Observation On An Outpatient Health Service Agency : North Central Behavior Health Systems

The need for a substance abuse recovery home in Starke County, Indiana is a need that is unmistakable in the county based on the hefty number of individuals that suffer from substance abuse and dependency in the county which is clearly displayed by the recent number of crimes that are related to or involve illicit and prescription drugs. In attempt to meet this need and create an opportunity for individuals suffering from substance abuse and dependency to receive local substance abuse treatment in a recovery home the proposal will be presented to several stakeholders within the Starke County community. The term stakeholder “refers to those people who are affected, or could be affected, by the service” (Canadian Career Development Foundation, n.d.) that is being proposed. The proposal for the creation of a substance abuse recovery home will be presented to five key stakeholders including Ms. Becky Anspach the director of Community Services of Starke County, Starke County Community Corrections director of operations Mr. Robert Hinojosa, Ms. Dee Lynch the director of the Indiana Department of Child Services of Starke County, Porter Starke Services facilitator of intensive outpatient program treatment (IOP), and Ms. Rhonda Adcock the director of Starke County CASA.

In June 2014, I registered with the North Carolina Substance Abuse Professional Practice Board for certification as a Certified Substance Abuse Counselor, and began private supervision. I passed the state examination the following year. Through discussions with my colleagues and professional supervisor, as well as interactions with university professors, I developed a desire to provide advanced counseling through social work practice. I believe social work provides the best means to provide healing for the whole person in their environment.

Community Health centers have become the safety net for the American public and expansion grants have been recently introduced as a way to increase the treatment options for the mentally disabled/substance abusers. The importance of funding more centers and hiring these specialty practitioners enables the mentally disabled a safe place to address their drug use without fear of criminal charges or entanglement into the legal system. If they are allowed to seek help and rehabilitation voluntarily, it stands to reason that they are less likely to commit crimes in the future to support themselves and their habits.

The social service agency chosen to profile in this essay is COPE Community Services. They are located in Tucson Arizona and have many locations around town to better service and provide convenience for members. They provide integrated care for members. COPE's services include behavioral health, opioid treatment, medical services, therapy, youth services, and community health services. COPE accepts a wide range of members seeking services from the general mental health to severely mentally ill population. An Intake is completed to identify services for members. COPE accepts insurances from AHCCCS, Medicare, Tricare, and other contracted private insurances.

The current five step program enacted by the Department of Human Services is both inefficient and permissive, calling for minimal action and few opportunities for the reconnection of a family. Often times, case workers of the Department of Human Services (DHS) attempt to persuade young people into removal and treatment with no clear understanding of the challenges that the family faces. Case workers, although inclined to tell you they are there to keep the family together, often lead to tearing a family apart because of the lack of assistance offered by DHS. A study done by Roan Fairbairn and David Murray explored the gaps in care provided by DHS and its workers, with the outcomes of the youth involved; most importantly targeting how case workers interacted with young people, stating that “strategies that attempt to engage young people in a dialogue about their individual circumstances, including drug use, may be more effective than attempts to coerce them into treatment.” They go on to explain that “practioners with the best intentions intervene and inadvertently cause more harm for the clients than if they had not acted at all.” (Fairbairn and Murray 18) Little is available in terms of a nationwide change. In recent years, a call to action has been released with a keen eye on the lack of progress made by DHS to change their system. The Children’s Bureau is one of many organizations that plan to tackle this issue head on. Upon review of DHS it was discovered that of the

The final item of business brought up was the vision for system integration in behavioral health. There was plenty of discussion focused on this since it is a new introduction but a much needed policy that needs to be put into place. Included in this discussion was the possibility of implementing behavioral health homes in Nebraska. Many other states have implemented behavioral health homes and some have worked out well and others have failed. One member brought up the big picture concern of behavioral health homes and how they are to take care of those with multiple morbidities since they are very complicated patients and healthcare workers tend to shy away from them. Nobody knew the answer to solve this concern but the committee planned how they should be thinking about what approach to take to make the behavioral health system more integrated. Today’s discussion about the vision for system integration was just the beginning of what is going to be handled at the next meeting.

HCC Housing will developed and implement approaches to expands the effort toward homeless teen, short the time that an individuals or families need to be homeless before receiving some help and have a rapid re-housing for family who become homeless without fault of their own doing. HCC lack the availability housing for teens serves to be able to attain permanent housing. Offer programs need is more stable supportive housing for teens. Stable supportive housing that is a specific model of housing designed to serve teens with no family support. HCC will provide ongoing supportive services, such as case management, assistance with daily living skills, and help in accessing services in the community. HCC policy requires

This in-person interview was made final April 7, 2011 with the interviewee, Mae Parnell, who is employed as a case manager at Haymarket Center, located as 120 So. Sangamon St., Chicago, IL. Mae Parnell’s primary job description at Haymarket Center is to coordinator the approach to the delivery of substances abuse and social and health services. She will also provide each client with connections to seek the appropriate organizations that will be able to assist and devote to the care of his or hers unique circumstances and to help him or her attain goals for him or

