Fall 2004 - Southern States Psychiatric Hospital Association by wuzhenguang


									                                                              Southern States Psychiatric
     SSPHA                                                       Hospital Association
                                                       Message from the President...                  Fall 2004
                                                                          by James E. Smith, conference. As you will remember,
 Volume 2 - Number 2                                           SSPHA President of the Board NASMHPD intends to host a
                                                                                             national state hospital CEO summit
      I N S I D E                                    SSPHA Hits Home Run with
                                                     First Regional Conference
                                                                                             every two years so that regional
                                                                                             associations can host conferences
                                                          By all accounts our association’s during the intervening years. This
                                                 first ever regional conference was a being the case, we are already
* Message from the President - pg. 1
                                                 tremendous success. Held at the focusing on our conference to be
* Work to Reduce Stigma - pg. 2
                                                 Renaissance Concourse Hotel in Atlanta, held in 2006. Of the many things
* Creative Ways for Positive Exposure - pg. 3
                                                 Georgia early last Summer, the conference we have learned, one is the fact
* Cultural Competency - pg. 3
                                                 provided many of our members with the that such an endeavor is a labor-
* News Items & Hospital Without Walls - pg. 4
                                                 opportunity to meet one another for the intensive process. For this reason,
* SSPHA “Meet Me Calls” - pgs. 5 & 6
                                                 first time. It is clear that the event we are already working to identify
* Co-occurring Mental Illness & Substance
                                                 represented the beginning of many new persons within our association who
Abuse Workgroup - pg. 6
                                                 friendships. Feedback received suggested would be willing to participate
* The Importance of Consumer & Family
                                                 that the various presentations were of high planning our next conference. Any
Involvement in the Quest for Recovery pgs. 7&8
                                                 caliber and clearly, most of the comments members who are interested in
                                                 received were extremely positive. There working on the conference
 SSPHA BOARD OF DIRECTORS                        was broad agreement that the topics planning committee can volunteer
 President:                                      discussed were both timely and relevant by notifying me or any of our board
 James E. Smith, Texas                           to members’ needs. In addition to of director members.
                                                 enjoying the formal conference, attendees
                                                                                                       Finally, the success we
 Vice President:                                 seemed to really appreciate the many
                                                                                             enjoyed with our first conference
 Lee Thomas, Tennessee                           opportunities for networking with their
                                                                                             didn’t happen by accident. It was
 Secretary:                                                                                  the result of a lot of hard work by
 Steve Wiggins, Kentucky                                  The conference was successful      our colleagues. Special thanks go
                                                 from a financial perspective as well.       to Steve Wiggins (KY) who chaired
                                                 According to our association’s treasurer, the Conference Planning
 David Sofferin, Georgia                                                                     Subcommittee and David Sofferin
                                                 David Sofferin, the net cost of the
 Members:                                        conference to our association was           (GA), Lee Thomas (TN), Cynthia
 Paul Bisbee, Alabama                            approximately six thousand dollars with     McClure (VA), Beverly Berkeley
 Glenn Sago, Arkansas                            all other associated costs (slightly over   (GA), Bo Chastain (MS), Russ
 C.V. (Bud) Stotler, Florida                     $14,000) being paid for from a variety      Hughes (SC), B.J. Smith (TN) and
 Shelby Price, Louisiana                         of income sources. We were                  Ron Hogan (GA) who served as
 James Chastain, Mississippi                     particularly pleased to be able secure      members of the committee.
 Seth Hunt, North Carolina                       grant funds from NASMHPD in the             Special thanks also go to Ron
 Russ Hughes, South Carolina                     amount of $10,000 in support of our         Hogan, CEO and Beverly Berkeley
 Cynthia McClure, Virginia                       conference.                                 of the Georgia Regional Hospital
 Jack Clohan, West Virginia                                                                  along with all the staff at their
                                                          In addition to getting rave        facility who did extra work to help
                                                 reviews regarding the quality of            make our conference a success.
