Dartmouth PRC 11 Recovery & Evidence-Based Supported Employment.

Dartmouth PRCDartmouth PRCDartmouth PRCDartmouth PRC 1111

RecoveryRecovery& &

Evidence-BasedEvidence-BasedSupported EmploymentSupported Employment

RecoveryRecovery& &

Evidence-BasedEvidence-BasedSupported EmploymentSupported Employment

Dartmouth PRCDartmouth PRC 22

Important themes of ________?Important themes of ________?Important themes of ________?Important themes of ________?

1.1. Self-directedSelf-directed

2.2. IndividualizedIndividualized

3.3. EmpoweringEmpowering

4.4. HolisticHolistic

5.5. Non-LinearNon-Linear

1.1. Self-directedSelf-directed

2.2. IndividualizedIndividualized

3.3. EmpoweringEmpowering

4.4. HolisticHolistic

5.5. Non-LinearNon-Linear

6.6. Strengths-Strengths-basedbased

7.7. Peer SupportsPeer Supports8.8. RespectRespect9.9. ResponsibilityResponsibility10.10.HopeHope

6.6. Strengths-Strengths-basedbased

7.7. Peer SupportsPeer Supports8.8. RespectRespect9.9. ResponsibilityResponsibility10.10.HopeHope

What is Recovery?What is Recovery?

What is What is notnot Recovery? Recovery?

What is Recovery?What is Recovery?

What is What is notnot Recovery? Recovery?


Recovery?Recovery?Recovery?Recovery?

““I need to be I need to be given advice and given advice and guidance about guidance about work so I wonwork so I won’’t t

make any make any mistakes or failmistakes or fail””

““I need to be I need to be given advice and given advice and guidance about guidance about work so I wonwork so I won’’t t

make any make any mistakes or failmistakes or fail””



““I want to work, I want to work, working is what working is what men do. Recovery men do. Recovery means mental means mental illness is not the illness is not the center of my center of my world.world.””

““I want to work, I want to work, working is what working is what men do. Recovery men do. Recovery means mental means mental illness is not the illness is not the center of my center of my world.world.””



““Someday, I hope Someday, I hope to be compliant to be compliant so I will be able to so I will be able to think about think about getting a small getting a small part-time cleaning part-time cleaning job on the agency job on the agency work crewwork crew””

““Someday, I hope Someday, I hope to be compliant to be compliant so I will be able to so I will be able to think about think about getting a small getting a small part-time cleaning part-time cleaning job on the agency job on the agency work crewwork crew””



““Before I was Before I was really really depressed. depressed. But after I But after I started started working, it working, it was a relief. I was a relief. I feel better feel better workingworking……””

““Before I was Before I was really really depressed. depressed. But after I But after I started started working, it working, it was a relief. I was a relief. I feel better feel better workingworking……””



““I hope that I hope that someday I will someday I will be able to work be able to work in a sheltered in a sheltered

workshopworkshop””

““I hope that I hope that someday I will someday I will be able to work be able to work in a sheltered in a sheltered

workshopworkshop””



““I have a dream I have a dream that someday that someday soon I will be soon I will be

able to work in a able to work in a sheltered setting sheltered setting for four hours a for four hours a

weekweek””

““I have a dream I have a dream that someday that someday soon I will be soon I will be

able to work in a able to work in a sheltered setting sheltered setting for four hours a for four hours a

weekweek””



““I have my I have my own goals to own goals to do my own do my own

thing. Thatthing. That’’s s what gives my what gives my life meaning.life meaning.””

““I have my I have my own goals to own goals to do my own do my own

thing. Thatthing. That’’s s what gives my what gives my life meaning.life meaning.””



““My life has My life has enough meaning enough meaning now that I have a now that I have a

psychiatrist, psychiatrist, medications and a medications and a

case manager. case manager. Why would I mess Why would I mess that up with work?that up with work?””

““My life has My life has enough meaning enough meaning now that I have a now that I have a

psychiatrist, psychiatrist, medications and a medications and a

case manager. case manager. Why would I mess Why would I mess that up with work?that up with work?””

