Building the Recovery Platform for Tomorrow NYAPRS Collective

New York State Office of Mental Health
and the
NYAPRS Collective
Present the
5th Annual
PROS Implementation Academy
November 20-21, 2014
Building the Recovery Platform for Tomorrow
At The
Holiday Inn Albany on Wolf Road
205 Wolf Rd, Albany, NY
in collaboration with the
Center for Practice Innovations
Center for Rehabilitation and Recovery
5th Annual PROS Implementation Academy
November 20-21, 2014
Building the Recovery Platform for Tomorrow
Holiday Inn Albany on Wolf Road, 205 Wolf Rd, Albany, NY
At-A-Glance
Thursday, November 20, 2014
Friday, November 21, 2014
8:00am Registration
8:00am Registration
9:00am Opening Remarks
8:30am – 10:00am ~ Plenary Session
Partnering, Planning and Positioning
PROS for Successful Outcomes under
Managed Care
9:15am- 10:15am ~ Keynote
Keeping Our Eyes on the Prize!
10:15am – 11:30am ~ Plenary Session
PROS: New York's Roadmap to
Integrate Treatment, Rehabilitation
and Support
11:30am – 11:45am Break
Workshops Round I ~11:45am – 1:00pm
a. Understanding and Meeting PROS
Standards of Care
b. Developing an Agency Wellness Plan
c. Challenge and Opportunity Dialogue
Increasing the Use and Diversity of
Meaningful Program Participation
1:00pm – 2:00pm Lunch
Workshops Round II ~ 2:15pm – 3:30pm
a. Understanding Medicaid Redesign
b. Supporting Older Adults in a PROS
Environment
c. Challenge and Opportunity Dialogue
Cultural Competence in PROS
Programming: An Opportunity and
a Challenge
10:00am - 10:15am Break
Workshops Round IV ~ 10:15am – 11:30am
a. Learning the Art of Skills Training
b. Integrating Peers in the PROS
Workforce
c. Challenge and Opportunity Dialogue
Marketing PROS Services for
Managed Care
11:30am - 11:45am Break
Workshops Round V ~ 11:45am – 1:00pm
a. Balancing Priorities: Practical Strategies for PROS
Directors and Supervisors
b. Integrating Physical and Behavioral
Health Care
c. Challenge and Opportunity Dialogue
Delivering and Tracking Quality Outcome
Measures
1:15pm Lunch and Closing Remarks
3:30pm – 3:45pm Break
Workshops Round III ~ 3:45pm – 5:00pm
a. Maintaining Fiscal Viability While
Still Delivering Person Centered Care
b. Helping People Identify and Set
Meaningful Goals
c. Challenge and Opportunity Dialogue
Making Employment Work: Strategies
for Balancing IPS with Other Staff Duties
5:00pm Adjourn For the Day
Dinner on Your Own
Challenge and Opportunity Dialogue
The Challenge and Opportunity Dialogue is a chance for
you to share your ideas and brainstorm with your
colleagues about a topic of interest and importance to
PROS providers. Each dialogue is facilitated by someone
knowledgeable in that area who will assist in exploring all
the nuances of the topic. Come prepared to talk and share
with your peers.
Thursday, November 20, 2014
8:00am Registration
9:00am Opening Remarks
Harvey Rosenthal, Executive Director, NYAPRS, Albany, NY
Edye Schwartz, DSW, LCSW, NYAPRS, Mahopac, NY
9:15am- 10:15am ~ Keynote
Keeping Our Eyes on the Prize!
Luis O. Lopez, MS, Center for Practice Innovations at Columbia Psychiatry, NYS Psychiatric Institute, New York, NY
PROS Practitioners bring a special skill set to their work. It is a rare combination of treatment, rehabilitation and support
that is of vital importance in helping participants on their recovery journey. In this current time of turbulence and change
its most important to “Keep Our Eyes on the Prize”, and remember the things that help us all to recover; relationship,
respect, real listening and an eye on real life outcomes. Luis will help us all remember the gifts we can all bring to the
table when we work with people collaboratively within a recovery paradigm.