SSPHA News is a publication of the Southern      presentations, the opportunity for          Without a doubt, they did double
States Psychiatric Hospital Association.         networking and the convenience and          duty inasmuch as their hospital is
Southern States Psychiatric Hospital Assoc.      comfort of the hotel, we learned some       located in the host city. Special
400 South Pinetree Blvd.                         things that will help our next conference thanks also go to Mr. Chris
P.O. Box 1378                                    be even better.                             Jackson, who served as our
Thomasville, GA 31799                                     Based on what we have learned professional conference planner.
                                                 from this conference and the feedback       Last but not least, thanks go to all
(229) 227-2833 - Phone                                                                       of you who attended the
(229) 227-2883 - Fax                             we have received from those in
                                                 attendance, we have already begun           conference. Without your support
Send articles to melba.flinn@dshs.state.tx.us    planning for our next SSPHA regional        the event would never have come

                                              SSPHA Fall 04 Newsletter       Page 1
   Southern Psychiatric Hospitals
      Work to Reduce Stigma                             of new infrastructure and special events to celebrate
  SSPHA Freedom Commission Workgroup                    Christmas, Independence Day and other
               Report                                   observances. As well, tours of mental health facilities
                                                        help to combat the stigma that these hospitals are
       Reducing the stigma associated with
                                                        simply a “bunch of rooms with padded walls and
mental illness is critical to educating the public
                                                        patients restrained with straitjackets.”
about the disease and providing the high quality of
treatment and care that patients with mental illness             “In 2003, 3,094 people toured Mississippi State
deserve.                                                Hospital,” said Chastain. “We offer tours to anyone
                                                        interested in learning about the hospital in hopes that
       At the Southern States Psychiatric Hospital
                                                        visitors will leave with a positive feeling on the facility,
Association’s (SSPHA) conference in Atlanta earlier
                                                        its patients and various treatment techniques.”
this summer, James G. Chastain, director of
Mississippi State Hospital (MSH) in Whitfield, gave             In Virginia, nurses from the Southwestern
a presentation on the topic “Educating Through          Virginia Mental Health Institute visit schools in their
Exposure” on behalf of MSH and his colleagues at        area to promote mental health awareness and reduce
the Southwestern Virginia Mental Health Institute in    the stigma of seeking care as well as encourage a
Marion, Va. and the Waco Center for Youth in            career in psychiatric nursing. Over the past year, six
Texas.                                                  teams of nursing staff presented programs to 790
                                                        fourth and fifth grade students.
        Designed around President Bush’s New
Freedom Commission on Mental Health, the                         In addition to the hard work that mental health
presentation addressed the stigma that surrounds        facilities put into reaching members of the community,
mental illness, one of three obstacles that have        it is also crucial that accurate information is provided
been identified as keeping Americans with mental        to the media; so, they too can help to educate the
illnesses from getting the excellent care they          public.
                                                                Media Relations
        “Stigma is disrespectful,” said Chastain. “It
                                                                 There are several ways that mental health
negatively labels a person with mental illness as
                                                        facilities can work with the media to promote
being different from everyone else; when, in reality,
                                                        awareness of mental illness:
they are just the same as you and I, only they have
                                                                     § offer clinical staff as experts to the
a disease that requires treatment. Mental illness is
a disease of the brain, and just like a person with
                                                                     § promote all of the “good news” that
cancer sees a cancer specialist for treatment, our
                                                                        goes on at the facility, including
patients come to mental health facilities for
                                                                        employee of the month and special
treatment of their illness.”
                                                                        events; and
         Chastain also told conference participants                  § establish positive working relationships
that stigma is a barrier because the fear of stigma                     with members of the local media so
and the resulting discrimination discourages                            that when they require information they
individuals and their families from getting the help                    are comfortable with your facility and
they need.                                                              are confident that their questions will
                                                                        be answered honestly.
        “Educating Through Exposure” focused on
three ways that mental health facilities are working    “We welcome the interest of our local media,” said
to reduce stigma in their communities: community        Chastain. “They know that they are always welcome
relations, media relations, and Unraveling the          on campus and that we will do our best to
Mystery: Creative Ideas for Positive Exposure.          accommodate them when researching a story.”
