitative responses provided by Asian American individuals with psychiatric disabilities. Conclusions: This study provides valuable information regarding what work means and emphasizes the need for future research on ethnically diverse individuals to enhance employment outcomes.

Supporting the Needs of Children & Famiies Thrugh an Integrative Children's System of Care

Denise Davis, MHS, Senior Training & Consultation Specialist, Rutgers University
Lorraine D'Sylva-Lee, MLPA, Training & Consultation Specialist, Rutgers University

The poster presentation will serve as an in-progress research informed visual representation of the historical and evolutionary process of the New Jersey "Integrative New Jersey Children’s System of Care. The presentation will identify three aspects of the system’s integration process. It will describe the changes in the service delivery practice along a continuum- moving from traditional mental health services to the inclusion of in-home rehabilitative practices, discuss the integration of other children serving services; addiction services, development disabilities, and behavioral health homes into the Children’s System of Care, and diagram the process used to incorporate philosophical changes in treatment modalities -through evidence based processes of Wraparound and Child Family Team … moving to trauma informed and nurture heart practices.

Addressing Barriers to Mental Health Care in a Diverse Geriatric Population: Examining Cultural views

Homeless veterans with serious mental illness(SMI) have high rates of chronic illnesses and elevated risk for complications of chronic medical conditions(1,2). They also face barriers to manage those conditions well. Due to the elevated morbidity and premature mortality in this population, there is increasing efforts to integrate physical health and wellness into existing consumer recovery programs(1,2). The Chronic Disease Self-Management Program (CDSMP) is is a widely used program for people with chronic conditions. It was developed in the early 1990’s by the Stanford Patient Education Research Center(3). The CDSMP consists of community-based, peer-led patient self-management education workshops(4-6) For veterans who have experienced homelessness and SMI, integrating physical health care with mental health care and housing support is critical but they must ultimately self-manage their multiple chronic health conditions. In this pilot study we propose to train homeless veterans with SMI and co-morbid medical illnesses to provide CDSMP to their peers at the VA Connecticut’s Errera Community Center. Study tests if CDSMP is a good fit for the community health setting, if it will be chosen as a health and wellness self management support by persons with SMI and if it improves health status/ behaviors among homeless veterans.

Increasing Quality of Life for Individuals with Severe Mental Illness: A Biopsychosocial Approach

Jennifer Sanchez, PhD, CRC, Assistant Professor, The University of Texas at El Paso

In this study, the World Health Organization International Classification of Functioning, Disability and Health (ICF) was used as a framework to investigate personal and environmental contextual factors, mental functioning, activity limitations, and participation as predictors of quality of life (QoL) in adults with severe mental illness (SMI). The ICF was used to conceptualize the impact of recovery-oriented outcomes on the QoL of adults with SMI. This study served to inform us regarding the different characteristics of individuals that succumb to their mental illness versus those that transcend it. Although no interventions were used and no manipulation of variables was conducted, results of this study provided suggestive information as to potential interventions that could be utilized for adults with SMI. Research and clinical implications aimed at increasing QoL in adults with SMI will be discussed.

A Holistic Approach to Community Integration for Adults with Severe Mental Illness: Exploring the International Classification of Functioning, Disability, and Health

Jennifer Sanchez, PhD, CRC, Assistant Professor, The University of Texas at El Paso

Individuals with severe mental illness (SMI) exhibit major deficits with daily functioning in social, work, or independent living domains. Community re-integration or participation is paramount to mental health recovery. In contrast, limited participation can be detrimental to an individual’s overall health and functioning, and the result is a heavy economic burden to society. Recently, the International Classification of Functioning, Disability, and Health (ICF) has been suggested as a conceptual framework for SMI. The ICF assumes that biological, environmental, and personal factors define an individual’s health or disability status. The purpose of the current study was to examine the structural relationship between each ICF domain and participation in persons with SMI.

