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Delaware: (2007-2008)Sensational Accusations Front Page News

Hospital called a “Warehouse”• Accused of…client negligence• Inadequate services• Inadequate housing: • Client death • Over 150 people ready for discharge (for years)

Investigations by the US Department of Justice leads to a settlement agreement signed by the state in July 2011.

• Hospital accused of warehousing people

• • Accusations of abuse in the Press.• Community Services inadequate.• Peer Support nonexistent.• Statewide Organization: Consumer Recovery Advocacy Coalition of Delaware (CRADC) • Penny Chelucci,Office of Consumer Affairs Director• 150 Patients ready for discharge from hospital.

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2009 Kevin Huckshorn- Hired as State MH/SA Commissioner- recognized nationally for her work on seclusion and restraints reduction training

2010 Gayle Bluebird hired to develop and coordinate a team of Inpatient Peers

2010 Six Peers hired for work in the Inpatient setting In 2011 Six additional peers hired as “Bridge” Peers In 2012 11 Peers are on the team By 2013 4 management Peers in place, 2 team leaders, and executive

manager

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o 2010: Management positions created and placed with the Mental Health Association to ensure adequate salaries

o In 2012 a director was hired for our state organization, Delaware Community Resource Coalition

o 2010-2013: Four Peer Operated Resource Centers

o 2011-2012 Peers hired in the community for ACT teams, Community agencies, and Crisis Centers.

oCommunity Peers in placeThree Peer Operated Resource Centers50 Peers working in community agencies6 Peers on all ACT teamsApproximately 75 Peers working

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2011› Won new federal grant to implement Trauma Informed Care

statewide and expand peer support specialists programming statewide.

› Expansion of consumer-run Rick van Story Resource Center including an arts program.

› Implemented new Peer Specialist Program in the Delaware Psychiatric Center.

2012› Over 1,400 peer support contacts this year.› Opening of the Drop Zone and Creative Vision Factory; 2 new peer

run programs› Contract to jumpstart new Delaware Peer Coalition add to 2012

Community.› Delaware Psychiatric Center reduced operating capacity from 169

to 142.

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Of the 39 total restraint events hospital -wide in 2010, client XX accounted for 34 of the 39 events. Of the 50 total restraint events hospital-wide in 2011, client XX accounted for 41 of 50 events. Client XX was an inappropriate admission for DPC and was discharged in 2011 to a facility that specialized in treating client XX’s disorder.

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Peer Services Department 20137

Peer Services Director

Peer Services Assistant Director

Peer Clinical

Consultant

Peer Services Educator

Trauma Peer Coordinator

Peer Team Leader

Peer Team Leader

Peer Services Administrative

Specialist

Drop Zone Coordinator

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Early Movement Activists:(Left to Right)•Howie the Harp•George and Mary Ann Ebert•Kinike Bermudez; Bluebird•Jay Mahler; Sally Zinman•Pat Risser; Judy Chamberlin•Jeannie Matulis• Sue Bud•Paul Engels

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Requirements:

•Prior work history and/or college experience •Self-Disclosure•Written Application•Resume•2 or more interviews•Critical Thinking questions•Sparkling personality

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Required hospital training-MANDT Introductory Peer Training specific to hospital

setting (by Peer Educator) Shadowing 6 week probation period Ongoing weekly trainings Ongoing on the job support from managers

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We designed our own curriculum Emphasis on creativity All Peers must currently be working to be trained Consists of 72 hours Peers from community and hospital settings

trained To be integrated with State board Three day entry level training by Training

Educator

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Well excepted by staff and executives Referred to clients in private facilities Providing transitional Bridge services Specialized Trauma Peers in community agencies.

(SAMHSA Grant) Eliminated Peers delivering medications on ACT teams Positive relationships with psychiatrist The Drop Zone resource center service inpatient clients.

(community peers in progress) The Creative Vision Factory with media attention Medicaid reimbursable services on ACT teams (in progress)

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We dress casually and make a statement about who we are as unique individuals.

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Dara HagansInpatient Peer

Specialists

We prioritize finding out about a person's interests and strengths so that he/she can use their own individualized approaches to healing. Including alternative methods

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We use a person’s full name whenever possible and with his/her consent.

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HIPPA laws are meant to protect confidentiality but often have an opposite effect. People often begin to think of themselves as non-persons. The key is

to ask; the purpose is to honor.

We introduce wellness techniques creatively. 

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Examples:

•Nail Painting•Employment•Searching on Internet•Healthy Snacks •Walking•Affirmation•Drop Zone “DIC Resource Center”•Creative Arts Projects•Restaurant Outings•Drum Circles•Hands and Heart Project

Words have meanings. Charts give us a direction. But how we activate wellness is dependent on our approaching things in new and different ways.

Definition: The Comfort Room, formerly called the “Quiet” or “Time-Out”

room, is a room that provides sanctuary from stress. It can be a place where people can experience their feelings within acceptable boundaries.

Zen Room, Ft. Lauderdale Hospital, FL Western State HospitalTacoma, WA

We move fast because we emphasize:

Artsand

Creativity

By: Franzswa Watson “Hands Project”

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Examples:• “Creative Arts Factory”- Peer-Run Arts Center.• Art Exhibit in administration building lobby.• Comfort Rooms• Drumming Circle• Art Postcard Project• “Arts and Wellness” Carnivals

“Henrietta” 21

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Segal’s postcard is one of 12 postcards that will be taken to the National Governor's Conference by Governor Markell. They will be used as a

fundraiser for the arts center.

Ken SegalTalented Peer Artist

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Admission Comfort Bags:

•Given to all Peers on admission.•Contains rights information •Client Handbook• Peer Support information.

“All items selected with safety in mind.”

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•Created in 2011•Written, and designed by Peer Support.•In easy-to-understand language.•Illustrated with national artists’ artwork.•Designed for persons receiving services… and others

“Hugging Form”Meghan Caughey

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Peers apply for jobs with no previous knowledge of Peer Support

Developing our hiring practices Positions not a good fit Taking on too much and over working Inter-peer staff conflicts

› Client Liaison used for counseling Moving too fast

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To Establish an infrastructure first To place importance on Peer supervision Flexibility is very important To communicate with each other effectively To address conflicts directly The importance of “always available”

Administration Collaboration is needed To treat Peer Staff as any other employee

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Peer Support is a professional Job…

Peers are treated like any other employee

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However, Taking care of yourself is the number one priority!

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Gayle BluebirdOffice: (302)255-2701E-Mail: Gayle.Bluebird@state.de.us

Karen DiNardoOffice: (302)255-2978E-Mail: Karen.DiNardo@state.de.us

Franzswa WatsonOffice: (302)255-9731E-Mail: Franzswa.Watson@state.de.us

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