People with Serious Mental Illness (SMI) are dying, on - DOC

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					                ACLAIMH 29 TH ANNUAL CONFERENCE

                          PRE-CONFERENCE INSTITUTES

TUESDAY, NOVEMBER 4, 2008 - 1:00 PM – 5:30 PM

PRE-CONFERENCE INSTITUTE #1
Research and Treatment of Major Psychiatric Disorders: Bipolar Disorder, Major Depression
and Borderline Personality Disorder (Part I)
This two-day pre-conference training institute is targeted towards individuals interested in
learning about the most recent research related to Bipolar Disorder and Major Depression
and about clinical interventions for those with a Borderline Personality Disorder diagnosis.
This training will explore some of the latest findings related to Bipolar Disorder and Major
Depression, presented by researchers with the Psychiatric Institute. In addition, Marilyn
Gewacke, Ph.D., a leading clinician in the treatment of Borderline Personality Disorder,
will help attendees understand this complicated disorder and the techniques needed to be
effective in supporting individuals who live with it.
Presenters: Dr. Helena Verdeli, Psychiatric Institute
              Marilyn Gewacke, Ph.D.

PRE-CONFERENCE INSTITUTE #2
Blending State and Federal Dollars in Housing Development (Part I)
The stated policy of the State Office of Mental Health is to use future capital dollars,
whenever possible, in mixed use projects that offer increased integration. They expect that
providers will leverage tax credits, private capital, and other resources to increase the
number of units that get developed. This Institute will provide information and technical
assistance on a number of alternative capital funding sources. Four workshops will be
provided. The details will be announced.
Presenters: Lisa Irizarry - Director of Special Needs Policy, DHCR
               Others TBA

WEDNESDAY, NOVEMBER 5, 2008 – 9:00 AM – 12:15 PM

Part II of PRE-CONFERENCE INSTITUTE #1
Research and Treatment of Major Psychiatric Disorders: Bipolar Disorder, Major Depression
and Borderline Personality Disorder

Part II of PRE-CONFERENCE INSTITUTE #2
Blending State and Federal Dollars in Housing Development
                       ANNUAL CONFERENCE WORKSHOPS

WEDNESDAY, NOVEMBER 5, 2008 – 11:00AM – 12:30 PM

The Essential Nature of Skills Building in Residential Programs to Promote Quality of Life
in Recovery
Skills building techniques are an essential component of rehabilitation and recovery
practices in residential housing programs. This workshop will focus on techniques that
enhance one’s sense of self through the recovery process, by encouraging empowerment,
hope, partnerships and choice.
Presenters: Dan Connor, LCSW, and Gerardo Ramos, MSW, from FEGS

Step by Step: The Road to a Healthier Lifestyle
This workshop will offer effective tools that can be implemented in any program, regardless
of the population served. Step by step worksheets and instructions can help anyone to
understand healthy living. The tools may be used in both large and small groups, as well as
on an individual basis. Learn how to help others and progress toward an all-around
healthier lifestyle. Be motivated, while being a motivator, and discover the tools to facilitate
a fresh approach to nutrition and exercise.
Presenters: Michelle Jensen and Nancy Glover from Arbor Development

Emergency Preparedness
This presentation will show participants how Lakeview Mental Health Services has
developed emergency plans. We will consider how to develop an emergency plan and
discuss which emergency supplies are necessary. Participants will learn how emergency
preparedness is important to ensure the safety of both clients and staff. We will examine the
significance of a plan for the recovery of critical operations, during and after an emergency.
Among the information sources for this workshop are materials from FEMA, Ready.Gov,
Tompkins County Health Department, and Cornell University.
Presenters: Cathy Lovejoy from Lakeview Mental Health Services

The Best Stuff Is the Right Stuff – Best Practices in Mental Health Care (Part I)
This workshop will explore three major “Best Practices” in mental health care and services:
Psychiatric Rehabilitation, Motivational Interviewing, and Wellness/Recovery Planning.
These are the three tools that enable us to help others in the most effective ways possible.
Mental Health workers who thoroughly understand the tools are positioned for greater
success in their efforts to promote recovery and to improve mental health.
Presenter: Barry Berghaus, M.A., from United Helpers Care, Inc.

