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Tierra M. Pritchett, Ed.D.

Tierra M. Pritchett, Ed.D.

Jill Bowen, Ph.D.

Jill Bowen, Ph.D.

Practice Guidelines

Practice Guidelines

    Download the Practice Guidelines

    Practice Guidelines Thumbnail

    Also available from these retailers:

    amazon button medium   barnes and noble button

    The Practice Guidelines for Resilience and Recovery Oriented Treatment

    The Practice Guidelines represents the evolution of Philadelphia’s behavioral health system. Together people in recovery, their family members, treatment providers, advocates and system administrators have developed a shared vision which has been blended with the lessons learned from Philadelphia’s transformation efforts over the past 30 years.

    The guidelines apply to all treatment providers and individuals who are reimbursed for working in a provider organization at all levels of care. However, they are not intended to encapsulate all possible services or supports that promote recovery and resilience.

    The guidelines are designed to help our system in delivering services and supports that promote recovery, resilience, and self-determination in children, youth, adults, and families.

    RECOVERY
    RESILIENCE
    SELF-DETERMINATION

    Creating a recovery-oriented system of care for adults with behavioral health challenges is a top priority. This movement represents a shift from a professionally driven acute care approach to an approach that provides long-term supports while recognizing the many pathways to recovery.

    In this approach, professional treatment is one aspect among many that support people in managing their own conditions to the greatest extent possible.

    Transformation to a recovery orientation in behavioral health service delivery becomes possible by focusing on the central role of individuals and families in responding to, managing, and overcoming these challenges. This focus must be used as an organizing principle for the entire system.

    Recovery Transformation consists of four primary strategies:

    • Building community capacity
    • Enhancing treatment quality
    • Changing administrative structures
    • Mobilizing people with behavioral health and substance use challenges, their families and other significant person(s)

    Recovery is the process of pursuing a contributing and fulfilling life, regardless of the difficulties one has faced. It involves not only the restoration, but also continued enhancement of a positive identity as well as personally meaningful connections and roles in one’s community.

    It is facilitated by relationships and environments that promote hope, empowerment, choices, and opportunities that support people in reaching their full potential as individuals and community members.

    Philadelphia Department of Behavioral Health and
    Intellectual disAbility Services
    Recovery Advisory Committee, 2006

    The Philadelphia Compact is advancing a resilience framework. Under this framework, decisions made about children will be guided as much by children’s assets and competencies as by their needs or deficits.

    Resilience Definition

    Resilience is a protective process which enables individuals to reach good outcomes even though they have endured significant adversities. Resilience is a common phenomenon arising from ordinary human adaptation and strength. It is a dynamic process that can change across time, developmental stage, and life domain.

    All children, youth, adults, families and communities have the capacity to demonstrate resilience. There are many factors that enhance a child’s resilience pathway including: positive relationships with caregivers, peers, or a caring adult; internal strengths such as problem-solving skills, determination and hope; and environmental factors like effective schools and communities.

    With these types of strengths, supports, and (at times) services, we can bolster our capacity for resilience, manage challenges, and successfully reach developmental or life stage milestones as healthy and productive members of society.

    It’s All About Community

    The Mission of Intellectual disAbility Services (IDS) is to create, promote, and enhance the supports and services available to individuals with intellectual disability. Individuals will have access to quality supports and services that foster choices in their everyday lives, meaningful personal relationships with friends, family, and neighbors, presence and participation in their communities, and dignity and respect as valued citizens of Philadelphia.

    In order to accomplish this mission, IDS contracts directly with 70 agencies, in addition to other vendors and service providers, to provide a broad range of supports and services that include:

    • Supports coordination
    • Early intervention services
    • In-home supports and respite services
    • Employment and adult day services
    • Community living and lifesharing services

    10 Core Values

    https://dbhids.org/epic/evidence-based-practices-in-philadelphia/
    Each of the ten core values that drive this framework is supported by principles rooted in research, and in the collective experience of individuals, families, providers and service systems.

    The core values were drawn from the earlier work of the Recovery Advisory Committee and from the values identified in the report issued by the Mayor’s Blue Ribbon Commission on Children’s Behavioral Health. The list was further developed through the work of stakeholders in the Summer of 2009.

