promoting recovery oriented environments. bharp behavioral health alliance of rural pennsylvania...

Behavioral Health Alliance of Rural Pennsylvania

(BHARP)

Recovery Initiative2007-2012

Promoting Recovery Oriented Environments

BHARPBehavioral Health Alliance of Rural Pennsylvania

BHARP was established in the Fall of 2006. It is comprised of County Mental Health Administrators, Human Service Directors and Single County Authorities from 23 counties in Northcentral PA.

The purpose of the BHARP is to allow the 23 counties in the Northcentral region to participate in the implementation and monitoring of the Department of Public Welfare contract with Community Care Behavioral Health for the provision of Health Choices in this zone.

In partnership with Office of Mental Health and Substance Abuse Services (OMHSAS) and Bureau of Drug and Alcohol Programs (BDAP) and in collaboration with other stakeholders, BHARP works to ensure that a comprehensive, responsive, unified, cost-effective, recovery oriented behavioral health system of care is available within the 23 county region.

Administrative functions for the BHARP are performed by the Behavioral Health Administrative Unit or BHAU. The BHAU is operated by a private not-for-profit organization, Service Access Management, Inc. (SAM Inc.).


Erie

Crawford

Mercer

Lawrence

Beaver

Washington

GreeneFayette

Allegheny

Westmoreland

Butler

Armstrong

Clarion

VenangoForest

Warren McKean Potter

CameronElk

Jefferson

Clearfield

Indiana

Cambria

SomersetBedford

Blair

Centre

Clinton

Huntingdon

Fulton FranklinAdams

Cumberland

Perry

MifflinSnyder

Union

Lycoming

Tioga Bradford

Columbia

Montour

Northum- berland

Dauphin

York

Lancaster Chester

Berks Lebanon

Schuylkill

Luzerne

Wyoming

Susquehanna

Lackawanna

Wayne

Pike

Monroe

Carbon

Lehigh

Northampton

Bucks

Montgomery

Delaware

Philadelphia

Juniata

Behavioral Health Alliance of Rural Pennsylvania (BHARP)North Central HealthChoices State Option Zone

Sullivan

Average covered lives (January 2011-June 2011): 154,175

Covered lives by County/Joinder/Region

Bradford 9, 049Sullivan 720Bradford/Sullivan:

9,769

Tioga 5,616Wayne 6,869

Northeast Region: 22,254


Columbia 8,193Montour 2,133Snyder 4,394Union 4,030CMSU: 18,750

Northumberland13,913

Schuylkill 21,560

East Region: 54,223

Covered lives by County/Joinder/RegionCentre 10,121

Huntingdon 6,778

Mifflin 7,771 Juniata 2714 HMJ: 17, 263

Central Region: 27, 384


Clarion 5,844

Clearfield 14,506Jefferson 7,855Clearfield/Jefferson

22,361

West Region: 28, 205

Covered lives by County/Joinder/RegionCameron 994 Elk 4,520Cameron/Elk:

5,514

Potter 2,813

McKean 7,521

Forest 652Warren 5,606Forest/Warren:

6,258

Northwest Region 22, 106



Service Dates: April 1, 2011 through June 30, 2011

16.50%

11.60%

14.60%

18.80%20.10%

14.70%14.40%

23.00%

12.90%

17.20%

20.00%

15.30%

21.00%

18.30%17.20%

13.50%13.10%

16.60%

12.70%

9.20%

14.90%13.70%

19.00%

15.00%

BHARP Estimated Penetration Rates (%) for all services for all Counties

BHARP RECOVERY WORKGROUP The BHARP Recovery workgroup was formed in the Fall of 2007 to

address the issue of recovery-orientation in our counties which is an identified priority of BHARP. The workgroup membership consists of County MH/MR Administrators, SCAs, other County staff, BHAU staff, Community Care network and quality staff, BDAP personnel, OMHSAS personnel, PRO-A staff, providers, individuals/families in services and other persons in recovery.

One focus area has been to integrate the MH and D&A principles, strategies, values and language of recovery. Another focus is to incorporate the opportunities and challenges of providing recovery-oriented services in our rural counties.

“OUR PRIMARY PURPOSE IS TO PROMOTE AND SUPPORT THE ENHANCEMENT OF RECOVERY-ORIENTED ENVIRONMENTS WITHIN BHARP COUNTIES.”