Dartmouth PRCDartmouth PRCDartmouth PRCDartmouth PRC 12121212

National Consensus Statement National Consensus Statement on Mental Health Recoveryon Mental Health Recovery

National Consensus Statement National Consensus Statement on Mental Health Recoveryon Mental Health Recovery

www.SAMHSA.govwww.SAMHSA.gov

http://www.SAMHSA.gov/

http://www.SAMHSA.gov/


Self-DirectionSelf-DirectionSelf-DirectionSelf-Direction

Consumers lead, control, exercise choice Consumers lead, control, exercise choice over, and determine their own path of over, and determine their own path of recovery by optimizing autonomy, recovery by optimizing autonomy, independence, and control of resources to independence, and control of resources to achieve a self-determined life. By achieve a self-determined life. By definition, the recovery process must be definition, the recovery process must be self-directed by the individual, who defines self-directed by the individual, who defines his or her own life goals and designs a his or her own life goals and designs a unique path towards those goals.unique path towards those goals.

Consumers lead, control, exercise choice Consumers lead, control, exercise choice over, and determine their own path of over, and determine their own path of recovery by optimizing autonomy, recovery by optimizing autonomy, independence, and control of resources to independence, and control of resources to achieve a self-determined life. By achieve a self-determined life. By definition, the recovery process must be definition, the recovery process must be self-directed by the individual, who defines self-directed by the individual, who defines his or her own life goals and designs a his or her own life goals and designs a unique path towards those goals.unique path towards those goals.


Individualized and Person-CenteredIndividualized and Person-CenteredIndividualized and Person-CenteredIndividualized and Person-Centered

There are multiple pathways to recovery There are multiple pathways to recovery based on an individualbased on an individual’’s unique strengths s unique strengths and resiliencies as well as his or her and resiliencies as well as his or her needs, preferences, experiences needs, preferences, experiences (including past trauma), and cultural (including past trauma), and cultural background in all of its diverse background in all of its diverse representations….representations….

There are multiple pathways to recovery There are multiple pathways to recovery based on an individualbased on an individual’’s unique strengths s unique strengths and resiliencies as well as his or her and resiliencies as well as his or her needs, preferences, experiences needs, preferences, experiences (including past trauma), and cultural (including past trauma), and cultural background in all of its diverse background in all of its diverse representations….representations….


EmpowermentEmpowermentEmpowermentEmpowerment

Consumers have the authority to choose Consumers have the authority to choose from a range of options and to participate from a range of options and to participate in all decisions—including the allocation of in all decisions—including the allocation of resources—that will affect their lives, and resources—that will affect their lives, and are educated and supported in so doing….are educated and supported in so doing….

Consumers have the authority to choose Consumers have the authority to choose from a range of options and to participate from a range of options and to participate in all decisions—including the allocation of in all decisions—including the allocation of resources—that will affect their lives, and resources—that will affect their lives, and are educated and supported in so doing….are educated and supported in so doing….


HolisticHolisticHolisticHolistic

Recovery encompasses an individualRecovery encompasses an individual’’s whole s whole life, including mind, body, spirit, and community. life, including mind, body, spirit, and community. Recovery embraces all aspects of life, including Recovery embraces all aspects of life, including housing, employment, education, mental health housing, employment, education, mental health and healthcare treatment and services, and healthcare treatment and services, complementary and naturalistic services, complementary and naturalistic services, addictions treatment, spirituality, creativity, addictions treatment, spirituality, creativity, social networks, community participation, and social networks, community participation, and family supports as determined by the person….family supports as determined by the person….

Recovery encompasses an individualRecovery encompasses an individual’’s whole s whole life, including mind, body, spirit, and community. life, including mind, body, spirit, and community. Recovery embraces all aspects of life, including Recovery embraces all aspects of life, including housing, employment, education, mental health housing, employment, education, mental health and healthcare treatment and services, and healthcare treatment and services, complementary and naturalistic services, complementary and naturalistic services, addictions treatment, spirituality, creativity, addictions treatment, spirituality, creativity, social networks, community participation, and social networks, community participation, and family supports as determined by the person….family supports as determined by the person….