Psychoeducation Recovery Strategies: A Path to Health and Wellness

Marie Ryder, MSN, RN, CPRP, Professor, Middlesex Community College
Catherine McGorty, RN, MSN, Professor, Middlesex Community College

People diagnosed with mental health or substance abuse disorders require a strong recovery plan with a holistic approach. Middlesex Community College nursing students collaborate with veterans in the psychiatric setting at the Bedford VA Hospital to develop wellness psychoeducation groups. These groups incoporate Prochaska's and Velicer's Model to promote healthcare change (1), and Nemic's ideas on Transformative Learning (2). These learning strategies reflect the Recovery Model (3), and will be highlighted and integrated into the poster presentation. Students collaborate with veterans and peers to determine the topics for the psychoeducation group which empowers the veterans as they set the agenda and actively advocate for themselves. Handouts and poster boards are developed that reflect the individual needs of the veterans who will be actively participating in the group. Veterans and peers share their lived experience and challenges on their journey to optimum wellness. This creation of a supportive mini culture and engagement reflect the guiding principles of recovery. Activities are designed to create social interaction, reinforce the important principles of the topic and serve as an evaluation of the wellness program.

Military Culture and Campus Climate: Considerations for Student Veterans with Psychiatric Conditions

Molly Tschopp, PhD, CRC, Associate Professor/Director Rehabilitation Counseling, Ball State University

Recent initiatives emphasize the need for postsecondary institutions to create welcoming, supportive environments for student veterans. Among the incoming student OEF/OIF veteran population the potential for psychiatric and physical health conditions/disability have been projected to be as high as 40%. This presentation focuses on considering military culture and campus climate in the identity and experiences of student veterans with psychiatric conditions. Hesitancy to disclose, stigma, and not identifying with the term “disability” may limit support and service utilization of veterans returning with psychiatric conditions. Recognition of the existence of military culture and an individual’s level of military acculturation are important in considering student veteran experiences. It is imperative to build awareness of how mental health, disability, and help-seeking may be viewed in the context of military culture and the potential impact on veterans’ use of available campus resources. In turn, campus climate, made up of policies, practices, and attitudes, influences student veteran experiences. Support approaches aimed at maximizing accessibility, academic success, and student well-being, as well as outreach to encourage mental health, disability, and other support service use by student veterans with psychiatric conditions will be explored.

Being SMART About the Many Pathways to Recovery; Implementing SMART Recovery into Aftercare Plans for Addiction Treatment Programs

Miriam Shabazz, LLMSW, Psychosocial Rehabilitation Fellow, VA Connecticut Health Care System

12 step programs have long been the most popular choice for community based peer support programs. With the abundance of 12 step meetings in most communities and their focus on abstinence most treatment programs include a requirement of attending AA or NA as a part of their programing as a way of linking inpatient or outpatient treatment to community support. A major component of 12 step programming is based off of spiritual concepts such as relying on a "higher power" and the concept of "surrender" which can be off putting to some. Lack of involvement in a 12 step peer support groups (if no alternative community based peer support program is available) can result in lack of peer support once individuals are reintegrated into their community.This poster will look at 12 step alternative community support groups and community support groups that can be used in addition to the 12 steps. SMART Recovery is a viable alternative and can be used in addition to 12 step programs. This poster will examine how SMART Recovery is being incorporated into treatment programs at the VA and community agencies across the country.

Recovery 4 US: Building a Social Media Community for Persons with the Lived Experience of Mental Illness

Zlatka Russinova, Phd, Research Associate Professor, Boston University Center for Psychiatric Rehabilitation
Marianne Farkas, ScD, Professor, Boston University Center for Psychiatric Rehabilitation

Meaningful community engagement is critical to people’s quality of life. Yet, promising interventions to promote recovery through community participation have lagged behind effective supportive employment and housing programs. This poster outlines the development and pilot testing of an innovative social media program, entitled “Recovery 4 US” which is designed to foster the community integration of individuals with the lived experience of mental illness. The “Recovery 4 US” program includes a mobile phone App and a password protected website, and is modeled on the principles of Photovoice as a community-based participatory action research methodology. The “Recovery 4 US” social media program includes three main components: 1) daily receipt of a hope-inspiring message, paired with a corresponding visual image; 2) creation and viewing of recovery-oriented Photovoice works; and 3) attendance of community events initiated by members of the “Recovery 4 US” community who live in close proximity to each other. Membership in the “Recovery 4 US” virtual community is expected to result in a wide range of personal and communal benefits. We will present visual mock-ups illustrating various functions of the “Recovery 4 US” program.