    Strength-Based Approaches That Promote Hope

    A strengths perspective is woven throughout these system transformation efforts. Services are focused on identifying and building strengths, assets, resources and protective factors within the individual, family, peer group and community, rather than focusing solely on identifying and addressing problems or challenges in the individual’s or family’s life. These strengths are mobilized to support the individual’s and the family’s journey to wellness. A focus on hope is equally essential—the message that people can and do show resilience in the face of adversity, and can and do recover from behavioral health conditions. Change is always possible, and the extent to which people’s lives can change is often beyond what we can imagine. We learn hope by seeing others lead meaningful lives in their communities, listening to their stories and having opportunities to give to others. Hope inducing environments can help people of all ages in their recovery processes.

    Community Inclusion, Partnership, and Collaboration

    The focus of care is on integrating individuals and families into the larger life of their communities, connecting with the support and hospitality of the community, developing community resources that support recovery and resilience and encouraging service contributions to and from the larger community. Resilience, recovery and wellness can be tapped, initiated, catalyzed and promoted in care settings, but can be maintained only in the context of people’s natural environments. Connecting services, individuals and families with the community is no longer considerer optional, but is understood as an integral factor in sustaining wellness.

    Person- and Family-Directed Approaches

    In recovery and resilience oriented systems, service designs shift from an expert model to a partnership/consultation model, in which everyone’s perspective, experience and expertise is welcomed and considered. Each person’s and each family’s values, needs and preferences are respected and considered central to any decision-making process. Services and supports are individualized, built with and around each person and family. All parties in the system recognize that there are many pathways to recovery and that people have a right to choose their own paths. People have the opportunity to choose from a diverse menu of services and supports and to participate in all decisions that affect their lives and those of their children. Multidisciplinary teams that include participants and family members reduce fragmentation and ensure the delivery of comprehensive, effective services.

    Family Inclusion and Leadership

    Family members are actively engaged and involved at all levels of the service process. Families—and particularly parents of children and youth—are seen as an integral part of policy development, planning, service delivery and service evaluation. Assessment and service planning are family focused. The system and its providers recognize that families come in many varieties. Families of birth, foster and adoptive families and families of choice are respected, valued and involved in meaningful ways. When multiple family members are involved in care in different programs and agencies, providers take steps to ensure that services are integrated.

    Peer Culture, Support, and Leadership

    Service systems and providers recognize the power of peer support and affirm that recognition by: a) creating environments in which peers can support one another in formal and informal ways and providing opportunities for that support; b) hiring people to provide peer support to individuals and/or families; c) ensuring representation of youth and people in recovery at all levels of the system; d) developing respectful, collaborative relationships between behavioral health agencies and the service structures of local recovery mutual-aid societies and assertively linking people to peer-based support services (e.g., mutual/self-help groups, other recovery community support institutions and informal peer support); e) acknowledging the role that sharing stories of lived experience can play in helping others initiate and sustain the recovery process; and f) developing opportunities for people in recovery and youth to engage in active leadership roles at all levels of the system.

    Person-First (Culturally Competent) Approaches

    The title of this core value reflects the fact that services that are appropriate to and respectful of culture—often referred to as “culturally competent”—must also respect the individuality and centrality of each unique individual. In a person-first (culturally competent) service system, all staff and volunteers are able to work effectively with individuals and families from different cultures. They possess knowledge of the values, worldviews and practices of the major cultural groups they serve—and, equally important, the humility to know the limits of their knowledge. They address culture broadly, not forgetting the importance of ethnicity, nation of birth and primary language, but also acknowledging the implications of gender, age, sexual orientation, religion, socioeconomic factors and other key characteristics. Rather than merely developing a generic understanding of the people they serve, however, they are also skilled at using cultural knowledge to develop an accurate and individualized understanding of each person they serve, each family and each community. Providers also possess an understanding of their own cultural worldview, the ways in which it enriches their work and the ways in which it may constrain their work.

    Trauma-Informed Approaches

    All components of the service system are designed with an understanding of the role that serious adverse experiences can play in the lives of individuals and families. Services are delivered in safe and trustworthy environments and through respectful, nurturing relationships, to promote healing and avoid inadvertent re-traumatization. Individuals and families are always assessed for the extent to which the spectrum of traumatic experiences may have affected their lives and their ability to participate safely in care and establish recovery. They are offered services and supports that will help them reduce the destructive effects of traumatic experiences and maximize the growth that can emerge from the healing process.

    Holistic Approaches Toward Care

    Services and supports are designed to enhance the development of the whole person. Care transcends a narrow focus on symptom reduction and promotes wellness as a key component of all care. In attending to the whole person, there is an emphasis on exploring and addressing primary care needs in an integrated manner. Providers and peers also explore, mobilize and address spirituality, sexuality and other dimensions of wellness in service settings.

