ADULT MENTAL HEALTH SERVICES ARE DELIVERED THROUGH A DISEASE MANAGEMENT MODEL
WHAT IS DISEASE MANAGEMENT?
Treatment of Major Depression, Bipolar and/or Schizophrenia Disorders that focuses on an individual’s outcomes, selected services, tools, and strengths in order for them to recover.
WHAT IS RECOVERY?
“A deeply personal, unique process of changing one’s attitudes, values, feelings, goals, skills, and/or roles. It is a way of living a satisfying, hopeful, and contributing life even with limitations caused by illness” (Anthony, 1993).
• Recovery is a process that takes place over time
• It promotes balance in a person’s life
• It develops the whole person
• Its focus is on potential
• It involves changing thinking and attitude
• It promotes emotional and spiritual growth
• It begins with self-acceptance
• It’s activated through a willingness to self-change
TREATMENT IS BASED ON THE BASIC PRINCIPLES THAT EVERYONE NEEDS
• A sense of power
• A sense of uniqueness
• Positive role models and mentors
• Problem solving skills
• Conflict resolution skills
FOUNDATIONS OF DISEASE MANAGEMENT
• Community Integration
• Good Clinical Practice Guidelines
• Good Utilization Management
• Good Business Practice
DISEASE MANAGEMENT MODEL
• Builds on current strengths of individual.
• Teaches skills to help reach “real life” goals.
• Promotes recovery within limitations of the disease through encouraging.independence.
• Focuses on community integration.
• Focuses on whole-person and not just the disease.
• Requires participation of individuals served.
• Services are determined by individual’s needs.
BASIC DISEASE MANAGEMENT PRINCIPLES
• Treatment based on specific diagnosis and level of need.
• A system of service delivery based on progression of recovery.
• Outcomes that help individuals reach real life goals, increase community integration, and support progression toward recovery.
• Community integration through building on an individual’s skills.
• A system of services reflecting level of need matched with clinically appropriate resources. It is structured to progress from more intense levels of service to less intense and eventual graduation.
• Service delivery that is designed to reduce psychiatric hospitalization, reduce substance abuse, and encourage jail diversion.
• Services reflect right treatment, for appropriate length of time, and delivered in the appropriate setting.
• Individualized services based on a set of practice guidelines.
What is it that the individual needs and wants in order to recover? A Wellness Strategy, looking at an individual’s activities 24 hours a day, 7 days a week, is completed for every adult mental health patient at Pecan Valley Centers service area to ensure that they receive:
• Regular Physical Exercise
• Adequate Sleep
• Healthy Diet
• Referral to outside agencies for funding assistance as needed and available.
• Linkage with at least 2 community supports specific to the individual’s needs, such as the National Alliance for the Mentally Ill, Peer Support Groups, local churches, Narcotics Anonymous, and Alcoholics Anonymous.
• Identifies desired outcomes and real life goals of an individual.
• Builds on strengths and focuses on positives in an individual’s life.
• Strengthens and teaches skills necessary for individual to cope with their disease.
AREAS AN INDIVIDUAL MAY FIND ASSISTANCE THROUGH PSYCHIATRIC REHABILITATION AND SELF MANAGEMENT TRAINING/EDUCATION INCLUDE:
• Stress Management
• Coping Skills
• Symptom Management
• Medication Education
• Activities of Daily Living
• Problem Solving
• Accessing Services
• Communicating Effectively
• Social Skills
• Development of Natural Supports
• Family Training Education
• Illness Education
• COPSD Groups
• Anger Management
• Supported Employment
• Supported Housing
Following is a listing and description of Children’s Mental Health Services provided by Pecan Valley MHMR . Eligibility for the following services will be determined based on an individual’s diagnosis and particular treatment needs. The list is not intended to be all inclusive, but to describe the Primary services offered through Pecan Valley MHMR.
Counseling includes individual, family, and group cognitive behavioral Therapy focused on the reduction or elimination of an individual’s symptoms of emotional disturbance and increasing the individual’s ability to perform activities of daily living.
The Crisis Hotline is a continuously available staffed telephone service providing information, support, and referrals to callers 24 hours per day, 7 days per week.
Crisis Intervention Services
Crisis Intervention Services are interventions provided in response to a crisis in order to reduce symptoms of severe and persistent mental illness and to prevent admission of an individual to a more restrictive environment.
Family Case Management
Family Case Management includes activities to assist the individual’s family members gain and coordinate access to necessary care and Services appropriate to the family members’ needs.
Family Partners are the experienced parents of individuals with serious emotional disturbances who provide peer mentoring and support to the individual’s primary caregivers.
Family Training is training provide to the individual’s primary caregivers to assist the caregivers cope and manage with the individual’s emotional disturbance. Family Training includes instruction on basic parenting skills and other forms of guidance.
