IMPLEMENTING A COD PROGRAM IN THE RIO HONDO CLINIC AND YOU CAN DO IT TOO JEFF JOHNSON, MSW DWAYNE CLEMENTS

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IMPLEMENTING A COD PROGRAM IN THE RIO HONDO
CLINICAND YOU CAN DO IT TOOJEFF JOHNSON,
MSWDWAYNE CLEMENTSDMH EMPLOYEEPEER
ADVOCATEDOREEN HANNAPEER ADVOCATE
INTERN/VOLUNTEERJOHN CZERNEKPEER ADVOCATE
INTERN/VOLUNTEERJANET WALKERCONSUMER/VOLUNTEER
WELCOME
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CONSUMER SPEAKBEFORE COD TREATMENT

• DWAYNE

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CONSUMER SPEAKBEFORE COD TREATMENT

• DWAYNE
• DOREEN

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CONSUMER SPEAKBEFORE COD TREATMENT

• DWAYNE
• DOREEN
• JOHN

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CONSUMER SPEAKBEFORE COD TREATMENT

• DWAYNE
• DOREEN
• JOHN
• JANICE

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• It started looking like this
• Sandy Mills, MA and more, developed the COD
  Program under Wellness with Leticia
  Guzman-Soydan, Clinic Director
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•  A small team was formed
• Leticia Guzman-Soydan, LCSW Clinic Director
• Sandy Mills, MA and more
• Jeff Johnson, MSW
• Dr. Panguluri, MD Psychiatrist Supervisor

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• CREATING THE ROLES OF THE TEAM
• IF WE BUILD IT HOW WILL THEY COME AND HOW WILL WE
  SERVE THEM?
• Developing Roles in the Treatment of COD
  Participants
• Develop a system of communication for everyone
• Days of the week, space, individual work
  assignments etc.
• Open Groups and Closed Groups?
• Integration of Peers/Consumers in the team and TX
  process
• How do we handle relapseDrug testing
• Create a referral form
• Team meeting agenda items and times
• Getting the word out to the clinic
• Form an outside resource development plan
• Creating a WELCOME MAT for everyone who is
  referred
• Establish treatment protocols (Review DMH Policy
  on COD TX)
• Integrated treatment is not total recovery (See
  Wellness Recovery Model)
• TOTAL RECOVERYmedical, dental, all health
  concerns/spiritual etc.
• Develop a curriculum for 6 7 months
• How many can be enrolled in closed groups
• Looking at Outcome MeasuresWhich ones make
  (cents)

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WHITE ELEPHANT IN A SNOW STORM
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Our elephants are either standing on us, beside
us, in front of us, or behind usit depends on
the angle we want to see them. Talking about
them has the same perspective.Jeff
Johnson2004In a Walmart Parking lot talking to
a single mom.

• Some of our white elephants
• Proper Assessment of Referrals to the COD Program
  (Some CM may want to dump)
• Providing Medication Support to COD clients
  (known unknown)
• How do we handle participant situations whereby
  the participant does not want to change
  psychiatrist and their psychiatrist is hesitant
  to provide medication support
• Referrals from other community resources through
  community relationship development
• Hierarchy of the program
• And many moreeveryone has their own

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Program Objectives were developed(This is for
demonstration purposes ONLY, performed on a
closed courseDo not try this at home)

• Leticia Guzman-SoydanVisionary, clinic director
• Donie yoo, lcswjeffs supervisorassisted in
  clinical treatment applications
• SandyCOD support, education, assist with program
  development
• JeffProgram Facilitator, learned student of
  Sandy Mills, MA and more and Program development
• Dr. panguluri, mdpsychiatrist for all cod
  participantsclinic md program support
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•  

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It started to look like this 

• Add Debra Cifuentes Hernandez, BA
• Medical Caseworkercase management, co-facilitate
  the groupsadminister wellness program data
• Dwayne Clements, Peer Advocate (intern at this
  time)co facilitate all groups, co-facilitate all
  cod assessments, community relations development,
  link participants to community resources,
  participant support
• Luis Orozco, BSWHousing Specialists/Medical
  Caseworkerhousing issues, case management
• One other Peer Advocate internprogram support,
  co-facilitate groups

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CONSUMER SPEAKONSET OF COD TREATMENT

• DWAYNE

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CONSUMER SPEAKONSET OF COD TREATMENT

• DWAYNE
• DOREEN

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CONSUMER SPEAKONSET OF COD TREATMENT

• DWAYNE
• DOREEN
• JOHN

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CONSUMER SPEAKONSET OF COD TREATMENT

• DWAYNE
• DOREEN
• JOHN
• JANICE

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EVOLUTION OF A MODELIN THE BEGINNING(wouldnt
this be a great phrase to start a book?)
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AND NOW WE LOOKED LIKE THIS
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STARTING TO GROW

•  
• 
  
• 
  

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AND THEN THERE WAS FRIDAY
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ASSESSMENT PROGRAM IMPLEMENTATION

• The consumer assessment program objectives
  must match
• UNDERSTANDING THE CHANGES OF RECOVERY SCALE
• HANDOUT
• STAGES OF CHANGE
•  

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Prochaska and DiClementes Stages of Change
Model

• Pre-contemplation Not currently considering
  change "Ignorance is bliss
• Contemplation Ambivalent about change "Sitting
  on the fence"
• Not considering change within the next month
• Preparation Some experience with change and are
  trying to change "Testing the waters"
• Planning to act within 1month
• Action Practicing new behavior for 3-6 months
• Maintenance Continued commitment to sustaining
  new behavior
• Post-6 months to 5 years
• Relapse Resumption of old behaviors

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PEER ADVOCATES VOLUNTEERS ARE THE KEY TO
SUCCESS

• Become involved in Peer Advocate Training
  Programs
• Train and Motivate Consumers
• Provide Structure for a sound volunteer program
• Everybody has a timeA time to giveA time to
  receive
• Following the Recovery Model
• Proper Mentoring,Training and Practice Makes Near
  Perfect
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• welcome
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Create a welcome environment for peer to peer
support
WELCOME
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NOW




MONDAY TUESDAY
WEDNESDAY THURSDAY FRIDAY




Engagement Group (CR)
Participation Group 1 (PR)
M M Friday AA/NA/COD Panel (CR)
COD Education Group (PR)
COD Life Skill/Coping Skill (PR)
Life Beyond Mental Illness (PR)
Participation Group 2 (PR)
M M Friday Movie (CR)
Wellness Beyond (PR)
COD 12-Step Group (CR)
Spirituality Group (CR)
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Assessment UtilizationWellnessSomething for
everyone
MONDAY TUESDAY WEDNESDAY
THURSDAY FRIDAY
ENGAGEMENT GROUP (CR)
COD LIFE SKILLS/COPING SKILLS GRP (PR)
COD PARTICIPATION GRP 1 (PR)
M M FRIDAY PANEL GRP (CR)
COD EDUCATION GRP (PR)
WELLNESS BEYOND (PR)
COD PARTICIPATION GRP 2 (PR)
MOVIE
LIFE BEYOND MENTAL ILLNESS (PR)
SPIRITUALITY GRP (CR)
COD 12-STEP GRP (CR)
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Q A

• PANEL
• DWAYNE CLEMENTS, PEER ADVOCATE
• JOHN CZERNEK, CONSUMER/VOLUNTEER
• DOREEN HANNA, CONSUMER/VOLUNTEER
• JANICE WALKER, CONSUMER/VOLUNTEER
• JEFF JOHNSON, MSW/FACILITATOR