social emotional wellness transition expo 2015adamhscc.org/pdf_adamhscc/en-us/youth expo...

Social Emotional Wellness Transition Expo 2015

Matthew Chern & Linda Torbert, LISW-S 1 4/24/2015

Wellness: What Does It Mean?

Wellness is: • A proactive approach to living an optimal

lifestyle • An active process whereby the individual

becomes aware of and makes choices toward a more successful and healthy existence

• A process in which the individual takes a primary role in his or her wellness


Six Dimensions of Wellness

o Emotional o Intellectual o Environmental o Physical o Spiritual o Social


Matthew’s High School Experience

• Special class did not match cognitive

abilities – students were at all different levels

• Regular class was demeaning and stigmatizing

4/24/2015 Matthew Chern & Linda Torbert, LISW-S 4

How I Felt? • Afraid to disclose disability

• Ashamed of negative responses from college

mates

• Forced to display cheerful persona


What Stigma Does • It induces fear of mistreatment for

the individual

• For the general public, it induces fear of people different from themselves

• It doesn’t allow for education of differences & growth of a community 4/24/2015 Matthew Chern & Linda Torbert,

LISW-S 6

How I coped with this?

• Pretending to be someone else

• Keeping problems to myself


Transition to College & Experience

• Pressure from college work and

parental philosophies caused breakdown

• Limited mental health services

• Stigma from college mates prevented development


Lessons……

Teachers, Parents, Students, School Administration, & Mental Health Professionals


Alternative Thinking to Achieve Social-Emotional Wellness

Positive Negative

Matthew Chern & Linda Torbert, LISW-S 10

Self-knowledge-how well do you know your strengths/weaknesses Spiritual and philosophical beliefs that bring comfort, peace, and tranquility Positive view of self and the world

Belief systems that energize, give faith, and strength during challenging times

Low level of self knowledge-lack of

awareness regarding strengths/weaknesses

Lack of faith

regarding spiritual beliefs,

negative philosop

hical view Pessimism,

skepticism, cynicism regarding

self, others, life, and possibly the

world

Self-limiting beliefs

4/24/2015

Relationships Matter But We Must Be Socially &

Emotionally Fit If We Are Not Socially &

Emotionally Fit


Strong communication

skills within relationships

Established community,

family

Friends on various levels:

•One or more very close friends •A variety of casual

friendships •A number of friendly

acquaintances

Larger Community Affiliations

Poor communication

skills within relationships

Difficulty Interacting Due

to Limited Social Skills

Socially Isolated

Strained Relationships

For Teachers to Assist Students In Achieving Social-Emotional Wellness

• Be very sensitive to what you say

• Encourage your students to reach the goals that they set for themselves

• Do not assume that they are incapable of reaching goals

• Do not punish students for their disabilities. Understand the emotional and academic needs of the students, each one individually

• Do not pity them—Instead, help them


For Parents to Assist Students In

Achieving Social-Emotional Wellness

• Do not refuse help or ignore situation

• Mental illness is an inherited disability which, like diabetes or any other physical illness, may be managed and must not be blamed

• Set healthy boundaries to create structure for your child

• Encourage your child to reach goals and guide them along the way to promote success

• Empower your child


For School & MH Providers to Assist Students In Achieving Social-Emotional

Wellness Include child in discussion and

planning

Promote diversity

Assist with resources


For Students to Assist Each Other In Achieving Social-Emotional Wellness

• Achieve all you can

• Find your own voice

• Be kind and considerate to your classmates who all have challenges of some kind

Everyone Is Working On Something……


How Did I Survive It All?

• I reached out to friends • I got involved with Magnolia

Clubhouse • I kept attempting to achieve

personal goals • I spoke out


Emotional Wellness Is….

• Feeling positive and enthusiastic about self and life

• Realistic assessment of one’s limitations • The development of autonomy • The ability to cope with stress


Matthew’s Qualities & Aspects of Social-Emotional Wellness

• I felt more optimistic about my future and myself • I felt like I could trust people again • I could finally accept who I was and stop pretending to

be someone else • I felt more confident in my abilities, more respected for

my choices • I was making responsible decisions and following through

with them • I reconnected with friends from college and made new

friends at Clubhouse • I could finally express my own emotions instead of hiding

behind a mask


How To Access Services????


