The New Age of Psycho-Social Rehabilitation - NAMI Illinois

1 THE NEW AGE OF THE NEW AGE OF PSYCHOPSYCHO social social REHABILITATIONREHABILITATIONR oadmap to OutcomeOutcome OrientedOriented Treatmentand RecoveryTHE NEW AGE OF THE NEW AGE OF PSYCHOPSYCHO social REHABILITATIONSOCIAL REHABILITATIONT oday s Objectives: How You Meet Payer Standards Demonstrate People Improve Develop a PSR program that helps people improve enhances recovery Maintains/Builds Revenue StreamsTHE NEW AGE OF THE NEW AGE OF PSYCHOPSYCHO social REHABILITATIONSOCIAL REHABILITATIONWhat Can You Get PAID For Providing? ServicesWhat Do You Have To Do To Get Paid?

2 Develop Outcomes Delivery Services that Generate Anticipated Outcomes Document Reached OutcomesHow Do You Get People Connected? Without People: No Services No Outcomes No PaymentsMeeting Payer Standards: Meeting Payer Standards: OutcomesOutcomesAssessment and Planning (Rule 132) : Client s preferences relating to services and desired treatment outcomes. Documenting goals & anticipated Recording Keeping (Rule 132) : Discharge summary documenting the outcome of treatment and, as necessary, linkage to continued Payer Standards: Meeting Payer Standards: OutcomesOutcomesUtilization Reviews (Rule 132) : The expected short term and long term outcome of each service needed by the client and Progress made in response to NEW AGE OF THE NEW AGE OF PSYCHOPSYCHO social REHABILITATIONSOCIAL REHABILITATIONDo You View Recovery as aContinuum: orTrend.

3 Developing a World Class PSR ProgramDeveloping a World Class PSR ProgramStarts with a Philosophy of Recovery Trend vs. Continuum People ARE SMART People KNOW What ISN T WORKING People KNOW What They WANT People KNOW What HELPS People ENGAGE When TREATMENT Has Quality People IMPROVE the QUALITY of Their LifeDeveloping a World Class PSR ProgramDeveloping a World Class PSR ProgramPresumptions Staff Deserves To Be: Compensated for Expertise and Passion Thus Generate Income with Services Retention of Quality Staff Clinically Challenge Staff expect the best, Pay Raises Through Increased Income Agency Deserves To Be.

4 Compensated for Services Provided Remain OPEN to Serve Community a World Class PSR ProgramDeveloping a World Class PSR ProgramAssessment and Planning (from Rule 132) : ClientClient preferencespreferences relating to services and desired treatment Client s Preferences Means PSR MUST: Get to Know the Person Understand THEIR GOALS Review Assessment Data Bring the Person TO THE PROGRAM: Community Develop Motivation & HopeDeveloping a World Class PSR ProgramDeveloping a World Class PSR ProgramAssessment and Planning (from Rule 132) : Documenting goals & anticipatedanticipated outcomesMeans PSR MUST: Assess the Client s Needs (baseline) DLA Functional Measure MHA Tx History.

5 Connect Treatment to DLA and MHA = PrescriptiveQuestionSeldomOccasionallyOf tenFrequentlyIte m ScoreIte mD L AI Take Risks Someone How I Feel0110 Asking Someone for Help011 Telling Others What I Need06, 11, 22 Listening to Other Peoples' Ideas and Suggestions06 Identifying Options to Solve my Problem011 Creating & Executing a Plan that Solves my Problem02 Doing Something Fun That I Enjoy0170 Starting a New Relationship/Friendship0220 Going to the Doctor When I'm Sick or Hurt020 Joining a NEW social Group0200 QuestionSeldomOccasionallyOftenFrequentl yI am Self-Confident and & Eat at Least 2 Meals Per Day0100 Pay My Bills On Time090 Control My Spending and Budget my Monies09 Manage My Daily Schedule and Keep Appointments080 Clean My Home and Pay Rent/Mortgage

6 On Time040 Work Safely with Tools, Kitchen Knives & Razors070 Choose from the Options I Have to Solve Problems011 Use Public Transportation or Drive Myself020 Shop for Myself020 Tell My Family and/or Friends What I Need06, 11, 13, 22, 270L10 Have client Identify what they perceive as potential strengths and obstacles to their recovery? Strengths Obstacles (Check all that apply) (Check all that apply)

7 _____ History of treatment success _____ History of treatment disappointment _____ Understanding of illness _____ Denies illness/problems or blames others _____ Has decision making skills _____ Lacks decision making skills ability _____ Good communication skills _____ Limited communication ability _____ Adequate education _____ Limited education or learning difficulties _____ Good physical health _____ Physical/medical problems_____ Ability to manage finances _____ Financial difficulties_____ Stable living conditions _____ Unstable living conditions_____ Ability to form and maintain relationships _____ Difficulty with interpersonal relationships_____ Ability to care for self/others _____ Lack of trust in others _____ Vocational skills, some work history _____ Limited vocational skills and work history _____ Transportation available _____ Lacks transportation_____ Family support _____ Lack of family support_____ social support system present _____ Lacks friends and social outlets_____ Has confidence in treatment provider _____ Doubts their capacity to improve/be helped _____ Religious.

8 Spiritual or cultural beliefs _____ Religious, spiritual or cultural beliefs_____ Other Strengths, specify: _____ Other Obstacles, specify: Developing a World Class PSR ProgramDeveloping a World Class PSR ProgramMeans PSR MUST: Deliberately Intervene: Development of Group: Evidenced Based, Curriculum Driven Individual: Supersize the Fries Con Current with Group Milieu: Practice Socialization and Skills Lab. Connect Treatment to DLA and MHA = PrescriptivePSR Treatment Team Therapists and Supervisor met for a 90 day treatment review session to evaluate the client's progress toward goals identified in the client's individual treatment plan (ITP) driven by assessed needs identified in a yearly mental health assessment.

9 The review also determined and discussed the consumer's readiness to be transitioned and connected to less supportive therapeutic services and/or community-based and socially driven support activities. Prior to this review session, the consumer completed a self-report psychometric based on the Daily living Assessment to determine a level of functional impairment that prevents the consumer from engaging in less supportive therapeutic services and/or community-based and socially driven support activities. Staff discussed their clinical observation of the consumer while in treatment and the data collected during the completion of the self-report psychometric, which assisted the staff in determining gains or decreases in functionality over the past 90 days of treatment.

10 In addition, staff reviewed and discussed the client's compliance percentages and their levels of engagement with the treatment measured each week using an engagement matrix and the client's overall reported progress during each session of the : Continue PSR : During the review session, staff came to the decision that the consumer has reached very few of the goals identified in PSR services ITP as evidenced by the completion of a self-report psychometric and observations by the staff and the client's scores in compliance, engagement and progress toward goals.