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					  National Trends in Drop-In Centers and
        Consumer-Run Programs

Empowered for a Change: A Working Conference to Create
   Consumer-Run Drop-In Centers in Fairfax County
        NMHA and Consumer-Operated
   In 2002, NMHA identified three consumer-operated
    programs to promote. They are:
     – Project Return: The Next Step (MHA in Los Angeles County)
     – Consumer to Consumer Outreach (MHA in Tulsa)
     – On Our Own of Maryland
   Applicants selected on their ability to adhere to key
    elements and “COSP” common ingredients as well as their
    ability to provide training to affiliates who are interested in
    bringing a peer support program to their community
Project Return: The Next Step
   Project Return: The Next Step (PR:TNS) is a consumer
    operated peer support program for people with mental
    illnesses and is a program of the National Mental Health
    Association of Greater Los Angeles. For over two decades,
    PR:TNS has provided social support community
    integration, employment, training and advocacy activities
    throughout Los Angeles County

   Funding: PRTNS is funded through Los Angeles County
          Project Return (cont’d)
   Self-Help Clubs – Meet weekly in a variety of settings. Specialty
    clubs have been designed to meet member’s interests
   Warm Line-Toll free number for persons who want to receive
    non-crisis support
   Community Activities- Plays, concerts, sporting events, camping
   Discovery Centers-Social and education centers that provide
    opportunities for individuals to learn new skills and venture out of
    their isolation and into the world
   Employment –Part-time and full-time positions which
    accommodate the employment preferences of the individual
   Advocacy- Advocacy training events held for consumers, which
    include advance directives, voter education and registration and
    testifying before local officials

Something for Everyone!
Project Return: Wellness Center
“Some people with mental illness get well, and then they just
              keep getting even better.” (Pat Deegan)
   Provides a space in which a persons with a mental illness
    can actively participate in becoming better and better
   Staff have experience using WRAP and in identifying
    community supports, not taking care of people
   Emphasis on teaching skills to enable people to manage
    their next crises themselves
   Nurse practitioner conducts weekly “Wellness Checks”
   Holistic approach addressing mind, body & spirit
     On Our Own of Maryland
On Our Own of Maryland is a statewide mental health
  consumer education and advocacy organization. In
  addition to the state office in Baltimore, On Our Own has
  local membership organizations throughout the state,
  which provide a variety of services ranging from drop-in
  centers to advocacy programs. On Our Own is funded
  through the State, along with some Federal grants
Office of Consumer Advocates, Inc.: The Office of
  Consumer Advocates, Inc. is a consumer organization that
  provides programming in the three western counties of
  Maryland, which are Garret, Allegheny and Washington
    Office of Consumer Advocates Inc
   Soul Haven Drop-in Center: This drop-in center served 226 people in
    2002. The center offers crafts, computers, socialization, holiday
    parties and recreational activities in the community. The center is
    open Fridays 5pm-8pm and Saturday and Sundays 1pm–5pm. A hot
    meal is served each day that they operate.
   Listening Line: Listening line is a warm line that offers support and
    referrals to people needing mental health services. The warm line
    operates 20 hours per week; Monday through Friday 5pm-10pm. In
    2002, Listening Line staff answered 1214 calls people with mental
    GED/Literacy Classes: Classes are held two days a week for people
    with mental illnesses who want to obtain their GED. The instructor is
    a certified special education teacher from Washington County Board of
    Education. Presentations have been made to 185 individuals in
  Office of Consumer Advocates, Inc.
Additional Services
 Advocacy assistance for rental disputes,
 Wills,
 Educational programs for children,
 Food through the Western Maryland Food
  Resource T-Fap program, and
 Workshops for consumers and providers to
  participate in on a variety of topics.
       MHA of Tulsa: Consumer to Consumer
   Focuses on social support, recreation, and building
    friendships by reaching out to persons with mental illness
    who may otherwise isolate or fear social interaction.
   Provides an empowerment-focused recovery for persons
    with mental illness working in the program.
   Assists consumers who are served by allowing them to
    share power in relationships, and offering understanding
    and compassion by consumers who have "been there".
   Funding: Oklahoma Department of Mental Health and
    Substance Abuse Services (the state government mental
    health agency) through a federal block grant.
    Laurie Mitchell Employment Center

   Offers computer training, computer access and
    employment services with no referral, residence or income
   2 locations in Fairfax County serving 400 individuals
   Recently implemented new Microsoft Training Programs
   Provides employment seminars throughout the year
   Funding: County and foundations
   The Georgia Peer Specialist Project is a Statewide Program initiated
    by the Georgia Mental Health Consumer Network (GMHCN) to
    train and certify 52 Peer Specialist.

   Peer specialist are recruited, trained and certified in accordance with
    the requirements of the Georgia State Mental Health Plan. GMHCN
    identifies, trains, certifies and supports persons with mental illness
    who want to become Peer Specialists (www.contac.org/SCN.htm).

   Another component of the program is Peer Centers, a new service
    provider category that is Medicaid reimbursable. Peer Centers are
    100% consumer staffed and may provide additional services that are
    not always reimbursable under Medicaid, but are values supported
    by the Georgia Consumer Council (Georgia Division of Mental
    Health, 2003).
      Criteria for Reimbursement of Peer
           Support Through Medicaid
Components of state rules on peer services:
 Definition of covered activities (social and daily living skills training,
    services to support residential or employment placements and case
    management, services furnished through consumer-run businesses)
 Definitions of who is eligible to furnish rehabilitation or case
    management services so as to include individuals who have
    experienced mental illness. (can be very broad or restrictive depending
    on the state)
 Services must be designed to meet specific goals in the individuals
    service plan and documentation of services in the individuals service
 Usually must be supervised by a qualified licensed professional
(From “Recovery In The Community: Funding Mental Health Rehabilitative Approaches
   Under Medicaid – Bazelon Center for Mental Health Law. 2001)
Ways to bring consumer-run services
         to your community
 Discuss what type(s) of services/ support you want in your
 Educate the public (including other providers) about the
  need for such services
 Develop a coalition or workgroup
 Use the Final Report of the Presidents New Freedom
  Commission on Mental Health as an advocacy tool!
 State Infrastructure Grants - $44 Million in state grants
 Talk or write to your legislator, planning council, talk or
  write to Medicaid officials regarding potential sources of
 Call NMHA (703-838-7505 or sthompson@nmha.org
Websites: www.nmha.org; - www.ncstac.org

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