Stars Behavioral Health Group Valley Star Crisis Residential Treatment Center Partnering with People for Positive Change

Transcription

1 Stars Behavioral Health Group Valley Star Crisis Residential Treatment Center Partnering with People for Positive Change ~With~ San Bernardino Department of Behavioral Health 1

2 Peter Zucker, Ph.D. President & CEO, SBHG Andre Bossieux TAY Program Manager, San Bernardino DBH Rudy Armendariz Program Manager, Valley Star CRT (The STAY)

3 Agenda Introductions & Presentation Overview Partnering for Innovation - Start up history Integrating Trauma Informed Care using WRAP Program overview STAY-ges Drivers of effective EBP implementation Lessons Learned

4 Pulling it All Together Writing RFP Negotiating contract Hiring/Recruiting Staff Training Licensing Budgeting Operating

5 Partnering for Innovation MHSA Innovations grant SB-DBH TAY System of Care TAY Center partnership Unmet needs (genesis for STAY)

6 The Dream Came True

7 San Bernardino TAY Needs San Bernardino TAY Needs at Intake 2013 Meds Evaluation 13% Life Skills 4% Other 17% Education 12% Counseling 21% Employment 11% Housing 22%

8 Orienting New Staff To Program Essentials All Staff receive training in Evidence Based Practices WRAP Seeking Safety MIMS 16 Hour Pro-ACT Training

9 WELCOME LEARN LAUNCH Instill WRAP Values: HOPE, RESPONSIBILITY, EDUCATION, SELF- ADVOCACY, SUPPORT Teach Independent Living Skills in 5 Domains: Employment, Education, Housing, Wellness, and Community Living

10 WELCOME Establish Safety Orient to WRAP Assess and Plan

11 Safe Home-Like Environment

12 W.R.A.P. in a Nutshell Foundational practice to the STAY Orientation to WRAP for new admissions Development of WRAP before graduation Integration into Daily Classes/Routines Identification of Triggers and Self-Care focus Locating natural supports in the community Sustaining WRAP after leaving Wrap

13 Trauma Informed Care in a Residential Setting Recognizing the prevalence of trauma in the TAY population Changing from What s Wrong w/ you to What s Happened seeing youth through trauma lens Staff maintaining safety and dealing w/ issues of power, control, limit-setting and triggers

14 Cultural Attunements Youth Culture language, dress, social media LGBTQ Maintaining a Safe Zone, utilizing My Identity My Self (MIMS) curriculum Backgrounds of Poverty and Marginalization focusing on community engagement and inclusion 14

15 LEARN Teach Self-Management Techniques Develop Problem- Solving Abilities Enhance Individual Living Skills Practice Safe Coping Skills Discover Strengths

