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OTA Center for Peer Networking (CPN)

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This is a new addition of NASMHPD’s Office of Technical Assistance. Gayle Bluebird, the first person to hold the position of Peer Network Coordinator, comes recognized nationally for her work. She has been involved in peer advocacy work for almost 40 years and has worked with NASMHPD since before 2002. She is a core faculty member of the Center for the Prevention of Violence and Trauma/seclusion and restraint reduction and has worked on multiple onsite and offsite OTA projects in multiple states and programs.

Ms. Bluebird has, most recently, served as the lead for CMHS in developing the video “Leaving the Door Open: Alternatives to Seclusion and Restraint ” that the Office of Technical Assistance uses for seclusion and restraint reduction training events. In addition, Ms. Bluebird often speaks at national conferences, works on National Peer Artist Projects, developed the model known as “Participatory Dialogues” (which promote communication and collaboration between consumers, providers and family members) and developed the concept of “Comfort Rooms.”

NASMHPD's Office of Technical Assistance is pleased to annouce Ms. Bluebird's new landmark technical report entitled "Paving New Ground - Peers Working In In-Patient Settings", which details the development of peer roles in mental health settings. If you would like to order a copy of the accompanying DVD, "Paving New Ground: A Dialogue With Peers and Family Members", please e-mail Melanie.Sutherland@nasmhpd.org This DVD was made at Mayview State Hospital in Pittsburgh, Pennsylvania, with a group of recognized peers and a family member who talk about their experiences working in inpatient facilities and/or advocating for the reduction of seclusion and restraint.

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Self-Disclosure

The Substance Abuse and Mental Health Services Administration (SAMHSA), Self-Disclosure and Its Impact on Individuals Who Receive Mental Health Services. HHS Pub. No. (SMA)-08-4337 is available for free and can be accessed electronically at www.samhsa.gov or by calling 1-800-726-4727.

Website:

http://download.ncadi.samhsa.gov/ken/pdf/SMA08-4337/SelfDisclosure_50p.pdf

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Videos

Below are videos which are available for download ONLY. They cannot currently be played directly through the NASMHPD website. To view these videos please right click on a link and, if using Microsoft Explorer, choose "save target as". If using Firefox, please choose "save link as". Then use a video player such as Quicktime to view the video. If you have any questions, please contact Melanie Sutherland at 703-739-9333, Ext. 167.

Leaving the Door Open

Paving New Ground

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The Arts

Creativity Cookbook:

This unique cookbook is filled with "arts" recipes; simple ideas for peer support specialists to use the arts in providing peer support. Contents include sections on Reading, Writing, Humor, Painting and others. The suggested ideas are simple enough (and safe enough) to be used by peers in
inpatient and outpatient settings, including peer-run programs. Please feel free to download this guide and send Gayle Bluebird other ideas for inclusion as this is an ongoing document.

"Arts Illustrating and Making History" Power Point

This presentation was part of a larger presentation on the History of the
Consumer Movement presented by the SAMHSA AD Center on December 17, 2009.
Notes are included so that people who did not see the original presentation
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Monthly conference calls are held for peer specialists/providers from around the country to learn about each other and network with each other. Different speakers are selected each month to talk about different roles, topics and subjects of interest to peers working in inpatient settings. The call is open to an unlimited number of callers. Following are the minutes of each call and their summaries:

Hiring Peer Providers- Wednesday, January 20th 3:00 p.m. EST

Subject:  Hiring Peer Providers:  Applications,  Screening questions-- What can be asked, What not; Legalities and Ethics.   Perspectives from Peer Supervisors, Administrators and Peer Providers to be included.
 
Presenters:  Rodney Pfeister, Austin State Hospital, Kevin Huckshorn, Delaware Commissioner of Mental Health,  Holly Dixon,  Riverview State Hospital, Augusta, Maine, and Nannette Larson, Director of  Recovery Support Services, Illinois
 
BIOS: Nanette V. Larson, BA, CRSS, is the Director of Recovery Support Services for the Illinois DHS/Division of Mental Health.  Ms. Larson’s broad experience working in social service, child welfare and mental health includes working in a residential treatment center for children with serious emotional disturbances, and providing case management services in a homeless shelter.  Since 1999, Ms. Larson has worked with the Illinois DHS/Division of Mental Health, providing leadership and consultation to further the development of a recovery-oriented service delivery system within the public mental health system.  During this time, she has led the state's Wellness Recovery Action Plan (WRAP) initiative and facilitated the  state's partnership to develop the Certified Recovery Support Specialist  (CRSS) credential.   Her passion for recovery comes from her personal experience of recovery from mental illness, and her message is one of hope for all whose lives are affected by these conditions.

