(collaborative) HELPING
Respect ● Connection ● Curiosity ● Hope
Psychiatry
Supportive Services
Counseling
Integrated Care
Supportive Housing
Integrated Services of Appalachian Ohio
Employment
William Madsen, Ph.D.
Founder and Director of the Family-Centered Services Project
Bill provides international training and consultation regarding collaborative
work with families. He assists community and government programs to
develop institutional practices and organizational cultures that support
family-centered practice. Bill has spent his professional life straddling the
down and dirty world of frontline, public sector practice and the exciting,
but more esoteric world of family therapy theorizing. He has developed
and currently consults with numerous innovative home-based programs.
He has written numerous articles and is the author of Collaborative
Therapy with Multi-Stressed Families (2nd Edition). In 2013, Bill was
awarded the American Family Therapy Academy’s Distinguished
Contribution Award for Family Therapy Theory and Practice for work
largely related to the most recent book.
Kevin Gillespie, RN, MHSA, Executive Director
Integrated Services of Appalachian Ohio
Kevin has many years of experience combining direct service, system
development and administrative management, mostly throughout the
Appalachian region of Ohio. He is a registered nurse with much of his work
focused on creating collaborative solutions with partners across health and
human service systems and in alliance with therapeutic, housing and
employment professionals. Related to his responsibilities as Executive Director of
Integrated Services and through recent involvement with an array of healthcare
reform ventures, Kevin is exploring themes of social innovation to reframe a
sustainable local network approach to build a strong home and community
dimension for person centered health homes. All of his consulting, teaching and
system design work is grounded in a deep appreciation for the ageless cultural
knowledge associated with everyday helping.
Kevin Gillespie, RN, MHSA, Executive Director
Integrated Services of Appalachian Ohio
Kevin has many years of experience combining direct service, system
development and administrative management, mostly throughout the
Appalachian region of Ohio. He is a registered nurse with much of his work
focused on creating collaborative solutions with partners across health and
human service systems and in alliance with therapeutic, housing and
employment professionals. Related to his responsibilities as Executive Director of
Integrated Services and through recent involvement with an array of healthcare
reform ventures, Kevin is exploring themes of social innovation to reframe a
sustainable local network approach to build a strong home and community
dimension for person centered health homes. All of his consulting, teaching and
system design work is grounded in a deep appreciation for the ageless cultural
knowledge associated with everyday helping.
William Madsen, Ph.D.
Founder and Director of the Family-Centered Services Project
Bill provides international training and consultation regarding collaborative
work with families. He assists community and government programs to
develop institutional practices and organizational cultures that support
family-centered practice. Bill has spent his professional life straddling the
down and dirty world of frontline, public sector practice and the exciting,
but more esoteric world of family therapy theorizing. He has developed
and currently consults with numerous innovative home-based programs.
He has written numerous articles and is the author of Collaborative
Therapy with Multi-Stressed Families (2nd Edition). In 2013, Bill was
awarded the American Family Therapy Academy’s Distinguished
Contribution Award for Family Therapy Theory and Practice for work
largely related to the most recent book.
Our time together today
Everyone in health & human services either is now or
soon will be busy preparing for a future of integrated
primary care and for some version of person centered
health homes. There are so many changes to be made.
We will begin to shift our emphasis away from disease
toward supporting health. We will also start to reduce
use of fee-for-service as a way to pay for and be paid
for services. Many confusing changes are on our
horizon, ready or not. It probably makes sense to start
now with an incremental step-by-step approach.
Things to Think About
Patient Centered Medical Homes (PCMH)
Person Centered Health Homes (CARF term)
Medical Neighborhoods
Accountable Care Organizations (ACO)
National Committee for Quality Assurance (NCQA)
Electronic Health Record (EHR)
Meaningful Use
(collaborative) HELPING
Respect ● Connection ● Curiosity ● Hope
Four Cornerstones of Collaborative Helping
• A principle-based approach helps with service design at every
level to make sure that care is person(al) centered and that
cultural knowledge is as important as evidence based practice.
• Relational stance becomes “the main thing” so that care providers
relate to people as partners in a helping relationship.
• Telling and listening to life stories told by people we serve along
our many diverse pathways of care and support is maybe the
most important service we can do. We call this “walking & talking.”
• We invite the telling of life stories in a mindset of respectful
curiosity. All this requires a subtle kind of discipline.
The trick is to make the pivot away from being a
percieved expert to become a trusted ally
Helping may be in many ways an intuitive process,
but good and effective helping is made easier with a
practical framework to organize our best intentions.
Collaborative Helping maps are used to frame all of
our service design and operations, from fully
integrated health homes to specialty behavioral care
and everything in between and beyond.
(collaborative) HELPING is drawn from both
evidence-based practice and real life stories told
about helping relationships by people from
across the nation & around the world.
(collaborative) HELPING does draw from
Motivational Interviewing, Narrative and SolutionFocused Therapies, Appreciative Inquiry,
Multisystemic Therapy, Wraparound and Signs of
Safety (from child welfare).
And understanding that substance use
(at every level of use) is an important health factor
for a good many people, we blend everyday ideas
about Harm Reduction into our broad
(collaborative) HELPING approach.
But the familiar kind of (collaborative) HELPING we
do everyday has as much to do with the knowledge
of families, neighborhoods, community and culture
as it does with science or evidence based practice.
Both are very important and work best together as
parts of a holistic principled framework.
Often called “case management” or some other
generic term, home and community supportive
services occupy a place of critical importance in
most all public behavioral health and human service
systems in one way or another.
Now, home and community work is emerging
as a potentially important feature of person centered
health homes. They are increasingly identified as
community health workers.
So we use a framework of Collaborative Helping
to think about a “patchwork quilt” of diverse home
and community health related assets to be
combined with clinical services to support whole
person wellness and to promote healthy
neighborhoods & communities.
Vision
Obstacles
Plan
Supports
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EHR can be cool and meaningful use pays, but …