As I am reading and studying over my CPS Manual I can recall a class we took on the psychiatric institution system of Georgia. The facts were appalling and to know that I survived and live through this State system is beyond my very own comprehension as to how and with my pride and dignity still in tact.
Georgia The Road to Recovery
1991 Georgia Mental Health Consumer Network is established. 1993 Office of Consumer Relations and Recovery is created. 1999 Medicaid Rehab Option 2002 was the first Certified Peer Specialist Training.
Change was needed.
2006 Atlanta Journal Constitution articles on State Hospitals were released. 2007 CRIPA Lawsuit : Hospital based 2008 CRIPA Settlement and ADA Lawsuit 2009 New Department of Behavioral Health is created by the Georgia Legislature 2010 ADA Settlement agreement is signed ADA Settlement focuses on Community Based Services.
A New Direction : Beyond Facilities is created.
My initial psychiatric hospitilization was in August of 2004 with a diagnosis of family violence, marital abuse, codependency as the caregiver, depression. With my family law attorney asking me “What do you expect me to tell Nancy?” The director of The Rockdale County Prevention and Advocacy of family violence Awareness.
I now know that I expected him to tell her that I had a diagnosis of marital abuse along with codependency as the caregiver which they all already were aware of per Mr. Sasser enabling him at all costs.
All of which I was able to do for myself at a later date in a Pro Se hearing filed against Mr. Sasser in Rockdale County with many professionals present to testify on my full behalf from law enforcement to doctors and emergency room staff along with psychiatrists per The Honorable Sidney Nation subpoenaed by my hand and hard work to share the truth of the facts of the matter with the Judge.
Since this time I have had much success in the legal system pertaining to my daughter’s and with Rockdale County and The Alcovy Judicial Circuit and have been very satisfied with the Court’s Orders, Opinion’s, and wishes.
The cold, dark and hard truth of the matter being that I somehow survived the system and did not turn out to be a statistic by the damning hand of man that was placed upon my life and heart.
A Recovery Oriented System is
Moving from to hospital based to community based, facility centered to person centered, custodial to self – directed, crisis oriented to strengths based.
Recovery is everywhere. “In my darkest hour, in jail, in restraints, abandoned and homeless, recovery was still there, working for me, calling me and enabling me to survive and reclaim my life.” – Neil Kaltenecker
My sentiments exactly.
These facts make me wonder just how many counselors, therapists, psychiatrists, law enforcement, attorney’s and Judges are even up to speed on mental health in Georgia and the fact that the Certified Peer Specialist exists given my history with the courts and mental health and marital abuse in the past. Clearly they know and realize now due to my advocacy but given these statistics I do not feel that they have been aware all along. Clearly the State of Georgia has not been suffering lawsuit after lawsuit even in the 2000’s. Unsatisfactory and what a shame. How shameful. As a CPS I will continue to carry out God’s purpose, plan and will for my life and in changing and updating the laws of this state in the family law arena and in mental health. Giving me the perfect opportunity to advocate for family violence victims and the mentally challenged and parental alienated.
Every person has the ability to learn and grow
People’s beliefs determine their behavior
People think their way through life
What people focus on they give power to
Lived experience is the best set of skills
Recovery – is the process of gaining control over one’s life and the direction one wants that life to go on the other side of a psychiatric diagnosis and all of the losses usually associated with that diagnosis.
Hope – The belief that you have the ability, the opportunity and the supports to engage in the recovery process and develop your meaning and purpose in life.