Holly Dixon, LCSW, has worked in Maine's mental health system for more than 13 years both as a clinician and as a peer supporter. She is currently Amistad Inc.'s Peer Services Director at Riverview Psychiatric Center (Maine's largest state psychiatric hospital) and oversees the peer support program. She supervises 10 peer specialists and is involved in all levels of
administration of the hospital.

Rodney Pfiester is the Peer Support Coordinator for Austin State Hospital. He works closely with consumer groups including the Self Help Advocacy Center (SHAC) and members of the 12-STEP community to bring consumers into the hospital to provide hope and support for the patients’ recovery.  This has included inviting Communities for Recovery to assist with AA and DRA meetings on unit and providing space for CforR to hold community based meetings for Back to Basics and for Dual Disorder Recovery Achievers. He supervises the hospital’s four Peer Specialists and about 15 volunteers. During his career, he has worked in psychosocial programs in San Antonio, TX, Philadelphia, PA, and Trenton, NJ. He has over twenty-five years’ experience working in various programs and settings.  Prior to being the Peer Support Coordinator, he was a patient educator with ASH for four years and recognized in April 2007 as the hospital’s employee of the month. Mr. Pfiester has a Bachelor’s degree in psychology from the University of Texas at Austin and an Associate’s Degree in culinary arts from the Restaurant School in Philadelphia, PA.

Kevin Huckshorn has a long history of professional experience working in mental health care systems and substance abuse programs. Most recently she served as the director of the Office of Technical Assistance within the National Association of State Mental Health Program Directors. Currently she is the State of Delaware Commissioner of Mental Health and Substance Abuse.
 

Audio Minutes (please click to listen) part 1

Audio Minutes (please click to listen) part 2

Materials from this conference call:

Amistad Peer Specialist Interview Scoring Sheet

Amistad Resume Scoring Sheet

Peer Support Interview Questions (1)

Peer Support Interview Questions (2)

Application Addition Peer Specialist

Peer Bridger Interview Question Suggestions
M. C. Violet Taylor, Regional Community Bridger

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11 12 09 Peer Networking Call:

The subject of this call is Self-Inflicted Violence: Complex Problem, Simple Solution... 
Presenter: Ruta Mazelis

Objectives:

To provide participants with various perspectives on self-inflicted violence (SIV), including those of people who live with SIV, and the relationship between a history of trauma and the need for SIV.

To discuss myths about SIV and roadblocks to creating healing environments for people who live with SIV.

To discuss what promotes healing from the need for SIV.

To discuss the various reactions people have to those who live with SIV and how to create a supportive environment for all around this issue.

Audio Minutes (please click to listen)

Bio:

Ruta Mazelis is the editor of The Cutting Edge: a Newsletter for People Living with Self-Inflicted Violence.  First published in 1990, this publication traveled to five continents before converting to the web site, healingselfinjury.org  Ruta is a former mental health and substance abuse counselor, and has experience in research as well as policy development.  She is a survivor of childhood trauma and retraumatization in the psychiatric system and now dedicates her efforts to teaching about the repercussions of trauma as well as the supports that promote healing.  Ruta works for Witness Justice as well as the National Center for Trauma Informed Care and consults with various agencies on local and federal levels. Email: rutamaz@eohio.net

Addtional Information:

Living With and Healing from Self-Injury (Self-Inflicted Violence)

Self-Injury: Understanding and Responding to Those Who Live With Self-Inflicted Violence

The Cutting Edge, A Newsletter for People Living with Self-Inflicted Violence, Vol. 15, Issue 3 (59)

Workshop Handout

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9 30 09 Peer Networking Call: The Subject of the Call: Issues and Answers 
Some of our experts to answer these questions are: Holly Dixon, Peer Supervisor, Riverview Psychiatric Center, Rodney Pfeister, Peer Support Coordinator, Austin State Hospital, Pat Lindquist, Recovery Support Specialist, Elgin Psychiatric Center, Elgin, IL,

Audio Minutes (please click to listen) part 1

Audio Minutes (please click to listen) part 2

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November 2009 Peer Networking Call: Subject is History of the Consumer Movement
Presenter: Sally Zinman