       Community Relations                              The general public and the media are both important
                                                        target audiences when working to reduce the stigma
        By bringing members of the community
                                                        of mental illness, but it is also important that
onto campus, facilities are able to show them the
                                                        awareness programs are aimed at people already in
progress that has been made to enhance the
                                                        the medical field or those just entering the field.
quality of life for patients, such as the development
                                   SSPHA Fall 04 Newsletter    Page 2
                                                                                            Continued on Page 3
continued from page 2

                Unraveling the Mystery:
          Creative Ways for Positive Exposure
                                                          Cultural Competency
                                                          SSPHA Freedom Commission Workgroup Report

         It is very important that mental health                   Although the Cultural Competence Work-
                                                          group is still looking for volunteers, the team has
facilities provide clinical affiliation and internship    been active. According to the President’s New Free-
experiences in a variety of fields: medical, nursing,     dom Commission document, in a transformed men-
psychology, rehabilitation therapy, social work,          tal health system, all Americans will share equally in
human resources and psychopharmacology — just             the best available services and outcomes, regard-
to name a few. These opportunities give students          less of race, gender, ethnicity or geographic loca-
the chance to work directly with patients and             tion. This group’s focus has been to better under-
experience first-hand the way these facilities are        stand the efforts being made at member hospitals to
                                                          improve staff cultural competence and to identify
                                                          best or promising practices. Toward this end, some
         And, thinking outside of the box could lead to   months ago a ten-item survey was emailed to all 48
positive exposure for a facility. In addition to          SSPHA member facilities regarding organizational
community tours, MSH operates a museum that               cultural competency. Though the response rate was
supplements the hospital’s community relations            lower than was hoped for (31%), the initiative never-
program. It gives visitors a perspective on the           theless yielded some interesting information. Of
history of the hospital as well as on the history of      those facilities responding, we learned that two
mental illness in Mississippi.                            thirds have deliberate initiatives, programs and/or
                                                          practices that are aimed at increasing the cultural
Holding media days, distributing feature                  competency of staff and/or access to quality care
stories about employees and patient programs, and         that is deliberately culturally competent. Roughly the
developing a strong volunteer program are just a          same number of respondents indicated that their
few creative ways that mental health facilities can       hospital has a person, department and/or committee
reach a significant number of people all at once.         that has assigned responsibility for increasing the
                                                          cultural competency of staff. Likewise, approximately
Next steps                                                the same number of respondents indicated that their
        After reviewing research and testimony, the       mental health system has a dedicated effort under-
                                                          way to increase quality care that is culturally compe-
President’s New Freedom Commission on Mental              tent.
Health has found that “recovery from mental illness                Our survey also revealed that hospitals are
is now a real possibility. The promise of the New         using a variety of strategies in order to deal with lan-
Freedom Initiative — a life in the community for          guage barriers which may arise when patients pre-
everyone — can be realized.” However, the                 sent for admission speaking a primary language
Commission also found that “today’s mental health         other than English as well as there being a variety of
system is a patchwork relic — the result of               provisions for treating persons who are deaf, hearing
disjointed reforms and policies. Instead of ready         impaired and/or blind. Approximately 80% of the
                                                          hospitals responding indicated that they had ongoing
access to quality care, the system presents               training/educational programs for staff especially
barriers that all too often add to the burden of          aimed at increasing their cultural competence in pro-
mental illnesses for individuals, their families, and     viding treatment services for persons from
our communities.”                                         cultures other than their own. We also learned that
        “It is important that as senior administrators    the vast majority of hospitals responding have activi-
of mental health facilities and as members of the         ties that are ongoing and aimed at valuing diversity
SSPHA, we educate everyone about mental                   among staff and/or patients. We also learned of
                                                          some special initiatives that we hope to spotlight in
illness…facility staff, media, the general public,”
                                                          the near future.
said Chastain. “We have a responsibility to help                   Cultural competence workgroup plans for the
remove barriers that are associated with mental           immediate future include:
illness and stand in the way of people receiving          • Get more information from member hospitals to
appropriate treatment. Stigma is one of those                  develop a better picture as to what is going on.
barriers, and through education and positive              • Identify and share best practices within the re-
exposure I am confident that we will reduce the                gion.
stigma associated with mental illness.”                   • Facilitate networking between member hospitals
                          James (Bo) Chastain, Director        by sharing staff contact information.
