The Strength of a National Community

 
StockSnap_A6FE2C3A25.jpg
 

Article written by: Jenn Cusick

A couple months ago I met a former colleague for lunch at a local coffee shop.

As we were munching our delicious quiches and sipping coffee, I mentioned that I was now doing some work with PSR Canada. 

She told me a story about something amazingly life-changing that happened for her involving PSR Canada many years ago. When she was finished, I exclaimed "can I share your story on the website!?" 

Her story inspired me to think about the role PSR/RPS Canada has in linking organizations with PSR Champions nationally. 

Of course she said "yes" that I could share her story, so here it goes...


Jennifer Gagne was living in Ontario. She was working for an organization that provided recovery services for people struggling with mental health issues. She discovered PSR and the significant impact the Principles and Values have on creating recovery-oriented services.

So she went all in.  

She got her CPRP certification through the US (today you don't have to go through the US, because PSR Canada now offers a Canadian version, the CPRRP–Certified Psychosocial Rehabilitation Recovery Practitioner certification), and started volunteering with PSR Canada. She collected articles from organizations across Canada and put them together in a newsletter. 

In the fall of 2005, an article was submitted for the newsletter by an organization in BC.

Peter Andres (who was the Regional Manager for Communitas Supportive Care Services at that time), wrote about their Peer Support and WRAP programs. The program was one of the first to embed formal Peer and WRAP services into mental health services in their area. The programs were having significant growth and impact. 

The way he described the services intrigued Jennifer, so she looked up the organization's website. 

She was so impressed with the recovery services they were providing, that she filled out an online job application. (The organization was a big supporter of PSR/RPS Canada, so the connection with PSR was significant.) 

Following a video conference interview, Jennifer was hired! In June of 2006, she moved to BC and started her new job... and she has been there ever since.

Jennifer actually took over the job I was doing after I left to have my youngest child. I was managing the Peer & WRAP programs there, and was so happy to pass the torch to Jennifer when I left. 


That brings us to today. PSR/RPS Canada sees our role as connecting organizations and PSR Practitioners together. 

Canada is a huge country, but one of the amazing things about modern technology is that we have the ability to feel like an intimate community despite the grand size of our country. That is our goal! 

Currently we have a roster of CPRRP Practitioners.

We also have our Organizational Members listed on our website. 

We have some other ideas on how we can facilitate connections like the one Jennifer shared with me. 

  • We would like to accept & publish articles from outstanding agencies practicing PSR and recovery-oriented service. We will work with you to create and publish an article. We would love to hear the ways you are integrating the PSR Principles and Values into your work. We would like you to share some tips so that others can learn from your experience. 
     
  • We would like to publish articles from PSR practitioners who are championing the work of PSR. Stories of success are so inspiring, and we would love to publish them here. 
     
  • We want to create a very basic job bank. This would be a place where PSR Organizational Members can post job vacancies. For organizations who are looking for PSR Champions, this would be invaluable. 
     

If you wish to submit an article, please click the button below for more information. 


If you are with an organization interesting in the possibility of posting on a future job board, please send us an email. 

A Focus on Strengths

by: Jenn Cusick

The World We Live In

When we really think about it, the culture we live in is very focused on deficits and problems. From a very early age we become keenly aware of our personal issues, flaws and problems. What is getting in the way of me being the best I can be? Why am I not living to my full potential? How can I fix this vexing problem within me? I need to lose a few pounds, then I’ll feel good about myself.

 

Even our organizations tend to take a problem-solving approach to change. What's wrong? What are the stumbling blocks that are keeping us from reaching our full potential? How do we fix this issue?

 

There is definitely a time and a place for a problem-solving approach. However, we need to keep in mind that generally this mindset keeps us stuck in a deficit-focused, glass half-empty paradigm.

In other words problem–solving keeps us tied to the problem.

 

This paradigm is so prevalent in our society today, that it is very easy to get caught up in it. Shifting our perspective to one that aligns with a strength’s approach can feel like swimming upstream.

