# Presentation: 773350

## Preparing People for Change:  

**A. Kathryn Power, M.Ed., Director**
**Center for Mental Health Services**

***Preparing People for Change:  ***
***Knowledge and Choice***

**National Training Conference—Addressing Homelessness for People with Mental Illnesses and/or Substance Use Disorders**
**Washington, D.C. – October 28, 2005**

## “Home is not where you live, but where they understand you.”

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**“****Home is not where you live, but where they understand you.”**
**─****Christian Morganstern**

**“****There’s no place like home.”**** **
**─** **Dorothy**

**“****Home is where the heart is.”**** **
**─** **Pliny the Elder**

## Achieving the Promise:

**A call for system transformation.**
**The goal: Hope for a full life in the community.**
**Services and supports are consumer/child/family centered.**
**Focus of care must increase illness self-management and build resilience.**

**Transforming Mental Health Care in America**

## Transformation is...

**...****life altering **
**...****the process of continuous evolutionary change driven by the dynamic needs of the enterprise**
**...****imbedded in the unpredictable and the impossible**
**...****a way to create something completely possible from the perceived impossible**

*—**from Concepts of Transformation*

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## Transformation Goals

**Goal 1****   Americans understand that mental health is essential to overall health.**
**Goal 2****   Mental health care is consumer- and family-driven.**
**Goal 3****   Disparities in mental health services are eliminated.**
**Goal 4****   Early mental health screening, assessment, and referral to services are common practice.**
**Goal 5****   Excellent mental health care is delivered and research is accelerated.**
**Goal 6****   Technology is used to access mental health care and information.**

- Transformation Goals

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## Recovery—A Critical Concept to Transformation

**The process by which people are able to live, work, learn, and participate fully in their communities**
**The ability to live a fulfilling and productive life despite a disability**
**A reduction or complete remission ****of symptoms**
**The ability to make important decisions affecting one’s own life**

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## Project Coming Home

**Contra Costa County Health Services Program**
**One of 11 grantees of the SAMHSA/HUD/VA/HRSA Collaborative Initiative to Help End Chronic Homelessness**
**Features aggressive outreach and “Housing First” approach**
**Formula for success: strong partnerships and relationships**

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## The Katrina Disaster—

- Photos Courtesy of FEMA

- The Katrina Disaster—
- A “tipping point” for wholesale systems change

## “...No level or branch of government...no element of the private sector...can accomplish needed change on its own. To transform mental health care as proposed, collaboration between the private and public sectors and among levels of government is crucial.” 

**“...****No level or branch of government...no element of the private sector...can accomplish needed change on its own. To transform mental health care as proposed,***** collaboration***** between the private and public sectors and among levels of government is crucial.”**
***Achieving the Promise***** **

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## The Federal Action Agenda:Fundamentally Altering the Mental Health System 

**Features the five principles around which the New Freedom Commission on Mental Health framed its vision, cross walked with the NFC’s six goals**
**Describes the “state of success” ****for each principle**
**Highlights current activities** **and proposes Year-1 action steps for ****each principle**

- The Federal Action Agenda:**Fundamentally Altering the Mental Health System**** **

## Federal Partners

**Department of Health**_**               **_**and Human Services**
**     ****AoA****	****	****NIH/NIDA**
**     ****ACF****	****	****NIH/NIMH**
**     ****AHRQ****	****HHS/OS**
**     ****CDC****	****	**** - ASPE**
**     ****CMS****	****	**** - OCR**
**     ****HRSA****	**** - OD**
**     ****IHS****	****	**** - OPHS**
**	****	**** ****SAMHSA**

**Other Partners**
**Department of Agriculture**
**Department of Education**
**Department of Defense**
**Department of Housing and Urban Development**
**Department of Justice**
**Department of Labor**
**Department of Transportation**
**Department of Veterans Affairs **
**Social Security Administration**

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## Stepping Stones to Recovery

*Available at the PATH     Booth or by calling                 1-800-789-2647.***  **

## Blueprint for Change 

*Available electronically at: *_[www.nrchmi.samhsa.gov](http://www.mentalhealth.samhsa.gov/_scripts/redirect.asp?ID=403)_* *
*or by calling *
*1-800-789-2647.*

- Blueprint for Change

## Homeless Families Project

**CMHS/CSAT multiyear development initiative**
**Evaluated the effectiveness of time-limited, intensive intervention strategies**
**Early findings suggest that women participating in the two phases of the program regained connections with the community**
**Results of the family homelessness study will be published in a special issue of the *****American Journal of Community Psychology***

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## What You Can Do

**Read the Federal Action Agenda. **
**Work with and find new partners. **
**Help communities develop a system  that is consumer-driven and focused    on recovery.  **
**Continue involving consumers.  **
**Build public support for transformation. **
**Advocate for expanded services and funding.  **
**Help shape State and local priorities. **
**Spread the word that **_**recovery is possible!**_** **

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## “We often think of heroes as extraordinary people with powers and abilities far beyond those of ordinary human beings...Ordinary people—daring to be heroes—are the greatest expression of                   human potential.”

**“*****We often think of heroes as extraordinary people with powers and abilities far beyond those of ordinary human beings...Ordinary people****—****daring to be heroes****—****are the greatest expression of                   human potential.”***

- —Joan Holmes
- The Hunger Project

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