Mental Health – Mental Retardation: Dual Disorders (Part I)
Oftentimes, people are diagnosed with both developmental and psychiatric disabilities. In
this workshop, participants will learn to identify, and appropriately respond to, the issues
presented by clients with both disorders. What are the therapies that can be designed or
modified for the dually-diagnosed population? Are there dangers in dual diagnosis for the
consumer? What are the practical and unifying principles of treatment than can provide
optimal care? The answers to these and other questions will be discussed during this
workshop.
Presenter: James Reynolds, NCC, CRS, M.A., M.S., from the Syracuse DDSO

WEDNESDAY, NOVEMBER 5, 2008, 1:45 PM – 3:30 PM

Opening Session
Welcome - Jim Mutton
Featured Speaker – John Pelizza
Dr. Pelizza is a nationally-known, leading authority on wellness, change process, stress
management, productivity, team building, and personal growth. He is a dyna mic speaker,
having presented to more than 2,500 business, school, professional, and civic groups
throughout North America. The founder of Pelizza & Associates, an organization designed
to help people grow, both personally and professionally, Dr. Pelizza has dedicated himself
to helping others feel better and do better; to helping people maximize their personal
wellness and growth. Mixing personal insights, humorous stories, and scientific mental
technologies, John will share the latest principles that govern personal change and
demonstrate why change is good. The application of these principles will keep you
energized, productive, and balanced for a lifetime.

WEDNESDAY, NOVEMBER 5, 2008, 3:45 PM – 5:15 PM

Embedding Cultural Competence in Human Services for Latinos
This presentation will focus on increasing awareness of the Latino family structure and
communication styles, assessing strategies to reduce barriers in serving Latino youth, and
exploring the role of cultural competence as a conduit to eliminate disparities in human
services. The goal of this workshop is to increase human services workers’ sensitivity to, and
knowledge of, the Latino culture, to help them to provide culturally competent services to
this group.
Presenter: Nolly Climes from Rehabilitation Support Services, Inc.

The Best Stuff Is the Right Stuff – Best Practices in Mental Health Care (Part II) – See
previous description

Advanced Relationship Skills Building – Fostering Long-Term Relationships, Including
Marriage, Among Consumers
This presentation will explore how OHEL Adult Mental Health Services developed a
program to provide opportunities for socialization, dating, and long term relationships,
including marriage, for individuals who are diagnosed with psychiatric or developmental
disabilities. It will explain how this program incorporated all aspects of psychiatric
rehabilitation, how it has empowered the consumers involved, and how it is helping them
on their road to recovery. The experiences of two, specific couples will be reviewed: one
couple who is engaged to be married and another who have been married for more than
twelve years.
Presenter: Leah Rokeach, LCSW, from OHEL Adult Mental Health Services

Mental Health – Mental Retardation: Dual Disorders (Part II) – See previous description

Rights and Procedures for Residences in the Involuntary Discharge/Eviction Process
This workshop will present an overview of the laws pertinent to the discharge and eviction
of residents, in both licensed and unlicensed housing. In addition, t he content and impact of
the new Office of Mental Health Part 595 regulations that govern discharges from licensed
residential programs will be reviewed and discussed.
Presenters: Simeon Goldman, Esq., from Disability Advocates, and Robert Schonfeld, Esq.,
from Moritt, Hock, Hamroff & Horowitz LLP

Implementing a Wellness Program for Staff and Consumers
The need for workers to help consumers improve their health practices and the ability of
agencies to retain qualified staff are issues of great significance that demand constant
attention and innovative approaches. “4-A-BETR-Me” is a Wellness Campaign developed
by Family Residences and Essential Enterprises, Inc. (F.R.E.E.). It promotes positive
practices for improved health and wellbeing for both staff and participants in their
programs. The F.R.E.E. approach will be presented and attendees will be invited to share
their programs, as well as brainstorm ideas on how wellness can be promoted within their
agencies. Collaboration among participants will be encouraged.
Presenters: Steven Greenfield and Robert Budd from Family Residences (F.R.EE.)

Outreach and Housing for Chronically Street Homeless Adults
This workshop will review recent research and innovations in street outreach, housing
placement, and housing retention services for chronically street homeless individuals in
New York City. The presenters will share their experiences, to-date, creating and
implementing a new approach to housing this population. A goal of the session will be to
connect with housing providers and to help them better understand that success with these
types of clients is possible and that more housing opportunities for this population are
available than may seem to be the case.
Presenters: Kristen Edwards, Director, Center for Urban Community Services (CUCS);
Aaron Levitt, Director of Research and Project Evaluation, CUCS; and a representative TBA
of NYC Department of Homeless Services Street Homelessness Solutions Unit
THURSDAY, NOVEMBER 6, 2008, 9:00 AM – 10:30 AM