Psychosocial Rehabilitation of Elderly Females with Late Onset Anxiety Disorders and Comorbid Depression: A Case Series Focusing on Late Life Psychosocial Issues in Rehabilitation of Late Onset Mental Disorders in India

Badr Ratnakaran, PhD, Consultant Psychiatrist, Dr. Kunhalu's Nursing Home
Sujith Babu, MA, M Phil (Clinical Psychology), Clinical Psychologist

Anxiety disorders in elderly have a higher prevalence than depression and dementia . We report a case series of a 4 females who are more than 60 years of age, presenting with late onset anxiety disorders with comorbid depression of more than two years duration.Two cases were of generalised anxiety disorder, one case of panic disorder without agoraphobia and one case of social anxiety disorder. Their illness occurred following stressors and medical causes of anxiety disorders and dementia were ruled out .Stigma of visiting a psychiatrist was the reason of delay in psychiatric consultation. Pharmacotherapy was started and by the end of two months their symptoms subsided but still had residual depressive and anxiety symptoms. Various psychological and late life psychocial issues were identified including fears of isolation, neglect, dependency, difficulty in decision making, suffering from medical problems, etc. Principles of cognitive behavior therapy, relaxation training, activity scheduling, family intervention, problem solving therapy, assertive skills were tried in the patient over six months After 8 months of treatment , our patient’s anxiety and depressive symptoms remitted Various challenges can be encountered in treatment of late onset mental illness and psychosocial issues of elderly need to be addressed when planning treatment.

Implementing Multicultural and Social Justice Counseling Competencies into Psychiatric Rehabilitation

Molly Tschopp, PhD, CRC, Associate Professor/Director Rehabilitation Counseling, Ball State University

This presentation is aimed at addressing how the recently published Multicultural and Social Justice Counseling Competencies (MSJCC; Ratts, Singh, Nassar-McMillan, Butler, & McCullough, 2015) may be implemented within psychiatric rehabilitation. The MSJCC framework considers both privileged and marginalized identities, addressing counselor self-awareness, client worldview, counseling relationship, and counseling and advocacy competencies. The aspirational attitudes and beliefs, knowledge, skills, and action outlined in the first three MSJCC dimensions will be explored in relation to the Psychiatric Rehabilitation Association Core Principles and Values and the Code of Ethics for Psychiatric Rehabilitation Practitioners (PRA, 2012). The socioecological model within the MSJCC counseling and advocacy interventions dimension is particularly useful for conceptualizing the individual factors, processes, and inequities that impact clients, as well as the need for multileveled interventions. Ways in which the MSJCC framework complements the Psychiatric Rehabilitation Association Principles of Multicultural Psychiatric Rehabilitation Services (2008) will be discussed.

Evidence-Based Psychotherapies (EBPS) for Post - Traumatic Stress Disorder (PTSD) and Community Re - Integration

Miriam Shabazz, LLMSW, Psychosocial Rehabilitation Fellow, VA Connecticut Health Care System
Meaghan Stacy, PhD, Recovery Coordinator/Assistant Professor, VA Connecticut Healthcare System/Yale University School of Medicine

This presentation explores whether EBPs for PTSD, such as Cognitive Processing Therapy (CPT) and Prolonged Exposure (PE), result in improved community re-integration for Veterans diagnosed with PTSD. As many Veterans return to civilian life and manage their PTSD symptoms, they will need to re-enter the workforce, resume family life, and reconnect with friends; however, it has been shown that this is a difficult process. This presentation investigates if effective PTSD treatments result in improved community reintegration. Additionally, it will allow for the comparison of CPT and PE with regard to community reintegration.