16 Wellness Schedule TIME Sunday Monday Tuesday Wednesday Thursday Friday Saturday 7:00 AM 8:00 AM Breakfast/Self-Care Breakfast/Self-Care Breakfast/Self-Care Breakfast/Self-Care Breakfast/Self-Care Breakfast/Self-Care Breakfast/Self-Care Community meeting Community meeting Community meeting Community meeting Community meeting 8:00 AM - 8:45 AM Cooking Class Feeling Good Cooking Class Feeling Good Plan/SOS Feeling Good Plan/SOS Feeling Good Plan/SOS Feeling Good Plan/SOS Plan/SOS 8:45 AM 9:00 AM COMMUNITY BREAK COMMUNITY BREAK COMMUNITY BREAK COMMUNITY BREAK COMMUNITY BREAK COMMUNITY BREAK COMMUNITY BREAK 9:00 AM 10:00 AM 10:00 AM 10:45 AM 10:45 AM 11:45 AM STAY for Brunch Cooking class What Recovery Means To You Individual Appointments Individual Goal Work WELLNESS AND EXERCISE Individual Goal Work WELLNESS AND EXERCISE INDEPENDENT LIVING NA MEETING Individual Goal Work MINGLE/MINGLE WELLNESS AND EXERCISE INTERNALS Individual Goal Work VOGUE (WOMENS GROUP) GQ (MENS GROUP) WELLNESS AND EXERCISE INDEPENDENT LIVING NA MEETING TAY Chef Survival Meals Individual Goal Work Individual Goal Work My Space/Your Space MINGLE/MINGLE Individual Appointments Individual Goal Work 11:45 AM 12:00 PM COMMUNITY BREAK COMMUNITY BREAK COMMUNITY BREAK COMMUNITY BREAK COMMUNITY BREAK COMMUNITY BREAK COMMUNITY BREAK 12:00 PM 1:00 PM LUNCH LUNCH LUNCH LUNCH LUNCH LUNCH LUNCH 1:00 PM -2:00 PM WELLNESS AND EXERCISE TAY Center Orientation INDEPENDENT LIVING BUDGETING INDEPENDENT LIVING EMPLOYMENT INDEPENDENT LIVING Housing INDEPENDENT LIVING Transportation INDEPENDENT LIVING Finances and Financial Assistance WELLNESS AND EXERCISE Yo! On My Way Out 2:00 PM 3:00 PM INDEPENDENT LIVING Cool Your Temp! INDEPENDENT LIVING Now that I m here... Relationship Building Managing My Behavior TAY Center Drop In Individual Goal 3:00 PM 3:45 PM INDEPENDENT LIVING Individual Goal Work Individual Goal work Individual Goal Work INDEPENDENT LIVING Individual Goal Work Work Conflict Resolution Communication 3:45 PM 4:00 PM COMMUNITY BREAK COMMUNITY BREAK COMMUNITY BREAK COMMUNITY BREAK COMMUNITY BREAK COMMUNITY BREAK COMMUNITY BREAK EXPRESSIVE ARTS EXPRESSIVE ARTS EXPRESSIVE ARTS EXPRESSIVE ARTS EXPRESSIVE ARTS 4:00 PM 5:00 PM Meditation Meditation 5:00 PM 6:00 PM DINNER DINNER DINNER DINNER DINNER DINNER DINNER 6:00 PM 6:15 PM COMMUNITY BREAK COMMUNITY BREAK COMMUNITY BREAK COMMUNITY BREAK COMMUNITY BREAK COMMUNITY BREAK COMMUNITY BREAK 6:00 PM 7:00 PM VISITORS VISITORS VISITORS VISITORS VISITORS Hoops! Games VISITORS VISITORS 7:00 PM 7:45 PM STAY at the Movies Chillaxin Chillaxin Chillaxin STAY at the Movies STAY at the Movies LGBTQ Meditation Nation Meditation Nation Meditation Nation 8:00 PM 9:00 PM Self-Care Self-Care Self-Care Self-Care Self-Care Self-Care Self-Care 9:00 PM 9:15 PM COMMUNITY BREAK COMMUNITY BREAK COMMUNITY BREAK COMMUNITY BREAK COMMUNITY BREAK COMMUNITY BREAK COMMUNITY BREAK **RESIDENT COUNCIL HELD AT 7:00 PM ON THE 1 ST AND 3 RD FRIDAY OF EVERY MONTH** **NA MEETINGS HELD OFF SITE ON TUESDAY AND THURSDAY AT 7:00 PM FOR THOSE ON DISCHARGE TRANSITION PLAN**

17 Class Highlights Mingle/Mingle ~ Peer to Peer Cool Your Temp ~ Aggression replacement skills Independent Housing ~ Budgeting, Relationships, Shopping 17

18 Resident Council Teaching Self Advocacy and Social Skills

19 STAY on Top Asking for Help

20 STAY on Top Learning to Manage Stress

21 STAY on Top Positive Self Talk

22 LAUNCH Complete WRAP Plan Name 6 Supports ID 3 Self-Care Tools Establish Education, Employment, and Housing Plans Practice Self-Advocacy

23 Admitted From Home/Independent Living Acute Hospital Street Residential Board and Care Homeless Shelter Jail TAY Center 3% 15% 82% Live In Vocational Training 6% ACA (Unknown Destination) 13% Residential Board and Care 10% Homeless Shelter 3% Acute Hospital 7% Discharge To Home/Independe nt Living 61% 23

24 Facilitating the next placement Independent Housing Cedar House Job Corps Conservation Corps Board and Care Enrolling in educational services High School/GED Non-Public Schools Vocational Schools Community Colleges Assistance with resume building and obtaining employment Accessing Community Resources Library Cards Identification Cards Medi-Cal Applications SSI Applications Participating in Community Outreach Activities Evening with the Stars Rock Climbing Hip-Hop Dance

25 July December % 35% 30% 25% 20% 15% 1st Period nd Period % 5% 0%

26 TOP 7 Reasons that EBP s get FUBAR ed PDQ (LOL) I m already doing this crap What flavor of the month is it now? Tutti-Frutti? My boss told me I had to come to this training (btw: I have to leave at 10:30) We can only apply this EBP until the client turns 18, then they turn into a pumpkin or something. We really loved this EBP, but then we had to get back to our jobs. This EBP stuff is very cool, if only it was billable My boss wants me to change but doesn t think s/he needs to

27 Guidelines for Sustaining EBPs 27

28 Sustaining the Innovation MHSA Innovations Capturing key outcomes ~ Reduce penetration to higher levels of care? ~ Reach un, under, & inappropriately served? County Partners Identifying the key players and being responsive to their emerging needs Affordable Care Act/Fiscal - Anticipating how Medi-Cal and new funding opportunities can support TAY system of care

29 1 Year Lessons Learned Involve stakeholders from the beginning and keep them involved and invested Shared Vision between County and Contract agency is key Look for continual reinvention of the program to maintain interest and individualize supports Create an attractive, youth friendly environment Fostering relationships/bringing together two treatment cultures to build a system of care

30 To instill hope and provide an insider s look for new residents. 30

31 WRAP UP TAY WHAT???