                             Mississippi State Hospital   • Learn what other facilities outside the region are
                                                               doing to increase cultural competence.
                                                          • This workgroup will publish a more comprehen-
                                                               sive final report later in the year.
                                                                                                 James E. Smith, CEO
                                                                                              North Texas State Hospital

                                        SSPHA Fall 04 Newsletter Page 3
ONTARIO ACT 2005 CONFERENCE                         Hospital Without Walls
October 5-7, 2005
                                                            In the last few years Southwestern State
Inn on the Park Hotel, 1100 Eglinton                Hospital in Thomasville, Georgia has become a
Avenue East, Toronto, Ontario                       hospital “without walls.” Southwestern has
Overview: This conference will serve as a           taken the lead in several community initiatives
forum for various ACT stakeholders to               since the mid 90’s with the opening/
explore: 1) The opportunities and challenges        establishment of:
in implementing system-wide ACT                     • The Assertive Community Treatment (ACT)
standards across diverse provinciaol settings,      Program, which has now expanded into four
and 2) The creative and innovative                  cities, Thomasville, Tifton, Albany, and Val-
contributions made by Ontario ACT clinicians,       dosta. ACT is an intensive case management
consumers, researchers, administrators              community service for individuals with severe
and policymakers to the field of ACT
                                                    and persistent mental illness or co-occurring
Call for Papers: The conference
                                                    substance abuse and mental illness, discharged
commmittee invites presentations which
                                                    from multiple or extended stays in public hos-
highlight the contributions of provincial
                                                    pitals, or who are difficult to engage in
ACT leaders in this field.
Contact Information: Patricia Cavanagh,
                                                    • The Gateway Dual Diagnosis Program for
MD, FRCEP(C), Clinical Director, Impact
                                                    consumers with mental illness and addictions.
Program, Toronto Western Hospital,
                                                    • Regional Juvenile Evaluation Team
University Health Network, 489 College
Street, Suite 304, Toronto, Ontario,                • Inwood Pines Intensive Treatment Resi-
CANADA M6G 1A5                                          dence, a personal care home operated
                                                        through a partnership with the Albany Area
                                                        and Georgia Pines Community Service
SSPHA Welcomes its newest                               Boards, to provide male individuals with
members to the                                          multiple problems an opportunity to be suc-
SSPHA Board of Directors!                               cessful in a home setting.
                                                    • Four Community Homes for the develop-
Glenn Sago-Arkansas                                     mentally disabled; and
and                                                 • Behavioral Support Team, which provides
Shelby Price-Louisana                               • crisis options and behavior interventions for
                                                        the developmentally disabled individuals re-
                                                        siding in the community.
                                                            Southwestern’s latest accomplishment is
Call For Volunteers                                 the opening of the Southwestern Crisis Stabili-
The 2004 SSPHA Conference was                       zation Program. After overcoming many obsta-
                                                    cles, the program opened August 25, 2004. The
a tremendous success. If you are                    program will serve 15 clients in acute crisis
interested in serving on the Confer-                from the Valdosta, Tifton, and Thomasville ar-
                                                    eas. The project was a total team effort of
ence Planning Committee for                         many departments including: Housekeeping,
our next conference contact:                        Engineering and Maintenance, Medical Records,
                                                    Procurement and Property, Admissions, Secu-
                                                    rity, Business Office, and Human Resources.
       James E. Smith, CEO, NTSH                            As state agencies continue to experience
      jamese.smith@dshs.state.tx.us                 budget cuts, we are continuously looking for
        940-552-9901 ext. 4000 or                   opportunities to reinvent ourselves.