    Care for the Needs and Safety of Children and Adolescents

    Service systems and providers recognize the incredible resilience of children and adolescents, along with their unique vulnerabilities and the complexities that attend their need for services and support. As a result, providers employ a developmental approach in the delivery of services. Like adults, children and their families are shown respect and given a partnership role in services and supports. Screening and assessment processes are informed by knowledge of the ways in which children’s and adolescents’ strengths, symptoms, needs and progress tend to differ from those of adults, and of ways in which those differences can be honored. Providers also recognize that attention to the safety, needs and well being of children and adolescents includes attention to the safety, needs and well being of their families—and back up that recognition with concrete action.

    Partnership and Transparency

    This system transformation effort is built upon the values of transparency and partnership at all levels of the system. This applies to the ways in which system administrators strive to work with providers, as well as the ways in which providers aim to collaborate with the individuals and families receiving services.

    Though the core values are too global to represent action-oriented strategies that people can pick up and use, it is essential for all service providers to understand and embrace these values and the principles that support them. These core values are made operational in the strategies that follow, with multiple values often driving the same strategy.

    4 Domains

    Stakeholders have identified four service domains that are essential components of a recovery and resilience oriented behavioral health system:

    Assertive Outreach and Initial Engagement

    The many obstacles people face in entering and staying in services make this domain essential to the success of the system and the people it seeks to serve. Human tragedy has shown that many people die before they receive the help they need, but empirically supported practices have given us many ways of increasing motivation; eliminating obstacles; and making services more accessible, more acceptable and easier to navigate.

    Screening, Assessment, Service Planning, and Delivery

    There is a wealth of concepts and resources that can be used to make care more effective and to lay a better foundation for ongoing recovery. These include emphases on individual, family and community strengths, and on resilience and recovery capital, from the initial screening and assessment process through the interventions chosen. These emphases also extend to the integration of services for mental health, primary care, substance use and trauma-related issues and the mobilization of professional and community-based recovery support structures from the earliest days of treatment.

    Continuing Support and Early Re-Intervention

    Although recovery is a significant reality, some behavioral health challenges are chronic conditions that can move into and out of remission. Effective professional, peer and community support can, not only help individuals and families achieve their dreams and goals, but also prevent, identify and address recurrence of the symptoms of mental health and substance related challenges. This support can take many forms and occur at many times throughout the recovery process.

    Community Connection and Mobilization

    The forging of a meaningful life in the community must be driven by the true hopes and dreams of individuals and families—hopes and dreams that may have been worn down by years, decades or even generations of poverty, prejudice, trauma, illness and hopelessness. Traditionally seen as sources of danger, temptation and deprivation surrounding the treatment refuge, communities must instead be seen for and cultivated as sources of support, fellowship, civic engagement and healing. Behavioral health organizations and providers must recapture their roles as members of and contributors to their communities, so they can foster the exchange of resources between those communities and the individuals and families they serve.

    7 Goals

    To make these practice guidelines useful for real human beings doing real work, the action-oriented strategies within each of the four domains have been organized under seven functional goals.

    • Provide integrated services
    • Create an atmosphere that promotes strength, recovery and resilience
    • Develop inclusive, collaborative service teams and processes
    • Provide services, training and supervision that promote recovery and resilience
    • Provide individualized services to identify and address barriers to wellness
    • Achieve successful outcomes through empirically informed approaches
    • Promote recovery and resilience through evaluation and quality-improvement processes

    Strategies

    The Practice Guidelines is a living document that is intended to grow with use in the real world. Use the 10 Core Values, 4 Domains and 7 Goals as a foundation to discover your own strategies to enact a more resilience and recovery oriented approach in the treatment you provide. In fact, the Practice Guidelines were developed as a means to standardize some of the great innovations that have been made in the Philadelphia behavioral health system by stakeholders like you.

    Download the Practice Guidelines 1.1

    Sosunmolu Shoyinka, M.D.

    Sosunmolu Shoyinka, M.D.

    Camp Program Benefits Kids with Behavioral Disabilities

    Hannah Anolik, DBHIDS Summer 2019 Intern

    Between the ages of 7 and 11, I “lived 10 months for two” – meaning I was obsessed with summer camp. I lived the other 10 months of the year just for those two months at camp.

    Seeing my summertime best friends every day and having (what we thought of as) no rules and pure fun always felt like an escape from reality. Now, a decade or so later, I realize it was during those carefree, hot, summer days that I developed into who I am today and learning about myself.

    Summer camp may just seem like a way to get kids out of the house, but it is much more than that.