Working It All Out: Innovations in the Design and Management of Employment
Opportunities That Will Provide Maximum Benefit to Consumers and to Your Agency
Consumer employment can provide numerous benefits to the consumer and agency alike.
Rainbow Environmental Services now offer 4 areas of service that benefit the environment,
while helping clients meet their goals. As one consumer put it: “With this (job), I have a
good reason to get up and get out of my house every day, even on days I don’t feel like
moving. It makes me feel just like everybody else.” In this workshop, participants will learn
how to provide meaningful work to consumers, including some jobs that may help combat
stigma and improve community relations for their agencies.
Presenters: Joe DeVivo, LCSW, and Larry Hochwald, from St. Vincent’s Hospital

Addressing the Whole Person: Integration of Mental and Physical Health Services
People with Serious Mental Illness (SMI) are dying, on average, 25 years sooner than those
who do not have the condition, and they are dying from the same medical illnesses. This
workshop will present a concrete response to this growing crisis through the development
and rollout of a curriculum-based approach for the management of co-occurring physical
and mental health conditions. A series of approachable workbooks, designed to create a
holistic environment in mental health arenas, was created to provide a platform of
knowledge for staff and consumers.
Presenters: Elisa Chow, Ph.D., Elizabeth Cleek, Psy.D., and Jeanie Tse, M.D., from the
Institute for Community Living, Inc.

Project Stepping Up: A Peer-Delivered Program for Men with Mental Illness and Substance
Abuse Disorders Living in a Homeless Men’s Shelter
Project Stepping Up is a one-year grant awarded to the Institute for Community Living
(ICL) by SAMHSA. The project sought to reduce the revolving cycle of homelessness among
shelter residents with mental illness and substance abuse disorders. It targeted barriers to
maintenance of housing, utilizing peer-led group interventions, and focused on developing
sustained community linkages, concomitant with participants’ transition to community
living. A three-part workshop, led by trained Peer Specialists using elements of
Motivational Interviewing, as well as techniques used to measure the model’s success, will
be discussed. Participants will learn strategies of implementing and delivering peer services
in shelter and community settings.
Presenters: Marda Yilma, LMSW, and Drew LaStella, Ph.D., from the Institute for
Community Living, Inc.

The Co-occurring System of Care Implementation Project / How the Research on Co-
occurring Interventions Informs Service Delivery (Part I)
This two- part workshop will explore a framework for the implementation of co-occurring
mental health and substance abuse services, across large, multi-program environments.
Participants will learn about implementation efforts made by the presenters during the past
two years. Findings from 105 empirical studies on co-occurring interventions will be
reviewed, key findings related to residential services will be highlighted, and an analysis of
policy and practice, based on the reviewed empirical research, will be considered.
Presenter: Bradley White, Columbia County Mental Health Department


Creating a Culture of Quality: Promoting Change and Facilitating Excellence (Part I)
With the increasing demands upon publicly-funded agencies to develop and implement
data-driven, quality management and risk management systems, agencies often have to
promote a shift in organizational culture. This two-part presentation will provide
participants with tools and strategies to create a quality-driven culture, while establishing
robust Quality Management Systems that are data-driven and lead to widespread positive
cultural change.
Presenter: Adam Russo, M.S., M.A., from Mercy Haven, Inc.


The Power of the Unspoken Word
Often, as we relate to our personnel, our clients, and even our own families, we are not
cognizant of the unspoken word and the perceptual messages that are communicated.
Research has demonstrated that successful communication between individuals is
predominantly dependent upon the non-verbal elements---the messages sent from our
body. This workshop will explore related research on this fascinating topic and allow
participants the opportunity to discover the power of the unspoken word, through fun-
filled, experiential activities and discussion.
Presenters: Creighton Drury M.A., from Cardinal McCloskey Services and Christine
Reinhard, M.A., M.S., from Westchester County Department of Community Mental Health


Working Together to Promote Independence and Rehabilitation, While Meeting Critical
Nursing and Personal Care Needs
At DePaul, we became increasingly concerned that the population we serve is experiencing
an increase in complex medical conditions and a decrease in their ability to meet all of their
own personal care needs without assistance. Residential staff is unable to provide the level
of assistance needed, such as testing blood glucose levels, administering wo und care and
injections, monitoring blood pressure, and providing assistance with bathing, as well as a
number of other nursing services. Often, consumers had to be referred to assisted-living or
other health-related settings where their physical needs could be better met but where the
focus was not on promoting independence and rehabilitative services. This presentation
will examine how DePaul Community Services and Home Care of Rochester (HCR) have
partnered to provide vital nursing and personal care assistance to consumers residing in
Single Room Occupancy programs (SROs) and Community Residence Programs (CRs). This
collaboration has allowed consumers to live in the setting of their choice, while receivi ng
nursing and health care services from an independent agency. It has also allowed DePaul to
maintain occupancy and has provided additional referrals for HCR.
Presenters: Claudia Tuckey, Community Outreach Coordinator from Home Care of
Rochester (HRC), Gillian Conde, Vice President, DePaul Community Services, and Melissa
O'Geen, Program Director, DePaul Community Services


THURSDAY, NOVEMBER 6, 2008, 10:45 AM – 12:15 PM

Featured Speaker – David Kaczynski – David is the Executive Director of New Yorkers
Against the Death Penalty, a graduate of Columbia Co llege of Columbia University, and the
brother of the “Unabomber” Theodore Kaczynski.