10:15am – 11:30am ~ Plenary Session
PROS: New York's Roadmap to Integrate Treatment, Rehabilitation and Support
Doug Ruderman, LCSW and Gary Weiskopf, MPA, NYS Office of Mental Health, Albany, NY
Pat Lincourt, LCSW, NYS Office of Alcohol and Substance Abuse, Albany, NY
Deirdre Astin, NYS Department of Health, Albany, NY
Moderator: Harvey Rosenthal, NYAPRS, Albany, NY
The goal of PROS is to integrate treatment, rehabilitation and support with an individualized, person-centered and choice
driven menu of services. By knowing what one wants to achieve, each individual can develop a road map designed to
integrate treatment, improve functioning, reduce inpatient utilization & emergency services, increase employment, attain
higher levels of education, secure preferred housing and attain full community integration. State policy makers will share
their vision of how this roadmap will assist us to build a platform for recovery services under health care reform.
11:30am – 11:45am Break
Workshops Round I ~11:45pm – 1:00pm
a. Understanding and Meeting PROS Standards of Care
Sue Knapik and Mark Simone, MS, NYS Office of Mental Health, Albany, NY
Moderator: Ruth Colón-Wagner, LMSW, NYAPRS, Tappan, NY
The Office of Mental Health introduced the PROS Standards of Care (SOC) in September 2013 to evaluate the
effectiveness of a PROS program in assisting participants to achieve and maintain valued life roles. The PROS SOC
survey process also includes a tracer methodology which examines services of program participants through the case
record as well as direct observation of group services and interviews with participants and staff. Presenters will
discuss how the PROS Standards of Care have been utilized since implementation.
b. Developing an Agency Wellness Plan
Courtney Policano, LCSW, Toni Kimpson, LMSW and Danielle Coward, LCSW
Institute for Community Living PROS, Brooklyn, NY
Mike Dorr, CPRP, NYAPRS, Phelps, NY
Colleen Sheehan, CPRP, NYAPRS, Woodstock, NY
It is widely recognized that many PROS staff are feeling stressed and may have experienced trauma themselves. In
this workshop we examine steps an agency can take to identify wellness needs of staff. Presenters will share how one
agency developed a plan to support their staff’s wellness. Each workshop participant will have an opportunity to
develop an agency action plan for increased staff wellness and improved employee outcomes.
c. Challenge and Opportunity Dialogue
Increasing the Use and Diversity of Meaningful Program Participation
Edye Schwartz, DSW, LCSW, NYAPRS, Mahopac, NY
Liam McNabb, NYS Office of Mental Health, Albany, NY
Program Participation is an important and active part of each PROS program but it is also something that is not
always well defined and often difficult to effectively implement. Although it can be a challenge to fill this time in a
way that is both meaningful and compliant with medical necessity, many PROS providers have developed innovative
ways to provide meaningful time within this category. Come and share the ways you fill program participation time
with activities that truly enhance PROS participant’s ability to achieve their goals.
1:00pm – 2:00pm Lunch
Workshops Round II ~ 2:15pm – 3:30pm
a. Understanding Medicaid Redesign
Naomi Weinstein, MPH, The Coalition of Behavioral Health Agencies, New York, NY
Briana Gilmore, MSc, Director of Public Policy, NYAPRS, Albany, NY
This workshop will review the fundamentals of Medicaid Redesign and how it will impact behavioral health
service providers and consumers. PROS programs are uniquely positioned to capitalize on transformations
within Medicaid and managed care expansion, DSRIP, and health homes for increased payment sustainability
and program flexibility. Understand how Medicaid Redesign paves the way for recovery-oriented, community
based services and how it may impact PROS system reform and consumer expectations.
b. Supporting Older Adults in a PROS Environment
Raya Noreault, MA, LMHC, Beacon PROS, Mental Health America of Dutchess County, Inc.,
Poughkeepsie, NY
Robert Franco, MA, Nicole Ness, LCSW, Service Program for Older People (SPOP), New York, NY
Moderator: Mike Dorr, CPRP, NYAPRS, Phelps, NY
Meeting the needs of, and engaging older adults within a PROS program presents the unique challenges of
blending the age specific needs of those participants with a Psychiatric Rehabilitation approach. This workshop
will offer the strategies and insights of two different PROS programs as they work towards meeting this
challenge.