Recovery Workgroup Members

Robert Fleming Cindy Zembryki CHIPP Consortium Coordinator AdministratorClearfield/Jefferson Cameron/Elk

Barbara Gorrell Mary Lyn CadmanSCA Administrator Quality Improvement SpecialistColumbia/Montour/Snyder/Union (CMSU) CMSU Behavioral Health

Bonnie Tolerico Susan FordExecutive Director Executive DirectorWayne County Drug and Alcohol CommissionClearfield/Jefferson Drug and Alcohol Commission

Catherine Arbogast Trish RosensteinSCA Administrator Vice President Business & Clinical DevelopmentCentre County MH/MR Drug and Alcohol Beacon Light Behavioral Health

Chris Wysocki Tracy MitchellAdministrator Associate Quality ManagerJuniata Valley Tri-County MH/MR ProgramCommunity Care Behavioral HealthHuntington/Mifflin/Juniata

Recovery Workgroup Members

Jeff Geibel Virginia L. DikemanDrug and Alcohol Program Supervisor Mental Health Program RepresentativeBureau of Drug and Alcohol Programs Office of Mental Health and Substance Abuse Services

Jill Pecht Thanaaa BeyClinical Director Training SpecialistClear Concepts Counseling PRO-A

Denise Moore FBMH Program Director Pam KillingerCen-Clear Child Services Inc. Community Member

Jen McLaughlin Genny DaileySenior Program Director Special Projects CoordinatorCommunity Services Group Behavioral Health Administrative Unit (BHAU)

Cheryl FloydExecutive DirectorPennsylvania Recovery Organizations Alliance (PRO-A)

We believe: that behavioral health is essential to health – for individuals, families, and communitiesthat prevention works, that treatment is effective, and that people can and do recover from mental health and substance use disorders.

Source: http://www.samhsa.gov

http://www.samhsa.gov/

The Journey To Date Fall 2007: The workgroup was charged with defining the

philosophy and identifying characteristics of a recovery oriented system of care.

Winter 2007 – Spring 2009: Identified Common characteristics. Defined Philosophy Statement. Created Language Statement.

April 2009-August 2009: Implemented a recovery survey to gauge the current recovery-orientation in the counties and to identify strengths and gaps. There were 400 responses from county offices and providers. Reviewed the recovery related questions on the Consumer/Family Satisfaction Team (CFST) surveys

September 2009-January 2010: Recommendations & Goals were finalized.

September 2011: Conference – “Making Spiritual and Physical Health Connections”

October 2011 – December 2012: Wellness Campaign & Local Projects


Common Characteristics of both MH and D&A Environments

PRINCIPLES:

Broad heterogeneity of populations and outcomes Focus on person and environment Long-term perspective Recovery is a process and a continuum Non linear process of recovery Family involvement is helpful Mutual support is crucial Spirituality may be a critical component of recovery Multiple pathways to recovery

Common Characteristics continuedVALUES:

Person-centeredPartnershipsGrowthChoice Strengths perspectiveFocus on wellness and healthCultural diversity


Common Characteristics continuedSTRATEGIES TO FACILITATE RECOVERY:

Treatment as an array/menu of services Coordinated treatment Assertive linkages to communities of recovery Skills for valued roles On-going, flexible recovery-enhancing services Advocacy Cultural competency

Common Characteristics continued INGREDIENTS OF A RECOVERY-ORIENTED

SYSTEM:

· Prevention · Treatment· Rehabilitation · Mutual support· Vocational and educational supports · Spirituality· Community education and support · Enrichment· Family education and support · Legal aid· Basic support (housing, nutrition, income)

· Protection and advocacy


The Importance of Language

Recovery-oriented language is person-centered and not focused on a diagnostic label. Recovery-oriented language fosters hope and avoids stereotypical and stigmatizing terms. The ultimate goal of recovery-oriented language is to make contact with the person not their disease and to give every individual the value, respect, and dignity he/she deserves.