Click here for the powerpoint

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8 20 09 Peer Networking Call: The subject of this call is the role of Older Adult Peers:  (Older Adult Peer Specialists working with other older adults)
Presenters: Cynthia Zubritsky, Ph.D AND Hikmah Gardiner

Audio Minutes (please click to listen)

Bios:

Cynthia Zubritsky, Ph.D, a senior research scientist and the Director of Collaborative Initiatives for the Center for Mental Health Policy and Services research at the University of Pennsylvania.  She has received many grants from state and federal programs and been supported by the Pew Foundation to develop programs for vulnerable populations.   She served as principal investigator of PRISM-E, the largest national study of older adults and mental health; designed and implemented Pennsylvania’s integrated mental health and aging initiatives.   In the past few years she has developed a curriculum to train older adult peer specialists to work with other peers and conducted a first training with a group of approximately 30 peers.   

Hikmah Gardiner has been involved in the consumer mental health movement for over 22 years.  She has worked with Joe Rogers at the Mental Health Association of Southeastern Pennsylvania directing many different projects. She is a nationally and internationally recognized speaker on issues of Homelessness, mental illness and aging; her audiences always come away motivated and inspired. Though she has reached an age when most of us would be relaxing she continues to attend many meetings especially as applies  to issues of aging; she is a member of the planning committee  representing the agency OMHASAS, Office of Mental Health and Substance Abuse Services of Pennsylvania, and works in the  mental  health arena in Philadelphia on the Blue Ribbon Commission for  Seniors.

Both of these speakers will be able to give us lots of ideas;  how seniors want to be treated, how peers can be trained to work  with them; where they want to be, not institutionalized or in  nursing homes but in HOMES!

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7 15 09 Peer Networking Call: WRAP (Wellness recovery Action Plans) in Inpatient and
Outpatient Settings
Presenters: Michelle Brown, Recovery Support Specialist, Alton Mental Health Center, Alton, IL AND Charles Willis, Project Director, Self-Directed Recovery Project, GMHCN (Georgia Mental Health Consumer Network), Atlanta, GA

Audio Minutes (please click to listen)

Bios:

Charles Willis presents WRAP to consumers throughout the state of Georgia, both inpatient and outpatient while working for GMHCN since 2004. By 2006 1500 persons had been reached including 500 people in WRAP for Work, a specialized program to get people back to work. With a three year federal SAMHSA grant his work has expanded to include training providers and work with the Georgia Department of Corrections. One of his accomplishments was conducting WRAP in the Metro Correctional Institute--an all women's prison in Atlanta. Charles has a varied history of working as a counselor with the Department of Corrections, losing his job, then getting a Master's Degree, teaching school, only to lose if all to substance abuse and homelessness.

Michelle Brown, has a B.A. in Social Services with a major in Social Work. Currently, Michelle works for the DHS/DMH in Illinois at Alton Mental Health Center as a Certified Recovery Support Specialist where she facilitates in-patient WRAP groups. Previously, Michelle worked at Chestnut Health Systems for 5 years as an engagement specialist in one of their Psycho Social Rehabilitation Programs. Michelle is a Certified WRAP Educator and has been faithfully teaching WRAP classes for the last 5 years. Michelle not only teaches WRAP and recovery classes but she lives it in her life and is an inspiration to many. In addition to her work, Michelle also co-facilitates a Karla Smith Foundation peer support group for suicide survivors and she is a Peer-to-Peer mentor for NAMI.

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6 17 09 Peer Networking minutes: Speaker: Cathy Bruns, Fulton State Hospital, Fulton, MO

Subject: The role of Client Advocates

Bio:

Cathy M. Bruns has been employed as a Client Advocate since August of 2000 (Approx 9 years) at Fulton State Hospital, a Forensic Psychiatric Hospital in Missouri. It is the only Maximum and intermediate security hospital in the state.  "I spent 4 1/2 years of my life as a client in Fulton after a severe clinical depression, 1 1/2 years at the groups homes on campus."

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5 20 09 Peer Networking Call:

Presentation by Deni Cohodas, Patient Liaison, and Tony Riccatelli, CEO at Worcester Psychiatric Center, Worcester, MA. They talked about the importance of their relationship, a peer reporting to an administrator, and about the unique role that Deni plays in the prevention role with patients at high risk and also as de-briefer following a Seclusion/Restraint, which now happens rarely.

