CRA's Key Areas of Service, Training, & Consultation

Selected Presentation and Consultation Topics of

Michael A. Mayer, Senior Partner, CRA
mikemayer@craconferences.com
Selected Presentation and Consultation Topics of

Derrick F. Dufresne, Senior Partner of CRA

cra@aol.com
Most Recent Presentation Topics
  • Alternative Service Models: Helping People Get Real Lives
  • Balancing Choice, Health Care, Safety & Crisis Responses
  • Best Practices in Dual Diagnosis: An Introduction to the Mental Health Issues for People Who Have Intellectual Disabilities
  • Beyond Medication, Isolation and Restraint:
    Building Community Crisis Supports
  • Building Wrap-Around Community Supports to Prevent Institutionalization
  • Coaching Your Staff to Excellence
  • Crisis Prevention and Intervention:  Who is in Crisis?
  • Crisis Services Crisis: It’s Not Too Late for an Intelligent Response
  • Developing and Implementing Person Centered Plans of Crisis Response: Integrating a Comprehensive Local Approach
  • Developing Basic Skills for Direct Support Staff
  • Dual Diagnosis + 1:  Substance Abuse in
    People with MH and I/DD Diagnoses
  • Family and Consumer Self-Governance Approaches
  • Implementing Person Centered Crisis Supports
  • Improving Services and Results:  Evidence Based Interventions
  • Introduction to Cognitive and Related Disabilities
  • Introduction to MH Needs for People with I/DD:
    "Which Side of the Hyphen Are You On?"
  • Issues in Service Delivery/Policy/Planning/Coordination
  • Person Centered Thinking
  • Person Centered Planning
  • Preventing and Managing Crises in the Community
  • Refining Crisis Services
  • Rethinking Training for the 21st Century: Critical Workforce Issues
  • RSVP: Reciprocal Supports for Valued People
  • Solving the Staffing Crisis
  • So You Are A Supervisor of Supervisors…
  • Supervision for New Supervisors
  • Supporting Friendships and Other Natural Supports
  • Supporting People Who Use Atypical Behavior as Communication
  • The Development of Community Based Crisis Services
  • Value Based Care Giving
  • Workforce Development in Human Services: Avoiding More Failures
Administration & Management
  • Coaching for Excellence
  • Empowering your Staff to “Do the Right Thing”
  • Improving Staff Quality, Safety and Retention
  • Legal and Ethical Issues of Service Delivery                                       
  • Local Management Entity and Provider Partnerships
  • Responding Well in Changing Times
  • Supervision for New Supervisors
  • Teamwork
  • Management Training
Dual Diagnosis
  • Addressing Mental Health Needs of People Who Have Cognitive Impairments
  • Advanced Issues in Dual Diagnosis
    (includes DSM IV and Other Diagnostic Issues)
  • Best Practices in Dual Diagnosis Services
  • Bipolar and Other Mood Disorders                                  
  • Borderline Personality Disorder
  • Co-occurring Disorders: Integrating Treatment
    to Make Success a Reality
  • Dealing With the Emotional and Behavioral Issues
    of Persons Who Have A Dual Diagnosis
  • Designing the Unified System for People
    Who Have DD and MH Needs Diagnosis
  • Dual Diagnosis: Advanced Issues and Practices
  • Dual Diagnosis: Community Service Issues
  • Introduction to Dual Diagnosis
  • Introduction to MH Needs in People with I/DD 
Crisis & Emergency Services
  • Crisis Prevention and Management
  • Dealing With Degrees of Crisis: What’s Rational?
  • Developing Crisis Service Options
  • Mobile Crisis Services
  • The Crisis Services Crisis
Individual Assessment
  • Assessing Axis IV in People Who Have I/DD
  • Assessing Essential Motivation, Tension, and Resistance
Individual Clinical and Other Special Needs
  • Advanced Non-Aversive Behavior Supports          
  • Aggression and Self-Injury Among People Who Have MR  
  • Anxiety and Related Disorders                                        
  • Attention-Deficit Hyperactivity Disorder                           
  • Autism and Other Pervasive Developmental Disorders      
  • Changing Inappropriate Sexual Expression:
    Clinical and Practical Considerations
  • Cognitively Impaired Offenders:  What is Safe?  What is Smart?
  • Effective Communication With Consumers
  • Fetal Alcohol Syndrome
  • Growing Not Getting Older
  • Healthy Sexual Behavior
  • Human Sexuality for People Who Have I/DD
  • Introduction to Psychopharmacology and Pharmacokinetics           
  • Introduction to Therapeutic Behavior Issues and Interventions      
  • Issues Associated with the Aging Process
    in People Who Have I/DD
  • Learning: The Process
  • Personality Disorders                                                     
  • Post-Traumatic Stress Disorder
  • Prader-Willi Syndrome                           
  • Psychosocial Stressors: What to Do?
  • Psychotropic Medications: An Overview for Non-Medical Personnel
  • Schizophrenia and Other Psychotic Disorders                   
  • Seizure Disorders: Causes, Effects, and Responses                      
  • Stress and Anxiety in People Who Have I/DD
  • Substance Abuse Treatments for People
    Who Have a Dual Diagnosis (SAMIR’s)
  • Tourette Disorder
Intervention/Treatment/Programming
  • Acuity of Need: Knowing What To Do First
  • Behavioral Support Plans
  • Community Supports: Integration Considerations
  • EBBT: Experience Based Behavior Therapy
  • Embracing Family Support
  • Frontal Lobe: How to Avoid Being Theirs
  • Intensive Therapeutic Community Services
  • Interdependent Collaboration:
    Reconciling Person Centered Planning with
  • Introduction to Ethical and Therapeutic Interventions
  • Introduction to Non-Aversive Behavior Support Strategies
  • Issues and Application for Inclusion and Friendship Training
  • Legal and Ethical Issues of Value Based Support
  • Making Person-Centered Planning Work with Limited Resources
  • Non-Aversive Behavior Supports
  • Person Centered Thinking
  • Person Centered Planning
  • Recognizable Psychological Issues to Be
    Addressed for Individuals Who Have I/DD
  • Recovery from Sexual Abuse for People
    with Developmental Disabilities
  • Relaxation Training and Other De-Escalation
    Techniques for Persons with I/DD
  • Rights & Responsibilities / Choices & Consequences:
    The New Skill Domains
  • RSVP: Reciprocal Supports for Valued People
    (friendship and other relationships)
  • Self Determination
  • Understanding and Supporting People who have Atypical Behavior

