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CommonGround:
Recovery Oriented Practice
A 2-day Training Institute With Patricia E. Deegan PhD
You have embraced the values
and principles of recovery, but how do you and your staff put them into
practice in the hectic day-to-day workplace? How do recovery values
and principles get applied when clients are making choices that seem
to be self-defeating or that pose safety concerns? How do the principles
of choice and self determination get applied in practical ways when
clients are not using psychiatric medications as prescribed? How are
staff to establish professional boundaries that support, rather than
hinder recovery? These are the issues we will be addressing in the Institute,
and participants will leave with practical solutions and skills that
can be shared with co-workers in your agency.
This 2-day training institute
will be held at Boston University's Corporate
Education Center, a state of the art conference center tucked into
the New England woodlands, 40 minutes north of Boston. The conference
center is accessible from Boston's
Logan Airport or New Hampshire's Manchester
Airport.
The number of Institute participants
is limited to keep the learning environment small enough to insure ample
opportunity for discussion and hands on learning with Pat Deegan. The
conference fee of $500 includes daily breakfast and lunch, refreshment
breaks, conference materials and an optional evening dinner and screening/discussion
of Pat's film on self-directed recovery titled: Inside Outside: Building
a Meaingful Life After the Hospital.
Content
CommonGround: Recovery Oriented
Practice is a curriculum developed by Pat Deegan over the past 10 years.
It translates some of the foundational values of recovery - choice,
self-determination, relationships, hope - into a set of practices aimed
at retraining the mental health workforce to support clients' recovery.
Pat will begin the Institute with an Introduction to Recovery, and then
will train participants in 3 domains of the CommonGround Approach: Supporting
Client Choice, Supporting Clients' Use of Medications in the Recovery
Process and Professional Boundaries. The course content and learning
objectives for each are below:
Day 1
Introduction to Recovery
Supporting Client Choice
Choice is the cornerstone of the recovery and empowerment process. But
how should staff respond when a client is making a choice that appears
to be self-defeating or dangerous? In this training institute developed
by service users, participants will learn a range of practical interventions
for engaging with the choices that clients make, particularly when those
choices appear to be self-defeating, to diminish quality of life and/or
to involve risk and safety issues. Participants will learn skills associated
with supporting client choice in ways that are respectful and that maximize
client autonomy and self-efficacy. The institute format includes lecture
supported by PowerPoint presentations, as well as role-playing and intensive
skill building work in dyads and small groups. Scenarios from real world
clinical practice are the focus and participants are encouraged to bring
examples from their own work.
Learning Objectives:
- To understand why supporting client choice is important
- To learn how to assess an intervention for the presence of toxic
help or help that works against recovery
- To learn the difference between enabling clients and helping them,
and to learn related practice skills
- To learn practical skills about how to engage with client choice
to create win/win outcomes
- To learn how to navigate through the Comfort Zone, the Conflicted
Zone and the Non-Negotiable Zone and to learn the skill sets related
to supporting client choice in each zone
- To learn how to shift agency culture toward a recovery orientation
through more creative engagement with clients in the Conflicted Zone
Day 2
CommonGround:A
Recovery Oriented Approach to Professional Boundaries
Relationships are a foundational component of the recovery process.
Traditional office-based approaches to establishing professional boundaries
are not always applicable in the modern world of non-office based work
in the community. Staff are frequently challenged with novel situations
i.e., should I give this client a ride when I see him walking home in
the rain; should I accept the client's offer to buy me a cup of coffee;
a client goes to the same AA meeting I go to – how should I handle
that? How staff negotiate professional boundaries will either help or
hinder recovery. In this institute, Dr. Deegan will present a recovery-based
model for helping staff negotiate professional boundaries with clients.
Through lecture supported by PowerPoint slides, role-plays, and small
group skill building, participants will learn a practical decision-making
strategy for negotiating professional boundaries. The decision strategy
is based on ethical, interpersonal, and role related factors that allow
staff to be flexible and “human” but also disciplined and consistent.
There will be ample time for questions and discussion.
From Compliance to Alliance:
The CommonGround Approach To Supporting Clients' Use of Psychiatric
Medications As Part of the Recovery Process
In this training institute participants will have the opportunity to
learn about a recovery-oriented approach to supporting clients' use
of psychiatric medications. Based on the research of Dr. Deegan, participants
will learn:
- The importance of personal medicine in the recovery process
- Medication traps and how to help clients avoid them
- The ethical, clinical and evidence-based rationale for shared decision-making
vs. compliance
- Assessing clients' decisional conflict regarding use of medications
in the recovery process
- Practical skills for supporting clients' journey through decisional
conflict
- The role of the worker in helping clients prepare for meetings with
psychiatrists
The training will include lecture,
PowerPoint slides, audio-taped excerpts from interviews with service
users, role-plays and small group work. There will be ample time for
discussion and questions.
Learning Objectives
- Participants will learn the importance of personal medicine in the
recovery process, how to support clients in identifying personal medicine
and how to teach clients to effectively communicate it to psychiatrists.
- Participants will learn how to assess decisional conflict that clients
may be experiencing with regard to use of medications in the recovery
process.
- Participants will learn practical, person-centered strategies for
supporting clients through decisional conflict with regards to using
medications in recovery.
- Participants will learn common medication “traps” and how to avoid
them
- Participants will learn to help clients set goals and prepare for
medication appointments with medical staff
- Participants will learn how to support clients in the shared decision-making
process
Tuesday Evening
Optional dinner and viewing of Pat's film about self-directed recovery
titled Inside Outside: Building a Meaningful Life After the Hospital.
We'll have time to discuss some of the themes of the film in relation
to what we have been learning during the Institute
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