Empowering People for Recovery Plenary, Oslo (June 2015)

Empowering People for Recovery

DAVID COVINGTON, LPC, MBA—RECOVERY INNOVATIONS, INC.

http://davidwcovington.com

In mental health, it all starts with peer voice & inclusion in system design and leadership

Key to Person-Centered Care

Polling Question #1

Which of the following best characterizes your agency approach to patients (peers)?

Stage 1 - We do services to peopleStage 2 - We do services for peopleStage 3 - We do services with peopleStage 4 – In addition to clinical/medical staff, we have a few peer leaders and/or ancillary peer supports servicesStage 5 - We have a peer driven system of care, where peers represent more than 25% of staff

Three Forces

Psychiatric Inpatient Asylums

Stag

e 1

Primary Era: 1800 - 1972

Community Mental Health Centers

Stag

e 2

Primary Era: 1963 - present

Psychiatric Rehabilitation

Stag

e 3

Primary Era: 2000 - present

Symbolic Peer Leadership

Stag

e 4

Primary Era: 2010 - present

Peer Driven Systems of Care

Stag

e 5

Primary Era: Emerging Innovation

Recovery Empowerment Continuum Characteristics Perspective Stage 1 Stage 2 Stage 3 Stage 4 Stage 5

 Traditional Psychosocial Rehabilitation

Philosophy/ContinuumPeer-Driven

CarePeer-Driven

SystemMotto Done to Done for Done with Done by

Characteristics

Clinical team identifies goals and develops service plans.

Compliance with directives is focal point activities.

Strong dependence on

system & artificial (paid)

supports with no individual risk

taking or family engagement.

Genuine voice and

participation with some support for

individual risk taking &

engagement in natural

supports.

Self-directed care is a core value

with peers holding some

leadership and advocacy

positions within the system.

Many roles in the system are filled by peers,

including workforce,

governance, etc. Not a token

gesture.

Core Value

Clinically sound professional services & stability

Safety and security with a goal of stability

Personal recovery through

collaboration

Personal recovery through self-directed care

Culture change through peer leaders and

staffing

Person(s)Compliant Dependent

Respected (Voice)

Leader Empowered

Subservient Institutionalized Involved Advocate LeadersStaff Member

Prescriptive Caretaker Partner Consultant PeersDirective Protector Guide Support Advocate

Organization

Clinically driven Protective Collaborative Recovery driven Peer-driven Provider is expert Risk Averse Engaging Person is expert Peer-staffed

Risk Taking

Discouraged Blocked Supported Encouraged Expected

1950

Compliance/Directive

1980

Dependent/Care Taker

2010Voice & Participation

PresentAction & Leadership

FuturePeer-Driven

System

Peer Leadership & Workforce

Welcoming Environments

Recovery Coaching/Values1. Organizational

commitment2. Quality training pre-

employment3. Recovery training for

all staff 4. Job-specific peer

support roles6. “Tipping point” critical

mass 7. Develop career ladder 8. Parity for peer workers9. Remember, it’s real

work, not sheltered work or therapy

Traditional Language Recovery/Opportunity

Consumer Guest

Sub-acute Psych Inpatient Living Room

23 Hour Observation Retreat

24/7 Crisis Walk-in Front Lobby

Crisis Center Recovery Response Center

Crisis Opportunity

Intake Recovery Partnership

Assessment Getting to Know Each Other

Psychosocial History Telling My Story

Treatment Plan Recovery Solutions

Recovery Language

Polling Question #2

The Americans with Disabilities Act gives civil rights protections and guarantees equal opportunity in public accommodations, employment, transportation, government services, and telecommunications. The ADA also applies to Mental Health.

A. TrueB. False

New Civil Rights Struggle

“We stand on the doorstep to make momentous progress in

advancing the cause of this new civil rights struggle started by the work of President Kennedy

over 50 years ago.”

DEC’s Phil Pangrazio

“[In the disability empowerment movement] we don’t have a token seat at the

table. We lead the table.”

Contact Us CEO & President [email protected]

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