 

I would venture to say at all of us in the PSR field know about the strength-based approach. Yet it can be easy to slip into a deficit–based mindset with the people we support.

 

People are coming to us for service because they have a problem. We are in the roles we are, because we are educated to provide support to others. So how do we approach our important recovery-oriented service with a strength-based approach, and shift away from focusing on deficits and problems? That almost seems like a contradiction to the way the system is set up...doesn’t it? When we apply overall cultural context, the strength’s approach, (and essentially PSR) is very counter culture.

 

The Strengths Model

Charles A. Rapp wrote the book, “The Strengths Model: Case Management with People Suffering from Severe and Persistent Mental Illness” in the 1990s. It continues to be a great resource for the strength-based approach. If you don’t already have it, it’s a great addition to your PSR library.

Rapp’s model is based on six principles.

1. The focus is on individual strengths rather than pathology

Work with clients is based on their interests, aspirations, and strengths. It is not focused on their symptomology, weaknesses and deficits.

2. The community is viewed as an oasis of resources

The community, and one’s environment is a source of strength, and opportunity.

3. Interventions are based on client-self determination

This approach is based on the belief that clients have the right to determine the kind of support they receive. The client is the director of their own care.

4. The case manager–client relationship is primary and essential

A focus on building a cooperative relationship. This often starts with simple getting-to-know-you fun things like playing a game, going for a walk or coffee. The client feels known.

5. Aggressive outreach is the preferred mode of intervention

This often means moving the work outside the office, into the community.

6. People suffering from severe mental illness can continue to learn, grow and change

A shift away from defining people by their illness. Instead seeing them as whole, people, worthy of having hopes, dreams and aspirations. (If you haven’t read Dr. Courteney Harding’s Vermont longitudinal study of people with schizophrenia, check that out here.)

 

Other Strength-Based Paradigms:

Intentional Peer Support (IPS)

Shery Mead–a leader in the Recovery Movement, created IPS. One of the keystones of IPS is the “Four Tasks of Peer Support.” Task four is Moving Towards–another way of focusing on strengths. We know that moving towards something we want/need is so much more freeing and inspiring than moving away from something that we don’t want. The former feels stifling and overwhelming.

 

When I managed a program a few years ago, I used to see people’s goal plans come across my desk. Often I saw the goal “decrease isolation” scribbled on people’s recovery plans. Honestly, I can’t think of a more uninspiring goal. First of all it didn’t feel very client-centered. Second, it was born out of a deficit or a problem, and offered no alternative way of being.

 

What if instead of framing a goal in such a negative way, we support people to explore how they want to feel–discover their desires?

What if we support people as they deepen their self-awareness, while they process their difficult experiences?

What if we focus on shining a light on people’s strengths, gifts, and abilities?

 

These qualities may have been significantly dimmed through their struggles. People may not even be able to see their own strengths because of the enormous challenges they have had to face. This doesn’t mean they are gone; they are just temporarily hidden from their own view.

Perhaps our role as supporters/practitioners is to support the rediscovery process of the person’s inner expert/teacher, and we do that by shining a light on their strengths.

 

We know that everyone wants to belong, as we are all wired for community. Where is this person’s community? What does this person want their role to be within their community? Where do they feel a strong sense of belonging? This can be where a peer support worker can come in and provide some extra support. Together they can unearth strengths, hopes and dreams, and explore the community at large to find that place of belonging.

 

Appreciative Inquiry (AI)

I won’t spend much time on this, but I think it's it’s worth noting, as we speak about strengths. AI is an approach for organizational change that focuses on harnessing the best of what is, instead of taking a problem-solving approach. We can learn a lot about the strength-based approach from AI: both in changing the culture of the mental health and addictions system, and in supporting the people we serve. Appreciative Inquiry isn't proprietary, however David Cooperrider is one of the founders of this school of thought. 

