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EASA Provider Workshop

Multnomah Early Assessment and Support Alliance (EASA) is a two year outreach and treatment program for young people ages 15 to 25 who have experienced a first episode of psychosis. http://web.multco.us/mhas/early-assessment-and-support-alliance
by

Marrissa Gottlob

on 15 March 2017

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Transcript of EASA Provider Workshop

Provider Education Workshop
Today
Assessment
Multi-Family
Foundations
Treatment
Services
Stigma
Welcome
Introduction to Mental Health


What is psychosis
Young Adults & Mental Health


EASA origins & services

"An attempt to label a particular group of people as
less worthy of respect
than others and
mark of shame, disgrace or disapproval
that results in
discrimination
"
Culture
How has your culture affected your views of mental illness?

Assessment &
Stabilization

Adaptation

Consolidation

Transition
Screening & assessment
Family education
Crisis management & counseling
Occupational therapy
Supported employment
Multi-family group
Health services
Peer Support
Psychiatric services
Adolescents
Next Steps

Post-Graduation
Mental health doesn't discriminate.
Stigma of Psychosis
Common themes
Guilt, isolation
Ignored in healthcare
Shame, concealment
Associative discrimination
Violent, dangerous
National Alliance on Mental Illness
Multnomah County
Developed by Dr. William McFarlane

Essential aspect of EASA
Key in reducing expressed emotion,
family conflict, and building social networks

Meets 2x a month for 1.5 hours
3 locations
Group
Risk
Psychosis
Angela Petrjanos, LCSW
Keri Ault, LCSW
Megan Sage, LCSW
John Anderson, CADCII, CDP
Occupational
Supported
Employment
Alexandra Rieman, MA, QMHP
Nursing
Sali Borchman, RN
Neil Falk, MD
Leigh Hedrick, MD
Psychiatry
Peer
Typical development
or symptom?
Taking
Behaviors
22 counties
Over 80% of Oregonians
Mental Health
Consultants
Screening
Megan Sage, LCSW
Therapy
Support
Early Assessment
Support Alliance
&
Lowest dose, shortest amount of time
Services
Tim Casebeer
What helps?
Getting Help Early
Zero exclusion
Individual preferences are honored
Competitive employment opportunities
Benefits planning
Ongoing follow along support once employed
How do you define your culture?
Psychosis
Changes in the brain that alter the way a person experiences their world
Disorganization:
Confused thinking and speech
Delusions:
Beliefs that are not shared by majority culture
Hallucinations:
Hear and see things that others don’t
Medical conditions
Bipolar disorder
Depression
Anxiety
Trauma
Stimulants
Sleep deprivation
Severe stress
Bullying
Street drugs

Schizophrenia is six times more common than insulin-dependent diabetes and just as treatable when caught early
Keep young people with the early signs of psychosis on their normal life paths, by:
Building community awareness
Offering easily accessible, effective treatment and support
Network of educated community members & highly skilled clinicians
Most current evidence-based practices

Mission:
Biological vulnerability
Collaborates with referral source, individual and support system to decide if EASA is the right fit
Individual, family, or group counseling focused on achieving your goals and supporting recovery
Assess health status
Assist with accessing health care needs
Case management
Coordination with PCP
Nutrition & healthy lifestyle education
Medication management support


Dementia
Ongoing assessment, consultation, prescribing, & monitoring
Administration
Kristine Dale
Leticia M. Sainz, LPC
Service oversight, coordination, & support
Mania
Autism Spectrum
Psychosis is not
solely
a symptom of schizophrenia
Schizophrenia
"ongoing psychosis"
Symptoms"
Delusions

Hallucinations

Confused or bizarre thinking

Disorganized speech, behavior
Symptoms"
Social anhedonia

Avolition

Expression of emotion

Trouble with attention and focus

Dsyphoric mood
Associated Features
Lack of Insight (Anosognosia)

Sleep difficulties

Abnormal Movements
-
pacing, rocking, odd movements, rituals, or slow movements

Anxiety Disorders

(OCD, Panic, Phobia)

Substance Abuse
Healthy habits
:
good sleep, nutrition, exercise; no drugs & alcohol

Medications:
Atypical neuroleptics, mood stabilizers, anti-anxiety, antidepressants

Decrease stress:

Learn stress management skills; Use movement, exercise, and activities that provide strong sensory input if able; Experience fun, success oriented activities and leisure possibilities

Emotional Regulation:
Identify sensory input that helps with calming and learn to use it

Reality Orientation:
Provide strong deep pressure and proprioceptive input; participate in activities to help with personal and environmental orientation; engage in simple work activities (making the bed, folding laundry)

Sensory overload and defensiveness:
Minimize distractions in environment; eliminate aversive stimulation, provide body with input that it is needing; provide quiet place with stimulus reduction
Individual Placement & Support (IPS) model
Explore, obtain & maintain employment goals
Connections with employers
Family Guidelines
oyh.org.au
Beginnings
2001
2008
Young Adults
&
EASA
of
2013
Phases
Early
Support Alliance
&
Changed behavior:
substantial increase/decrease in eating or sleeping, become unusally fearful of others
Changed feelings:
easily overwhlemed by everyday sensations, feel and show less emotion
"Positive
"Negative
Addition or excess of 'typical' experiences
Diminished or absent traits or behaviors
Refer a young person
(503) 988 - 3272
Ask questions
Head
space
.org.au
eppic.org.au
Problems related to:
Advocacy, volunteer, resource specialist
Engagement & relationship building
Strengths-based approach to recovery
Leadership opportunities
Marrissa Gottlob
MOTR/L, QMHP
Self Care Daily Structure Interpersonal Skills Transportation
Organization Motivation Interests Cognition
Reciprocal Social Support Living Physical Health
Communication Skills & Wellness
Robert Janz, LPC, CADC1
Heather Shea, QMHA
Advisory Council
Metro-EASA
Our goal is to have every member of our metro community be aware of EASA.
Community education strategic planning
Develop promotional & educational material
Young Adult
Leadership Council
Seek to guide the direction of EASA programs by:
Providing an experience of healing & growth
Portland Police role call video
Partnering with Faith Communities
Increase referral sources & access to services
Collect feedback on data & outcome tools
Develop engagement strategies
Educating & supporting EASA participants & graduates
Creating an outlet for expression
Responding to, gathering and using feedback
Advocating for change
“Uniting the voices and strengths of young adults and their allies to create a thriving community and a revolution of hope!”
2014
BringChange2Mind.org
Referral Line: (503) 988 - 3272
Cognition
Social
Emotional
Full transcript