Psychosocial Rehabilitation and Recovery Services (PSR

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Psychosocial Rehabilitation and Recovery
Services(PSR RS)
Department of Veterans Affairs Office of
Mental Health Services

• April 29, 2006
• Robert C. Gresen, Ph.D.

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Psychosocial Rehabilitation and Recovery
Services Mission

• Advocate in VA Central Office for recovery
  oriented mental health care in VHA
• Promote PSR and recovery oriented services
  through education, consultation, program
  development, monitoring and evaluation
• Support coordination and integration of PSR and
  recovery oriented services

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• Patient Care Services Strategic Plan
• Promote the Psychosocial Rehabilitation model
  with a Recovery emphasis for veterans with
  Serious Mental Illness
• Mental Health Executive Steering Committee
  Workgroup Recommendations
• Approximately half of the 50 recommendations
  relate to PSRRS section
• Mental Health Strategic Plan

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PSRRS Initiatives

• Program development - current Funding Guidance
  distributed to the field
• Peer support 18, 37
• Family psychoeducation 14, 21
• Psychosocial Rehabilitation and Recovery Centers
  (PRRCs) 16, 26
• Compensated Work Therapy (CWT)
• 10, 12 13, 13 (PT)
• Other Evidence based practices 16, 24

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Other PSRRS initiatives

• Consumer and family driven-stakeholder
  participation
• Mental Health Consumer Council
• Mental Health Executive Committee

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Other PSRRS Initiatives (continued)

• National Recovery Coordinator
• Resource to the field
• Oversee implementation of recovery initiative in
  VHA MH
• Appoint a Recovery Advisory Workgroup to provide
  expert advice and assistance

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Educational Initiatives

• Satellite programs addressing the general
  principles of psychosocial rehabilitation and
  recovery for all mental health staff have been
  broadcast.
• Conferences have been held in vocational
  rehabilitation, peer support and Mental Health
  Intensive Case Management

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Educational Initiatives (continued)

• Interprofessional Fellowship Program in
  Psychosocial Rehabilitation for psychiatrists,
  psychologists, social workers and mental health
  nurses funded by OAA
• Educational opportunities have been planned and
  supported by EES, OAA, OMHS, MIRECCs, VISNs and
  individual facilities

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Other Plans for the Immediate Future

• Develop IL on PSR concepts
• Develop IL on peer support definitions, basic
  concepts, models ..
• Develop directive on Peer Support policy,
  procedures, hiring practices, .
• Directive for Supported Employment
• New Educational Initiatives

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What VACO Needs From the Field for MHSP
Implementation

• Support for basic premises of PNFCMH, e.g.
• Mental Health Is Essential to Overall Health
• Everyone with a mental illness should have access
  to effective treatment and supports
  essentials for living, working, learning, and
  participating fully in the community
• Proactive response to calls for funding proposals
  and to generate ideas for proposals
• Communication to VACO Office of Mental Health
  Services about successes, obstacles, creative
  ideas, etc. (training/education)

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Non-PSRRS Initiatives

• Hybrid Title 38
• Police Assessments
• Associated Health Handbook