5 Stages of the Recovery Process
Impact of Illness
Life is Limited
Change is possible
Commitment to change
Actions to change
Everyone has negative thoughts and negative self talk
Igniting the Spark of Hope
Able to do
Needs help with
5 Stages of Recovery – Looks like, Dangers and Role of Services
Impact of Illness
Life is Limited
Change is Possible
Commitment to Change
Actions for Change
5 WRAP Key Concepts of Recovery
Hope Personal Responsibility
7 Primary Parts of a WRAP Plan
Wellness Tool Box
Daily Maintenance Plan
Identifying Triggers and an Action Plan
Identifying early warming signs and an Action Plan
Identifying signs that things are breaking down and an Action Plan
Post Crisis Planning
3 Principles of Self Determination
10 Whole Health And Resiliency factors in WHAM
Service to Others
Optimism based on positive expectations
Cognitive skill to avoid negative thinking
Spiritual Beliefs and Practices
A sense of meaning and purpose
5 Keys to Success in WHAM
A person centered goal
A weekly Action Plan
A daily /weekly personal log
One to One Peer Support
A weekly WHAM Peer Support Group
5 Steps in the Picba Problem solving approach
Problem – State the problem as clearly as possible.
Impact – Identify how the person is impacting the situation.
Cost/Benefit – Explore the Cost and Benefits
Brainstorm – Coming up with ideas identifying options. 5-7 time limit
Actions – Time limited
The Role of Peer Support and Peer Support Services 4.4
Peer Support Services
3 Aspects of Effective Listening
Effective listening has to do with knowing what we are listening for.
The Art of asking Questions
Igniting the Spark of Hope
5 Steps to Igniting the Spark of Hope
Interest – Identify an area of interest
Cost /Benefit – Explore the costs and benefits of making change.
Able to do – Find actions the person is able to do to get started.
Need help with – Look for something that will require new skill.
Supports – Explore the persons support network.
Definition of Culture Session GA 25
4 Aspects of our Cultural Programming Software
Culture determines our behavior and attitudes
No one is culture free
Most cultural rules are never written
We interpret other people’s behavior through our own cultural software.
Definition of Automatic Cultural Filters Session GA 25
4 Areas that can be used to enhance Diversity Competence
Awareness – recognize differences
Knowledge – learn about different cultures.
Skills – Take personal responsibility for the way you respond to differences.
Action / Behavior – be aware, be sensitive, use boundaries.
Facing Your Fears
Comfort Zone – An area where your comfortable and not willing to do anything that makes you uncomfortable. No risk taking. Complacency.
Reasonable Fear – A good or healthy fear based on fact. Scared of snakes, bears
Limiting Fear – A fear that limits you and may or may not be based on fact. Fear of failure.
Negative Self – Talk Source – Inside – 5 Examples
I am a loser
It’s too late.
I cannot do it.
I will never measure up.
Negative Messages – Source – Outside
You are a loser
Your f’d up in the head
Room dark, messy and cold
Program environments that work Against Recovery
You will never be able to live independently
Not permitting failure
No recognition of achievements
Program environments that work For Recovery
Create opportunities for consumers to share their success stories with one another.
Provide Peer Mentors in specific areas of a person’s life.
Ensure that the overriding theme in everything that goes on is that the person can get better.
3 Steps to Combatting Negative Self Talk
3 Steps in the Process of Effective Communication
Observe and affirm the others position, values and concerns.
Relate the others position, values and concerns to your experiences as a consumer.
Offer a we statement that acknowledges the common ground and promotes partnership in creating another way of doing things.
Treatment Services – Maintenance Stabilization
Rehabilitation Services – Recovery – Recovery and resiliency
Definition of Hope and Recovery Session 1. 3
Beliefs and Values
Negative Message 6.4
That work against Recovery
That work for Recovery
Shared lived experiences
Intrinsic what’s wrong instead of what’s right.
The Impact of Diagnosis on Self -Image
The crushing of ones hopes and dreams
Denial, despair, anguish
Low self – esteem
Role of Documentation
Medicaid requires it. ACT Team and PSR Should mach work per work. The Golden Thread and same directions. Should interrelate.
4 Parts of an IRRP
Progress Note : Snapshot of a group – pathway to goal. Treatment plan 1st. Consumer draws up treatment plan.
3 Core Parts of a Daily Progress Note
Creative Art Techniques, Self Expression Techniques, Used Artwork to express building strengths.
Documentation is an Act of Creative thinking and writing.
Book – windows to our children.
I.S. Individual Served.
Appalachian Consulting Group 2012