Implementing Cognitive Behavioral Interventions …

1 REDF 2015 Implementing Cognitive Behavioral Interventions within the Social Enterprise Context REDF 2017 REDFG oals and AgendaGoals To introduce social enterprise staff to Cognitive Behavioral Interventions To provide examples of various ways that social enterprises are integrating CBI into their programming. To encourage consideration about whether and how Cognitive Behavioral Interventions could be a tool for improving the outcomes of your target population workersAgenda Welcome, Goals, Agenda, Introductions Cognitive Behavioral Therapy 101 Overview of Social Enterprises on Webinar Panel Discussion.

2 Implementing CBI in Social Enterprise Context Questions Wrap upPAGE 2 REDF 2017 REDFOur SpeakersPAGE 3 Terri FeeleyREDFC ynthia BrackettCEOC hristine KiddCEOS helby MasonGoodwill Silicon ValleySonya NabkelGoodwill Silicon Valley AnishaChablani-MedleyRocaSooJeongYoun, PhDCommunity Psychiatry PRIDEC ommunity Psychiatry PRIDESoo Jeong Youn, PhDPostdoctoral FellowMGH Community Psychiatry PRIDEH arvard Medical SchoolAgenda for Webinar MGH PRIDEWho we are?Partnerships CBT AND EMPLOYMENT How is it helpful?WHAT IS Cognitive Behavioral THERAPY (CBT)?CBT cycleCharacteristics of CBTWhat is CBT?

3 WHAT I THINK (THOUGHTS)WHAT I FEEL (EMOTIONS)WHAT I DO (BEHAVIORS)SITUATIONWhat we thinkaffects what wedoand feel!What we feelaffects what we doand think!What we doaffects what wethinkand feel!CBT CYCLEC haracteristics of CBTP ragmaticStructuredPresent FocusedCollaborativeEvidence-Based TreatmentWhy Evidence Based Treatments (EBTs), such as CBT?Rapid Symptom ImprovementSecondary Health OutcomesPrevent RelapseEfficacy and EffectivenessEconomical AdvantagesEBTs: Economical Advantages $80-100 billion in direct costs $ billion in absenteeism from work 200 million+ days lost/year $1.

4 601/person/year $ returned per dollar spent $416 million in benefitsMentalHealthJobsCOSTSM entalHealthJobsCBTCBT and Employment Outcomes Job placement1 Job obtainment2 Job retention and stability3 Quality of job placement4 Work functioning5 Return to work rate7 Work absences6 Time until return to work8 Who We AreC O M M U N I T Y P S Y C H I A T R YP R O G R A M F O RR E S E A R C H I NI M P L E M E N T A T I O N A N DD I S S E M I N A T I O N O FE V I D E N C E-B A S E D T R E A T M E N T S( P R I D E )What Implementation? Integrating Evidence-Based Practices (EBPs) into practice settings Dissemination?

5 The process of spreading knowledgeThe Problem: The Science-Practice GapGreen, L. W., Ottoson, J. M., Garc a, C., & Hiatt, R. a. (2009). Diffusion theory and knowledge dissemination, utilization, and integration in public health. Annual Review of Public Health, 30, 151 174. MGH Community Psychiatry PRIDEOur Focus and Mission Focus: Dissemination and implementation research to reduce disparities in community settings Mission: Bridge the gap between science and practice by bringing EBTs to communities to increase access and quality of careOur Model: Train the TrainerC U R R E N T R E S E A R C H P R O J E C T S A N D C O M M U N I T Y P A R T N E R SOur PartnershipsPopulations Served DIVERSITYR ecently Incarcerated MenYoung Adults (17-24 years)

6 African American Latinos ImmigrantsRefugees Single Moms Mental Health Emotion Regulation Substance UseAnxiety DisordersPTSD AngerMood DisordersSocial Determinants HomelessnessHigh PovertyLittle Support Unemployment Uneducated Legal StatusMGH PRIDE and PartnershipsNeeds AssessmentUnique Program DevelopmentProgram ImplementationTrainingOutcome Evaluation Long-term Sustainability of ProgramThank you!Any Questions?Contact information:Soo Jeong Youn, PhDPostdoctoral Fellow, PRIDEP hone: 617-887-4061 Email: information:Luana Marques, PhDDirector, PRIDEP hone: 617-887-4066 Email.

7 REDF 2017 REDF REDF 2017 REDFA nnual Impact4,550 Enrollments400+ Participants working every day on 70+ work crews2,600 Job placements54% Validated employmentafter 6 months 47% Validated employmentafter 1 year The CEO Model21 MissionRoca is dedicated to proving that the highest risk young people, especially those who are not ready to change, can make a future for themselves beyond jail and violence. We help Roca s young men leave streets and gangs and go to work; and we help Roca s young mothers get out of violence, go to work and care for their children.

8 Theory of ChangeRoca s theory of change is that young people, when re engaged through positive and intensive relationships, can change their behaviors and develop life, education, and employment skills to disrupt the cycles of poverty and incarceration. Roca s Intervention ModelRoca s Intervention Model is a Cognitive Behavioral intervention that includes 4 strategic components:Relentless Outreach and Follow-UpTransformational RelationshipsProgrammingEngaged Institutions Youth Workers, Educators, and Crew Supervisors (All Staff) Life Skills Education / Pre-Voc Employment Formal System Change Informal System Change711participants served in 2016 Boston 198 Chelsea 284 Springfield 22991% Have No New Arrests 86% of Roca graduates hold a job for 6+ months80% Annual Retention RateFY16 DataEmployment Readiness Program (ERP)Designed to help people overcome challenging barriers to employmentWho.

9 Out of the workforce for a while Gaps in employment or patchy work history No HSDdiploma Substance Abuse or Criminal Charges Disability or other limitations HomelessHow: 6-12 months transitional employment Up to 32 hours/weekin retail or warehousing 3-hour employability workshopstotaling approximately 30 hoursGoals: Establish solid work history Enhance soft skills Build a resume Learn computersand how to apply for jobs online Practice interviewing Understand what it takes to retain a jobonce secured Re-Entry Population 90 day paid work experience Job Placement Retention Services Moral ReconationTherapy -MRTG oodwill of Silicon Valley s New Opportunity Work Program (NOW) REDF 2017 REDFCBT @ Roca28 What we doaffects what we thinkand feelWhat we thinkaffects what we doand feel!

10 What we feelaffects what we doand thinkSkill 8: Flex your thinking Skill 9: Problem solvingSkill 10: Conflict resolutionSkill 1: Label your feelingsSkill 2: Feel your feelingsSkill 4: Being presentSkill 5: Facing realitySkill 3: Filling up your tankSkill 6: Act in line with what you valueSkill 7: Approach! Don t AvoidPrioritized CBI SessionsRecommended CBI-EMP Sessions to PrioritizeSessionJob losses connected to skillWeighing Costs and Benefits of Different Behaviors63%Setting a Goal (short and long term)30%Behavior is a Choice27%Recognizing Risky Situations27%Asking Permission19%Sites can deviate from these lessons to address skill and cognition gaps they observe on the Lesson FormatMoral ReconationTherapy Reconation the restructuring of the conscious decision making process Moral Reasoning 12 Step Program Reduces recidivism rate 30% -50%Group Dynamics 2 1 hour sessions/week Certified Facilitators Open-ended groups Supportive environment Continued support Supports Job RetentionReceiving an MRT Coin for passing Step 3 STEPS by Is one of the first