|
|
Technical Assistance
Program
"The goal of the Technical Assistance Program is to Enhance Community
Capacity in Psychiatric Services to Individuals with Developmental
Disabilities and Psychiatric Disorders".
Technical assistance will enhance community capacity by offering service
providers and families information and educational offerings designed to
assess and treat individuals with developmental disabilities who also
have psychiatric disorders as a diagnosis
In general, this program is designed to assist individuals whose
psychiatric disorder and or challenging behavior is to the extent that
it interferes with the person's ability to function, places the
individual at risk of losing their living or work environment, and/or
prevents one from achieving their maximum potential. When left
untreated, such conditions may result in needless suffering, acute
psychiatric hospitalization, injury to self and others and loss of
community placement. Recipients of care include individuals with dual
diagnosis, paid personnel and family members. Our educational offerings
and curriculum use the least intrusive method possible.
The Technical Assistance Program has been designed and funded through
collaborative means by the Southern Illinois University School of
Medicine's Department of Psychiatry and the Illinois Department of Human
Services, Division of Developmental Disabilities. Currently, the program
has limited funding, which enables approximately 40 interventions per
year. Each intervention typically includes one to two consultations with
the individual, a comprehensive review of their environmental
circumstance, and may include interviews with staff and/or family
members. Following the initial review process, a report is generated
that provides staff and family members with recommendations on how to
address the maladaptive behavior and help locate additional resources
that may be beneficial. Presentations for specific individual problems
are designed and presented to staff enabling them to better understand
the cause and remedy for the maladaptive behavior.
Clinical resources for the Technical Assistance Program include faculty
within the Division of Developmental Disabilities and includes licensed
clinical social workers, psychologists and physicians with expertise in
�dual diagnosis.�
Venue sites may include:
- SIU Medical School Campus, Springfield, Illinois
- Teleconferencing/telemedicine
- On site venues (Travel expenses will be incurred for all venues off
campus)
Technical Assistance Curriculum, Information and
Educational Offerings
- Information about the psychiatric diagnosis based on the Diagnostic
Criteria from the Diagnostic and Statistical Manual of Mental Disorders,
Fourth Edition-TR. (DSM IV-TR). This information includes criteria of
mental illness/psychiatric disorders and behavioral observations that
support the diagnosis. Our experience shows that education about mental
illness in this population can provide staff and family with a greater
understanding about the person and can be beneficial in designing
methods of intervention and interaction with the individual. Also
important to this process is teaching and providing information about
myths about mental illness and to discuss a value based approach in
working with individuals with psychiatric disorders. Also of value is to
know that some disorders and syndromes have specific maladaptive
behaviors, which are evidence of the syndrome and need to be addressed
through accurate diagnosis and treatment. Some of these include:
- Borderline Personality Disorders: an increasing number of individuals
are presenting with this complex disorder and often these individuals
cause numerous problems within the living situation. Specific diagnostic
information, empathy techniques, environmental strategies, and crisis
plan development is available.
Fragile X and Prader Willi: These are common diagnosis in the DD
population that cause difficulty in the living and work environment
often due to the behavioral phenotype that is significant with these
diagnosis. Specific curriculum and information is available regarding
these diagnoses.
- Pharmacological intervention: Provide family and direct care personnel
information about prescribed psychotropic medication/s, including the
intended effects, side effects and contraindications.
- Behavioral evaluation of maladaptive behavior: use of standardized
analysis, staff interview, and observation of the individual. Evaluation
materials will be shared with the providers of care and will include a
written report of results and/or recommendations.
- Environmental strategies: to reduce maladaptive behaviors and to
increase the quality of the individual's life.
- Person Centered Planning: educational information about developing
Person Centered Plans will be taught to providers and family specific to
the assessed needs of the individual identified. These plans incorporate
those persons who are essential to the well being of the person with the
psychiatric disorder. A community presence map is developed as well as
activities that work and don't work with the person.
- Crisis Plan development: educational information about developing crisis
plans for individuals will be taught to providers using the information
obtained from the psychiatric/behavioral evaluation, family members and
other care providers. Often an acute crisis is not handled well due to
the fact that personnel have not identified the antecedents and or the
actual steps to take given the resources available. A crisis plan will
be developed to help identify the early warning signs (antecedents) of a
crisis and outline what steps should be taken in the event of a crisis.
The actual delivery of crisis intervention must be delivered by the
organization and its external supports systems.
- Information about Psychotherapy: teaching staff and family the benefit
of therapy for the individual and the role of support persons in the
individual's life. Psychotherapy is a psychiatric intervention that can
be offered to established SIU patients who live within a reasonable
distance from the Springfield outpatient clinics.
- Education to providers and families of persons who have autism,
including communication and educational strategies.
- Assessment tools for persons with developmental disabilities and who may
have psychiatric disorders: tools regarding assessment for the presence
of a psychiatric disorder and/or to elicit symptoms can be taught to
psychiatric team members, including direct service personnel. These
tools can be helpful for diagnostic purposes and to assess progress.
- Suicide information: Identifying symptoms of depression and suicide
gestures for people with developmental disabilities is critically
important to the care and safety of individuals with psychiatric
disorders. Often staff and families are not aware that the person is
capable of suicidal intent and or actions. Curriculum is available to
address this topic.
- Sexuality Information: Information about healthy sexual development,
harmful sexual practices, and intervention practices will be provided to
staff and family .
- Aggression and or Self Injurious Behavior: Specific information
regarding these behaviors, which may be a manifestation of an underlying
psychiatric disorder or medical condition, can be taught to all
providers of care and to family members. It is important for staff,
family, and individuals with developmental disabilities to understand
that maladaptive behaviors may be the result of an underlying
psychiatric disorder, medical condition, side effect to medications,
communication intent or an emotional response. Some individuals may be
taught how to recognize and self report problems while direct care staff
and family members can be taught how to quantify, report, and intervene
to reduce personally destructive behaviors.
- Grief & Loss: information about the emotional consequences following a
loss is taught to direct care staff and family members enabling them to
better identify the grieving process in persons with developmental
disabilities
Individual and Group Therapy
- The Southern Illinois University School of Medicine's Division of
Developmental Disabilities is one of a few centers in the Country that
offers comprehensive therapy opportunities for people with intellectual
disabilities. The program was developed by Lark Kirchner, LCSW,
assistant professor, and has helped hundreds of individuals with dual
mental retardation and other psychiatric conditions.
- Our current funding opportunity enables limited access to the therapy
program; however, we maintain an active waiting list for those in need.
For more information regarding our Technical Assistance Program, please
contact Amy Boston MA at (217) 545-7657 or by email at
aboston@siumed.edu
|
|