Flexible Community Supports
Flexible Community Supports are non-clinical supports that assist in community integration, reduce symptomatology, and maintain quality of life and family integration for children. Flexible community supports include tutors, family aides, specialized camps, therapeutic child-oriented activities, temporary child care, temporary kinship care, initial job development and placement activities, initial independent living support,transportation services, and short-term counseling for family members.
Group Skills Training for Children
Group Skills Training is training provided to groups on individuals that addresses the individual’s serious emotional disturbance and Symptom-related problems that interfere with the individual’s functioning,provides opportunities for the individual to acquire and improve skills needed to function as appropriately and independently as possible in the community, and facilitates the individual’s community integration and increases his or her ability to stay in a community setting.
Intensive Case Management
Intensive Case Management includes activities to assist an individual and their caregiver in gaining and coordinating access to necessary care and services appropriate to the individual’s needs. Wraparound Planning is utilized to help develop the Case Management Plan for the individual.
Medication Training includes training provided to individuals and or their primary caregiver on the nature of mental illness, the importance of medications, and other medication related information.
Medication Training and Support
Medication Training and Support includes training provided to individuals and/or their primary caregiver on the nature of mental illness, the importance of medications, and other medication related information.
Parent Support Group
Parent Support Groups consist of routinely scheduled support and formational meetings for the individual’s primary caregivers.
Pharmacological Management services are provided by a Physician,Advanced Practice Nurse, or Physician Assistant to determine symptom remission and the medication regimen needed by an individual.
A Pre-Admission Assessment is utilized to obtain information from the individual and family seeking services in order to evaluate the individual’s diagnosis, eligibility and treatment needs. The Texas Recommended Authorization Guidelines is utilized during this process to determine the services the individual is eligible to receive.
Provision of Medication
Provision of Medication is a service to ensure the provision of psychoactive medication benefits to individuals who have no source of funds for medications.
Respite Services provide for temporary, short-term, periodic relief of primary caregivers.
Routine Case Management
Routine Case Management includes activities to assist an individual and their caregiver to gain and coordinate access to necessary care and services appropriate to the individual’s needs.
Screening involves the gathering of triage information to determine the need for in-depth assessment. This service includes screenings to determinethe urgency of the individual’s needs.
Skills Training and Development
Skills Training and Development is training provided to an individual and their primary caregiver that addresses the severe emotional disturbance and symptom-related problems that interfere with the individual’s functioning, provides opportunities for the individual to acquire and improve skills needed to function as appropriately and independently as possible in the community, and facilitates the individual’s community integration and increases his or her ability to remain in a community setting.
Supplemental Nursing Services
Supplemental Nursing Services are provided by a qualified professional to ensure the direct application of a psychoactive medication and to assess target symptoms, side effects and adverse effects, and the impact of psychoactive medication for the individual and family in accordance with the individual’s treatment plan. Supplemental Nursing Services include checking vital signs, refilling pill packs, monitoring self-administration of medications, pill pack counts, and evaluating the severity of side effects.
Who are Peer Providers?
A Peer Provider (Certified Peer Specialist, Peer Suppport Specialist, Recovery Coach) is a person who uses his or her lived experience of recovery from mental illness and/or addiction. Through learned skills, Peers are able to deliver services in behavioral health settings to promote mind-body and resiliency.
Based on the philosophy of peer support, services include programs, discussions, events, and groups that are led by people in recovery and provide current clients with hope for recovery. By walking in their shoes, Peer Providers give clients comfort in truly understanding their challenges and act as a support system for when someone encounters struggles on their road to recovery.
Strengths Peer Providers Add to the Integrated Workplace?
Peer Providers bring unique strengths and qualities to the integrated care team. These strengths include:
- Personal experience with whole health recovery that includes addressing wellness of both mind and body
- Insight into the experience of internalized stigma and how to combat it
- Compassion and commitment to helping others, rooted in a sense of gratitude
- Cant take away the "you do not know what it's like" excuse
- Experience of moving from hopelessness to hope
- In a unique position to develop a relationship of trust, which is espcially helpful in working with people in trauma recovery
- A developed skill in monitoring their illness and self-managing their lives holistically
Pecan Valley Peer Providers?
Who Is On Our Team:
- Part-time Peer Provider and full-time Peer Provider in Cleburne.
- Full-time Certified Peer Specialist/WRAP Facilitator in Weatherford and Mineral Wells
- Part-time Certified Peer Specialist/WRAP Facilitator in Weatherford.
We are expecting continued growth to the program and throughout the Region. PVC is excited about the program growing because we have seen first-hand how it can change lives.
If you are interested in learning more about becoming a Peer Provider in our 6 county territory, please contact Michelle Key at firstname.lastname@example.org or (817) 558-1121.
*Peer Provider information courtesy of SAMHSA http://www.integration.samhsa.gov/workforce/peer-providers