c. Challenge and Opportunity Dialogue
Cultural Competence in PROS Programming: An Opportunity and a Challenge
Lenora Reid-Rose, MBA, Nathan Kline Institute for Psychiatric Research, Orangeburg, NY & Coordinated
Care Services, Inc., Rochester, NY
Len Statham, MS, CBP, NYAPRS, Rochester, NY
This dialogue will explore the opportunities for designing and improving services that are culturally relevant and
appropriate. How do you work within a system whose infrastructure does not include the principles of cultural
and linguistic competence? How do you engage consumers in recovery if you do not honor the whole person that
includes their culture? Will the path to recovery look the same for everyone? As caring individuals who provide a
myriad of services to an increasingly diverse population, it is essential that we embed cultural and linguistically
competence concepts so that our approaches and outcomes will be equitable for all. Come join the conversation.
3:30pm – 3:45pm Break
Workshops Round III ~ 3:45pm – 5:00pm
a. Maintaining Fiscal Viability While Still Delivering Person Centered Care
David Bucciferro, Foothold Technology, New York, NY/ NYAPRS Consultant
Edye Schwartz, DSW, LCSW, NYAPRS, Mahopac, NY
Kate Lewis, LCSW, Allegany Rehabilitation Association, Wellsville, NY
The PROS model offers a wide range of approaches and flexibility in the delivery of services while maintaining a
person centered focus. However, some PROS programs struggle to achieve financial stability as they work
diligently to offer individualized recovery services and produce quality outcomes. Presenters will share and
discuss ways to improve and maintain fiscal viability while still delivering person centered care.
b. Helping People Identify and Set Meaningful Goals
Amanda Saake, LMSW, CPRP, The Coalition of Behavioral Health Agencies, New York, NY
Krista Zanfardino, LCSW, Putnam Family & Community Services, Carmel, NY
Marisol Orea, LMHC, Harlem Bay Network PROS, Mental Health Association of NYC, New York, NY
Moderator: Colleen Sheehan, CPRP, NYAPRS, Woodstock, NY
Setting an atmosphere of hope and recovery is essential for engaging individuals in goal setting. Opening a
dialogue with people who may have a difficult time with identifying and connecting with a life role goal can be
challenging. Presenters will discuss how to create opportunities for individuals to connect with meaningful goals
through engagement, assessment and in groups. Presenters will explore the use of creative techniques and tools
for goal setting and provide participants with an opportunity to explore their utilization during the workshop.
c. Challenge and Opportunity Dialogue
Making Employment Work: Strategies for Balancing IPS with Other Staff Duties
Paul Margolies, PhD, Center for Practice Innovations, New York State Psychiatric Institute, New York, NY
Len Statham, MS, CBP, NYAPRS, Rochester, NY
As we become more of a performance-based system, employment outcomes will be increasingly important.
Learning to balance IPS and other staff duties is the only way we'll be successful. Join us for this important
conversation, where we'll share our ideas, challenges and successes, for improving our ability to increase
employment outcomes while still carrying all of our other essential duties.
5:00pm - Adjourn For the Day, Dinner on Your Own
Friday, November 21, 2014
8:00am Registration
8:30am – 10:00am ~ Plenary Session
Partnering, Planning and Positioning PROS for Successful Outcomes under Managed Care
Alan Boardman, LMSW, Beacon Health Strategies, Tarrytown, NY
Ian A. Shaffer, MD, MMM, CPE, Healthfirst, New York, NY
James Gavin, MSW, Community Care Behavioral Health Care, Pittsburgh, PA
Michael Stoltz, LCSW, Association for Mental Health and Wellness, Ronkonkoma, NY
Moderator: Bruce Feig, MPA, Sachs Policy Group, Schenectady, NY
This session will discuss the opportunities for PROS providers as New York State carves all behavioral health services
into a managed care environment. Panelists will address key issues in preparing for managed care and the importance of
building an effective PROS model under health care reform. Hear from managed care and behavioral health experts about
essential and system transforming elements of PROS including what your agency will need to implement for effective
partnerships, operational readiness and contracting for success.
