Category Archives: work related issues

This year: vacation

I am working harder than ever, keeping my appointments and trying to keep track of the consumers I work with. One reason why I joined my current agency was to enjoy the fruits of my labor: a vacation. Next month at this time I will have passed one year on the job. At that point I will earn two weeks of time off So I need to prepare for the idea of having nothing to do. Positively. Lounging around. Reconnecting with family. Going hiking. Visiting nationally known oddballs. since I have never had this long a time for a vacation, I figured I should ask my dedicated reader to make suggestions for what to do this year. What should I do for my vacation?

 

Shh, quiet

I work in two offices where there are a couple dozen going in and out. There are consumers, case workers, delivery people, nurses and others all about. Mondays are the most difficult. There are meetings almost every day and groups being held in the basement or upstairs. Amidst all this we write notes about the visits we have with our consumers. Some co-workers are very social. Even when I am sitting in my office with the door closed typing away they say hello or goodbye. And sometimes they are upset if I come in and go to my office without saying hello. There is paperwork to be done, calls to be made and answered and mysteries to unfold. We seek the answers to people’s behavior so that they can have a life worth living, while accomplishing the goals they have set for themselves.

I spend a lot of my time alone, in my office, and concentrating. I say little quirky things which some people understand about me. I am not the one driving down the street with the radio blasting. In fact, half the time, the radio is off. And I haven’t figured out how to work the cd player. I identify with some of the quiet people who come to me. I married a woman who respected my need to sit for hours in the quiet.

It’s not rudeness but something I understand about my personality. When I go to a noisy place like a barbershop, I rarely say much, because I don’t want to add to the din. The noise from the hour or two helps prepare me to return to my lair. Yes, one of my favorite songs was Simon and Garfunkel’s The Sound of Silence.

If one of my readers was here, we would be sitting in silence while I typed. I am the quiet one.

My biggest complaint when I lived in Vets Place Central was the noise. With 5 people stuck in a room, you can imagine how impossible it was to be alone with your thoughts. Practically anywhere I went in the building was filled with at least one other person. I escaped as often as I could.

Robyn is great

 

We had two days of Robyn Priest in Milwaukee doing a presentation last night about boundaries and ethics and then keynoting a meeting today. I had a good time networking.  At one point I remarked about the change in peer support from a few years ago. The number of providers offering peer support was relatively small and the pay was horrible. We talked a lot about how bad conditions were. Today the talk was focused on billing Medicaid, evidence based practices and collaboration between clinicians and peers.

Based upon supply and demand, it probably will not be uncommon to see people holding down a full time and a part time job. We might also find people migrating down from upstate Wisconsin to Milwaukee or Dane County where jobs are more available. The leading agency offering peer support may be TLS which boasts of having 18 peer workers.

We saw the new peer workers from La Causa  which is operating a great new program.  They will be helping to link people who use inpatient mental health services with community services to help reduce recidivism. A similar program operated by NAMI in cooperation with Grassroots Empowerment Project has done well with people using health maintenance organizations. One of the NAMI peer workers has moved on to LaCausa, which offers full and part time positions.

Talk focused on how Milwaukee County will be shifting from hospital based care to more community based help for people as it continues to shrink the size of its mental hospital. One thing that is worth noting is how recent the changes in policies and procedures leading to the peer revolution. These changes may be seen as fulfilling the promise made years ago about community based mental health in the Kennedy administration. The ideas, the funding, the science, the will and all the rest came together but there is still a long way to go. But for a fortuuntae few, the road became a lot smoother.

 

A lot of mixed emotions

The agency I used to work for has come under scrutiny lately for practices that mental health advocates and peer support specialists have found inappropriate. The agency was a powerful advocate for peer support and helped develop the model which was used to develop and train many of us. However, over the years, many of us have left due to the difficulty of working with the Executive Director, arbitrary personnel policies and low wages.

My morale fell several months ago after I learned that a complaint had been filed that caused Milwaukee County to conduct a full scale audit of the agency which contracts with Milwaukee County to offer services for mental health services.    After several failed attempts to obtain a better paying position, I finally left at the beginning of this month. In my interview I made it clear the kind of salary and benefits I was seeking. The interviewers agreed to them so readily I almost thought I should have asked for more. I’m also being given a lot more responsibility as a team member that I ever had and that feels gratifying.