The Alcohol Drug Addiction & Mental Health Services (ADAMHS) Board of

Cuyahoga County The mission of the Cuyahoga County Alcohol Drug Addiction & Mental Health Services (ADAMHS) Board is to promote and enhance the quality of life for residents of our community through a commitment of excellence in mental health, and addiction. Under the Ohio Revised Code Chapter 340, the ADAMHS Board is responsible and accountable for the planning, funding and monitoring of public alcohol, drug and mental health services delivered to the residents of Cuyahoga County. As part of the tentacles of the Ohio Revised Code, the ADAMHS Board identifies gaps within our behavioral health system ranging in age from birth through the adult trajectory of life.


Cuyahoga County ADAMHS Board

• The Cuyahoga County ADAMHS Board is one of fifty-three Boards and quasi-independent part of the Cuyahoga County government, governed by a volunteer board of 18 Directors- 8 appointed by the Department of Mental Health & Addiction Services- 10 appointed by the Cuyahoga County Executive’s office.

• The ADAMHS Board receives federal, state and local levy dollars used to fund Non-Medicaid funding to fill gaps within the behavioral health system and improve the lives of Cuyahoga County residents through agencies, partnering systems, and local governmental entities two of which include Magnolia Club House .


Roles and Responsibilities of the ADAMHS Board

• In Cuyahoga County, there are approximately 48,000 residents receiving AOD and/or mental health services

14,000 Children 34,000 Adults

• The ADAMHS Board does not provide “direct service”

but contracts with over sixty (60) community based providers for an array of services

• The ADAMHS Board has approximately a $66 million

budget $47 million is allocated for direct services

23 4/24/2015 Matthew Chern & Linda Torbert,

LISW-S

Difference Between the Adult & Child Serving Systems

Children's System SERVES ALL CHILDREN WITH SEVERE CHALLENGING BEHAVIORAL HEALTH SYMPTOMS

Adult System

Serves the UNISURED & MOST SEVERE PERSISTENT BEHAVIORAL HEALTH SYMPTOMS

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4/24/2015 Matthew Chern & Linda Torbert, LISW-S

ADAMHS Board Funded Services for Children

• Early Childhood Mental Health (ECMH) Services • Behavioral Health Prevention Programs • Mental Health In the Schools

• Behavioral Health Juvenile Justice (BHJJ)

• Re-Entry Programming

Matthew Chern & Linda Torbert,

LISW-S 25 4/24/2015

ADAMHS BOARD ADULT PROGRAMS

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Alcohol & Other Drug Adult (AOD) Program/Services

Out Patient Treatment Providers • Community Action Against Addiction

(CAAA)Methadone Treatment • Frontline Services • Northern Ohio Recovery Association AOD Housing/Residential Service Providers • Community Assessment & Treatment Services

(CATS) • Hispanic UMADOP • Hitchcock~ Seasons of Hope • ORCA House

27


ADAMHS Board Funded Community Resource Projects

• Permanent Housing & Rental Subsidy Programs

• Room & Board • Board & Care Environments • Residential Treatment MH & AOD • Partner Clinical Operations Reduce State

Hospital Bed Days • Community Capital Projects • Participation on Advisory Boards and

Committees that address housing issues and homeless prevention

28


Mental Health Program/Services For Adults (Cont.)

Domestic Violence Hotline • Bellflower Hoarding Training/Network • Elder Care MH Peer & Family Support & Education • NAMI • Magnolia Club House Mental Health Prevention • United Way

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Screening Centralized Assessment Linkage & Engagement (SCALE): Opening Doors to Treatment for the Uninsured

ADAMHS Board contracts with 9 (nine) providers with Connections Health & Wellness as the gatekeeper to manage services for the uninsured and individuals in need of intensive services. The following agencies are: The Centers Connections Eldercare of Benjamin Rose Epilepsy Association Far West Center Jewish Family Service Association Frontline Murtis Taylor Human Service System Recovery Resources


Magnolia Clubhouse



Clubhouse


Mission Magnolia Clubhouse is a vital community of

growth, hope and opportunity. Our mission is to ensure people who live with mental illness are respected co-workers, neighbors and friends.