David will recount his family’s growing concerns about Ted’s mental problems, the events
leading up to Ted’s arrest, the family’s experience with the criminal justice sys tem, and its
interactions with some of Ted’s victims. This is a riveting presentation, made by a man who
humanizes his brother and whose willingness to tell his painful story helps to increase
understanding while reducing stigma.

THURSDAY, NOVEMBER 6, 2008, 2:00 PM – 3:30 PM

Finding the Balance: Consumer Rights in Congregate MICA Residential Programs
Institute for Community Living (ICL) has long employed a Modified Therapeutic
Community (MTC) to treatment, a practice recognized by SAMHSA as an Integrated Dual
Disorders Treatment (IDDT) based upon strong, empirical findings. Recently, this approach
has been questioned by some as not sufficiently individualized and not respectful of
consumer’s rights, under Part 595. Efforts to retool the program have led to a dramatic
increase in relapse and disruptive behavior among consumers, confusion and frustration
among staff, and requests from consumers to return to a more structured approach. This
workshop will focus on the successful efforts to resolve tensions and achieve an acceptable
balance between treatment and consumer rights.
Presenters: Michael Blady, LCSW-R, and Christina Mansfield, LCSW, from the Institute for
Community Living, Inc.

The Co-occurring System of Care Implementation Project / How the Research on Co-
occurring Interventions Informs Service Delivery (Part II) – See previous description


Sheridan Hill House: An Integrated Residential Model for Older Adults with Serious
Mental Health and Medical Needs
This presentation will examine how Sheridan Hill House, a 24-bed, supported housing
program in the Bronx, faced the challenges of serving previously homeless, elderly
individuals with severe mental illness, who are, also, medically frail. The program provides
case management, health counseling, nursing services, food preparation, and linkages to
other services in the community. Included is a framework/model for meeting client needs
in residential treatment. The workshop will also examine The Bridge’s response to serving
this population through the acquisition of enhanced financing and program redesign.
Presenters: Olga Brito, M.A., LCSW, and Claudette Stubbs, M.A., from The Bridge, Inc.

Creating a Culture of Quality: Promoting Change and Facilitating Excellence (Part II) –
See previous description

Interagency Collaboration to Deliver Housing First Services
Westchester Clinical and Residential Environment Services (WestCARES) is a unique
Housing First program created in partnership with Westchester County DSS, Westchester
County DCMH, St. Vincent Catholic Medical Centers, Human Development Services of
Westchester, and The Sharing Community, Inc. This workshop will focus on how these
agencies came together to provide multidimensional services to homeless, seriously
mentally ill, and/or co-occurring individuals. The experience of this partnership and lessons
learned, over the years will be examined. Participants will be encouraged to consider ways
in which they and their agencies can enter into partnering relationships to expand and/or
develop new ways to deliver services and how to assist their staff in building partnerships in
the community.
Presenters: Elizabeth Steiner, LCSW, from St. Vincent’s and
            Liza Szpykla, LCSW, from Human Development Services of Westchester

Update on Residential Reform
Mike Newman and Moira Tashjian will provide a forum through which they will present
the status of reform within OMH and have a discussion with participants. Full description
will appear in the final program brochure.
Presenters:    Michael Newman, Director, Housing Services Unit, OMH
               Moira Tashjian, Director - Housing Re-Design, OMH



THURSDAY, NOVEMBER 6, 2008, 3:45 PM – 5:45 PM

Featured Speaker and Movie “Canvas”
Joe Greco, director of “Canvas,” discusses the film and its characters.

The story: When Mary’s (Marcia Gay Harden) mental illness puts herself and her family in
jeopardy, her husband (Joe Pantoliano) and son (Devon Gearhart) helplessly watch as she is
torn from her family by the police. Forced to raise a boy on his own and cope with his wife ’s
schizophrenia, father and son learn what it is to truly be a family.
FRIDAY, NOVEMBER 7, 2008, 9:00 AM – 12:00 PM

Dialogue with Commissioner Hogan