BHARP recommends the following documents as resources on recovery-oriented language:

IAPSRS Language Guidelines (2003) (available at www.uspra.org) PA D&A Coalition White Paper (2010) (available at www.bharp.org - Resources)

Our Philosophy on the Journey of Recovery Recovery is a continuous lifelong process It requires linkages to recovery support

services, natural supports and community supports

Each individual self-directs his/her recovery journey

Each individual has ownership of his/her recoveryRecovery oriented environments provide: -Person-centered planning

-Partnerships between individuals receiving services and those providing services

-Linkages to community based supports

Our Philosophy on the Journey of RecoveryFormal systems of care that are focused on

recovery: - Actively welcome and engage people when and where they

approach the system - Allow formal and natural supports to work together - Balance the management of treatment and the

empowerment of the individual to maximize successful outcomes

It is necessary to combine the best of the medical and recovery models of care

It is necessary to bridge the gap between behavioral and physical health care delivery

The Road AheadThis initiative reflects our intention to promote and to support the enhancement of recovery-oriented environments in all of our communities. Communities have always been an important part of rural life and we hope to strengthen those connections – creating relationships between the formal and informal networks of care. The vision is to nurture communities where individuals have the opportunity to attain and maintain health, wellness, and on-going recovery. The mission is to work towards the evolution and transformation of the behavioral healthcare system. It could be considered a ‘Rural Call for Change’.


The Recovery Initiative will provide:

Information and resources

Education and training opportunities

Enrichment and partnership opportunities

Technical assistance options


Recommendations and Key ActivitiesRecommendation #1: BHARP will develop and promote a

shared understanding of recovery-oriented environments throughout the Drug and Alcohol and Mental Health systems.

Distribute Recovery brochures – “Promoting Recovery Oriented Environments” and “Recommendations & Goals” (handouts)

Provide information to local Boards/Advisory Councils, Committees and Coalitions, Advocacy groups, and Providers

Promote on-going local dialogues between MH and D&A system stakeholders

Establish the topics of health, wellness, and on-going recovery as regular agenda items at local meetings


Recommendations and Key Activities

Recommendation #2: BHARP will collect and provide access to information, tools and other resources on creating and maintaining recovery-oriented environments in rural areas.

Create information clearinghouse on BHARP website

Develop reference book on Prevention programs, Promising practices, and Evidenced-Based practices


Recommendations and Key ActivitiesRecommendation #3: BHARP will encourage the service

system to work assertively with individuals to explore and to make connections with natural supports in their community which will assist individuals to attain recovery and to sustain on-going recovery.

Provide information and education Create a resource manual Held 2011 Recovery Conference & are developing

local projects Promote acceptance and work towards decreasing

stigma and discrimination


Recommendations and Key Activities

Recommendation #4: BHARP will encourage the service system to work assertively to build linkages between an individual’s behavioral and physical healthcare which will assist individuals to attain and maintain recovery and wellness.

Create awareness through Wellness Campaign Provide information and education using SAMHSA

Wellness Campaign tools Build resource manual for both behavioral healthcare

providers and physical healthcare providers


Next Steps?


www.bharp.orgPromoting Recovery Oriented Environments

The BHARP Co-Occurring Disorders Project is having a teleconference with the Pennsylvania Certification Board to review the certification process. The Teleconference has been rescheduled for March 31st from 10:30am-11:30am. Please click here for more information.

Work Groups and ProjectsThe Behavioral Health Alliance of Rural Pennsylvania, established fall 2006, is comprised of County MH/MR Administrators, Human Service Directors and Single County Authorities from 23 counties in north central PA.

The BHARP was formed upon request by the Pennsylvania Department of Public Welfare’s Office of Mental Health and Substance Abuse Services. The primary purpose of the BHARP is to allow the 23 counties in the north central region to participate in the implementation and monitoring of DPW’s contract with Community Care Behavioral Health for the provision of Health Choices in the north central zone.

In partnership with OMHSAS and in collaboration with other stakeholders, BHARP works with OMHSAS and Community Care to ensure that a comprehensive, responsive, unified, cost-effective, recovery oriented behavioral health system of care is available within the 23 county region.

copyright © 2009 BHARP

http://www.bharp.org/?q=node/198

http://www.bharp.org/

Contact INFORMATION:

County Mental Health and Drug & Alcohol offices

and

BHARP RECOVERY WORKGROUPBehavioral Health Administrative Unit

131 South Allegheny StreetBellefonte, PA 16823

Tel: 814-355-3408


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