Philadelphia Behavioral Health Services Transformation
Practice Guidelines for Recovery and Resilience Oriented Treatment
by
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We are at a critical juncture in the history of healthcare in the United States. The recently enacted healthcare reform legislation is shifting the landscape for all health-related services. Philadelphia is extremely fortunate to be building on a long history of innovative services, and is poised to meet the challenges of this new era in healthcare. The Practice Guidelines for Resilience-and Recovery-oriented Treatment represent the next phase in the evolution of Philadelphia’s behavioral health system. They are based on the collective work and ideas of many stakeholders throughout the system. The guidelines are rooted in the voices of people in recovery and their family members, as well as treatment providers, advocates and system administrators, who together have developed a shared vision for a behavioral health system. Broad stakeholder feedback has been blended with the lessons learned from Philadelphia’s transformation efforts over the past 30 years, several exciting national trends and the empirically informed practices documented in the literature. Together these form the foundation for Philadelphia’s new practice guidelines for delivering services and supports that promote recovery and resilience.
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About the Book
Philadelphia has a long history of innovation in the behavioral health field, including the work of Dr. Benjamin Rush (1746-1813), the closing of the state hospitals in the late 1980s and the formation of Community Behavioral Health (CBH), the nation’s largest city-controlled managed behavioral healthcare organization. This document represents the next step in the evolution of Philadelphia’s efforts to create a more effective and efficient system of care. This system is based on the latest thinking in the field, empirical evidence and the preferences of the individuals and families receiving services. In keeping with the comprehensive system-transformation efforts in the health care arena, the guidelines outlined in this document are meant to help providers implement services and supports that promote resilience, recovery and wellness in children, youth, adults and families. They apply to all treatment providers and all levels of care. They are not intended to encapsulate all possible services or supports that promote recovery and resilience. The strategies in this document are examples of activities and services that providers can implement. These strategies are not intended to be a laundry list of new activities that must now be incorporated into all service settings. The suggested strategies are examples of the kinds of activities that can help organizations achieve these goals. These strategies should be modified and adopted based on the preferences, cultures and needs of people being served and the community context in which they live. The practice guidelines have direct implications for staff in all roles. They are framed by the notions of recovery and resilience. This framework should be the basis for service delivery.
About the Author
The City of Philadelphia Department of Behavioral Health and Intellectual disAbility Services (DBHIDS) provides comprehensive behavioral health and intellectual disability services through a provider network. DBHIDS is comprised of The Office of Addiction Services, The Office of Mental Health, Community Behavioral Health and Intellectual disAbility Services. DBHIDS has been actively transforming Philadelphia’s behavioral health system. This system transformation is rooted in a recovery and resilience-oriented approach. This approach supports person-directed and self-determined care that builds on the strengths and resilience of individuals, children, family members, other allies, and communities to take responsibility for their sustained health, wellness, and recovery from behavioral health challenges. IDS supports individuals with intellectual disabilities to have choices in their “everyday” lives, meaningful personal relationships, presence in their community, and dignity and respect as valued Philadelphians.