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Jul17

Friends of McLaughlin Park

by admin-tca on July 17th, 2016 at 2:31 pm
Posted In: Uncategorized

In 2014 TandC Associates (TCA) announced the addition of Horticultural Therapy to our consultation services. This year, we have the distinct pleasure of combining our extensive experience in psychosocial rehabilitation with the practice of horticultural therapy as consultants to a beautification park program in Brooklyn, initiated by Horticultural Therapist and co-founder of The GreenWorks Team, Joyce Jed. In 2012, Joyce and another colleague set up their not-for-profit, which can be accessed at www.TheGreenWorksTeam.org for complete details of their projects. In 2014, Joyce established this Horticultural Therapy program, working with some members of a clubhouse-like program, BCS Metro Club PROS (located at 25 Chapel Street in downtown Brooklyn) beautifying the garden of McLaughlin Park, facing Jay Street, between Tillary Street and Cathedral Place.

McLaughlin Park, Brooklyn, NY

                                                                      Photo by: C. Malamud


In October of 2015, Joyce contacted Gwenn Fried, the manager of Horticultural Therapy Services Department (HTSD) at New York University Langone Medical Center — Rusk Rehabilitation, to inquire whether she knew of a horticultural therapy intern who might be interested in working with the project. Gwenn turned to this TCA partner interning at HTSD and asked whether I might be interested. This opportunity has turned into a natural progression, combining my extensive psychosocial rehab background with my HT training over the past four years.

TCA is pleased to announce that as of May of this year, we began providing consultation services in HT and community development. Sponsorship for The GreenWorks Team project at McLaughlin Park has come from both the NYC Parks Department in the form of plants, mulch, compost and access to secure locker space in McLaughlin Park, and the Partnership for Parks Foundation for staffing allotments. A caveat of the Partnership for Parks affiliation involves progressive garden activities each year. In 2014, the first year, was devoted to creating the garden project at McLaughlin Park with volunteers from the community who are members of BCS Metro Club PROS. The second year (2015), The GreenWorks Team obtained a grant for staffing to develop member Team Leaders. For 2016 (this year) for a consultant to facilitate member Team Leaders’ engaging community involvement in McLaughlin Park by joining Friends of McLaughlin Park. – in order for this beautification of the park to become self-sustaining.

Starting May 9th, 2016 every Thursday, this TCA partner conducts a 45-minute seminar with members of Metro Club, prior to then walking the short block to McLaughlin Park. Each week, the seminars cover community development how-to’s, ranging from designing a banner to place in the Park, writing blurbs for a flyer, composing e-mails to invite community volunteers who have indicated their interest in the garden when walking by; conducting role-plays of telephone inquiries as to whether targeted individuals in the community might attend a Friends-of-McLaughlin Park (FoMP) organizational meeting, writing thank-you notes to people who respond to our invitations, etc. – all with input from the members every step of the way. After the seminar, and for the next two hours, members learn about new plants, with both Joyce’s and my demonstrating the proper planting procedures. We then distribute the new plants in the garden, with members’ decisions regarding their preferences for which flowers and plants to put next to existing garden layout and making sure adequate light will be available. Next, member team leaders are paired with new members for planting and caring for the garden in general. At the end of the gardening activities, members spontaneously share comments about the pleasures of working side-by-side in the garden. One member was amazed to see an Oak Leaf Hydrangea he planted last year had not only survived the winter, but was now bearing enormous white cone shaped flowers. “It makes me feel so good to see my plant in bloom!” he stated.

Oak Leaf Hydrangea

                                                                     Photo by: C. Malamud


Throughout the week, Joyce and I also discuss plans in person and by phone, as well as working independently.  She, for example, through her affiliation with the Brooklyn Botanic Garden and the Parks Department has obtained generous donations of plants. In addition, this year, BCS Metro Club PROS has also contributed funds underwriting the costs of new plants to be planted in the McLaughlin Park gardens. Joyce has forged a great deal of community good will at her local nursery, where she purchases and loads up her car with weekly batches of new plants (Coral Bells, Ajuga, Liriope, Black-Eyed Susan’s, Coleus, Caladium, to name some).