De-briefing Materials

Debriefer-Deni'stake

Debriefer descript of duties

Debriefer how helps

Debriefer job description recommended

Ellen Flowers

Peer Support Specialist Patient Debriefing Form Number 3

Tony Richatelli

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4 15 09 Peer Networking Call:

Comfort and Comforting Environments:  This Power Point presentation was developed by Gayle Bluebird and has been presented in many hospital facilities all over the country.  Bluebird explains that Comfort is an approach that should may include our conversations, healing touch and environments in addition to the actual Comfort Room.  Also explained is the difference between sensory rooms and comfort rooms.  Comfort rooms can be developed by peers for peers; thus she calls them Peer Led Comfort Rooms. 

Comfort and Comforting Environments

Christine Elvidge will talk about her work as a Recovery Support Specialist at Andrew McFarland Mental Health Center in Springfield, Illinois, where she has worked for the past five years.  She has worked on the grant to establish a coercion free environment and to implement alternatives to seclusion and restraints in State Operated Hospitals. Part of work as a Recovery Specialist is developing and maintaining comfort rooms in the hospital as well as creating artistic décor throughout the hospitals with poster displays and other artistic designs. Christine will be happy to speak to people who want more information following her presentation. She can be reached by calling her at:  217-786-0041 or sending her an email at Christine.elvidge@illinois.gov.

Below are two of her posters with their inspirations that are examples of many others she has found and displayed at McFarland.

Christine Elvidge value

Christine Elvidge first step

Guidebook: Comfort Rooms

A preventative tool used to reduce the use of restraint and seclusion in facilities that serve individuals with mental illness. This 96 page guidebook and excellent resource was published by the New York Office of Mental Health in February, 2009.  Information contained in the guidebook was prepared primarily for child and adolescent facilities but is useful for adult and geriatric units as well.

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3 18 09 Peer Networking minutes

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1 28 09 Peer Networking minutes

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12 17 08 Peer Networking minutes

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Materials

This report (click here to download) was written following a consultation given by Gayle
Bluebird and Holly Dixon in the state of Vermont, May 29 and 30, 2008 to an audience of combined psychiatric survivors and a variety of executives, staff, and members of the Vermont Council of Developmental and Mental Health Services.

Information in this report will be helpful to other states as they develop new roles and positions for peers in inpatient settings. Included in the report are job descriptions, recommended steps to develop new positions and issues regarding boundaries and others. We hope this information is helpful.

For further information contact: Holly Dixon: 207-624-4610 or Gayle Bluebird at 352-505-3195.

Reaching Across with the Arts (Then and Now)

Reaching Across with the Arts is a resource guide and manual that was created with funds from the Substance Abuse Mental Health Services  Administration (SAMHSA) in 2000. The purpose of the manual was for mental health consumers to learn how to create self-help arts programs and  activities as well as how to use creativity in their everyday lives. 

Though Reaching Across with the Arts was written nine years ago the information is still relevant today. Many of the programs that were showcased are still alive: Second Step Players in Connecticut, 9Muses Art Center in Broward County, Florida. David Kime still puts out his zine, Transcendent Visions; and in  Illinois the Awakenings Review is still published bi-annually. Some
of the  performers you will read about have become well known, for example, Wambui  Bahati, who has written a book and is in great demand for the skits she writes and performs all over the country. 
 
So, enjoy this guidebook and contact us with your comments, ideas, etc.  You can contact Gayle Bluebird through NASMHPD or Ed Pazicky, the co-editor  of the guidebook at edpazicky@comcast.net

For more  consumer/survivor art go to www.alteredstatesofhearts.com. Altered States of the Arts is a nationwide network of creative people who are current or former recipients of psychiatric services.

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News Updates: Conferences, Special Projects, Newsworthy events, etc.

The following are dates that Gayle Bluebird will be doing training; Please feel free to send us your information as well so that we share your information as well..

Austin, Texas: January 6, 2010 Training with all inpatient peer specialists in Texas

Pittsburgh, PA: January 12, Filming a Video with Peer Support And Advocacy Organization re "Peer Bridger Roles"

Gillette, WY: January 15, "Healing with the Arts" Presentation

Denver, CO, March 10, Arts presentation and workshop,

Norristown State Hospital, Norristown, PA, March 12, Comfort Rooms and Peer Roles Presentation

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Presentations

Developing A Consumer Advisory Council in State Hospital Facilities. PowerPoint presentation by Frances Priester, Deputy Director, Office of Consumer Affairs, State of New York. Click here to see this presentation.

 
   
   
   
   
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