Dave Katzenmeyer Geoffrey Meyer Kris Helgeson People Incorporated Street Outreach What we do People Incorporated Street Outreach Team and Dropin Common Mental Health Diagnosis we encounter Anxiety Depression Schizophrenia BiPolar I and II and a variety of Personality Disorders ID: 730940
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Homelessness and Brain Injury
Dave Katzenmeyer, Geoffrey Meyer, Kris HelgesonSlide2
People Incorporated Street Outreach
What we do:
People Incorporated Street Outreach Team and Drop-in
Common Mental Health Diagnosis we encounter
: Anxiety, Depression, Schizophrenia, Bi-Polar I and II, and a variety of Personality Disorders.
Substance Use Disorders
: Meth use, Heroin, Alcohol, Marijuana, Bath Salts, Prescription Medication.
General Demographics of our Clients and Participants
The Intersection Between:
Mental Illness and Physical Health
Substance Use and Mental IllnessSlide3
Substance Use and Homelessness
“A common stereotype of the homeless population is that they are all alcoholics or drug abusers. The truth is that a high percentage of homeless people do struggle with substance abuse, but addictions should be viewed as illnesses and require a great deal of treatment, counseling, and support to overcome. Substance abuse is both a cause and a result of homelessness, often arising after people lose their housing.”
From National Coalition for the Homeless.Slide4
Barriers to Care for the Homeless
Have you seen my client?
Sheltered and un-sheltered clients and program participants
Making Appointments
Being available and flexible
Balancing caseloads and availability.
Needing additional time or attention
Finding the RIGHT providers
Awareness of brain injury, homelessness, substance use disorders, physical health, mental illness, trauma……..Slide5
Engagement Strategies
Taking a Person Centered Approach;
What does that mean in the Homeless Community?
Long-term Engagement
Motivational Interviewing Techniques
Engaging with Community Supports
Advocacy
Trauma Informed Care
Harm ReductionSlide6
Engagement Strategies-Long-term Engagement
LONG-TERM ENGAGEMENT
Complex situations take time
Loss of trust usually engrained over years
Common misconceptions:
People will jump at “help”
Housing will fix everythingSlide7
Engagement Strategies- Motivational Interviewing
Key Points
Motivation to change is elicited from the client, and is not imposed from outside forces.
It is the client’s task, not the counselor’s, to articulate and resolve his or her ambivalence.
Direct persuasion is not an effective method for resolving ambivalence.
The counseling style is generally quiet and elicits information from the client.
The counselor assists the client in examining and resolving ambivalence.
Readiness to change fluctuates and is affected by the interpersonal relationship with the counselor.
The therapeutic relationship resembles a partnership.Slide8
Engagement Strategies- Motivational Interviewing
Lack of Motivation and Initiative
I can’t motivate you. Only you can motivate you.
Black and White Thinking
Often the change we suggest is abstract thinking.
Argumentative
Can’t argue with yourself as easily as you can argue with me.Slide9
Engagement Strategies-Engaging with Community Supports
Building a network of help around the client/participant to better enable to “flow” of care.
Who are the Care Providers equip to help clients with Brain Injury and also experiencing Homelessness?
Learning where and how to connect client to better services.
Services and referral “telephone” to other providers to maximize effectivenessSlide10
Engagement Strategies-Advocacy
Homelessness and Advocacy
Explaining how they need help; how if may be different form others.
Brain Injury and navigating the complicated system of Community Supports and Social Services on their own.
County Services
Probation and Parole Officers
Mental health and Chemical health Professionals
How to teach our clients, ourselves, and those around us how to better advocate!Slide11
Engagement Strategies-Trauma Informed Care
What is Trauma Informed Care?
Primary and Secondary Trauma
How do our clients experience Trauma?
What different types of Trauma are there?
How do we recognize Trauma in our clients?
Complex Trauma
https://www.psychologytoday.com/blog/compassion-matters/201207/recognizing-complex-trauma
Other Types of Trauma
http://www.samhsa.gov/trauma-violence/typesSlide12
Engagement Strategies- Harm Reduction
Key Points
Accepts that behaviors are part of our world and works to minimize harmful effects rather than ignoring or condemning them.
Recognizes a continuum of behaviors from abstinence to severe abuse and that some levels of behavior are safer than others.
Establishes quality of individual and community life over abstinence of all behaviors as criteria for interventions and policies.
Calls for a non-judgmental, non-coercive provision of services and resources to people who participate in behaviors and the communities in which they live.
Ensures that people who participate in behaviors or have a history of participating in behaviors have a voice in the creation of programs and policies.
Affirms the people themselves as the primary agent to reducing harm to themselves and their community.
Recognizes the realities of poverty, class, race, social isolation, past trauma, gender, and other social inequities affect people vulnerability to and capacity for effectively dealing with harm.
Does not attempt to minimize or ignore the real and tragic harm associated with behaviors. Slide13
Engagement Strategies-Harm Reduction
Impulsive Behavior
Abstinence is not an impulse
Poor Judgment
Limited ability for long-term projection
Limited long and/or short-term memory
Risky Behavior
Limited ability for long-term projection
Limited long and/or short-term memorySlide14
Questions? Contact Us!
Geoffrey Meyer
Division Director of Homeless Services
People Incorporated Mental Health Services
317 York Ave, St. Paul, MN 55130
(651) 288-3536
Geoffrey.Meyer@PeopleIncorporated.org
Dave Katzenmeyer
Supervisor Street Outreach, Homeless Services
People Incorporated Mental Health Services
317 York Ave, St. Paul, MN 55130
(651) 228-3932
David.Katzenmeyer@PeopleIncorporated.org
Kris Helgeson, MA LADC
Supervisor Project Recovery, Homeless Services
People Incorporated Mental Health Services
317 York Ave Ste 5E, St. Paul, MN 55130
(651)228-3941
Kristen.Helgeson@PeopleIncorporated.org