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Building Community: Through Finding Our Voice and Engaging in
Dialogue, Part 2By Daniel Fisher, MD, PhD
National Empowerment Centerwww.power2u.org
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Healing Elements of Therapeutic Conversation: Dialogue as an Embodiment of Love
“The drama of the process lies not in some brilliant intervention by the professional, but in the emotional exchange among network members, including the professionals, who together construct or restore a caring personal community.”Reference:Healing Elements of Therapeutic Conversation: Dialogue as an Embodiment of Love JAAKKO SEIKKULA, PH.D. w DAVID TRIMBLE, PH.D. Fam Proc 44:461–475, 2005
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Part One: Self-determination through SELF-DIRECTED CARE Taking Charge of Our Own Lives…….
Prepared by: Patrick Hendry
Executive Director
Florida Peer Network
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The Florida Self DeterminationCare (SDC) Program
(Patrick Hendry, Florida SDC Program)
Life AnalysisLife Action Plan
Life/Recovery CoachingIndividualized BudgetBrokered Services & SupportsNew Life Action Plans & Budgets Quarterly Review
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Traditional approach
Available Resources
Treatment Goals
AvailableSupports Person
Focus is on “Managing the Illness”
1 2 3 4
Source: Foundations of Person-Centeredness, Level 1 Workbook – pg 18
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Person-centered approach
ResourcesDreamsNatural
SupportsPerson
Focus is on “Promoting Recovery”
1 2 3 4
Source: Foundations of Person-Centeredness, Level 1 Workbook – pg 19
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Comparing self-directed care and
community mental health services in Florida
Outcome measured Traditional Community MH Service
Self-directed care
Participate in life of community
30% 75%
Perform different social roles
25% 83%
Choose services 42% 90% Exercise rights 42% 90%
Have best possible health
22% 65%
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Results of Crisis Residential (CRP) vs. Inpatient Hospitalization (IP):
Service Satisfaction
Average 30-day satisfaction was higher for the CRP group than the IP group (p < .001).
The strong difference in satisfaction remained throughout the outcome period.
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Results of Crisis Residential vs. Inpatient Hospitalization:
Rosenberg Self-Esteem
Analysis of the Rosenberg self-esteem scale indicated average improvement across time only in the CRP condition, as seen by the non-significant slope and the significant group x time interaction.
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How Medicaid can Promote Transformation STEPs to RECOVERY
2.Training and Education:
a. For all Stakeholders and public to decrease stigma
b. For professionals: Medicaid reimbursement would require CME’s in recovery
c. Curricula designed, presented and evaluated by collaboration of consumers and professionals
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