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Donald M. Linhorst, PhD, MSW Professor and Director School of Social Work Saint Louis University October 2, 2012
PRESENTATION OVERVIEW
Empowerment and treatment planning defined Components of empowerment Conditions for empowerment through treatment planning Guidelines for mental health staff and consumers
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EMPOWERMENT DEFINED
Empowerment is the meaningful participation of people with mental illness in decision making and activities that give them increased power, control, or influence over important areas of their lives. (Linhorst, 2006, p. 9)
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EMPOWERMENT
COMPONENTS OF EMPOWERMENT
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Empowerment is situational
Empowerment is specific to particular activities at a specific point in time. Individuals can be empowered in one activity but not another Empowerment can increase or decease as circumstances change.
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EMPOWERMENT
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Participation Skills
The consumer possesses the skills required to meaningfully participate in a particular activity.
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Psychological Readiness
The consumer has the psychological readiness, that is, confidence, motivation, willingness to meaningfully participate in a particular activity.
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Consumer involvement in treatment planning increases the likelihood that their clients will have favorable outcomes Consumers possess information about their disability, strengths, and goals that clinicians need to develop an individualized treatment plan that is most appropriate for their clients
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Availability of Choices
The consumer has choices he or she values and sufficient information about those choices to make informed decisions about a particular activity.
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Family involvement
Should be involved when they have a genuine, constructive interest, And when the consumer agrees to it
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Having an agreed upon process for resolving consumer and staff differences Involving consumer advocates when needed to ensure consumers preferences are identified Modifying the process when consumers are experiencing severe symptoms, are deemed incompetent, or are coerced into treatment
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Access to Resources
The consumer has access to the resources needed to meaningfully participate in a particular activity.
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Supportive Culture
The culture in which the consumer is interacting in a particular activity is supportive of shared participation.
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Staff receive extensive training, technical assistance, and opportunities to discuss treatment planning Administrators develop systems to evaluate consumer participation and staff competencies related to treatment planning Administrators establish caseload sizes at reasonable levels so that staff have the time to meaningfully engage their clients in treatment planning
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CONCLUSIONS
Consciously look for opportunities to empower vulnerable consumers Be aware of the conditions for empowerment, and seek ways to ensure they are met The benefits of empowerment are extensive, for consumers, social service organizations, and the public at large.
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CONTACT INFORMATION
Donald M. Linhorst, PhD, MSW
linhorsd@slu.edu 314.977.2745 School of Social Work, Saint Louis University, 3550 Lindell Blvd., St. Louis, Missouri, 63103
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