Bridger program

In , the NYS Office of Mental Health approved Commissioner's Performance Pool funding for NYAPRS to implement a demonstration project assessing the effectiveness of peer operated bridger services and supports aimed at helping individuals with long or repeat state hospital stays to make successful transitions back into their home communities.

A project design team, comprised of Drs. Edward Knight and Cheryl MacNeil and NYAPRS Executive Director Harvey Rosenthal, with input from local county mental health departments, state facility discharge staff and local community rehabilitation and peer-operated agencies, developed a model for this new Peer Bridger Project that trained and supported individuals with successful management of their mental health recovery to offer candidates for hospital discharge four primary service interventions:.

Since , NYAPRS has delivered these services to individuals and state hospitals in 5 counties, in collaboration with the following local community mental health agencies:. Albany Capital District Psychiatric Center.

Ulster Hudson River Psychiatric Center. Broome Binghamton Psychiatric Center. Queens Creedmoor Psychiatric Center. Suffolk Pilgrim Psychiatric Center. Westchester Rockland Psychiatric Center. In , OMH approved additional funds to the Project to allow for the addition of a Peer Support Specialist to each team to both expand the number of peer support meetings in each area and 2 to provide ongoing training to state hospital and community staff to raise their awareness and support for peer-supported recovery and bridger services.

Today, our Peer Bridger teams play critical roles in those facilities and in their surrounding communities. In the last eight years, we have engaged hundreds of state hospital residents in powerful personally supportive relationships with our peer bridgers that have helped many to successfully leave the hospital and make a successful and stable adjustment to the community.

Moreover, we have offered thousands of people with the opportunity to participate in weekly peer support meetings in state hospitals and in a variety of community-based settings. Finally, we have provided training in peer-supported recovery to thousands of state hospital and community staff, raising their awareness as to what is possible and their willingness to collaborate with projects like ours.

In the future, as state hospitals in the areas we operate bridger teams come to substantially reduce their censuses, peer bridger services could be transitioned into local hospitals, adult homes and correctional settings in those counties. In the several evaluation studies we have commissioned since , the Project has consistently received high marks from both service recipients and facility staff for its unique ability to effectively engage and support people to leave and successfully stay out of hospital.

The project is intended to serve those individuals who are willing to consider discharge and to voluntarily participate in the project. Trained peer bridgers engage in a peer matching process with hospital residents who have been identified by facility inpatient or discharge staff.

Increasingly, we have been matching with individuals who have self-referred themselves, having learned of the program through our facility postings or presentations or by dropping in on one of our hospital-based peer support meetings. The project has prioritized serving those individuals who have been hospitalized for long periods of time or who have had high rates of return. Typically, these residents and our teams of peer bridgers meet either at regular social get together hosted by the project at the State psychiatric centers, or at peer support meetings held at those centers.

A mutual selection process then takes place, resulting in the development of a "match" with one of our team members, the completion of a "peer agreement" specifying respective goals, roles and responsibilities and the identification of needs derived from the completion of a "skills and support inventory.

Currently, many individuals wanting to begin intensive work with a bridger frequently must go on a waiting list, since our bridgers are typically at their full capacity serving between individuals in the 15 hours a week we can provide at current funding levels.

In the meantime, all interested individuals are encouraged to immediately begin attending the Project's Peer Support meetings, which do not require either a referral process or waiting period. The Bridge Program offers institution membership to colleges and universities as well as national labs, non-profits, and educational organizations that play supporting roles in improving diversity in physics education. Any opinions, findings, and conclusions or recommendations expressed in this material are those of the author s and do not necessarily reflect the views of the National Science Foundation.

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