Non-LinearNon-LinearNon-LinearNon-Linear

Recovery is not a step-by-step process Recovery is not a step-by-step process but one based on continual growth, but one based on continual growth, occasional setbacks, and learning from occasional setbacks, and learning from experience. Recovery begins with an initial experience. Recovery begins with an initial stage of awareness in which a person stage of awareness in which a person recognizes that positive change is recognizes that positive change is possible….possible….

Recovery is not a step-by-step process Recovery is not a step-by-step process but one based on continual growth, but one based on continual growth, occasional setbacks, and learning from occasional setbacks, and learning from experience. Recovery begins with an initial experience. Recovery begins with an initial stage of awareness in which a person stage of awareness in which a person recognizes that positive change is recognizes that positive change is possible….possible….


Strengths-BasedStrengths-BasedStrengths-BasedStrengths-Based

Recovery focuses on valuing and building Recovery focuses on valuing and building on the multiple capacities, resiliencies, on the multiple capacities, resiliencies, talents, coping abilities, and inherent worth talents, coping abilities, and inherent worth of individuals. By building on these of individuals. By building on these strengths, consumers leave stymied life strengths, consumers leave stymied life roles behind and engage in new life roles roles behind and engage in new life roles (e.g., partner, caregiver, friend, student, (e.g., partner, caregiver, friend, student, employee)….employee)….

Recovery focuses on valuing and building Recovery focuses on valuing and building on the multiple capacities, resiliencies, on the multiple capacities, resiliencies, talents, coping abilities, and inherent worth talents, coping abilities, and inherent worth of individuals. By building on these of individuals. By building on these strengths, consumers leave stymied life strengths, consumers leave stymied life roles behind and engage in new life roles roles behind and engage in new life roles (e.g., partner, caregiver, friend, student, (e.g., partner, caregiver, friend, student, employee)….employee)….


Peer SupportPeer SupportPeer SupportPeer Support

Mutual support—including the sharing of Mutual support—including the sharing of experiential knowledge and skills and experiential knowledge and skills and social learning—plays an invaluable role in social learning—plays an invaluable role in recovery. Consumers encourage and recovery. Consumers encourage and engage other consumers in recovery and engage other consumers in recovery and provide each other with a sense of provide each other with a sense of belonging, supportive relationships, valued belonging, supportive relationships, valued roles, and community.roles, and community.

Mutual support—including the sharing of Mutual support—including the sharing of experiential knowledge and skills and experiential knowledge and skills and social learning—plays an invaluable role in social learning—plays an invaluable role in recovery. Consumers encourage and recovery. Consumers encourage and engage other consumers in recovery and engage other consumers in recovery and provide each other with a sense of provide each other with a sense of belonging, supportive relationships, valued belonging, supportive relationships, valued roles, and community.roles, and community.


RespectRespectRespectRespect

Community, systems, and societal Community, systems, and societal acceptance and appreciation of acceptance and appreciation of consumers —including protecting their consumers —including protecting their rights and eliminating discrimination and rights and eliminating discrimination and stigma—are crucial in achieving recovery. stigma—are crucial in achieving recovery. Self-acceptance and regaining belief in Self-acceptance and regaining belief in oneone’’s self are particularly vital. Respect s self are particularly vital. Respect ensures the inclusion and full participation ensures the inclusion and full participation of consumers in all aspects of their lives.of consumers in all aspects of their lives.

Community, systems, and societal Community, systems, and societal acceptance and appreciation of acceptance and appreciation of consumers —including protecting their consumers —including protecting their rights and eliminating discrimination and rights and eliminating discrimination and stigma—are crucial in achieving recovery. stigma—are crucial in achieving recovery. Self-acceptance and regaining belief in Self-acceptance and regaining belief in oneone’’s self are particularly vital. Respect s self are particularly vital. Respect ensures the inclusion and full participation ensures the inclusion and full participation of consumers in all aspects of their lives.of consumers in all aspects of their lives.