    Read more

    ‘I AM …’: Speaker works to empower Philly preteens, July 2019

    Donovan Forrest, DBHIDS Summer 2019 Intern

    Young Philadelphia boys and girls screamed their positive messages about themselves for all to hear when Donovan Forrest brought his message to them this month at Ace Camp in West Philadelphia. Ace Camp participates with the Madeline Moore Summer Camp Grant program offered by DBHIDS.

    Forrest, executive director of DonCARES of Philadelphia, worked with DBHIDS Operations/Fiscal (OpsFis) unit this summer through the Mayor’s Internship Program. His activities included visits to local area summer camps that partner with the grant program.

    Forrest was asked to speak to 10-, 11- and 12-year-olds July 1 at the summer program hosted at Martha Washington Elementary School, 766 N. 44th St. in the Belmont neighborhood of West Philadelphia.

    Read more

    Odysseus Marcopolus

    Odysseus Marcopolus

    Philadelphia Autism Project, CBH Host City Hall Art Show

    The Philadelphia Autism Project, housed at the A.J. Drexel Autism Institute, will host an art exhibit at Philadelphia City Hall to highlight individual experiences of Philadelphia and what this city means to them.  The art show is also an opportunity to increase autism awareness and celebrate neurodiversity.

    This Art in City Hall exhibit, “Philadelphia: A Spectrum of Experiences,” will be hosted in collaboration with DBHIDS through Community Behavioral Health (CBH), the Office of Councilman-At-Large Derek Green, and the City of Philadelphia’s Office of Arts, Culture, and the Creative Economy.

    “I’m excited to partner with the Philadelphia Autism Project for this year’s art exhibition, ‘Philadelphia: A Spectrum of Experiences,’” said Councilman Green. “This showcase gives people a one-of-a-kind opportunity to step in to the talented and remarkable minds of those with autism and other intellectual disabilities, and experience the world through their eyes, hands, and thoughts. I look forward to ongoing collaborations with the Philadelphia Autism Project as we continue to promote autism awareness and work toward the ultimate goal of total inclusivity for all.”

    The art exhibit will be open to the public on the fourth and fifth floors of City Hall from March 12 to April 27, from 9 a.m. to 5 p.m., Monday through Friday. The opening celebration will be held on Tuesday, March 13, from 5-7 p.m. at City Hall.

    The goal of the Philadelphia Autism Project is to support and connect individuals and families living with, and affected by, autism spectrum disorder in Philadelphia through resources and innovative programs. The Philadelphia Autism Project is a citywide initiative supported through the Office of Councilman-At-Large Derek S. Green and conducted in partnership with the DBHIDS. For more information about the Philadelphia Autism Project visit www.phillyautismproject.org, Facebook.com/phillyautism, and on Twitter at @phillyautism.

    Philly Leads the Way in Mental Health Awareness

    Continuing the established trend of Philadelphia being a leader in mental health awareness, in December, the city surprised 25,000 people trained in Mental Health First Aid (MHFA). This achievement makes Philadelphia the city with the most trainees in MHFA.

    “This milestone for Mental Health First Aid trainees represents a monumental feat,” said DBHIDS Commissioner David T. Jones, “and DBHIDS is committed to training additional Philadelphians in MHFA!”

    “Philadelphia continues to ‘walk the walk,’ demonstrating its commitment to increasing mental health awareness, reducing stigma, and promoting well-being for every Philadelphian,” said Assistant Director of Health Promotion Maria Boswell.

    This latest achievement continues a long-established pattern of Philadelphia taking a position at the forefront of mental health awareness and providing an example for other cities nationwide and around the world.

    Internationally, DBHIDS has partnered with the International Association of Peer Supporters (iNAPS) in 2016, and hosting the International Initiative for Mental Health Leadership in both 2016 and 2017. Additionally, the City’s efforts to normalize mental health disorders through the “Get a Check-Up from the Neck Up” campaign has drawn praise from as far away as Australia.

    Domestically, during the 2016 Democratic National Convention, DBHIDS was at the forefront of bringing mental health awareness to the forefront with the Like-Minded Rally, which drew hundreds to hear dozens of political leaders, including former U.S. Rep. Patrick Kennedy, who called for reform of mental health and addiction treatment in this country.

    With this great achievement, the city now turns it eyes toward 50,000 trainees in the year 2020.

    “As we strive toward 50,000 trained in Mental Health First Aid by 2020,” said Boswell, “we hope that all who live, work, or study in our great city recognize that we are, indeed, the City of Brotherly Love and Sisterly Affection!”

    Nicole Connell, M.Ed.

    Nicole Connell, M.Ed.

