parachute nyc and sus' brooklyn crisis respite center
TRANSCRIPT
PRESENTED BY SERVICES FOR THE UNDERSERVED IN
PARTNERSHIP WITH NEW YORK STATE REHABILITATION
ASSOCIATION (NYSRA)
Parachute NYC
SUS’ Brooklyn Respite Center
Presenters
• Katie Linn, Assistant Program Director, SUS
• Audrey George-Owens, Program Director, SUS
• Atla Parker, Respite Specialist, SUS
Acknowledgment & Disclaimer
This project is supported by Funding Opportunity Number CMS-1C1-12-0001 from Centers for Medicare and Medicaid Services, Center for Medicare and Medicaid Innovation.
The contents of this presentation are solely the responsibility of the authors and do not necessarily represent the official views of HHS or any of its agencies.
Parachute NYC
Mobile Crisis Teams
Crisis Respite Centers
Support Line
Creating a
“soft-landing”
for people in crisis
by offering
alternatives to
hospitalization
Parachute NYC: Variable Levels of Service
Confidential, peer operated phone line
Connect with someone who has
had similar experiences
Support through difficult times
A place to stay when a crisis is unmanageable at home
Staffed 24/7 by peers and behavioral health professionals
Home-like open door setting
Peer support, wellness education and skill building
Coordination with mobile team or other treatment providers
Home based treatment from a
mix of peer & behavioral health
professionals
Family involvement in “the network” from 1st visit
Flexible, non-hierarchical approach
Mobile Crisis Team
Crisis Respite Center
Support Line
Project Timeline
Launched Manhattan Mobile Treatment Team & Respite in January ‘13
Launched Citywide Support Line in February ‘13
Launched Brooklyn Mobile Treatment Team & Respite in April ’13
Launched Bronx Mobile Treatment Team & Respite in September ‘13
Will launch Queens Mobile Treatment Team & Respite in March ‘14
All: peer and non-peer professionals; respite center + mobile team + Access to Peer Support Line
Manhattan:
Ages 18-65 experiencing a
psychosis-related crisis
Bronx:
Ages 18-65 experiencing a
psychosis-related crisis
Brooklyn:
Ages 16-65/first break
Current Parachute NYC Teams
Brooklyn’s Parachute NYC Team
Mobile Team: Woodhull Hospital
Respite Center: Services for the
UnderServed
Access to Peer Support Line:
Community Access
(646) 741-HOPE
Respite Center: New York City Children’s
Center
The Models We Follow
Non-hierarchical
The Need-Adapted Treatment Model and Intentional Peer Support are:
Use mutual responsibility and avoid coercion
Trauma-informed
Moving toward, not away
About co-learning and finding new ways of seeing, thinking, and doing
Mobile Team
An immediate response
Orientation to the family and social network
Flexibility
Responsibility and continuity
The mobile team practices the Need-Adapted Treatment Model, which features:
Tolerance of uncertainty, rather than problem-solving
The promotion of dialogue, for each to speak and be heard
Respite Centers
Completely voluntary
Beds in individual bedrooms in a warm, home-like environment
Stays between 1 and 14 days
Yoga, meditation, visual arts, spoken word, Wii games and more
An open kitchen
24/7 peer support
A Look Inside the SUS Brooklyn Respite Center
We’re Introduced To Sam
• Sam’s parents tells us that they are afraid, because
– His hygiene is not good
– He seems withdrawn
– He has stopped sleeping at night
– He has dropped out of school
– He won’t eat with his family
– He does not have friends
– He had a fight with his brother that scared his family, even though no one was hurt
What Does Sam Do At The Center?
We connect
with Sam: talk about
his interests, goals, and
how he has come to be here
We share our
worldviews with Sam and listen
for his worldview
We co-learn and grow
from sharing our knowledge
and experiences
Sam starts to see and move
toward what he wants
Two of the Skills and Ideas Shared
-Sam felt unsafe eating food that other people had
prepared
-Sam and the peers decided to go grocery shopping together and prepared food together
-Sam believed that bad things only happen to bad
people, and he felt confused and guilty
- We explored other ways of viewing the situation and the idea that Sam
might not be a bad person
Network Meetings
Who is invited?
Everyone who is important to the person about whom people are worried
How long is a meeting?
Usually 1.5 - 2 hours long
Where do we meet?
Wherever the network chooses to meet, usually in the person’s home
How often do we meet?
Depends on the network; often multiple times a week
Do we share what we are thinking?
Yes! This is called “reflecting” and is usually done twice during a meeting
Sam’s Family’s Network Meetings
Sam’s mother talked about the
pain of seeing the police use force when they took Sam to the ER
Sam’s brother shared that he was
afraid that Sam would kill them while they slept
We talked about the ways in which
Sam behaved differently at the
respite center than at home
What Did Parachute NYC Do and Not Do?
We did not provide
professional solutions.
Instead, we shared our belief that the family could create the best solutions
for themselves
We did not make judgments or predictions.
Instead, we came from a position of not-knowing and
uncertainty
We did not hold private meetings about Sam or his
family.
Instead, we shared our perceptions and ideas openly with the family
Success!
Sam eats dinner with his family
for the first time in a
year
Sam begins to talk to his father, whom he has not
spoken to in a year
Sam begins to take care
of his hygiene in a
way comfortable
for him
Sam goes home to live
with his family
Questions?
How to Make Referrals:
Contact Us Directly (347) 505-0870 | sus.org/sus-brooklyn-crisis-respite-center/
Services for the UnderServed www.sus.org Parachute NYC http://www.nyc.gov/html/doh/html/mental/parachute.shtml