I also work independently on creating the flyers and banner based on the member input, and design the weekly psychoeducational seminars designed for out-reach and generalizability for members’ community living skills such as the appropriate way to write Con Ed or cell phone service about a discrepancy in the bill. In addition, I conduct walkabout community outreach, dropping by offices of local business, where potential Friends of McLaughlin Park might be contacted, either directly or indirectly by leaving our flyer on display. Some of the sites I visited are St. James Church, the church next to the park; Concord Village, a 7-unit residential development with its own landscaped courtyard; CUNY – Tech; and NYU/PolyTech School of Engineering. Everywhere I have make contact, I was received cordially and everyone promised to circulate our flyer.

McLaughlin Park Garden, Jay Street, from Tillary Street to Cathedral Place

                                                                Photo by: C. Malamud
On Thursday, July 7th, after our seminar and role plays about introducing ourselves to the public while working in McLaughlin Park, two of the new member volunteers accompanied me on a community education and development activity, visiting the NYC Transit Department, located in the same building as Metro Club. All three of us were wearing our Parks Department t-shirts provided by the Partnership for Parks Foundation, and were received pleasantly by one of the NYTA officers at the front desk. Afterwards, when outside the building, I debriefed both members, who were pleasantly surprised by how positively we were received.

Our next stop was directly across Jay Street, at the Concord Village apartment complex, which has its own landscaped gardens. The doorman recognized me and waved us through to the office of the building Maintenance Office Manager. As she saw us enter the office, she called out: “Be right there!” and cordially greeted me and the two members, who introduced themselves. This time both members participated in the conversation, introducing themselves to the Manager before I inquired whether anyone from the Garden Committee for the complex might be interested in coming to see us working in McLaughlin Park now that we were having Open Garden Days every Thursday from 10:00 am to 1:00 pm. The manager was surprised that we hadn’t heard from the committee leader, who had seen our flyer in her building’s mailbox area even before the manager forwarded it to her attention. The manager then promised to extend our invitation to the tenants’ committee.  After we completed our visits, I debriefed both of the members, who were very proud of their ability to speak out about why they wanted to invite community residents to join the FoMP. The members commented: “They were so nice to us! I never knew I could speak up like that but when talking about the garden it was easy!”

As the goal of creating FoMP is to become a self-sustaining garden activity, all of us – The Partnership for Parks Foundation, the members of BCS Metro Club PROS, The GreenWorks Team and TCA – will continue to reach out to community resources to invite them to join.

FoMP Banner, located in McLaughlin Park

                                                                    Photo by:  C. Malamud

As always, we at TCA invite readership comments and feedback at either the URL below, or directed to

tandcassociates@gmail.com

We will review your comments and share them when possible.

 Comment 
Jun20

FORGOTTEN PEOPLE Never-To-Be Forgotten (A Series): Lesson 20 – Members are Keenly Interested in Program Evaluation

by admin-tca on June 20th, 2016 at 5:19 pm
Posted In: Uncategorized

In 1964 I was interviewed for a job at Fountain House by Assistant Director Jim Schmidt. I responded to his question of what I was looking for in a job by saying that I was very interested in working with those suffering from mental illness in a community setting, not a hospital. Further, I wanted to be involved in program evaluation of outcomes of such community programs. I felt, however, that I needed to first get “my feet wet” in program before turning to research. That was certainly a presciently ironic phrase as I was hired to work in at a carwash with a group of members there on transitional employment.

It so happened that after three years in various program activities including two carwash locations, an evening hour group placement on the Ideal Toy Company assembly line and the small business project that a new direction opened up. The then Research Director moved on to a university position at the same time that an NIMH research grant period was coming to an end and a final report was needed. John Beard asked if I would be interested in helping him do the final data analysis and report preparation. This was a dream come true, however I had one request – that members would be needed to help in this effort. Beard immediately agreed and the result was the initiation of a new program unit. This then was how I first met Thorne, Jill, Maria, Kathy and a whole cadre of others who became interested in research.                                                              Photo by:  J. Confino

Thorne had a graduate degree in Psychology and was an expert on the use of statistics. This expertise was brought to bear in analyzing the data collected for the NIMH study. That was his gift to Fountain House. In turn, we were able to help him return to a lucrative job as a programmer for a University-based research project.

Jill was an early participant in the newly created research unit, where she put her clerical skills to good use on the donated IBM keypunch and card sorting machines.