 

Changing the Way We See

Stephen Covey talks about how the key component for change is shifting the way we see the world. When we think about change we often start with what we DO, but real change comes from shifting the way we SEE.

 
see-do-get.png
 


As Champions of Recovery–What Can We Do?

Heading in to the new year we ask ourselves what we can do to support the shift to a more strength-based system. What can we do to shift our perspective to one that’s grounded even stronger in a strength-based approach? How do we champion that perspective for our own lives, with our colleuges, and those we support? 

 

Shifting the prevailing paradigm can feel like a mammoth task. We can become discouraged and overwhelmed when we get push-back from others who might not align with the strength-based approach…yet.

 

Here at PSR/RPS Canada we want you to know that there is a movement of people with the same vision as you. We want to support you and provide both in-person and online environments where you can connect with like-minded people.

 

If you are interested in becoming a member of PSR/RPS Canada, check out our membership offerings.

 

If you have any ideas on how PSR/RPS Canada can facilitate more opportunities for you to connect with a PSR Community of Practice–please contact me–Jenn Cusick at jenndawncusick@gmail.com

 

If you wish to contribute an article for PSR/RPS Canada, please click here. We would love to share your thoughts, ideas or message! 

 

References:

Rapp, C. A. (1998). The strengths model: case management with people with psychiatric disabilities. New York, NY: Oxford University Press.

Mead, S. (2005). Intentional Peer Support: An Aternative Approach. West Chesterfield, NH. Self-published. 

Covey, S.R. (1989). The 7 Habits of Highly Effective People. New York, NY. Fireside.

 

 

 

 

Reference: William A. Anthony Article

 

It's hard to believe that this article is 25 years old! However, it has more than held up. The message of this paper is still of key importance in the work we do as recovery-oriented organizations. 

William A. Anthony was a front-runner, and a major leader in the PSR movement. His work made huge impact on what we do now, and continues to impact the PSR movement. 

Find the article "Recovery from mental illness: The guiding vision of the mental health service system in the 1990s" Here. 

On a google search I found this video from 2001 on YouTube. It's a talk with Dr. Courtney Harding, Dr. William Anthony, Judi Chamberlin & Dr.  Marianne Farkas. What a gift to hear from all of these revolutionary leaders!

 (Judi Chamberlin passed away in 2010. She was at the forefront of the Consumer/Survivor Movement since the early 1970s, and continued to make a huge impact until her death.) 

In the video Dr. Farkas takes about implementing recovery on a systems level. She says that a recovery system needs to have a culture that supports recovery, a commitment to recovery, and the capacity for delivering recovery services. In 2018, how do you feel the system is doing with culture, commitment and capacity? What is going well? What are some opportunities for growth?  

The message is as relevant for today, as it was then. It's definitely worth a watch! 

Championing Our Work with the Core Competencies–Webinar

PSR AP graphic.png

On December 15th the PSR/RPS Canada CEO, Vicky Huehn, and Board President, John Higenbottam, were guests on PSR Advanced Practice webinar, speaking about the PSR Practice Competencies.

This webinar production is brought to you in collaboration with PSR Canada. We will be sharing some new and exciting changes in mental health education and practice.

In September 2017, PSR Canada launched a revision of the Competencies of Practice for Canadian Recovery-Oriented Psychosocial Rehabilitation Practitioners. The Competencies are used to evaluate performance for organizations and staff practicing with a Recovery-Orientation. Read more about the Core Competencies HERE

The new updated 2017 Core Competencies include the following:

  •  Diversity and Inclusion
  • Professional Skills
  • Psychosocial Rehabilitation (PSR), Supporting Practices and Recovery-         Oriented Services
  • Equity and Social Participation
  • Facilitating Change and Providing Leadership

As with the previous edition of our competencies (2013) each competency has its own identified set of performance indicators. 

 

Agents of HOPE

hope.png

by: Jenn Cusick

Principles and Values #1

If there was ever a time in history when there was any doubt about the enormous role hope plays in the recovery process, it has long passed.

Still, there are many ways we can give the message of hope more prominence in the work we do.