    News

    Tierra M. Pritchett, Ed.D.

    Tierra M. Pritchett, Ed.D.

    Jill Bowen, Ph.D.

    Jill Bowen, Ph.D.

    Practice Guidelines

    Practice Guidelines

      Download the Practice Guidelines

      Practice Guidelines Thumbnail

      Also available from these retailers:

      amazon button medium   barnes and noble button

      The Practice Guidelines for Resilience and Recovery Oriented Treatment

      The Practice Guidelines represents the evolution of Philadelphia’s behavioral health system. Together people in recovery, their family members, treatment providers, advocates and system administrators have developed a shared vision which has been blended with the lessons learned from Philadelphia’s transformation efforts over the past 30 years.

      The guidelines apply to all treatment providers and individuals who are reimbursed for working in a provider organization at all levels of care. However, they are not intended to encapsulate all possible services or supports that promote recovery and resilience.

      The guidelines are designed to help our system in delivering services and supports that promote recovery, resilience, and self-determination in children, youth, adults, and families.

      RECOVERY
      RESILIENCE
      SELF-DETERMINATION

      Creating a recovery-oriented system of care for adults with behavioral health challenges is a top priority. This movement represents a shift from a professionally driven acute care approach to an approach that provides long-term supports while recognizing the many pathways to recovery.

      In this approach, professional treatment is one aspect among many that support people in managing their own conditions to the greatest extent possible.

      Transformation to a recovery orientation in behavioral health service delivery becomes possible by focusing on the central role of individuals and families in responding to, managing, and overcoming these challenges. This focus must be used as an organizing principle for the entire system.

      Recovery Transformation consists of four primary strategies:

      • Building community capacity
      • Enhancing treatment quality
      • Changing administrative structures
      • Mobilizing people with behavioral health and substance use challenges, their families and other significant person(s)

      Recovery is the process of pursuing a contributing and fulfilling life, regardless of the difficulties one has faced. It involves not only the restoration, but also continued enhancement of a positive identity as well as personally meaningful connections and roles in one’s community.

      It is facilitated by relationships and environments that promote hope, empowerment, choices, and opportunities that support people in reaching their full potential as individuals and community members.

      Philadelphia Department of Behavioral Health and
      Intellectual disAbility Services
      Recovery Advisory Committee, 2006

      The Philadelphia Compact is advancing a resilience framework. Under this framework, decisions made about children will be guided as much by children’s assets and competencies as by their needs or deficits.

      Resilience Definition

      Resilience is a protective process which enables individuals to reach good outcomes even though they have endured significant adversities. Resilience is a common phenomenon arising from ordinary human adaptation and strength. It is a dynamic process that can change across time, developmental stage, and life domain.

      All children, youth, adults, families and communities have the capacity to demonstrate resilience. There are many factors that enhance a child’s resilience pathway including: positive relationships with caregivers, peers, or a caring adult; internal strengths such as problem-solving skills, determination and hope; and environmental factors like effective schools and communities.

      With these types of strengths, supports, and (at times) services, we can bolster our capacity for resilience, manage challenges, and successfully reach developmental or life stage milestones as healthy and productive members of society.

      It’s All About Community

      The Mission of Intellectual disAbility Services (IDS) is to create, promote, and enhance the supports and services available to individuals with intellectual disability. Individuals will have access to quality supports and services that foster choices in their everyday lives, meaningful personal relationships with friends, family, and neighbors, presence and participation in their communities, and dignity and respect as valued citizens of Philadelphia.

      In order to accomplish this mission, IDS contracts directly with 70 agencies, in addition to other vendors and service providers, to provide a broad range of supports and services that include:

      • Supports coordination
      • Early intervention services
      • In-home supports and respite services
      • Employment and adult day services
      • Community living and lifesharing services

      10 Core Values

      https://dbhids.org/epic/evidence-based-practices-in-philadelphia/
      Each of the ten core values that drive this framework is supported by principles rooted in research, and in the collective experience of individuals, families, providers and service systems.

      The core values were drawn from the earlier work of the Recovery Advisory Committee and from the values identified in the report issued by the Mayor’s Blue Ribbon Commission on Children’s Behavioral Health. The list was further developed through the work of stakeholders in the Summer of 2009.