              940-689-5213                                  Beverly Bajerski, Interim Hospital Administrator
                                                                                 Southwestern State Hospital
                                                                                       Thomasville, Georgia

                                     SSPHA Fall 04 Newsletter Page 4
SSPHA Meet Me Calls - Reducing Medication                 psychiatric treatment! Side effects, such as
Costs in an Acute Inpatient Psychiatric Setting           weight gain, the metabolic syndrome, extra
          This teleconference forum allows members        pyramidal symptoms and hyper-prolactinemia
to share information, network, and identify best          were mentioned. Familiar with the entire
practices. Within the SSPHA is a tremendous               spectrum of effective treatments,
wealth of experience, knowledge and clinical talent.      psychotherapy, psychosocial rehabilitation and
These teleconferences focusing each quarter on a          social learning techniques are also woven into
specific topic of interest will allow us to share         the fabric of care. It was also noted that, while
expertise in a relaxed, informed and collegial            new generation antipsychotics may offer
environment.                                              certain side effect benefits, some patients do
                                                          well on older agents. With full knowledge,
        The second of these “Meet Me Calls” was           some consumers may elect to remain on those
held June 21st, 2004. The topic was reducing the          agents, considering the benefits to outweigh
costs of medications in the acute inpatient               possible risks.
psychiatric setting. Speakers included Dr. Thomas
Mareth of North Texas State Hospital and Dr.                       Next appropriate dosing was discussed.
James E. Mimbs, Chief Medical Officer of the              Texas, like most state systems, sets a
Central State Hospital in Milledgeville, Georgia.         maximum recommended dose. Given the
Comments from other participants made other               severe and persistent nature of their mental
valuable contributions to the discussion.                 illness, it is not surprising that higher doses are
                                                          sometimes required. A process was developed
        According to Dr. Mareth a review of               to monitor this as well. The dose, above the
pharmacy expenses revealed greatest potential for         Texas recommended dose, for which the
cost savings within the new generation                    medical literature provides evidence of safe and
antipsychotics such as Olanzapine, Quetiapine,            effective treatment, has been researched for
Risperidone and others. The strategy at NTSH              each medication. Should clinicians wish to
involved examination of the appropriateness of            exceed the Texas maximum recommended
treatment, the appropriateness of dosing and              dose, a consultation with a colleague is
monitoring of costs.                                      documented in the progress notes. This simply
                                                          provides another set of eyes to review the
         Concerning appropriateness of using these
                                                          data, validate the diagnosis and concurs with
medications in treatment, several tactics were
                                                          the reasonableness of the treatment proposed.
employed. Chart reviews each quarter assess the
                                                          Should the clinician choose to go still higher, the
collection of necessary clinical data and its
                                                          case is written up and presented to our expert
formulation into accurate diagnoses. If the
                                                          consultants in psychopharmacology. They
consumer’s condition typically responds to new
                                                          review the information and make
generation antipsychotics, evidence-based medical
                                                          recommendations to the provider concerning
algorithms, such as the Texas Medical Algorithm
                                                          dosing, augmentation, alternative strategies,
Project (TMAP), are applied. These provide a
                                                          side effects to look out for, etc. The use of
flexible set of guidelines from which the clinician can
                                                          two new generation antipsychotics at once was
choose the “correct” (i.e., likely to be therapeutic
                                                          questioned from the audience. This is
and avoid undesirable side effects) medication,
                                                          sometimes required, but relatively rarely at our
used for the appropriate duration of time, for that
                                                          facility. Others noted this was necessary 10-
individual patient. As an example, the TMAP
                                                          14% of the time.
algorithm for schizophrenic disorders was reviewed.
Adherence to such evidence-based practices, with                  Dr. Mareth then discussed some of the
documentation for the clinical reasons for any            factors used to monitor costs. To this point
deviations are regularly monitored. Rather than a         the emphasis was almost entirely on using the
“cookbook” approach, it was noted this required           most appropriate medication – irrespective of
great expertise to select the most appropriate            costs. Generics can be used whenever
medication from among the choices. Our clinicians,        possible. The staff has been educated
to use the analogy, use scientific evidence to inform     regularly about costs of similar medications.