Kathy also was successful on several TE placements and obtained a full-time job at a law office library. While working, she completed Social Work school and with an MSW was able to secure a job at a Project Renewal residence.

Kathy also has been called on to provide peer review for several articles submitted to the Psychiatric Rehabilitation Journal. She served on the Fountain House Unusual Incidents Committee that reviewed consumer complaints.

One anecdote bears relating in reference to our success in conducting long-term follow-up. In collecting data for subjects in the original NIMH study, we obtained 9-year information on over 95% of the 352 Experimental and Control subjects. For the one person whom we were unable to locate, we scanned the original application form indicating his contact person as his father. On the application the father’s telephone number was at a public school in Queens. In calling the number we were informed that the father had retired from his position in the athletic department of the school and in checking the Queens telephone directory, no such person was listed.

Combining our brains, we surmised that the father, being a retired coach from Queens, might have just moved to Port St. Lucie, Florida, Spring time home of the NY Mets baseball team. We checked that area’s telephone directory and sure enough the father’s name was found. We called him and found that his son was doing well, living on Long Island, and he was pleased to give us his telephone number. We reached the son and were able to obtain the required information.

The research studies conducted at Fountain House documented three important findings: 1) psychiatric hospitalizations, while not eliminated by aggressive rehabilitation services, are greatly reduced and occur less frequently; 2) rehabilitation is a long-term process; and 3) members help obtaining more accurate and complete results,

John vividly illustrates these findings:

In the winter of 1968 I had a nervous breakdown and was hospitalized at Bellevue, the receiving hospital in New York City. I was subsequently transferred to a private hospital. Though the treatment I received there was far more humane, it fell short of what I needed to achieve a full recovery and to resume my college education immediately. In addition, at the time of discharge, no provision was made for any kind of follow-up care, such as therapy, halfway house or community based rehabilitation facility. I was told that there was nothing more the hospital could do for me, that I had to rely solely on my own resources.

Following a year of working and going to school part-time, I returned to college, but upon graduation I was faced with the same problem of what to do. For a year and a half, I drifted through a succession of jobs, lasting a few weeks or so, never making a real first start. Eventually I was rehospitalized. This time I received excellent treatment and was discharged in a reasonably short period. Most importantly, I was referred to Fountain House by a staff social worker, whose description of the employment program persuaded me to become a member. Over the next four years I participated in all aspects of the rehabilitation program; I did volunteer work in the prevocational day program, lived in a Fountain House apartment and worked on three jobs provided through the program of transitional employment…. Then I got my own full-time job as a paralegal with a small New York law firm, where I worked for a year. I (then was) employed by Fountain House.
.
Maria joined the Research Unit where she became active in helping with a number of the on-going research projects. She proved a valuable contributor in gathering follow-up data on a study documenting the replication of the TE model with some 100 programs located throughout the nation. This project was actually under the supervision of Horizon House in Philadelphia (Irving Rutman, Principle Investigator). The Final Report acknowledged her important role in the project.

The most basic lesson concerning research that I learned from these years of experience is that while most mental health research is directed at measuring pathology or the degree of its absence, there is as much to be gained by focusing on the degree of health or wellness that an individual is attaining. To determine what the level of this positive outcome is over time, we developed an instrument that recorded major changes in a person’s level of community adjustment. This instrument became known as COCA (Categories of Community Adjustment). COCA consists of the following 10 major identifiers or categories of community involvement:

1. Independent Employment
2. Transitional Employment
3. Daytime psychosocial rehabilitation involvement
4. Other rehabilitation or educational training program
5. Miscellaneous activities – vacation, family and home responsibilities, retirement
6. Physical illness, either hospital or homebound
7. Psychiatric hospitalization
8. In community but isolated and uninvolved in any formal activity
9. Deceased
10 No information, lost

Data collection consists of following individuals as they progress from a starting point, typically the day they start at Fountain House – thus being recorded in Category 3. Each time there is a change in category the date and category number are recorded. For purposes of validation, if after each 30-day period no change has occurred that date is also recorded.

If an individual occupies more than one category at a time the lower numbered category is to be recorded. Thus, for example, if one is independently employed and also attending Fountain House, the employment category is considered most descriptive of community status. Likewise, if one is psychiatrically hospitalized but also attending Fountain House during the day, Category 3 is selected as most descriptive.