There are so many different paths people can take on their recovery journey, but every single path begins with HOPE.

 

I am so grateful that I have had the opportunity to be a WRAP Advanced Level Facilitator for the past decade. (Wellness Recovery Action Plan is an evidence-based recovery program.) I have learned so much about hope from the people whom I have shared the sacred space of a WRAP group with.

 

Hope is the first thing we talk about. It’s the message people receive within the first ½ hour of walking into the room.

Participants hear the message that they:

·      CAN get well and stay well for long periods of time

·      CAN lead a happy and productive life

·      CAN work toward your goals

·      DO NOT benefit from dire predictions

 

This is all said without any qualifiers.

Hope for many starts out really, really small. I often describe hope as the wee spark that gets us out of bed in the morning. If that spark is tended to, it can grow and grow until it becomes that catalyst that fully changes our lives.

People are inspired by stories of hope.

 

Human beings are intrinsically storytellers. People discover their voices when provided the opportunity to share their story. We feel inspired when we hear accounts of how someone has triumphed over mental health challenges.

 

Supporting the Growth of Hope

Hope comes from within.

Hope is born in the stillness of a moment when one, ever so slightly, begins to believe that they might be able to experience relief, happiness, satisfaction, connection, and joy.

 

We can’t give anyone hope, just as we can’t empower another person.

That can be hard truth to sit with. We all get into this field to support those struggling, and we deeply want to make a difference.

However, hope and empowerment are deeply personal and come from within us. Every single person has an inner expert/teacher, and when the conditions are just right, that inner expert can begin to come forward and make themselves known.

 

Author Parker J. Palmer (A Hidden Wholeness) describes this situation so well.

Palmer says,

“The soul is like a wild animal—tough, resilient, savvy, self-sufficient and yet exceedingly shy. If we want to see a wild animal, the last thing we should do is to go crashing through the woods, shouting for the creature to come out. But if we are willing to walk quietly into the woods and sit silently for an hour or two at the base of a tree, the creature we are waiting for may well emerge, and out of the corner of an eye we will catch a glimpse of the precious wildness we seek.” 
 

As practitioners, we CAN create environments where the message of hope rings clear.

We can create space for the inner expert to feel safe enough to come out of hiding. When we see a glimmer of hope show up within people, we can fan the flame.

 

What can we do to Support a Culture of Hope?

As practitioners we all have a hand in creating the culture within our organizations. Here are three things we can do to support the growth of a hope-filled culture.

 

1. Reflect on our personal biases, because we all have biases…

We all come to the table with a worldview and a set of beliefs. Our worldview is created through processing all of our life experiences. As humans, we need to figure out how to make meaning of the world around us, and that becomes the lens through which we see the world.

I find that questioning what I have always believed, though uncomfortable, has helped me to see recovery and hope in a different light.

ACTION:

As a person who supports others, spend some time reflecting on the following:

  • What does recovery mean to me?
  • Does recovery equal having a sense of agency?
  • Does recovery mean life satisfaction, or does it meant something else?
  • Is it possible for everyone to experience recovery? Why or why not?

 

When we are talking about biases, it’s good to look at the Clinician’s Illusion (click link for more info). 

The Clinician's Illusion a term created by Cohen and Cohen that suggests we create our beliefs about recovery based on the population we serve. If we work with the same population who are using serves for a long period of time, our belief in recovery diminishes. We don’t often have the opportunity to hear from the people who get well and move on, because they are out living their lives, and not accessing services anymore.

This is another reason why sharing recovery stories, and integrating peer support into the system is so intrinsic for a recovery-oriented culture.

 

2. Intentionality around language

Language wields much power. Power to build up, power to tear down. Power to encourage and share hope.

ACTION:

Reflect on the following:

  • Does my language share the message of hope, or illness?
  • Am I subconsciously making a dire prediction?
  • Am I fanning the flames of hope and empowerment with this comment, or am I discouraging it?
  • With this comment or action am I supporting the development of this person’s self-determination, and choice, or will this comment take away from their growth?
  • Does my language inspire or support the growth of agency within this person?