      Strength-Based Approaches That Promote Hope

      A strengths perspective is woven throughout these system transformation efforts. Services are focused on identifying and building strengths, assets, resources and protective factors within the individual, family, peer group and community, rather than focusing solely on identifying and addressing problems or challenges in the individual’s or family’s life. These strengths are mobilized to support the individual’s and the family’s journey to wellness. A focus on hope is equally essential—the message that people can and do show resilience in the face of adversity, and can and do recover from behavioral health conditions. Change is always possible, and the extent to which people’s lives can change is often beyond what we can imagine. We learn hope by seeing others lead meaningful lives in their communities, listening to their stories and having opportunities to give to others. Hope inducing environments can help people of all ages in their recovery processes.

      Community Inclusion, Partnership, and Collaboration

      The focus of care is on integrating individuals and families into the larger life of their communities, connecting with the support and hospitality of the community, developing community resources that support recovery and resilience and encouraging service contributions to and from the larger community. Resilience, recovery and wellness can be tapped, initiated, catalyzed and promoted in care settings, but can be maintained only in the context of people’s natural environments. Connecting services, individuals and families with the community is no longer considerer optional, but is understood as an integral factor in sustaining wellness.

      Person- and Family-Directed Approaches

      In recovery and resilience oriented systems, service designs shift from an expert model to a partnership/consultation model, in which everyone’s perspective, experience and expertise is welcomed and considered. Each person’s and each family’s values, needs and preferences are respected and considered central to any decision-making process. Services and supports are individualized, built with and around each person and family. All parties in the system recognize that there are many pathways to recovery and that people have a right to choose their own paths. People have the opportunity to choose from a diverse menu of services and supports and to participate in all decisions that affect their lives and those of their children. Multidisciplinary teams that include participants and family members reduce fragmentation and ensure the delivery of comprehensive, effective services.

      Family Inclusion and Leadership

      Family members are actively engaged and involved at all levels of the service process. Families—and particularly parents of children and youth—are seen as an integral part of policy development, planning, service delivery and service evaluation. Assessment and service planning are family focused. The system and its providers recognize that families come in many varieties. Families of birth, foster and adoptive families and families of choice are respected, valued and involved in meaningful ways. When multiple family members are involved in care in different programs and agencies, providers take steps to ensure that services are integrated.

      Peer Culture, Support, and Leadership

      Service systems and providers recognize the power of peer support and affirm that recognition by: a) creating environments in which peers can support one another in formal and informal ways and providing opportunities for that support; b) hiring people to provide peer support to individuals and/or families; c) ensuring representation of youth and people in recovery at all levels of the system; d) developing respectful, collaborative relationships between behavioral health agencies and the service structures of local recovery mutual-aid societies and assertively linking people to peer-based support services (e.g., mutual/self-help groups, other recovery community support institutions and informal peer support); e) acknowledging the role that sharing stories of lived experience can play in helping others initiate and sustain the recovery process; and f) developing opportunities for people in recovery and youth to engage in active leadership roles at all levels of the system.

      Person-First (Culturally Competent) Approaches

      The title of this core value reflects the fact that services that are appropriate to and respectful of culture—often referred to as “culturally competent”—must also respect the individuality and centrality of each unique individual. In a person-first (culturally competent) service system, all staff and volunteers are able to work effectively with individuals and families from different cultures. They possess knowledge of the values, worldviews and practices of the major cultural groups they serve—and, equally important, the humility to know the limits of their knowledge. They address culture broadly, not forgetting the importance of ethnicity, nation of birth and primary language, but also acknowledging the implications of gender, age, sexual orientation, religion, socioeconomic factors and other key characteristics. Rather than merely developing a generic understanding of the people they serve, however, they are also skilled at using cultural knowledge to develop an accurate and individualized understanding of each person they serve, each family and each community. Providers also possess an understanding of their own cultural worldview, the ways in which it enriches their work and the ways in which it may constrain their work.

      Trauma-Informed Approaches

      All components of the service system are designed with an understanding of the role that serious adverse experiences can play in the lives of individuals and families. Services are delivered in safe and trustworthy environments and through respectful, nurturing relationships, to promote healing and avoid inadvertent re-traumatization. Individuals and families are always assessed for the extent to which the spectrum of traumatic experiences may have affected their lives and their ability to participate safely in care and establish recovery. They are offered services and supports that will help them reduce the destructive effects of traumatic experiences and maximize the growth that can emerge from the healing process.

      Holistic Approaches Toward Care

      Services and supports are designed to enhance the development of the whole person. Care transcends a narrow focus on symptom reduction and promotes wellness as a key component of all care. In attending to the whole person, there is an emphasis on exploring and addressing primary care needs in an integrated manner. Providers and peers also explore, mobilize and address spirituality, sexuality and other dimensions of wellness in service settings.

