Treatment-Recovery Philosophy & Policy

(TRPP)

NP/QCSI ProjectRoll-Out Video-Conference 3/25/15

Introduction & Overview

Policy Statement

It is the policy of the Department of Human Services/Division of Mental Health (DHS/DMH) to provide treatment that is recovery-based. The philosophy of care is based upon the vision statement articulated in the final report of the 2003 Commission on Mental Health.

We envision a future when everyone with a mental illness will recover, a future when mental illnesses can be prevented or cured, a future when mental illnesses are detected early, and a future when everyone with a mental illness at any stage of life has access to effective treatment and supports - essentials for living, working, learning, and participating fully in the community

(New Freedom Commission, 2003)4

The Treatment-Recovery Philosophy & Policy (TRPP) outlines the policy of the DHS/DMH to

ensure that all staff consistently receive training, support and development to properly

adopt and implement the principles of the recovery philosophy and enact it as policy.

DefinitionsSubstance Abuse and Mental Health Services Administration

RECOVERY

Recovery is a process of change through which individuals improve their health and wellness,

live a self-directed life, and strive to reach their full potential.

- SAMHSA

Principles of RecoverySAMHSA

Principles of Recovery

• Recovery

• Emerges from hope

• Is person-driven

• Occurs via many pathways

• Is holistic

• Is supported by peers and allies

Principles of Recovery (cont)

• Recovery

• Is supported through relationships in social networks

• Is culturally-based and influenced

• Is supported by addressing trauma

• Involves individual, family and community strengths and responsibilities

• Is based upon respect

Principles of Trauma-Informed CareSAMHSA

Principles of Trauma-Informed Care

(TIC)• Safety

• Trustworthiness and transparency

• Peer support and mutual self-help

• Collaboration and mutuality

• Empowerment, voice & choice

• Cultural, historical and gender issues

Mandatory Staff Training All new and current employees of

DHS/DMH will understand the vision and principles of recovery by participating in mandatory staff training modules and activities outlined in this policy.

New Hire Orientation• My Road to Recovery

• In-person training with Hospital and/or Region Recovery Support Specialist (MHRSS 1 or 2)

• Preparing the Adult Mental Health Workforce to Succeed in a Transformed System of Care

• Four (4) CBL Modules and their respective post-tests

• Creating Trauma-Informed Systems of Care for Human Services Settings

• DVD Viewing

Annual Refresher

• Minimum of 2 hours of recovery-oriented training shall be provided annually for all staff

• Any combination of CBL modules (NASMHPD), DVD viewing (TIC), or other current, relevant recovery training for staff

Opportunities for Improvement (Incidentals)

Retraining will be provided when opportunities for improvement in the staff-patient interaction are identified (i.e., staff member named in a complaint; unsubstantiated incident related to staff-patient interaction; etc.)

Recovery Ambassador Training

Each DHS/DMH hospital will implement a system for staff to voluntarily work through additional modules of “Preparing the Adult Mental Health Workforce to Succeed in a Transformed System of Care,” to progress from Bronze to Silver and then to Gold Ambassador levels.

The National Association of State Mental Health

Program Directors (NASMHPD) developed this set

of training materials, designed to be used in the

training of staff who work in inpatient and

community adult mental health treatment settings. 

The purpose of these modules is to communicate

with staff a “shared understanding” of the key

components, competencies and principles of a

transformed mental health system and to offer a

historical perspective which shows the transition

from a traditional to a transformed model. 

 

Bronze Ambassador: All employees become Bronze Ambassadors upon completion of the four required modules:

1. Setting the Stage for Change

2. An Introduction to Recovery, Hope, and Resiliency

3. Applying Concept of Recovery: Guidelines for Recovery Oriented Systems

4. Facilitating Recovery Through Communication

Silver Ambassador: Completion of six more for a total of ten:

5.Understanding Mental Health Conditions 6.Ethics7.Cultural & Linguistic Competence8.Screening & Assessment9.Service Array & Coordination10.Peer Roles in Mental Health Settings

Gold Ambassador: Completion of all eighteen:

11.An Introduction to Evidence-Based Practices12.Psychiatric Medication13.Understanding Trauma-Informed Care14.Abuse & Neglect15.Overview of Medical/Physical Risk Factors16.Co-Occurring Mental Health & Substance Abuse17.Stakeholder Groups18.Stress Management & Self-Care

Platinum Ambassador: Completion of all eighteen modules along with receipt of at least one formal nomination (from staff or persons served) in recognition of applying the principles of TRPP. Platinum Nominees are those who meet one of the following criteria:

1.Staff goes above and beyond their duties to help persons served see the potential to recover.

2.Staff helps them successfully navigate a difficult situation.

