Dallas /Chicago Regional
Download
Report
Transcript Dallas /Chicago Regional
Grants Post Award Conference
St. Louis, MO
“The best thing about the future,
is that it comes only one day at
a time.”
A. Lincoln
BATTLEMIND
Buddies/Cohesion vs. Withdrawal
Accountability vs. Controlling
Targeted Aggression vs. Inappropriate
Aggression
Tactical Awareness vs. Hypervigilance
Lethally Armed vs. “Locked and Loaded”
BATTLEMIND (cont.)
Emotional Control vs. Anger /Detachment
Mission Operational Security vs.
Secretiveness
Individual Responsibility vs. Guilt
Non-Defensive (combat) Driving vs.
Aggressive Driving
Discipline and Ordering vs. Conflict
DISABILITIES
Two times the amputations of any
previous war
11-28 % identified with TBI
22% diagnosed with PTSD, could
reach 30%
Many undiagnosed for many years
Post Traumatic Stress Disorder
Exposure to an event that causes
intense horror, terror or fear of death.
After the event the person persistently
re-experiences the event, attempts to
avoid memory or images of the event
and suffers distress or impairment.
PTSD –Signs and symptoms
Sleep problems
Socially Disconnected
Restlessness
Emotionally numb
Overly watchful
Depressed/Anxious
Hyper vigilant
Memory/Attention Span
Social withdrawal
Follow through
Headaches
Poor frustration
Anger Outbursts
tolerance
Distrust of Authority
Risk taking behavior
PTSD - FACTORS
Do not want to be seen as “weak”
Survivor Guilt
Do not see own symptoms
Major event will bring to the surface
Whole body/mind disorder
Traumatic Brain Injury
Both open head injury and closed head
injuries can vary greatly in degree and
resulting damage. A closed injury tends to
be more diffuse, from swelling and bleeding
and an open injury is more focal to one
specific area of the brain. The degree of
injury is normally judged by the intensity of
the blow.
TBI - Symptoms
Physical: headaches,
dizziness, balance,
nausea, fatigue, sleep
disturbance, blurred
vision, sensitive to
light, hearing
difficulties or loss,
sensitivity to noise,
seizures, numbness,
tingling, loss of taste
Weakness in one or
more limbs, facial
muscles, or one side of
body. Difficulty
finding words, or
understanding the
speech of others,
slurred or slow speech.
TBI – Symptoms (cont.)
Cognitive
Attention span,
concentration,
memory, speed of
processing, judgment,
executive control
Behavioral/Emotional
Depression, Anxiety,,
agitation, irritability,
impulsivity,
aggressiveness,
Nervous, difficulty
controlling urges,
(uninhibited),
inappropriate laughter.
TBI – Factors
Majority are mild and gone in 3 months
No two brain injuries are ever the same
Effects are complex and vary from person to
person
In combat TBI can be either from a direct blow to
the head or
As a result of an IED
A closed brain injury is often undetected until
later
TBI and PTSD
Possible Job accommodations
“Do what you can,
With what you have,
Where you are” T. Roosevelt
VA and Mayo Clinic
Suggestions
Reduce distractions
Provide private space
Ensure adequate lighting
Divide large assignments into smaller pieces
Plan uninterrupted work time
Provide disability awareness to co-workers
Combine breaks into one long break
VA and Mayo Clinic
Suggestions
Encourage employees to walk away
Assign a mentor
Provide the availability or closed door space
Allows calls to counselors and doctors and the
time to make up the work
Allow a place for relaxation techniques during
breaks
Provide written as well as verbal instructions
Office of Disability
Employment Policy
Table 10 – Employer concerns about hiring
Costs More = 58.1%
Lack skills and experience = 49.4%
Not as Safe and Productive = 45.7&
Supervisors/disciplinary action = 44.3%
Supervisors/Evaluate = 40.7%
ODEP
Table 12 – Helpful Hiring Strategies
Employer tax credit and incentives = 69.2%
Disability awareness training = 64.3%
Visible top management commit = 64.2%
Mentoring = 63.4%
Assistive Technology = 61.1%
A specialized Recruiting force = 60%
Flexible work schedule = 60%
Train Existing Staff = 57.9%
Offender Population
Success is not final,
Failure is not fatal: It is the courage
to continue that counts
W. Churchill
PTSD/ Incarceration
And Homelessness
4/09 VHA states “1/5 of the veteran population was
homeless prior to incarceration
National Center for PTSD….PTSD can indirectly lead to
criminal behavior, i.e. self medication and hyper
vigilance.