 

3. Create space for the inner expert to show up. 

 Like Parker J. Palmer says, people won’t fully show up unless we create conditions where they feel safe. Trauma Informed Practice is the norm now, so we keenly aware of the role emotional safety plays in growth.

ACTION:

We can reflect on how we can create even more space for people to show up.

  • Do we believe that each person has an inner expert? Do I think I know better then they do?
  • Does the environment from when a person first walks in the door to when they leave,  feel safe and comfortable?
  • Do I need to work on some quiet biases I may have that may be getting in the way of the person’s inner expert showing up?
  • What can I do to sit with the discomfort that comes when I let go of the need to see an outcome, so that the person can exercise their self-determination without my strong influence?

 

In the comments below, please share your thoughts and ideas on how we can continue to be agents of hope in the work we do. 

 

Click here for more information about contributing an article. 

If you would like PSR/RPS Canada to write an article about your agency or program, contact Jenn Cusick. Click here. 

NEW 2017 Core Competencies and Why You Will Want to Take Note of Them!

champion.png

First of all what are the Core Competencies?
(Find the 2017 version HERE.)

 

Simply put, the Core Competencies are both a guide, and a measuring stick for organizations and staff practicing Recovery-Oriented Services.

If we say we practice PSR, how do we know that are actually doing it? How do we make sure that we are putting our money where our mouth is, so to speak? Knowing about evidence-based practices is one thing, and implementing into practice in a whole different ball of wax. It takes a tremendous amount of intention, teamwork, courage and determination to create a recovery-oriented culture.

 

Why You Need the Core Competencies

Bringing the culture of an organization to one that fully supports PSR and recovery in everything that it does, is no small feat for those involved.

There are so many facets of PSR, and to be honest the bar is set really high.

It takes a movement of like-minded people to see systems transformation come into being–a community of people who together provide support, accountability, encouragement, education and a springboard for innovative ideas. You can be a leader in this movement.

 

Doing this work also requires us to have a high level of self-awareness and intentionality. We all know that when we get busy and overwhelmed by the tasks of the day, it can be easy to slip into autopilot. There is a comfort in the old familiar ways of doing our work. However we all know that doing things in the same old way as we always have, does not create the change in culture that most of us are wanting.  

PSR/RPS Canada is committed to supporting you and your organization in your extremely important journey of deepening your PSR practice. 

That is why the Core Competencies are such a big priority for this work. It gives us direction for the important work we do.

 

Why the Revision?

The Core Competencies were first written in 2013. (Click HERE to read them. )

Recently a team of PSR Champions–Dr. John Higenbottam (UBC and Douglas College), Dr. Regina Casey (Douglas College and PSR Advanced Practice), and Michael Lee (UBC), took on the task of revising the competencies to meet the needs of the PSR movement in 2017.

They spent many volunteer hours collaborating, researching, and writing. The result of their work is stellar, and it moves the guideposts for Recovery-Oriented Practice into new areas.

The biggest change is the addition of Competency E (Facilitating Change and Providing Leadership).

 

Dr. Higenbottam says, “Each practitioner of PSR is a leader in their own right. We want to acknowledge that PSR practitioners are leading a significant change in the way we support people with mental health and addiction issues.”

 

If you are doing this work, you are a change agent.

You are a champion.

 

It is the goal of PSR/RPS Canada to create ways to foster the growth and development of leaders of this movement.

Please let us know if you have any ideas about how we can provide that support.

 

Other Important Points to Note

Dr. Higenbottam also stressed that the team felt it was really important that practitioners strengthen skills in evidence-based practices such as:

·      Cognitive Remediation

·      Assertive Community Treatment (ACT) approach

·      Cognitive Behavioural Therapy (CBT)

·      Supportive Employment

A significant change in recent years is the merger of mental health and addictions services. This brings new guidelines around continuity of care and skill development.