One of the happier aspects of utilizing this instrument is that members are very much involved in data collection because among other things the information is both public and informative. Members can see that the results can be meaningful to them personally as well as significant to society in general. This can be seen in the table below, summarizing of data collected on 140 members over an 18-month period following their intake into Fountain House:

Adjustment Category at the End of 6, 12 and 18 Months

                                                       6 Months          12 Months            18 Months
Adjustment Category                      N         %            N         %              N          %
1. Independent Employment          5        3.6          11        7.9            23      16.4
2. Transitional Employment           88      62.9         71       50.7           54      38.6
3. Fountain House                        33       23.6        29       20.7           24      17.1
4. Other Rehab or Education         3         2.1         13         9.3          10          7.1
5. Miscellaneous                            0           -             0          –              0             -
6. Physical Illness                          0          –             0          –              1          0.7
7. Psychiatric Hospitalization          2         1.4           3        2.1             3         2.1
8. In Community – isolated             7         5.0           9        6.4            17       12.1
9. Deceased                                   1          0.7          2        1.4             2         1.4
10. Lost                                          1          0.7          2         1.4            6          4.3
Total                                           140     100.0       140       99.9         140       99.8

While these data were collected some 25 years ago (1981), they underscore the point that such information is of great interest to both members and the general mental health field. At the end of 18 months, 55% of members were employed either on independent jobs or transitional employment placements. An additional 7.1% were in school or other rehab programs, and only three members were in hospital. Of special interest from a research standpoint was the fact that through member contact we obtained 18-month outcome information on 136 of the 140 members (or 97.1% of the study population).

Readership comments are most cordially welcome at the URL below or by writing to
tandcassociates@gmail.com
We at TCA maintain editorial rights over feedback, discussions and comments.

 Comment 
P1060196
Mar12

Visit to Pioneer Clubhouse, Sydney, New South Wales, Australia

by admin-tca on March 12th, 2016 at 2:17 pm
Posted In: Uncategorized

For many January 12, 2016, was just another post-holiday day.  For us at TCA, however, it was special as it was the day we visited Pioneer Clubhouse in Balgowlah (a suburb of Sydney), New South Wales, Australia.  As first-time visitors to Sydney, we discovered that many of its suburbs are islands in the Sydney Harbor, and so we enjoyed a tour or the Harbor while taking the commuter ferry to Manly Beach.  It being a beautiful summer day we walked from our Manly Beach apartment rental to Pioneer House, arriving at 10:00 am.  The clubhouse is located in a lovely residential area directly across the street from a golf course.

We walked in the nearest entrance, which as it turned out was not the main entrance but the Kitchen Unit exit.

Pioneer Clubhouse – first view

We were greeted by Karina, one of the Kitchen Unit members, who then led us through the Dining Room into the rest of the clubhouse.

And who wouldn’t love to work side-by-side with Pioneer Clubhouse members in this Kitchen Unit??

Opposite the Kitchen-Dining Room counter, we were impressed with the hanging of culinary-themed woodcuts.

We started a tour with Nicole Buckland, Operations Coordinator, and also met with Jason Kioko, the Director of Pioneer Clubhouse.  He informed us that he had been at Fountain House for Colleague Training in the 1990’s.  Following his clubhouse training, Jason worked in a clubhouse in Torrington, CT followed by a five-year stint as Director of a Clubhouse in Colorado before responding to a notice of a leadership opportunity at Pioneer Clubhouse,in 2005.

During our meeting with Jason, we learned that the site was originally an outdoor women’s bowling club.  The first priority of the program was therefore to enclose the lanes, installing air conditioning, establishing both clerical and education-employment units, and delineating office space for the director as well as a meeting room placed near the main entrance.  The building was further expanded by the addition of the kitchen-dining room with 20’ ceiling and windows, perpendicular to the Clerical and Education-Employment Unit. Board.  The results were a very attractive clubhouse setting, as seen in the photographs below:

Pioneer Clubhouse Entrance-way proper

Outside the main entrance is a beautiful garden area with many plants growths, and signs reading “Safe”, etc.