Our vision is that one day, across the world,

the social rights movement for human justice to which Clubhouses are dedicated, will no longer be needed. People who live with mental illness everywhere, will live lives of dignity and fulfillment, and reach their full potential.

Magnolia Clubhouse


35

Magnolia Clubhouse • University Circle location • Over 353 people a year • 72 average daily attendance • Schizophrenia (63%); Mood Disorders

(29%) • 2012- 136 put on waiting list

• Currently expanding to 84 ADA

Magnolia Clubhouse


Clubhouse Model Standards • Innovative, award-winning model of rehabilitation

and reintegration for people who live with mental illness

• Membership- voluntary, choice, lifelong, reach out • Relationships- sharing in all work side by side • Space- belongs distinctly to Clubhouse, pride • Work-Ordered Day- running of the Clubhouse, vital,

like work in community, to regain self-worth, purpose and confidence, not specific job training, natural, members involved in all aspects of Clubhouse operation. I usually find myself working in the video lab for the internal news show. Sometimes, I work in the café and the resale shop, Bloomin’, in terms of researching prices for donated goods to be sold.

Magnolia Clubhouse


An Upscale Resale Shop and Member Art Gallery

Magnolia Clubhouse, Cleveland, Ohio

Magnolia Clubhouse


Clubhouse Model Standards

• Employment- Transitional and Supported open to all interested, variety, responsibility of

the Clubhouse for support, continued connection for working members

• Education- supports to meet needs of members

• Functions of the House- access, full array of community supports, supports housing, evenings, weekends and holiday social events

Magnolia Clubhouse

Supported Employment Transitional Employment

• Paid, entry-level positions, variety • Members work part time for 9 to 12 months,

employees of the companies • Clubhouse provides job training and support • Guaranteed job coverage

• Assistance with independent employment,

also Magnolia Clubhouse



Obstacles to Employment

• Stigma, fear, misperceptions • Felonies • Competition with those without disabilities or

illness • Smoking and drug tests • Symptoms of illness, anxiety • History of being told working is unrealistic • Concerns about lost benefits

Magnolia Clubhouse


Accent The New Restaurant in University Circle’s Uptown

Magnolia Clubhouse

Supported Education

Magnolia Clubhouse

22 members pursued educational goals including college, GED work, tutoring, and literacy skills development.



Magnolia House Health and Wellness

• Carriage House Clinic served 73 members • Primary Care started March 2012 • Smoking Cessation project • Group supporting weight loss, healthy

lifestyles, weekly yoga and exercise classes • Clubhouse healthy meals, large salad

option, daily walking group, social activities more physical

Magnolia Clubhouse

One year at Clubhouse costs less than 2 days in hospital.1

Cost effective.1

Rates of employment five times higher than the national average. 1,2

Reduced rates of hospitalization.3

Reduced incarcerations.4

Improved well-being.5

Research Findings

1Source: McKay, Yates, and Johnsen (2005); IPS model reported by Clark et al (1998); ACT model reported by Macias et al (2001). 2Source: Macias, Kinney and Rodican (1995). 3Source: De Masso, Avi-Itzak and Obler (2001). Source: Johnson and Hickey (1999).5Source: Warner, Huxley and Berg (1999). © 2007 ICCD. All rights reserved Matthew Chern & Linda Torbert,

LISW-S 44 4/24/2015

http://nrepp.samhsa.gov/

Matthew’s Dimensions of Wellness

• I continue to work on my dimensions of wellness: • I try to make time for myself to refuel, refresh, and reflect. • I meditate to be more in control spiritually. • I continue to do artwork for my emotional and spiritual

wellness. • I work on eating as healthy as I can while exercising

when I can. • I take walks with friends when I can. • I continue to attend Clubhouse for emotional support, as

well as support with managing my life.


What I Feel Is Needed

• Mentorship programs

• Better school counseling services

• Active role playing scenarios and real time experience


Conclusion

• I believe that mental health services and awareness should be improved in every school system so that there will be less discrimination, stigma, bullying, etc. and more academic improvement, emotional well being, and understanding.

• Remember if things stay the same, history shall

indeed repeat itself or so the saying goes. • The future depends on what we do now. The sooner

these services and awareness reach young adults, the better things will be for everyone.


social emotional wellness transition expo 2015adamhscc.org/pdf_adamhscc/en-us/youth expo...

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