      Care for the Needs and Safety of Children and Adolescents

      Service systems and providers recognize the incredible resilience of children and adolescents, along with their unique vulnerabilities and the complexities that attend their need for services and support. As a result, providers employ a developmental approach in the delivery of services. Like adults, children and their families are shown respect and given a partnership role in services and supports. Screening and assessment processes are informed by knowledge of the ways in which children’s and adolescents’ strengths, symptoms, needs and progress tend to differ from those of adults, and of ways in which those differences can be honored. Providers also recognize that attention to the safety, needs and well being of children and adolescents includes attention to the safety, needs and well being of their families—and back up that recognition with concrete action.

      Partnership and Transparency

      This system transformation effort is built upon the values of transparency and partnership at all levels of the system. This applies to the ways in which system administrators strive to work with providers, as well as the ways in which providers aim to collaborate with the individuals and families receiving services.

      Though the core values are too global to represent action-oriented strategies that people can pick up and use, it is essential for all service providers to understand and embrace these values and the principles that support them. These core values are made operational in the strategies that follow, with multiple values often driving the same strategy.

      4 Domains

      Stakeholders have identified four service domains that are essential components of a recovery and resilience oriented behavioral health system:

      Assertive Outreach and Initial Engagement

      The many obstacles people face in entering and staying in services make this domain essential to the success of the system and the people it seeks to serve. Human tragedy has shown that many people die before they receive the help they need, but empirically supported practices have given us many ways of increasing motivation; eliminating obstacles; and making services more accessible, more acceptable and easier to navigate.

      Screening, Assessment, Service Planning, and Delivery

      There is a wealth of concepts and resources that can be used to make care more effective and to lay a better foundation for ongoing recovery. These include emphases on individual, family and community strengths, and on resilience and recovery capital, from the initial screening and assessment process through the interventions chosen. These emphases also extend to the integration of services for mental health, primary care, substance use and trauma-related issues and the mobilization of professional and community-based recovery support structures from the earliest days of treatment.

      Continuing Support and Early Re-Intervention

      Although recovery is a significant reality, some behavioral health challenges are chronic conditions that can move into and out of remission. Effective professional, peer and community support can, not only help individuals and families achieve their dreams and goals, but also prevent, identify and address recurrence of the symptoms of mental health and substance related challenges. This support can take many forms and occur at many times throughout the recovery process.

      Community Connection and Mobilization

      The forging of a meaningful life in the community must be driven by the true hopes and dreams of individuals and families—hopes and dreams that may have been worn down by years, decades or even generations of poverty, prejudice, trauma, illness and hopelessness. Traditionally seen as sources of danger, temptation and deprivation surrounding the treatment refuge, communities must instead be seen for and cultivated as sources of support, fellowship, civic engagement and healing. Behavioral health organizations and providers must recapture their roles as members of and contributors to their communities, so they can foster the exchange of resources between those communities and the individuals and families they serve.

      7 Goals

      To make these practice guidelines useful for real human beings doing real work, the action-oriented strategies within each of the four domains have been organized under seven functional goals.

      • Provide integrated services
      • Create an atmosphere that promotes strength, recovery and resilience
      • Develop inclusive, collaborative service teams and processes
      • Provide services, training and supervision that promote recovery and resilience
      • Provide individualized services to identify and address barriers to wellness
      • Achieve successful outcomes through empirically informed approaches
      • Promote recovery and resilience through evaluation and quality-improvement processes

      Strategies

      The Practice Guidelines is a living document that is intended to grow with use in the real world. Use the 10 Core Values, 4 Domains and 7 Goals as a foundation to discover your own strategies to enact a more resilience and recovery oriented approach in the treatment you provide. In fact, the Practice Guidelines were developed as a means to standardize some of the great innovations that have been made in the Philadelphia behavioral health system by stakeholders like you.

      Download the Practice Guidelines 1.1

      Sosunmolu Shoyinka, M.D.

      Sosunmolu Shoyinka, M.D.

      Camp Program Benefits Kids with Behavioral Disabilities

      Hannah Anolik, DBHIDS Summer 2019 Intern

      Between the ages of 7 and 11, I “lived 10 months for two” – meaning I was obsessed with summer camp. I lived the other 10 months of the year just for those two months at camp.

      Seeing my summertime best friends every day and having (what we thought of as) no rules and pure fun always felt like an escape from reality. Now, a decade or so later, I realize it was during those carefree, hot, summer days that I developed into who I am today and learning about myself.

      Summer camp may just seem like a way to get kids out of the house, but it is much more than that.