3.Staff helps them to improve their chances of recovery.

4.Staff consistently goes above and beyond to help persons served and/or their environment/outlook better.

Platinum Ambassador Nomination Forms:Nominations are to be reviewed by the Quality Manager and/or Hospital Administrator to determine if the nomination qualifies for Platinum status. If approved, the employee will receive a certificate indicating that they have achieved Platinum status and the reason why they received the award.

Platinum Status

Certificate of Achievement:Platinum Ambassador awards are to be maintained in the employee’s personnel file.

TRPP Tools:

Recovery Ambassador Training:

A.Recovery Ambassador Training Program (IL462-1315)

B.Recovery Ambassador Visual Guide Flow Sheet (IL462-1322)

C.Recovery Ambassador Badge Buddies - Bronze (IL462-1317), Silver (IL462-1318), Gold (IL462-1319), Platinum (IL462-1320)

D.Platinum Level Nomination Form (IL462-1313)

E.Platinum Status Certificate of Achievement (IL462-1321)

Recovery Competencies DHS/DMH will ensure that employees

are informed of the vision and principles of recovery by requiring an integration into the performance evaluation on each employee minimally one time annually, or as needed, which includes one or more of the TRPP competencies.

TRPP Competencies:1.Displays respect and empathy when engaged with others.

2.Encourages persons served to have hope and positive expectations for their recovery.

3.Validates feelings/preferences and facilitates choices of persons served, whenever possible within appropriate legal constraints and hospital policy guidelines.

Recovery Rounds Each DHS/DMH hospital will

implement Recovery Rounds monthly on each unit, conducted by a team consisting of a staff member and a person served. Data from the Rounds will be processed/analyzed by the designated facility administrative committee.

Recovery Rounds Interview:At least one person served on each unit will be interviewed monthly to give his/her feedback on the following:

1.Do you feel your unit is recovery-based?

2.Is the treatment here assisting you in your recovery journey?

3.Do you participate in the development of your treatment goals?

4.What has helped while you’ve been here?

5.If you ask for help, do you feel heard?

Recovery Rounds Interview (cont.):

6.Is the recovery mission/vision statement visible for staff and persons served?

7.Do you feel your treatment is specifically designed to meet your needs?

8.What opportunities do you feel you have to give and receive mutual support from your peers?

9.Do you feel staff is respectful of your cultural background?

TRPP Tools:

Recovery Rounds Interview (IL-462-1314)

Recovery Stories Each DHS/DMH hospital will

implement Recovery Stories at least quarterly. The hospital will invite individuals from the community who are in recovery to come to the hospital and share a story about their journey of recovery for all persons receiving services and staff, during a community meeting or other appropriate venue.

Recovery Stories (cont.):

Staff and persons served will complete evaluations following each Recovery Stories presentation, rating the presentation on the following:

A.Persons served:

1. Did the presenter help you see the potential to recover?

2. As a result of the presentation, do you have more hope that you can work to address your health and legal issues?

3. As a result of the presentation, will you make any changes in your participation in treatment?

Recovery Stories (cont.):

B.Staff:

1. Did the presenter help you see the potential for individuals to recover?

2. As a result of the presentation, do you have hope that you can help persons served work to address their health and legal issues?

3. Will you make any changes in your participation in helping persons served with their treatment?

TRPP Tools:A.Recovery Stories

1. How to Arrange Recovery Stories (IL462-1312)

2. Recovery Stories Tips for Speakers (IL462-1311)

3. Recovery Stories Escort Guide (IL462-1310)

4. Recovery Stories Staff Evaluation (IL462-1309)

5. Recovery Stories Participant Evaluation (IL462-1308)

6. Where to Find Mental Health Recovery Stories Online (IL462-1307)

Continuous Quality Improvement

Each DHS/DMH hospital shall have formalized processes for the ongoing evaluation of the TRPP process, including perceptions of persons served regarding treatment-recovery, completion of staff training and effectiveness of recovery stories.

Continuous Quality Improvement•Perceptions of persons served regarding treatment-recovery

• MHSIP Consumer Satisfaction Surveys

•Completion of staff training

• NetLearn Report

•Effectiveness of Recovery Stories

• Recovery Stories evaluation forms

TRPP Implementation Tools

TRPP Tools:A.Implementation Guide for Treatment-Recovery Philosophy and Policy (IL462-1323)

B.100 Ways to Support Recovery

1. Table 1: Differences between traditional and recovery-oriented services (IL462-1305)

2. Table 2: Strategies for promoting hope (IL462-1316)

C.10 Ways to Make Your Recovery Message Visible (IL462-1305)

Recovery Shadow Box at Chicago Read MHC

Recovery Mural at Chester MHC

Questions?