The team also acknowledged that there is a need for a basic understanding the basics behind the DSM 5 and medication management. Therefore that was added to the 2017 version.

 

You can access the full version of the 2017 Competencies HERE. 

We at PSR/RPS Canada wish to hear from you! Please let us know what educational and support services you need from us, and we will do our best to meet those needs!

 


The new updated 2017 Competencies are as follows:

A.   Diversity and Inclusion

B.    Professional Skills

C.   Psychosocial Rehabilitation (PSR), Supporting Practices and Recovery Oriented Services

D.   Equity and Social Participation

E.     Facilitating Change and Providing Leadership


Nova Scotia Conference Slides

IMG_2766.JPG

 

On September 21st and 22nd we gathered at Pier 21 in Halifax, NS to connect, and learn together.

 

It was a fabulous opportunity to further anchor PSR into our practices, and connect with like-minded people across the country. 

Among other things John Higenbottam from PSR/RPS Canada officially launched the new 2017 Core Competencies. Also the first CPRRP graduates were celebrated! 


Conference

PSR NS Chapter 2017 Conference in Partnership with PSR Canada National Gathering! (1).png

We are getting very excited about the upcoming conference in Halifax, Nova Scotia! 

Topic: Effective Approaches for Nurturing Recovery

Keynote Speakers:

Robert Drake (M.D., Ph.D) is the Andrew Thomson Professor of Health Policy and Clinical Practice at the Geisel School of Medicine at Dartmouth, NH USA and Vice President of the Westat Corporation. His work on psychiatric rehabilitation over four decades, including integrated treatments for people with dual disorders, evidence-based mental health practices, implementing vocational services, and has helped to shift mental health services toward greater resonance with clients’ goals. He has conducted numerous research projects, published over 600 journal articles and books, and trained many successful researchers.

 

Deborah R. Becker (M.Ed., CRC) is the Research Senior Associate and Director, IPS Learning Community, at the IPS Employment Center, the Rockville Institute at Westat. She has been a rehabilitation specialist for 30 years. Ms. Becker has held project director positions for vocational, housing, and dual diagnosis research studies. She co-developed the SAMHSA Evidence-Based Practice Supported Employment Implementation Resource Kit. She oversees the IPS International Learning Community, also known as the Johnson & Johnson – Dartmouth Community Mental Health Program, which is organized to improve access to IPS, the evidenced-based approach to supported employment, in twenty states and three European countries.

 

Laura Burke is drama therapist, certified counsellor, researcher, and public speaker. She also moonlights as a poet, playwright and actor who uses the arts as a means of advocating for those impacted by mental illness. She is currently writing Mad Ones a play about women impacted by trauma and madness in the 18th century, and a semiautobiographical circus themed solo play called Tight Rope about navigating professionalism and vulnerability. Laura has been diagnosed with several mental illnesses listed in the DSM over the years including schizophrenia, but prefers to identify as a mad person. Much of her work involves deconstructing sanism and stigma and supporting others in redefining anomalous experience. She also has particular interests in balancing the practices of vulnerability with professional responsibility, and the imperative of compassion in reducing mental health discrimination in our modern world.

 

Looking For Input!

StockSnap_Y01VDYAX63.jpg

We at PSR Canada want to highlight all that great things that are happening in the field of Psychosocial Rehabilitation across Canada.

If you have a story you want to share, or an educational opportunity you would like to let the national community know about–please contact us! 

We are looking for articles that illustrate putting the Core Competencies into practice. 

Some ideas are articles that illustrate the importance of: 

  • Cultural Diversity
  • Implementation of PSR Practices
  • Relationship Building
  • Peer Support
  • Community Inclusion
  • Education
  • Employment

We deeply respect copyright. So we are only accept original articles with original content. If you are citing other people's material, please include your references.

If you have the CPRRP designation, you may be able to get Maintenance of Certification authoring credits for an article! Please contact the Registrar at registrar@psrrpscanada.ca if you want to ask about this opportunity. 

Click the button to submit your article. We look forward to connecting with you!