10:00am - 10:15am Break
Workshops Round IV ~ 10:15am – 11:30am
a. Learning the Art of Skills Training
Ann Bergeman, RN, BSN, CSAC, Karen May, BA and Margaret Lewis, AAS
Unity Health PROS, Rochester, NY
Paul Margolies, PhD, Nancy Covell, PhD and Luis Lopez, MS, Center for Practice Innovations,
New York State Psychiatric Institute, New York, NY
Len Statham, MS, CBP, NYAPRS, Rochester, NY
For many people, skills are essential to achieving recovery goals. This workshop will focus on ways in which
personally meaningful skills can be taught individually and in groups. Practical steps for skills training will be
outlined and illustrated. PROS practitioners will share their experiences and learn from each other.
b. Integrating Peers in the PROS Workforce
Ellen Healion, MA, Hands Across Long Island, Central Islip, NY
Joe Woodward, Housing Options Made Easy, Gowanda, NY
Matthew Crave, LCSW, Rehabilitation Support Services, Albany, NY
Michael J. McGuirl, LSCW, CPRP, St. Joseph’s Hospital PROS, Syracuse, NY
Moderator: Mike Dorr, CPRP, NYAPRS, Phelps, NY
Peers are becoming an essential part of the Behavioral Health workforce. Participants will come away from the
workshop with a greater appreciation of how peer support services complement recovery services, an awareness of
the power that peer specialists bring to the team, and ways to incorporate peer support into your organization.
c. Challenge and Opportunity Dialogue
Marketing PROS Services for Managed Care
Bruce Feig, MPA, Sachs Policy Group, Schenectady, NY
Michael Stoltz, LCSW, Association for Mental Health and Wellness, Ronkonkoma, NY
Join a facilitated open dialogue where participants can share and learn how to effectively market their services to
new partners and create a community that offers solutions and cost-effective outcomes charged with keeping
recovery on the forefront in healthcare reform and managed care in New York State.
11:30am - 11:45am Break
Workshops Round V ~ 11:45am – 1:00pm
a. Balancing Priorities: Practical Strategies for PROS Directors and Supervisors
Amanda Saake, LMSW, CPRP, The Coalition of Behavioral Health Agencies, New York, NY
Susan Friedlander, LCSW, NYS Office of Mental Health, New York, NY
Nancy Covell, PhD, Center for Practice Innovations, New York, NY
Moderator: Ruth Colón-Wagner, LMSW, NYAPRS, Tappan, NY
The role of a PROS Director can be challenging, especially for people promoted from a clinical to leadership role.
The purpose of this workshop is to assist PROS Directors in considering the multiple dimensions of responsibility
including clinical supervision, fiscal oversight, outcome measures and systems change. Presenters will provide
specific examples and tools used successfully by PROS Directors throughout New York. This workshop is
geared specifically for PROS Directors or supervisory staff, who are relatively new in a managerial
role in PROS.
a. Integrating Physical and Behavioral Health Care
Helen Edelstein, CRC, Stephanie Turco, LMSW, and Sarah Anderson, RN
Gateway Community Industries, Inc., Kingston, NY
Veronica DeKoning, LMHC, CRC, Association for Mental Health and Wellness, Ronkonkoma, NY
John Javis, MDiv, Advanced Health Network, Hempstead, NY
Moderator: Colleen Sheehan, CPRP, NYAPRS, Woodstock, NY
The integration of Behavioral Health Care and Physical Health has become paramount in addressing the needs of
the whole person. Intentional, ongoing, and committed coordination and collaboration between all providers in
working with the individual is the key to success. This workshop will offer examples of how it’s being done in
PROS communities.
b. Challenge and Opportunity Dialogue
Delivering and Tracking Quality Outcome Measures
Naomi Weinstein, MPH, The Coalition of Behavioral Health Agencies, New York, NY
Andy Cleek, PsyD, McSilver Institute for Poverty Policy and Research, New York, NY
Why is it so challenging for behavioral health providers to identify and track the outcomes of our work? We
always know anecdotally, how program participants are meeting their goals but so often we have not identified
these successes and proven them through data. This session will be a chance to share ways that PROS programs
are identifying and tracking quality outcome measures so that we can have a visible proven record of our success.
1:15pm Closing Remarks