Entering Hope’s Door

Ann Rider, Randy Horton Recovery Empowerment Network

o “Crisis” care limited to psychiatric urgent care models or hospitals

o Focus of crisis care is medicationo Even symptom management is

limitedo Long waits at urgent careo 40-45% of those at urgent care do not

need clinical serviceso But they need some type of attention

o Early intervention to prevent crisiso Peer-run program, one-on-oneo Based on Intentional Peer Supporto Creating a plan

o Narrative model• No focus on symptoms• Examines life circumstances• Creates a plan to meet needs• Connects with other resources

o Shared risk/responsibilityo At the beginning

o Worldviewo Thinking about the meaning of “crisis”

o Mutualityo What does “help” look like?

o Moving Towardo Utilizing strengths, talents

o Creating a plano Involving community members

Role Play

o A theory used in peer support (Intentional Peer Support, RST)

o Focuses on the “story” the person tells about his/her experience

o Examines how each person makes meaning of an experience

o Puts power over what happens next squarely in the person’s hands

o Not an argument about causation but a technique designed to empower people

o Developed in NZ & Australia

Most people come in asking for help to get into the hospital

Approximately 95% of people leave Hope’s Door with a plan adequate to stay out of the hospital

Many people return to Randy to follow up

Less cost, less time lost, stronger relationships

o What resources are available in your area?o Is peer support training available?o Is space available with a private office and

no direct oversight?o Is there adequate supervision consistent

with the theoretical model?

o Training available: o Recovery Support training from Recovery

Empowerment Networko Intentional Peer Support from Shery Mead/Ann

Ridero Workbooks available for review

Recovery Empowerment NetworkPO Box 7732

Phoenix, AZ 85011-7732602-248-0368

arider@recoveryempowermentnetwork.netrhorton@recoveryempowermentnetwork.net