I am also grateful for the relationships I developed with consumers over the years while I was working in supported apartment programs.  I understand that almost all experiences have good and bad sides to them. While I often felt underpaid and unappreciated, the consumers I assisted reminded me how important I was to their recovery.  This included the farewell celebration for me a few weeks ago. In my exit interview, I recommended that my former agency make a lot of improvements.

My suggestions included the following: 1. Raising the starting hourly wage for peer specialists to $9.25 with higher wages for certification; 2. Regular formal performance reviews;  3. Phasing in a plan to offer benefits, including paid sick time and holidays 4. Increasing opportunities for professional growth including the creation of more lead peer specialist positions . 5. Regularly posting open positions throughout the agency and greater transparency in the hiring process.

Some of the problems facing peer support specialists stem from the nature of the work locations. While it is exciting that so many units of permanent supportive housing have been created,  these environments sometimes create safety risks. There are ongoing issues of drug and alcohol abuse, theft, residents moving friends and family into their apartments and numerous incidents of former residents returning and threatening staff.

Other problems from these locations stemmed from poor personnel decisions. These was a coordinator at a supportive apartment program who was clearly having anger management problems. This person could not effectively communicate with staff or residents and was involved in several nasty confrontations. In one of my last encounters with this person, the coordinator got into a shouting match with a resident after accusing him of stalking a staff member. The coordinator told me to call the police but I refused. Eventually the coordinator left to go to a meeting.

In the weeks following the confrontation it was impossible to get a straight answer about what was going on. Was the coordinator returning? Was the coordinator fired? Was the coordinator going to be replaced? By the time I left, the position was still vacant, and the program seemed to be listing in the wind

The final issue I need to air is that sometimes the peer specialists with whom I worked were so bad, it was a wonder that they could have passed their training. One of the things these bad workers had in common was their lack of listening skills. If you’re not listening, how can you support anyone, not to mention a peer?

Those are problems were probably not addressed in the audit and so I don’t know whether they were included in the plan of correction presented by Milwaukee County.

I have been thinking about this blog and re-written it a few times. My intent was to let people know my perspective as a person who worked in peer support probably the longest of anyone with the agency.   Even though I’ve turned a chapter in my life, a lot of the old pages have a lot of meaning.

My former agency remains a key player in mental health and enjoys substantial support. We are better off than we would have been without the vision that led to the development of the permanent supported apartment programs. The sometimes out of control director wrote the proposal that led to the creation of the Crisis Resource Center. I remember walking over to the building with her son before it had opened.  And I have fond memories of Jim Hill dressed up as Santa handing out presents to the members who were crowded into the old building,a converted funeral parlor. There were plenty of unpleasant times as well, including myriad issues with the building, low morale and great financial hardship. I was threatened with firing on numerous occasions but in the end left on my own terms.

I hope that there will be substantial improvements in peer support in Milwaukee and I am part of the change.

Eagerly awaiting my first paycheck

This  week marks the beginning of my third week on the job and first paycheck. Although most of us who work in human services swear we’re not really in it for the money, we do look forward to those pay days as much as anyone else. Apparently the pay period runs roughly the same as with my former employer. Next week is  their pay day, too. It is in the pay stub where I will notice the difference. I will be seeing 80 hours at a much higher rate- slightly less than three dollars per hour more. And once I begin driving again I will easily be able to add close to $1 per hour through mileage reimbursement.

Then there are non-pay perks. As a non pay perk I received a deluxe appointment book the kind professionals use when you come to visit them. So much nicer than the less expensive one I had been using. And much easier than trying to key everything onto a telephone. It will be handy in keeping track of my notes.Later I will get a work telephone to use when I am out and about. That will be a money saver.

I have only been operating out of one office so far but I am expected to be in the second office which is a few miles away from where I have been setting up shop. I’m thinking that they will wait until I have my wheels before sending me over there.

All of my co-workers have those child protective seats so I have been trapped in the back seat on the times I have ridden with them.

My first task will be putting aside money for the down payment, something I expect will take up to 3 pay periods. Obviously it won’t be anything very fancy because no one with the agency is driving around in a Lexus. But it won’t be a Flintstone car with a cardboard sign substituting for  the license plate. Nor do I expect to have a bumper hanging on with a bungee cord like I endured many years ago.

These are things that are concerns from rejoining the working class. We love our paychecks and our jobs. Let the fun begin.