their choices and become the “Master Chefs” of
                                                                                           Continued on Page 6

                                     SSPHA Fall 04 Newsletter   Page 5
 continued from page 5

                                                                     Co-occurring Mental Illness
For example, should an IM form of a new generation
medication be judged necessary, a 20 mg. dose of                   and Substance Abuse Workgroup
Ziprasidone costs the NTSH Pharmacy $34.99. A
similar medication, IM Olanzapine (10 mg.) costs                SSPHA Freedom Commission Workgroup Report
$17.50. Our pharmacy also tracks the costs of new
generation antipsychotics per patient/month by
psychiatrist. While we have had (as have other                          As part of the Southern States
members of the audience) difficulty getting accurate           Psychiatric Hospital Association’s initiative, a
data, this practice offers hope in identifying outliers        special Workgroup was formed. The Team is
and best practices.                                            comprised of representatives from throughout
        Dr. Mimbs then spoke of the need to educate            the southern states and the members are
staff about costs and algorithms. An eclectic                  David Sofferin, GA, (Chairperson), Jerry Falls,
selection of evidence-based practice was most                  GA, Lydia Weisser, GA, Patricia Thacker, GA,
successful at his hospital. Specific suggestions to            Julie Boudreaux, LA, Kathleen Poweres, TX,
control medication costs including monitoring the use          and Karen Sams, TX. One of the goals was to
of “stat” or “prn” medications and limiting the                discuss the present availability of dual
concomitant use of mood stabilizers were discussed.            diagnosis services. But their ultimate desire is
         Dr. Terry Holmes, Clinical Director of Moccasin       to formulate a “Best Practice Model” of
Bend Mental Health Institute in Chattanooga,                   integrated mental health and substance abuse
Tennessee, had written an email with nine suggestions          services to meet the needs of consumers. In
to control medication costs in an inpatient setting.           their first teleconference on May 27, 2004,
These suggestions were: 1) have implemented best               representatives from Georgia and Louisiana
practice guides and audit criteria for same, 2) have           began the process by defining their present
virtually eliminated polypharmacy, 3) trained doctors          service delivery systems. In treating dual
and nurses on evidence-based practice, 4) have
                                                               disorders, they defined three different aspects
researched what other states are doing to reduce
                                                               that must be reviewed:
costs [a.limit psychotropic prescriptions to 6, b.
disallow prescriptions for psychotropics without
appropriate DSM IV diagnosis, c. eliminate                        •   Assessment
polypharmacy] 5) have drastically limited Zyprexa                 •   Treatment goals
Zydis--1st 3 days of treatment only, 6) improved                  •   Treatment
feedback to pharmacy with use of information form
sent directly to medical director who speaks with each                A look at system problems will be a
clinician about rationalle for treatment, 7) have added        main focus of the Team.
pharmacy cost to P&T agenda on recurring monthly
basis, 8) have worked with pharmacist to explore                       The final report will describe the status
further cost reduction efforts, and 9) have worked to          of various state services and recommend Best
secure funding for research on atypical antipsychotic          Practice suggestions for intervening with co-
efficacy. The telephone conference was then opened             occurring disorders.
to questions. A review of the National Association of
State Hospital Program Directors (NASHPD) guidelines                 An overview was provided to those in
concerning polypharmacy was recommended. The                   attendance at the Southern States Psychiatric
use of Zydis form Olanzapine and the preferred use             Hospital Conference held in Atlanta this past
of Risperidone and Ziprasidone whenever possible was           June.
discussed. Mr. Ed Moughon, Big Spring State Hospital
CEO, brought up the important issue of the costs of                    The workgroup will publish a final report
non-psychiatric medications. This was suggested as             later this year.
a potential topic for a future teleconference.                                 David A.Sofferin, Regional Coordinator
                                   Thomas Mareth, M.D.                                MHDDAD for Southwest Georgia
                   Clinical Director of Psychiatric Services                                         Albany, Georgia
                               North Texas State Hospital

                                         SSPHA Fall 04 Newsletter     Page 6
 The Importance of Consumer and
       Family Involvement                              Southeast Louisiana Hospital, New Orleans;
                                                       Cynthia McClure (Chair), Steve O’Brien,
    in the Quest for Recovery                          Kayla Fisher and Norma Marsh,
                                                       Southwestern Virginia Mental Health Institute,
    SSPHA Freedom Commission Workgroup                 Marion.