They will also have the means of offering an increase to effective treatment for everyone they see and also give them the chance of addressing the prevention process of substance abuse and any mental illnesses they may be suffering from. This program will increase all awareness and understanding of mental and substance use disorders and also give them the avenue of increased access to effective treatment. Having these structured initiatives in place will also make way for SAMHSA to survey and surveillance nationally in effort to support the behavioral health field from the critical feedback. They will also have the means to build public awareness of how important behavioral health is to the community. SAMHSA will have the opportunity to see an improvement through evaluating their programs and providing activities that will support their target goal in transforming the behavioral health care system. Thy will be working toward developing an expert practice that will provide prevention treatment for those with addictions and mental treatments. These initiatives will also assist SAMHSA to support different states, territories, and tribes to construct and develop their system capacity with encouraging improvements, efficient approaches and operating on evidence-based programs and services which will show a positive result after care.

I learned quite a few things from my interview with Andrea. Some good and some not so much, but overall I was able to listen and learn about a different form of social work, and the work and situations that she goes through. The person I interviewed, Andrea Gregert, is a longtime friend who went to the University of Pennsylvania, studied psychology, and now works and teaches at UC Berkeley. She 's had extensive training in clinical psychology, and has experience in substance abuse and counseling. Andrea told me that the feeling of wanting to help others has always been with her. When I asked her what helped her decide on being a social worker her response was that someone in her early life had a problem with substance abuse and it affected her because she didn’t know how to help them at the time. Her wanting to help her friend pushed her to complete her doctorate in clinical psychology. I know it must have been a difficult journey to complete her education. She knew then that she could make a difference with the education that she received. She left me with a very passionate feeling about the field, and I 'm glad that I had the ability to interview her.

youth housing intake) Clinical review is essentially where the therapeutic care model comes in to practice clinical staff from different services come together to discuss client wants and needs and are able to get a broader picture of the clients life, discuss triggers and thought process on recovery during these meetings clinicians discuss what supports clients have and what more they could offer they focus on clients strengths based practices from here clients are referred to linked in services and out of scope. Discuss the strengths and weaknesses of the framework as experienced on placement The strengths of the therapeutic care model is that it streamlines services for clients by having one central intake line it reduces waiting list times instead of having clients visit multiple sights with no communication between each other and having the same person referred on to the same agency multiple times taking up space on lists the therapeutic model has proven more effective in assisting clients to get clean and stay

Assertive Community Treatment (ACT) is a mobile out-reach treatment model for adults who suffer from mental health illness. A community based, individualistic support program, ACT is designed provide the same type of support and treatment a patient would find in a clinic (McAuliffe. W. E., 1990). The program considers circumstances of why an individual became homeless and aims to provide mental health care along with vocational training to find a job and stable housing (McAuliffe. W. E., 1990). ACT is based on the health belief model of behavior change. The stages of behavior change are employed by counseling sessions that address mental health symptoms and encourage self-efficacy through coping skills and job training.

Substance abuse complicates almost every aspect of care for the person with a mental disorder. When drugs enter the brain, they can interrupt the work and actually change how the brain performs its jobs; these changes are what lead to compulsive drug use. Drug abuse plays a major role when concerning mental health. It is very difficult for these individuals to engage in treatment. Diagnosis for a treatment is difficult because it takes time to disengage the interacting effects of substance abuse and the mental illness. It may also be difficult for substance abusers to be accommodated at home and it may not be tolerated in the community of residents of rehabilitation programs. The author states, that they end up losing their support systems

BHcare is a state-licensed, nonprofit developmental wellbeing care source that assistances places like Lower Naugatuck Valley, Greater New Haven and the Shoreline communities (BHcare, 2015). It’s approximately over 30 years that BHcare through its originating group has been offering assistance and support for particular persons, families and kids who are troubled. BHcare offers assistance to people suffering from emotional disorder, mental illnesses, domestic assault, and misconduct of a drug. BHcare got licensed by Department of Public Health and also

Residential treatment (RT), which is currently recommended, actually places the substance abuser in a facility where care staff and experts who oversee their treatment monitor them. For Levi, this is a combination of medication, psychotherapy, physical activities, social activities, and counseling. The target is to support, guide, and monitor the client in completing this treatment plan, wherein the target is for the client to be rid of said addiction through the course of the plan. The continuum of care for addictive and compulsive behavior will be an important element in the plan. Additionally, the plan will take consideration of the particulars of the client to fit the plan to the client 's needs, situation, and personality. Wenzel, Brown and Beck (2009) suggest that "in the first session of counseling with suicidal patients, the following strategies should be used: (1) discuss structure and process of treatment, (2) emphasize compliance by the