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      ‘I AM …’: Speaker works to empower Philly preteens, July 2019

      Donovan Forrest, DBHIDS Summer 2019 Intern

      Young Philadelphia boys and girls screamed their positive messages about themselves for all to hear when Donovan Forrest brought his message to them this month at Ace Camp in West Philadelphia. Ace Camp participates with the Madeline Moore Summer Camp Grant program offered by DBHIDS.

      Forrest, executive director of DonCARES of Philadelphia, worked with DBHIDS Operations/Fiscal (OpsFis) unit this summer through the Mayor’s Internship Program. His activities included visits to local area summer camps that partner with the grant program.

      Forrest was asked to speak to 10-, 11- and 12-year-olds July 1 at the summer program hosted at Martha Washington Elementary School, 766 N. 44th St. in the Belmont neighborhood of West Philadelphia.

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      Odysseus Marcopolus

      Odysseus Marcopolus

      Philadelphia Autism Project, CBH Host City Hall Art Show

      The Philadelphia Autism Project, housed at the A.J. Drexel Autism Institute, will host an art exhibit at Philadelphia City Hall to highlight individual experiences of Philadelphia and what this city means to them.  The art show is also an opportunity to increase autism awareness and celebrate neurodiversity.

      This Art in City Hall exhibit, “Philadelphia: A Spectrum of Experiences,” will be hosted in collaboration with DBHIDS through Community Behavioral Health (CBH), the Office of Councilman-At-Large Derek Green, and the City of Philadelphia’s Office of Arts, Culture, and the Creative Economy.

      “I’m excited to partner with the Philadelphia Autism Project for this year’s art exhibition, ‘Philadelphia: A Spectrum of Experiences,’” said Councilman Green. “This showcase gives people a one-of-a-kind opportunity to step in to the talented and remarkable minds of those with autism and other intellectual disabilities, and experience the world through their eyes, hands, and thoughts. I look forward to ongoing collaborations with the Philadelphia Autism Project as we continue to promote autism awareness and work toward the ultimate goal of total inclusivity for all.”

      The art exhibit will be open to the public on the fourth and fifth floors of City Hall from March 12 to April 27, from 9 a.m. to 5 p.m., Monday through Friday. The opening celebration will be held on Tuesday, March 13, from 5-7 p.m. at City Hall.

      The goal of the Philadelphia Autism Project is to support and connect individuals and families living with, and affected by, autism spectrum disorder in Philadelphia through resources and innovative programs. The Philadelphia Autism Project is a citywide initiative supported through the Office of Councilman-At-Large Derek S. Green and conducted in partnership with the DBHIDS. For more information about the Philadelphia Autism Project visit www.phillyautismproject.org, Facebook.com/phillyautism, and on Twitter at @phillyautism.

      Philly Leads the Way in Mental Health Awareness

      Continuing the established trend of Philadelphia being a leader in mental health awareness, in December, the city surprised 25,000 people trained in Mental Health First Aid (MHFA). This achievement makes Philadelphia the city with the most trainees in MHFA.

      “This milestone for Mental Health First Aid trainees represents a monumental feat,” said DBHIDS Commissioner David T. Jones, “and DBHIDS is committed to training additional Philadelphians in MHFA!”

      “Philadelphia continues to ‘walk the walk,’ demonstrating its commitment to increasing mental health awareness, reducing stigma, and promoting well-being for every Philadelphian,” said Assistant Director of Health Promotion Maria Boswell.

      This latest achievement continues a long-established pattern of Philadelphia taking a position at the forefront of mental health awareness and providing an example for other cities nationwide and around the world.

      Internationally, DBHIDS has partnered with the International Association of Peer Supporters (iNAPS) in 2016, and hosting the International Initiative for Mental Health Leadership in both 2016 and 2017. Additionally, the City’s efforts to normalize mental health disorders through the “Get a Check-Up from the Neck Up” campaign has drawn praise from as far away as Australia.

      Domestically, during the 2016 Democratic National Convention, DBHIDS was at the forefront of bringing mental health awareness to the forefront with the Like-Minded Rally, which drew hundreds to hear dozens of political leaders, including former U.S. Rep. Patrick Kennedy, who called for reform of mental health and addiction treatment in this country.

      With this great achievement, the city now turns it eyes toward 50,000 trainees in the year 2020.

      “As we strive toward 50,000 trained in Mental Health First Aid by 2020,” said Boswell, “we hope that all who live, work, or study in our great city recognize that we are, indeed, the City of Brotherly Love and Sisterly Affection!”

      Nicole Connell, M.Ed.

      Nicole Connell, M.Ed.