VISN 16 Recovery Committee

1
VISN 16 Recovery Committee
Michael R. Kauth, PhD Joseph D. Hamilton,
MD Michael E. DeBakey VA Medical Center

• South Central MIRECC Annual Retreat
• Houston, TX
• March 8, 2007

2
Background

• Comprehensive VHA Mental Health Strategic Plan
  2004
• Recovery Transformation Work Group
  recommendations 2005
• National Recovery Advisory Group 2006
• VISN 16 Recovery Committee (subcommittee of MH
  Product Line Advisory Council) 2006

3
Background

• VISN 16 Recovery Committee charge Develop a 3-5
  year plan to implement recovery- oriented
  services in VISN 16 mental health programs
• Components of plan
• Current status of recovery orientation
• Goals
• Priorities with timelines
• Monitoring

4
Committee Members

• Michael R. Kauth, PhD (co-chair) Houston
• Joseph D. Hamilton, MD (co-chair) Houston
• Lisa Martone, APN Little Rock
• Janet Gearin, RN Muskogee
• Kim Pearson, CSW-PIP Fayetteville
• Teri Brister, PhD, NAMI Jackson
• Vanessa Hansson, consumer Oklahoma City
• Matt Chinman, PhD (consultant) Greater Los
  Angeles

5
Initial Work

• Reviewed available reports, recommendations, key
  articles, etc.
• Agreed on 5 essential elements of recovery
  oriented services
• Peer support
• Consumer councils
• Family education
• Recovery plans
• Education of consumers and providers

6
Survey of VISN 16 Facilities(July 2006)

• Peer support 4/10 (probably only 2)
• Consumer councils 5/10 (varied widely
  effective?)
• Family education 4/10 (SAFE, therapy)
• Recovery plan 4/10 (probably only 12)
• Education
• 10/10 for staff (varied widely)
• 7/10 for veterans (varied widely)

7
Strategy

• Focus on a few tasks for first year
• Establish Consumer Councils
• Incorporate a Recovery Plan in the Treatment Plan
• Coordinate Local Recovery Coordinators
• Expand and add further recommendations later
• Submitted 1/01/07 presented to MHPLAC 2/12/07

8
Consumer Council Recommendation

• Guidelines for establishing effective consumer
  councils structure, process, activities
• Sample charter
• Training/education plan exposure to recovery
  model, PSR trainers, NAMI program, local staff
• Coordination with VISN 16 Consumer Advisory Board
• Regular communication
• Rotation of local Consumer Council
  representatives to CAB

9
Recovery Plan Recommendation

• Include a Recovery Plan section in Treatment
  Plans for select SMI programs
• Create a CPRS reminder attached to Treatment Plan
  templates to be completed with consumer
• Identify goals, priorities for treatment,
  self-steps, and treatment programs role
• Assess progress and hope
• Pilot reminder in Little Rock and Houston
• Training/education plan for staff/consumers
• Exposure to recovery model, PSR trainers, NAMI
  program
• Provide literature on recovery, posters, web
  sites, etc

10
(No Transcript)
11
Local Recovery Coordinator Recommendation

• LRCs are intended to function as advisors,
  advocates, opinion leaders, and clinical staff
• Employ the Recovery Committee to coordinate newly
  hired LRCs
• Identify recovery education modules
• Develop monthly call for coordination and
  education (especially implementation and
  evaluation)
• National Recovery Advisory Committee is working
  on a way to provide greater national coordination

12
Next Steps

• Obtain second baseline of recovery orientation
  with revised survey
• Pilot CPRS reminder for Recovery Plans
• Provide support for education and coordination
• Think about next set of recommendations
• ?????