South Central MIRECC

Recovery and Psychosocial Rehabilitation Training

Lisa Martone, APN, CPRP

Coordinator, MHICM, CAVHS

MIRECC and VISN 16 Sponsored Training

Two trainings:

Little Rock

June 2004

May 2006

Brief Review

Recovery Outcomes

Independence Employment Satisfying relationships Improved quality of life

Core Interventions

Medications Training in self-management of illness Assertive community treatment Family psycho-education Supported employment Integrated treatment for co-occurring

substance abuse disorders

Outcomes

Number of persons who were inserviced/trained at each facility

Outcome

More than 500 persons have been trained or inserviced in the Recovery Model and Psychosocial Rehabilitation evidence-based practices

Topics of training

Outcomes

Basic Introduction to Model and evidence based practices

Motivational Interviewing Functional Assessments and other tools of PSR Skills Training Supported Employment Recovery Planning and Consumer Choice Reintegration Relationship Building Integration of Dual Diagnosis Interventions Cognitive Behavioral Training

Programming or Practice Changes in Existing Programming

Outcomes

Person-Centered Planning (revising TX planning)

Services better reflect veteran choices Veteran choices in treatment interventions have

been expanded Staff education

Programming or Practice Additions

Outcomes Peer Support Program Consumer Council Family Psycho-education CBT Groups DBT Group Skills Training PTSD Skills Training Supported Employment Journal Club Implementation of Recovery Committees

Funding for Recovery Initiatives

Outcomes All sites have received some new recovery funding

including:PSR Fellowship (Little Rock)PRRC Supported EmploymentExpansion of Vocational Rehabilitation

programsFunding for MHICM or expansion of existing

programsFunding for local Recovery Coordinators

USPRA CPRP Certification

Outcomes Many staff interested in CPRP certification—2

actually have completed Seventeen staff completed Instructor Training

for the Psychiatric Rehabilitation Certificate Program from the University of Chicago (2004)

Issues:FundingRecognition

Plans for additional training and implementation

Review current literature and develop educational modules and other materials for new staff hired for the Recovery Initiative

Fund staff travel to USPRA national meeting Revise annual evaluations to reflect implementation of

Recovery/PSR philosophy/practices Quarterly supervisory meetings with staff regarding

caseload and implementation of model Provide training for families and caregivers in the model Continue to work with VA leadership regarding

importance of embracing model Implement the WRAP program Increase staff certification in CPRP Obtain station membership in USPRA

Other thoughts

Monthly PSR Call for staff Staff who have been trained are go-to persons

as local experts on the model VISN 16 Recovery Committee Excellent collaboration and sharing between

VISN 16 and 17 Infrastructure and support to successfully

implement the funded initiatives Ongoing plans to continue training VISN wide VISN 17 Center of Excellence will focus on PSR