Self-Assessment/Planning Tool SAPT

Self-Assessment/Planning Tool for Implementing Recovery-Oriented Mental Health Services (SAPT) Supporting the mental health community in special vocations of hope :

Self-Assessment/Planning Tool for Implementing Recovery-Oriented Mental Health Services (SAPT) Supporting the mental health community in special vocations of hope Introduction to SAPT James Winarski, M.S.W. Prepared under contract to the Agency for Health care Administration

Self-Assessment/Planning Tool for Implementing Recovery-Oriented Mental Health Services (SAPT):

Self-Assessment/Planning Tool for Implementing Recovery-Oriented Mental Health Services (SAPT) The SAPT was developed by a team of faculty, consumers, and service providers at the University of South Florida’s Florida Mental Health Institute (FMHI) under contract to Florida’s Medicaid Authority, the Agency for Health Care Administration (AHCA).

Vision of Recovery for People with Serious Mental Illnesses:

Vision of Recovery for People with Serious Mental Illnesses Fundamentally A Vision of Hope: Hope that disturbing symptoms can be overcome Hope to become a meaningful participant in community Hope in the possibility of a life fully lived (Winarski, J., Thomas, G., DeLuca , N. 2007)

Recovery Vision to Practice:

Recovery Vision to Practice The SAPT helps mental health service provider agencies translate the recovery vision to effective policies and practices .

Why Recovery-Oriented Services?:

Why Recovery-Oriented Services? Consumers of mental health services often feel diminished and demoralized by the very systems and programs designed to help them. (Clay, 2005; Degan , 1988) President Bush’s New Freedom Commission assessed our mental health system as, “fragmented and in disarray leading to unnecessary and costly disability, homelessness, school failures and incarceration” and recommended fundamentally transforming service delivery based on a vision of recovery. (New Freedom Commission on Mental Health, 2003)

SAPT Supports Communities of Hope:

SAPT Supports Communities of Hope SAPT Purpose “It is not our job to pass judgment on who will and who will not recover from mental illness... Rather, it is our job to form a community of hope which surrounds people with psychiatric disabilities.” “It is our job to nurture our staff in their special vocations of hope.” (Pat Degan , 1996)

The Self-Assessment/Planning Tool for Implementing Recovery-Oriented Mental Health Services (SAPT):

The Self-Assessment/Planning Tool for Implementing Recovery-Oriented Mental Health Services (SAPT) Three Components: SAPT Survey SAPT Planning and Implementation Guide Linkage to Consumer Outcomes (Winarski, J., Dow, M., Hendry, P., Robinson, P., and Peters, R. 2009)

SAPT – Three Components:

SAPT – Three Components SAPT Survey: Includes 50 items Uses a four point Likert scale. Survey respondents should include key administrative staff, clinical supervisors, and select clinical staff. Software applications allow users to develop surveys, host the survey, collect data, and produce reports in real time Survey data may also be collected manually in programs such as Excel

SAPT – Three Components:

SAPT – Three Components SAPT Planning and Implementation Guide: Description : Provides a clear definition of the domain and explains why it important for implementing recovery-oriented services. Essential Characteristics : Provides a brief summary of the most important service components, including a description of activities needed for capable implementation.

SAPT – Three Components:

SAPT – Three Components SAPT Planning and Implementation Guide: Barriers : Describes some of the most common barriers for each domain that mental health agencies encounter in implementing services. Remedies : Suggests strategies for overcoming barriers to effective implementation. Resources : Provides reference to key resources, such as articles, manuals, and web sites that can assist agencies with program planning and service implementation.

SAPT – Three Components:

SAPT – Three Components Linkage to Outcomes: SAPT Supports the achievement of outcomes described in the Recovery Oriented Systems Indicators (ROSI) measure. T he SAPT and ROSI may be used together to support processes for policy development, program planning, staff development, and outcome evaluation.

SAPT Responded to Study of Recovery Services in Florida:

SAPT Responded to Study of Recovery Services in Florida FL Medicaid creates new coverage and limitations handbook that includes rehabilitative services. Period of transition: consumers and staff are defining new roles and responsibilities. Lack of tools needed to support this transition. No way to ensure that the services described in the FL Medicaid Handbook are being delivered at an acceptable level. Consumers often did not experience program activities as relevant to achieving life goals. (Winarski, J., Thomas, G., Dhont , K., & Ort, R. 2006) (Winarski, J., Thomas, G., DeLuca , N. 2007)

SAPT Responded to Study of Recovery Services in Florida:

SAPT Responded to Study of Recovery Services in Florida Consumers often experienced treatment planning as a bureaucratic rather than an interpersonal process. Staff perspectives on recovery principles and practices varied considerably across individuals. Florida has a range of disparate service activities that are recovery oriented, but there is currently no framework to coordinate these efforts. FL Medicaid handbook is only a first step in supporting effective implementation. (Winarski, J., Thomas, G., Dhont, K., & Ort, R. 2006) (Winarski, J., Thomas, G., DeLuca, N. 2007).

SAPT – Pilot Tested:

SAPT – Pilot Tested Ten Florida mental health agencies participated in a two-phased pilot study. Phase 1 conducted an item analysis as part of a process of revising the survey and collected feedback on the SAPT’s efficacy as a planning/implementation tool. Test a web-based method for data collection. (Winarski, J., Dow, M., Hendry, P., Robinson, P., and Peters, R.. 2009) Phase 2 examined the relationship between the SAPT and ROSI: The study found agencies with a high SAPT score tend to have a high ROSI score. (Winarski, J., Dow, M., 2010)

SAPT Organization:

SAPT Organization The SAPT Survey and SAPT Planning and Implementation Guide are organized under three primary domains: Administrative Treatment Community Integration

Administrative Domains:

Administrative Domains Philosophy Continuous Quality Improvement (CQI) Outcome Assessment Staff Support Consumer and Family Support

Treatment Domains:

Treatment Domains Validation of the Person Person Centered Decision Making Self Care – Wellness Advance Directives Alternatives to Coercive Treatment

Community Integration Domains:

Community Integration Domains Access Basic Life Resources Meaningful Activities and Roles Peer Leadership

SAPT Web Site:

SAPT Web Site The SAPT web site includes everything needed to implement the SAPT, as well as important background information and resources: SAPT Survey – Planning/Implementation Guide Studies that supported SAPT development SAPT pilot studies Links to web-based SAPT and ROSI surveys A blog designed to promote partnerships among providers, consumers, and other stakeholders

For More Information:

For More Information Contact: James Winarski, M.S.W. University of South Florida College of Behavioral & Community Sciences Dept. of Mental Health Law & Policy, Louis De La Parte Florida Mental Health Institute 13301 Bruce B. Downs Blvd. Tampa, FL 33612-3807 (813) 974-6490 jwinarski@fmhi.usf.edu