Psychosocial Rehabilitation and Recovery Services

(PSR & RS)

April 29, 2006

Robert C. Gresen, Ph.D.

Department of Veterans Affairs Office of Mental Health Services

Mark Shelhorse, M. D. (A)Deputy Chief Patient CareServices Officer for Mental

Health

Larry Siever, M.D.Director

VISN 3 MIRECC

Bruce Rounsaville, M.D.Director

VISN 1 MIRECC

Ira Katz, M.D.Director

VISN 4 MIRECC

Alan Bellack, Ph.D.Director

VISN 5 MIRECC

Lawrence Adler, M.D.Director

VISN 19 MIRECC

Gregory McCarthy Ph.D.Director

VISN 6 MIRECC

Murray Raskind, M.D.Director

VISN 20 MIRECC

Greer Sullivan, M.D.Director

VISN 16 MIRECC

Lucia FreedmanProgram Manager

Anthony Campinell, Ph.D.Director for

Therapeutic and SupportedEmployment Services

Kathleen Lysell, Ph.D.Associate ChiefConsultant for

Informatics

Adrian Preda, M.D. (A)Director Clozapine

Robert Rosenheck, M.D.Director NEPEC

Fred Blow, Ph.D.Director SMITREC

Matthew Friedman, M.D.Director National Center

for PTSD

M. Gay KoerberAssociate Chief Consultant,

Homeless & ResidentialRehab. & Treatment Servicesand Liaison to the Secretary’s

Homeless AdvisoryCommittee

Richard T. Suchinsky, M.D.Associate Chief Consultant for

Addictive Disorders

Margaret HolyProgram Assistant

Robert DeweyProgram Specialist

Keith Humphreys, Ph.D.Director PERC

Dan Kivlahan, Ph.D.Director CESATE

Seattle

Laura McNicholas, M.D.Director CESATE

Philidelphia

Office of Mental Health Services (116)

Syvonne CarterProgram Assistant

Robert Gresen, Ph.D.Associate Chief Consultant

for PsychosocialRehabilitation and Recovery

Services

MIRECCs

Jerome Yesavage, M.D.Director

VISN 21 MIRECC

Stephen Marder, M.D.Director

VISN 22 MIRECC

Chris WoodsProgram Manager

Laurent S. Lehmann, M.D.Associate Chief Consultant,

Mental Health DisasterResponse/ Post DeploymentActivities/ PTSD & Liaison to

PTSD Special Committee

Robert Gresen, Ph.D. (A)Deputy Chief Consultant

Mary Jansen, Ph.D.Special Assistant

Theresa HayesProgram Manager,

MFH

Craig BurnetteProgram Manager,Project CHALENG

Paul SmitsDir. VA Rsdl. Rehab. &

Treatment Svcs.

Roger CaseyDirector, VA

Homeless Grant &Per Diem Prog.

Ralph ZaccheoAdmin. Officer

Rick LeeRehab PlanningSpec. CWT & IT

Jamie PloppertProgram ManagerPRRTP & CWT/TR

Charles McGeoughProg. Spec.Marketing

James WilliamsExecutive Assistant

VACO MIRECC Liaison

Grace PikeProgram Analyst

Susan McCutcheonProgram Manager

William W. Van Stone, M.D.Associate Chief Consultantfor Psychiatry, Professional

Services, Inpatient/Outpatient Services

Liaison to SCMI Committee

Walter D. LipscombBudget Analyst.

Judy PattenProgram Assistant

- NPA Staff

Deborah DawsonProgram Assistant

Kenya GainesPublic Relations Specialist

James F. McGuirePro. Mgr.,, Homeless

Prevention IncarceratedVeterans Progs.

Steven Batki, M.D.Director

Center for IntegratedHealth Care

6/30/2005

Lucia FreedmanProgram Manager

Anthony Campinell, Ph.D.Director for

Therapeutic and SupportedEmployment Services

Syvonne CarterProgram Assistant

Robert Gresen, Ph.D.Associate Chief Consultant for

Psychosocial Rehabilitation andRecovery Services

Chris WoodsProgram Manager

Mary Jansen, Ph.D.Special Assistant Ralph Zaccheo

Admin. Officer

Rick LeeRehab Planning Spec. CWT &

IT

Charles McGeoughProg. Spec. Marketing

Susan McCutcheonProgram Manager

Judy PattenProgram Assistant

Psychosocial Rehabilitation and Recovery Services: Mission

• Advocate in VA Central Office for recovery oriented mental health care in VHA

• Promote PSR and recovery oriented services through education, consultation, program development, monitoring and evaluation

• Support coordination and integration of PSR and recovery oriented services

Patient Care Services Strategic Plan

Promote the Psychosocial Rehabilitation model with a Recovery emphasis for veterans with Serious Mental Illness

Mental Health Executive Steering Committee Workgroup RecommendationsApproximately half of the 50 recommendations relate to PSR&RS section

Mental Health Strategic Plan

PSR&RS Initiatives• Program development - current Funding

Guidance distributed to the field:• Peer support 18, 37• Family psychoeducation 14, 21• Psychosocial Rehabilitation and Recovery

Centers (PRRCs) 16, 26• Compensated Work Therapy (CWT)

10, 12 13, 13 (PT)• Other Evidence based practices 16, 24

Other PSR&RS initiatives

• Consumer and family driven-stakeholder participation

• Mental Health Consumer Council

• Mental Health Executive Committee

Other PSR&RS Initiatives (continued)

National Recovery Coordinator• Resource to the field

• Oversee implementation of recovery initiative in VHA MH

• Appoint a Recovery Advisory Workgroup to provide expert advice and assistance

Educational Initiatives

• Satellite programs addressing the general principles of psychosocial rehabilitation and recovery for all mental health staff have been broadcast.

• Conferences have been held in vocational rehabilitation, peer support and Mental Health Intensive Case Management

Educational Initiatives (continued)

• Interprofessional Fellowship Program in Psychosocial Rehabilitation for psychiatrists, psychologists, social workers and mental health nurses funded by OAA

• Educational opportunities have been planned and supported by EES, OAA, OMHS, MIRECCs, VISNs and individual facilities

Other Plans for the Immediate Future

• Develop IL on PSR concepts• Develop IL on peer support: definitions, basic

concepts, models ….. • Develop directive on Peer Support: policy,

procedures, hiring practices, ….• Directive for Supported Employment• New Educational Initiatives

What VACO Needs From the Field for MHSP Implementation

• Support for basic premises of PNFCMH, e.g.: • Mental Health Is Essential to Overall Health• Everyone with a mental illness should have Everyone with a mental illness should have

access to effective treatment and supports — access to effective treatment and supports — essentials for living, working, learning, and essentials for living, working, learning, and participating fully in the communityparticipating fully in the community

• Proactive response to calls for funding proposals and to generate ideas for proposals

• Communication to VACO Office of Mental Health Services about successes, obstacles, creative ideas, etc. (training/education)

Non-PSR&RS Initiatives

• Hybrid Title 38

• Police Assessments

• Associated Health Handbook