The Power of Peers: How to Utilize Peer/Clinician Teams to Transition Clients from Hospital to Community

Kathleen Herrman, LCSW, Senior Manager of Clinical Services, Behavioral Healthcare Inc.
Laura Ferguson, LPC, LMFT, Program Manager of Peer Services, Behavioral Healthcare Inc.

Utilizing an interactive combination of short film, TED-style talk, group discussion, and Q&A, the presenters will share why the strategic partnering of Clinical and Peer providers during a client’s transition from inpatient care into community living results in reduced recidivism, more stable clients, and greater success in achieving the client’s life goals. The presenters will share exciting program outcomes, including case studies, and discuss specific implementation strategies that participants can utilize immediately within their behavioral health agencies. Participants will walk away feeling ignited about the power of peer services, and confident in their ability to implement successful peer programs.

Career Ladder Development From Peer Support to Admin

Roberta Howard, MA, LCS, CHS, BHT, Chief Executive Officer, NAZCARE, Inc.
Chadwick Kite, BS, BHT, Dean of Training Institute, NAZCARE, Inc.

NAZCARE is a Peer-run organization with an evidence-based career development system for Peers entering the system of care which retains and develops the Peers from Peer Support positions and assists the peer to rise to the highest career level possible through training and education. While 3% have chosen to remain Peer Support Specialist the others have advanced through training, education and supported employment to new positions within the agency at multiple levels of direct care, support staff positions, and administration both within NAZCARE and with other agencies within the system of care. We have been recognized for our training, quality of services and our evidence-based career development system (presently awaiting Best Practice by SAMHSA). We have positions that fill the gaps in the system of care and allow quality services along a wide array of services from certified to licensed services.

Employment and Health: Work Is More Than a Paycheck

Amy Gelb, CRC, CAGS, CPRP, Training Associate, Institute for Community Inclusion/UMass Boston-School for Global Inclusion and Social Development
Rick Kugler, MS, CPRP, CESP, Training Associate, ICI at UMass Boston, School for Global Inclusion and Social Development

This presentation is designed for participants to increase their understanding of the advantages that employment represents in the lives of people with mental health disabilities. We will explore the negative impacts of chronic unemployment and the potential contributions that work can make on a person’s general well-being. We will discuss how one can meet the person where they are at, and support and promote the individual's employment interests. We will offer concrete employment strategies and resources that can help people succeed in finding work.

Understanding and considering a diagnosis of Complex Trauma

Sara Goodman, CPRP, Director of Education and Training, Baltic Street AEH, Inc.

Experiencing emotional, physical and or sexual trauma in childhood can have a severe and long-lasting effect. Children who have been traumatized see the world as a frightening and dangerous place. When childhood trauma is not resolved, this fundamental sense of fear and helplessness carries over into adulthood, setting the stage for further trauma. Often the residual effects of a traumatic childhood are diagnosed based on symptoms/behaviors exhibited/reported. This can lead to a misdiagnosis because many of the residual effects mimic symptoms of other diagnoses such as bi-polar disorder, ADHD and/or depression. Many people who experienced complex trauma are not responsive to conventional therapies and medications and feel that nobody understands them. Understanding the concept of complex trauma and the ACE survey can shed light on the source of the issues that plague many of the people we serve. The concept of Post Traumatic Growth Syndrome will also be introduced.

Implementing an Integrated Healthcare Model in Pakistan: A Cross-Cultural Experience

Mary Colleran, MSW, Chief Operations Officer, Trilogy Behavioral Healthcare
Sarah Fletcher, LCSW, CADC, Director of Intensive Outreach Services, Trilogy Behavioral Healthcare

Using the partnership between Trilogy Behavioral Healthcare and Caravan of Life, Pakistan as a case study, participants in this session will learn how to apply an integrated healthcare model in various contexts, including a non-Western environment, paying particular attention to issues of cultural competency, trauma-informed care, distance learning, family involvement and international partnerships. This session will cover the various aspects of the Trilogy/COL-Pakistan project at The Recovery House in Karachi, including cultural competence, developing strategic partnerships, sustainability planning, interdisciplinary workforce development, peer involvement, and wellness services. In addition, the session will stress the importance of managing with outcomes and use examples of how the Trilogy/COL-Pakistan project has used data to achieve program success.