Psychiatric services studied 129 veteran inmates and
50 tested positive for PTSD.
2008 conference of Mayors committed to the idea of
veteran court systems and training of first responders.
Offender Mindset
Self-concept
Self-knowledge
Self-efficacy
Internal locus of control
Negative beliefs or attitude
Planning and decision making
Recidivism
Bureau of Justice :
67.5% of prisoners are arrested for a new
offense within 3 years of release.
Reasons for Recidivism:
Lack of Employment
Homeless
Effective Job Search Techniques
Prepare a master application
Have a social security number and card
Have a permanent address
Record an appropriate message on your
phone or answering machine
Have resources for faxes and e-mails
Explaining a Criminal Record
Do Not Lie!
Letter of Explanation
Typical Offender Characteristics
Immaturity
Irresponsibleness
Self-centeredness
Little concern for others
Lack of remorse
Ability to “talk” themselves out of anything
Model prisoner
Communicate
Adults make mistakes
Listen to Input
Confront the Offender
Confronting Offenders
Know your authority
Do not threaten
State clear consequences
Be clear about observations and perceptions
Monitor results for accountability
Say no and follow through
Common Offender
Job Retention Barriers
Substance Abuse 68%
Transportation 63%
Lack of understanding workplace
culture 34%
Lack of meaningful support 29%
Organizational Barrier
Just the Facts
Criminal Background Checks
In most cases needs permission in writing
Arrests during last 7 years
Convictions (no matter when it occurred)
Do not have to report any records that have been
legally erased
Employers in 2001 44% always check and 18%
sometimes check. Some occupations are
required to check.
Case Management Overview
“Don’t let what you can’t do
Stop you from what you can do.”
J. Wooden
What is Case Management
Case management is the facilitation and
coordination of services at the
community level. The purpose of case
management is to provide individuals
with specific resources to take control
of his/her life. It requires the case
manager to focus on the long and short
term goals an individual has and
empower him/her to make educated
decisions about their future.
1. Case management is
comprehensive
and client centered
2. The case manager and the
client are partners
3.There is mutual respect between
clients and case managers
4. A client has only one IDP.
5. Case management relates client’s
actions to outcomes.
6. Case management involves
creative problem solving.
7. Case management relies on a
network of services and support.
8. The case manager and the
system are accountable.
9. Case management requires
partnership at the system level
EDUCATION
& TRAINING
TRANS FERAB LE
S KILLS
S OCIAL &
ECONOMIC
FACTORS
INTERES TS
Whole
Person
Concept
P ERS ONAL
TRAITS
P OTENTIAL
S KILLS
LEIS URE TIME
ACTIVITIES
P HYS ICAL
CAPACITIES
Four Step Goal Setting Process
Change the problem
statement into goal
statements
Brainstorm solutions
and options; Balance
options with reality
Four Step Goal Setting Process
Choose one or more
options
Sequence services and
options on the IDP and
establish responsibility
Criteria for Goals
Specific
Measurable
Attainable
Realistic
Trackable
~Date anything that is written
~Quote statements exactly as
stated
~Recognize pertinent
information
~Write in specific, observable
and measurable terms
~If something is an opinion, say
so
Reviewing IDPs
Summary of the assessment
information
Reviewing IDPs
State specific goals
In 2 weeks, I
will have…
Reviewing IDPs
State who is
Reviewing IDPs
Dates each step will be
accomplished
Reviewing IDPs
Client’s and case managers
Signature
Reviewing IDPs
Client should be given a copy
Reviewing IDPs
Reviewed and updated regularly
Reviewing IDPs
Can notes
be deciphered