1. Wayside House Inc. Michaelene Spence MA LADC July 14, 2011

2. Wayside House Inc. Mainstreet Collaboration Family Treatment Center Women’s Treatment Center Supportive Housing Celebrating Families DBT Relapse Prevention Inpatient Residential Outpatient Non- Residential

3. Wayside House History Overview 1954-Founder Sally DeVay opens Wayside House Homeless Shelter 1960’s-Scope changes to focus on Chemical Dependency 2005- Scope changes to add Mental Health and Chemical Dependency 2008- Changing to “meet clients where they are at”- Motivational Interviewing Initiative

4. Minnesota Model Use vs. Abuse vs. Dependence Addiction is a brain disease People relapse the same as all other diseases Keep treating people regardless of relapse-we don’t kick them out Must determine where clients are at- what stage of change

5. Stages of Change Pre-contemplation Contemplation Motivation Action Maintenance

6. Then vs. Now Then NOW Client relapses in treatment and we ask them to leave the program Client relapses in house and they lose housing. Confrontational approach to treatment Wanting clients to do it our way. We are “the expert” Client is honest about relapse- we keep them in treatment. Client relapses in housing-we set them up with supportive services. Softer approach to promoting change. Respectful of MI. Meeting clients where they are at.

7. Movement Why do we change? Impact on staff and clients Needs of clients change We obtain training on Best Practices Trends in how to help Staff beliefs change Staff resistance to change Staff relief about change Able to help more people Creating stronger relational connections Able to help people longer Clients keep coming back

8. Strategies and Interventions Relationship with Child Protection Avoiding loss of parenting rights Avoiding loss of housing Relationship with Drug Court Avoiding jail Relationship with Supportive Housing Provider Network Providing education Avoiding loss of housing

9. Future Needs Methadone Maintenance for Pregnant and Parenting Women Smaller Treatment Programs Adherence to Housing First Model “Wet” Houses