Wellness and Recovery: New Tools for Applying Classic Methods

Anthony Zazzarino, MA, LPC, CPRP, DRCC, Instructor, Rutgers University, Department of Psychiatric Rehabilitation and Counseling Professions
Zakia Clay, MSW, LCSW, Instructor, Rutgers University, Department of Psychiatric Rehabilitation and Counseling Professions
Ann Reilly, MA, LSW, CPRP, Assitant Professor, Rutgers University, Department of Pscyhiatric Rehabilitation and Counseling Professions

This display poster presentation addresses the integration of classic psychiatric principles and methods into the delivery of wellness and recovery oriented services. Participants will learn to utilize a holistic wellness assessment tool designed to help individuals choose meaningful goals to inform the recovery planning and service delivery processes. They will then assess critical knowledge, skills, and resources needed for goal achievement. Finally they will translate the information gleaned from the assessments into individualized recovery plans. The importance of the partnership between service provider and service user in the planning and delivery of intentional psychiatric rehabilitation services will also be explored.

The Cognitive Remediation Tool Box

Derek Fulker, MA, CPRP, Training Associate, Boston University Center for Psychiatric Rehabilitation

In the most basic sense, cognitive intervention or rehabilitation includes every procedure that can help people with cognitive impairments to successfully engage in activities that are rendered difficult by those impairments. In this broad sense, cognitive intervention/rehabilitation is a wide-ranging and important field, and includes all of the intervention and support procedures discussed by many people in the field, including Attention, Memory and Memory Problems, Retrieval, Organization, Problem Solving, Concrete Versus Abstract Thinking, Instructional Routines, Executive Function/Self-Regulatory Routines, Transfer of Training, Cognitive and Learning Strategies, and others.

Focusing on the KEEP in "Choose, Get, Keep"

Nancy Wewiorski, PhD, Researcher, Bedford VA Medical Center
Lisa Mueller, PhD, Clinical Director, Compensated Work Therapy Program, Bedford VA Medical Center
Marsha Ellison, PhD, Associate Professor, Dept pf Psychiatry University of Massachusetts Medical School

This presentation will present and discuss SEEK, a vocational program model that focuses on the “Keep” in “Choose, Get, Keep.” SEEK is designed to help consumers who have obtained employment without the assistance of a VR provider and who are struggling in their job because of mental health or other reasons. The presenters will describe the SEEK program model that is being implemented at a VA facility and will provide an overview of a research plan to evaluate its effectiveness. The application of the SEEK approach in supported education also will be discussed. Veterans with lived experience will tell their personal stories about struggles with work and will react to the idea of offering SEEK as a services to employed individuals who are experiencing similar struggles. Audience members will break into small groups and discuss the applicability of SEEK as a useful service in their agencies back home or in their own lives.

A Framework for Transforming from the Medical Model to Recovery Model of Care and Culture in a Veteran Acute Inpatient Psychiatric Setting

Stephanie Seibert, PsyD, Psychology Postdoctoral Fellow, Washington D.C. VA Medical Center
Melanie Paci, PsyD, Staff Psychologist/Local Recovery Coordinator, Washington D.C. VA Medical Center

A model of systemic change to transform care from an medical model to recovery model will be presented. In this way, observers will learn strategies for systemic change as well as understand challenges to creating such change in an acute inpatient stabilization psychiatric care setting (average length of stay less than seven days). The goals of the model are (1) increase education and awareness to staff, Veterans, Veterans’ family members, and trainees; (2) create standard operating procedures and update the inpatient handbook to reflect recovery-oriented treatment principles; (3) increase recovery-oriented programming on the inpatient psychiatric unit (e.g., evidence-based groups and film festivals) with limitations (e.g., staff shortages); and (4) to create and implement quality assurance measures for the aforementioned areas.

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Creative Tools for Promoting Integrated Health Care in Your Community