Signage guiding us to Pioneer Clubhouse Reception

The Reception area faces out on the deck and garden areas, inviting all inside with warm greetings.

The Indoor-Outdoor Reception Area

There is also a coop for Rhode Island Red chickens that lay 4 eggs a day (most of the time!), used by the Kitchen Unit for as part of the nutritious meal plans.

These Clara Cluckers have free range of the clubhouse grounds

And a greenhouse flanked by several raised garden beds for growing herbs, tomatoes and other vegetables for the Kitchen Unit menus– all of which are the makings of a Horticulture Unit.

The Greenhouse and Surrounding Raised Beds

Nearby, a ways off from the Chicken Coop and organic gardens is a little house for clinical services, including a clinical psychologist. for ease of access and crisis prevention.

One of the diverse activities members can do any time of the day is watering the plant beds in the large Pioneer Clubhouse garden.

Even in 100 degrees F this shade tree provides shelter and cool respite

At the conclusion of our meeting, Jason was very pleased to share that Pioneer Clubhouse had just received a conditional 3-year certification from Clubhouse International, pending the development of an Advisory Board for which he was preparing to hold a meeting at 3:00 pm. When he learned that we had set the whole day aside for our site visit, Jason invited us to join a meeting with members on the Advisory Board and the Chair of the Advisory Board, which we immediately accepted.

We were invited to stay for lunch and spend time chatting with members and other staff.  We met several members – Brandon, Marco, and Jane (a writer who has many pieces for clubhouse publication).   Another member was quietly studying a book on Art Nouveau which he gladly described to us. Following these conversations, we had some lunch – a hearty lentil soup with fresh fruit and coffee or tea — while chatting with another member, Clinton, and Brandon joined in.  After lunch we walked and talked with members and staff some more, while relaxing under the enormous native shade tree in the courtyard, where another member was watering plants.  Shortly thereafter, an Art Group gathered, and we saw some excellent water colors, wood cuttings and lithographs depicting local flowers and birds.

Just before 3:00 pm, Jason shared with us the agenda of Advisory Board being held that afternoon in preparation for a January 20th Advisory Board workshop for the purpose of developing its Mission Statement. Then the Advisory Board meeting convened promptly, led by Jason and Doug Miller, Advisory Board Chair, with Clinton and another member Simone, and the Clubhouse Operations Coordinator Nicole Buckland actively involved.  Key to the discussion was the question of core clubhouse values. The meeting concluded with the consensus that relationships among members and staff was the most important core value.  We, TCA, then utilized the walk back to Manly Beach to debrief ourselves and impressions before going for a swim and dinner, topping off our day at Pioneer Clubhouse.

We thank the Pioneer Clubhouse members and staff for their warm hospitality and look forward to hearing more progress.

Readership comments are most cordially welcome at the URL below or by writing to

tandcassociates@gmail.com

We at TCA maintain editorial rights over feedback, discussions and comments.

 

 Comment 
Jan24

Update from TandC Associates, LLC

by admin-tca on January 24th, 2016 at 7:18 am
Posted In: Uncategorized

Over the past year, our readership might have noticed some pauses between postings, for which we wish to express our sincere apologies. One of the partners of TCA has been engaged in a rigorous internship as a Horticultural Therapist at the NYULMC/Rusk Rehabilitation – Horticultural Therapy Services Department, as a result of which we are announcing the publication of an article, “Protocols for Plant-Cart Horticultural Therapy,” in the JOURNAL OF THERAPEUTIC HORTICULTURE, Volume XXV, Issue 2 (December 2015), pp. 20 – 31.

Readers may peruse the complete article by clicking on the link below:
open edition http://static.ahta.org/epub/Journal-of-Therapeutic-Horticulture-Volume-XXV-Number-II/index.html#?page=20

The Journal of Therapeutic Horticulture is the official publication of the American Horticultural Therapy Association (AHTA), and all of its publications are copyright protected.