ResponsibilityResponsibilityResponsibilityResponsibility

Consumers have a personal responsibility Consumers have a personal responsibility for their own self-care and journeys of for their own self-care and journeys of recovery. Taking steps towards their goals recovery. Taking steps towards their goals may require great courage. Consumers may require great courage. Consumers must strive to understand and give must strive to understand and give meaning to their experiences and identify meaning to their experiences and identify coping strategies and healing processes to coping strategies and healing processes to promote their own wellness. promote their own wellness.

Consumers have a personal responsibility Consumers have a personal responsibility for their own self-care and journeys of for their own self-care and journeys of recovery. Taking steps towards their goals recovery. Taking steps towards their goals may require great courage. Consumers may require great courage. Consumers must strive to understand and give must strive to understand and give meaning to their experiences and identify meaning to their experiences and identify coping strategies and healing processes to coping strategies and healing processes to promote their own wellness. promote their own wellness.


HopeHopeHopeHope

Recovery provides the essential and Recovery provides the essential and motivating message of a better future— motivating message of a better future— that people can and do overcome the that people can and do overcome the barriers and obstacles that confront them. barriers and obstacles that confront them. Hope is internalized; but can be fostered Hope is internalized; but can be fostered by peers, families, friends, providers, and by peers, families, friends, providers, and others. Hope is the catalyst of the recovery others. Hope is the catalyst of the recovery process….process….

Recovery provides the essential and Recovery provides the essential and motivating message of a better future— motivating message of a better future— that people can and do overcome the that people can and do overcome the barriers and obstacles that confront them. barriers and obstacles that confront them. Hope is internalized; but can be fostered Hope is internalized; but can be fostered by peers, families, friends, providers, and by peers, families, friends, providers, and others. Hope is the catalyst of the recovery others. Hope is the catalyst of the recovery process….process….


Elements of

Recovery

Holistic

Peer Support Non-

Linear

Strength-Based

Responsibility

Empowerment

Person Centered

Self-Direction

Hope

Respect

•SE works together with other integrated services to help with all aspects of life, including housing, employment, education, substance use and mental health.

•SE fosters hope and motivation for a better future while helping people overcome barriers and obstacles as they achieve their own employment recovery goals.

•SE encourages personal responsibility for each person’s own recovery journey. SE supports people as they take steps towards achieving their employment goals and enhance their own wellness.

•SE works with the person’s individual strengths and resiliencies combined with each person’s own unique preferences, needs, and experiences.

•SE honors people’s choices and their right to exercise control of SE resources in directing their own path to obtaining and retaining employment.

•SE affords people the right to choose from a range of employment options and to actively participate in all employment decisions.

•SE services are designed to support each person’s continual growth, occasional setbacks, and ongoing learning from employment experiences. SE is not a prescribed step by step process.

•SE helps people move beyond stymied roles and develop new meaningful roles through employment by building on their strengths, talents, resiliencies, coping skills and recovery goals.

•SE promotes the sharing of personal stories by people in recovery to provide each other with hope, strategies and supportive relationships, as people develop valued employment roles in their communities.

•SE helps people challenge discrimination and stigma while increasing people’s own belief in one’s self and one’s abilities through competitive employment success.


Recovery Concepts in Recovery Concepts in IPS Supported EmploymentIPS Supported Employment

Recovery Concepts in Recovery Concepts in IPS Supported EmploymentIPS Supported Employment

Self-directedSelf-directed IndividualizedIndividualized EmpoweringEmpowering HolisticHolistic Non-LinearNon-Linear Strengths-BasedStrengths-Based Peer SupportsPeer Supports RespectRespect ResponsibilityResponsibility HopeHope

Self-directedSelf-directed IndividualizedIndividualized EmpoweringEmpowering HolisticHolistic Non-LinearNon-Linear Strengths-BasedStrengths-Based Peer SupportsPeer Supports RespectRespect ResponsibilityResponsibility HopeHope

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Dartmouth PRC 11 Recovery & Evidence-Based Supported Employment.

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