Comprehensive Services for Complex Person’s
Particularly for people experiencing homelessness, substance use disorders cannot be treated apart from the concerns of the whole person in the context of their environment.
- Intra-agency working relationships; both formal and informal linkages with external organizations such as shelters, clinics, state welfare agencies, legal aid, hospitals and the Department of Corrections.
- Residential treatment for men.
- Outpatient treatment for adult men and women 18yrs or age or older.
Substance use treatment services for homeless people have been offered either in a sequential or a parallel manner. In a sequential approach, the client is treated for one problem first followed by another, often by different systems of care. For example, it is not uncommon for clients to be told they must receive treatment for their substance use disorder before they can be treated for their mental illness. The requirement for homeless people to go through substance use treatment in order to be “housing ready” is another example of providing services sequentially.
In a parallel approach, the client receives services from two or more systems simultaneously, such as receiving medical care at one site, mental health services at another, and treatment for substance-related problems from yet another agency. The effectiveness with which these services are coordinated varies; when coordination is poor clients may receive confusing or even conflicting messages, or fail to have important issues addressed.
To address the needs of homeless people, who often have co-occurring conditions, evidence from the field suggests that an integrated approach to treatment is the most beneficial for the client, wherein treatment for multiple concerns is provided concurrently in a well-coordinated manner.
At Jabez Recovery Management Services, services are provided through interdisciplinary teams that address consumers’ physical health, mental health, substance use, and social service needs concurrently.
Housing is viewed as integral to effective treatment and consequently is given high priority early in the treatment process.
- Services are physically co-located to the extent possible.
- Individual team members understand and appreciate the perspectives brought by other disciplines and are involved in various levels of cross-training. Open and regular communication is valued; differences in opinion are encouraged.
- Traditional hierarchical relationships among disciplines are diminished.
Client-centered Approach ’s
All programs provided at Jabez Recovery Management Services utilize client-centered care regardless of the treatment setting, characteristics of the client population, or the program goals. Client-centered care, in general, refers to customized individual treatment that is based on the client’s needs, wishes, capacities, and timeframe rather than on the program’s pre-determined benchmarks for client outcomes.
- Client-centered care defined; meeting the person where they’re at.
- The client is actively involved in setting goals and planning his/her own treatment program.
- Power differential between provider and client is minimized.
- Primary role of the provider is to listen carefully, help the client to identify achievable goals, and facilitate incremental steps that the client wants and is ready to take.
- The client is regarded as the expert on the client.