TCA invites readership comments and feedback on this article at our website at the URL below, or by contacting us directly at

tandcassociates@gmail.com

└ Tags: Horticultural Therapy, Horticulture, Horticulture Activities, Rusk Rehabilitation HTSD, Well-Being
 Comment 
Dec15

Visit to NorthStar Clubhouse

by admin-tca on December 15th, 2015 at 12:08 pm
Posted In: Uncategorized

On Thursday, October 8th, I had the good fortune to visit NorthStar, a clubhouse located in Portland, Oregon. TandC Associates, LLC had dual activities in Portland: Ciri was in Portland to attend the annual meeting of the American Horticultural Therapy Association (AHTA). Because of the AHTA meeting’s being held in Portland this year, because I had known Bill Waters, the director of the clubhouse, when he participated in the 41st Colleague Training program at Fountain House (FH), it was only natural to schedule a site visit.

What a gift it was to arrive at noon to walk into a brightly lit, very clean street-level gathering place. About 30 members and staff welcomed me. After Nancy greeted me, she told me that Bill was in a meeting with the Advisory Board Chair. When I asked Nancy how she became involved with NorthStar, she replied that after working at a couple of jobs in the community, she was seeking a new opportunity, and was totally taken with the atmosphere of NorthStar when she visited. She was hired some six months ago. Several members and staff came over and introduced themselves, including a member with a guitar who said that later he would be performing the clubhouse song. The Employment Consultant, Dennis, introduced himself as having also been a colleague trained at FH.

The main room of the program was filled with members and staff sitting and waiting to hear from me. Bill and the Advisory Board member came out of their meeting and after a big hug, Bill called for the conversation to begin. Lunch was also served (a paper bag lunch of sandwich, crackers, and chips). Bill asked me to provide an introductory statement about how the clubhouse movement began, which I am always glad to provide.

Members then asked questions and in doing so also described how NorthStar had changed their lives.

Alice described how she had been helped, and asked how new activities were developed. I described how the Research Unit at FH had been developed as a new way for interested members could get involved in the program.

Another member told about how the opportunity to participate in a Transitional Employment (TE) placement has provided him a sense of dignity. Dennis asked how Supported Employment (SE) opportunities came about at Fountain House. I described how SE easily became available as a next step for those having successfully completed a TE.

Questions were asked about the role members play in hiring staff and intake new members.

Cheryl asked about FH’s view of the GLBT issue for intakes. I replied that anyone who had a major mental illness could become a member regardless of sexual orientation.

Bill asked for me to describe some of the unusual staff at FH over the years (Esther, Bob Harvey). After about an hour and a half, the meeting ended with Steve leading the singing of “Together We Thrive”, the clubhouse motto.

Following that Cheryl gave me a tour of the program, including the soon to be completed expansion which includes a large Culinary area, a conference room and more. She also described how the program has saved her life, as she has become a peer advocate, and will soon be working full time at the program where she had a participant before NorthStar.

Susan, the Advisory Board Chair, asked my opinion as to what were the most significant core values that distinguished the clubhouse. In response, I identified the notion that individuals with mental illness are people first and are members of a unique clubhouse, to which people become eligible by virtue of their mental health recovery. The clubhouse is based on the importance of self-help through mutual help, something which is best summed up by their motto of “Together We Thrive”. In addition, the belief that hope is essential; that the clubhouse will help everyone attain their highest ambition or goal; and that no goal is beyond attainment.

In conclusion, I will say that that Portland is a must-see community. In addition to the city itself, the scenic area of the surround, and the people, for us in the clubhouse movement, I heartily recommend a visit to the genuine Clubhouse Community of NorthStar.

Readership comments are most cordially welcome at the URL below or by writing to

tandcassociates@gmail.com

We at TCA maintain editorial rights over feedback, discussions and comments.

 Comment 
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Recent Posts

  • Friends of McLaughlin Park
  • FORGOTTEN PEOPLE Never-To-Be Forgotten (A Series): Lesson 20 – Members are Keenly Interested in Program Evaluation
  • Visit to Pioneer Clubhouse, Sydney, New South Wales, Australia
  • Update from TandC Associates, LLC
  • Visit to NorthStar Clubhouse

Recent Comments

  • Deborah Malamud on Exclusion vs Opportunity – Part III: Socialization
  • Mark Glickman on Exclusion vs Opportunity – Part III: Socialization
  • Mark Glickman on ADVOCACY IN THE CLUBHOUSE – Welcoming Members with HIV+/AIDS
  • Mark Glickman on Exclusion vs Opportunity – Part I
  • Mark Glickman on The Clubhouse and Wellness Partnership

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