                                                       Recommendation 2.2 from the New Freedom
        As you know, the President’s New               Commission states: Involve consumers and
Freedom Commission on Mental Health calls              families fully in orienting the mental health
for a major overhaul of the nation’s mental            system toward recovery
health system and notes that the care for                  • “ . . The Commission is convinced of the
persons with mental illness must go beyond                     need to increase opportunities for
medications and symptom management. The                        consumers and family members to share
goal of the Commission is the same goal as                     their knowledge, skills, and experiences
that of mental health consumers and their                      of recovery. . . .”
advocates: to enable adults with serious                   • “. . .Local, State and Federal authorities
mental illness to live, learn, work and                        must encourage consumers and families
participate fully in their community. The                      to participate in planning and evaluating
commission found that the current system is                    treatment and support services . . .”
unintentionally focused on managing the
disabilities associated with mental illness            Here is one example:
rather than promoting recovery.                        The Southwest Virginia Consumer and Family
                                                       Involvement Project (www.swvacfip.org) is a
       (More information about the President’s         project funded by the Virginia Dept. of Mental
New Freedom Commission on Mental Health,               Health, Mental Retardation and Substance
including the final report, “Achieving the             Abuse Services, through the Southwest Virginia
Promise: Transforming Mental Health Care in            Behavioral Health Board.
America,” can be found at
www.MentalHealthCommission.gov.)                               In 1995, the Southwest Virginia
                                                       Behavioral Health Board recognized the need
        The charge for our workgroup is to             to enhance consumer and family involvement
identify, describe and showcase consumer and           and education in the region. With
family initiatives in the southern region that         a relatively modest amount of money,
have made or are likely to make a significant          contracts were developed with the goals to
contribution to the quality of life for persons with   increase the involvement of consumers and
mental illness. This topic area is one of four         family members in decision making and
that the Southern States Psychiatric Hospital          policy formation, service planning, and
Association’s Board of Directors identified for        delivery and evaluation of publicly funded
a regional response to the final report of the         mental health, mental retardation and
President’s New Freedom Commission on                  substance abuse services. The integral
Mental Health.                                         involvement of consumers and family
                                                       members was recognized as particularly
       Members of the workgroup include                important in Southwest Virginia due to the
Kimberly Ayertey, Georgia Regional Hospital,           rural, mountainous, and poverty-stricken
Atlanta; Steven Sullwold, North Texas State            nature of the region.
Hospital, Wichita Falls, Texas; Ed Foulkes,
                                                                                 continued on page 8

                               SSPHA Fall 04 Newsletter   Page 7
Continued from page 7
CFIP Accomplishments include:
       • Thirteen Family support groups in the region, including two NAMI affiliates,
       • An 800 number for family support and consultation,
       • Two paid employees who travel to the support groups regularly, lending expertise,
       • Financial support for each meeting ($50),
       • Twelve-session L.E.A.P (Leadership, Empowerment, and Advocacy Programs) Trainings for Con-
       • 182 Graduates of L.E.A.P. thus far,
       • Several regional presentations by Moe Armstrong, consumer advocate,
       • Consumers as members of Policy and Advisory Boards,
       • Three Mental Health Awareness/Education Seminars,
       • Ten Partnership Planning Seminars in 2003 and 2004 with strong consumer and family involvement,
       • The first ever “SW Virginia Walks for Mental Illness Awareness” event April 30, 2004.
The region believes that the success of the project is due to an Advisory Committee composed
of consumers, family members and providers from around the region, shared ownership of the
importance of the process, a commitment to the consumer, a focus on recovery, and the
provision of skills and supports recognizing that “recovery equals skills plus supports.”
Our workgroup continues to collect information on “best practices” in the area of consumer and
family involvement in recovery and will have a final report in Spring, 2005.
                                                                                             Cynthia McClure, Director
                                                                           Southwestern Virginia Mental Health Institute
                                           THIS DOCUMENT WAS PRINTED BY
                                             THE RESIDENT PRINT SHOP AT
                                         NORTHEAST FLORIDA STATE HOSPITAL IN
                                                MACCLENNY, FLORIDA.

                                                                               Thomasville, GA 31799
                                                                               P.O. Box 1378
                                                                               400 South Pinetree Blvd.
                                                                               Hospital Association
                                                                               Southern States Psychiatric
                        Address Correction Requested
               Fall 2004
               Volume 2-Number 2

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