South Central MIRECC

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South Central MIRECC

• Recovery and Psychosocial Rehabilitation Training
• Lisa Martone, APN, CPRP
• Coordinator, MHICM, CAVHS

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MIRECC and VISN 16 Sponsored Training

• Two trainings
• Little Rock
• June 2004
• May 2006

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Brief Review
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Recovery Outcomes

• Independence
• Employment
• Satisfying relationships
• Improved quality of life

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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

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Outcomes
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Number of persons who were inserviced/trained at
each facility
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Outcome

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

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Topics of training
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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

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Programming or Practice Changes in Existing
Programming
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Outcomes

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

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Programming or Practice Additions
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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

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USPRA CPRP Certification
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Outcomes

• Many staff interested in CPRP certification2
  actually have completed
• Seventeen staff completed Instructor Training for
  the Psychiatric Rehabilitation Certificate
  Program from the University of Chicago (2004)
• Issues
• Funding
• Recognition

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Plans for additional training and implementation
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• 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/practice
  s
• 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

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Other thoughts
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• 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