I/DD
  • Intellectual Disability: Causes, Effects, and Responses      
Issues in Service Delivery/Policy/Planning/Coordination
  • Addressing Legal and Ethical Issues of Support
  • Best Practices in Community Services
  • Blending and Coordination of Services
  • Building for the Future
  • CAPE: Cluster Analysis, Planning and Evaluation
  • Case Coordination and Case Management
  • Community Safety Nets for Individuals with Developmental Disabilities in the Community
  • Community Services: What’s Next?
  • Contingency Plans for Failed Community Placements
  • Depressive Disorders                                        
  • Designing Services for People Who Have MR and Borderline Personality Disorder
  • Effective Consumer Based Planning
  • Effective Cross Agency Planning and Service Delivery
  • Ethics for Providers
  • Future of Services
  • How Will Providers Protect Your Rights?
  • Implementation of Intensive Therapeutic Community Services
  • Implementing a Competency Based Support System
  • Improving Self Determination Efforts       
  • Individual Functional Support Model
  • Institute Assessment of Essential Motivation, Tension and Resistance: Making Data Work
  • Inter-Agency Community Services for People
    Who Have A Dual Diagnosis
  • Introduction to Service Concepts
  • Life Coaching
  • Person Centered Thinking
  • Person Centered Planning
  • Safety Nets for People Who Have a Dual Diagnosis
  • Spirituality and Sexuality: The Last Taboo’s
  • Stealth Behavioral Health: Integrating Community Supports
  • Stealth Mental Health: The Secrets of Effective
    Therapy for People Who Have a Dual Diagnosis
  • Therapeutic Community Supports
  • Value Based Care Giving                        
  • Valued Lives and Valued Options
  • Working Effectively with Medical and Mental Health Personnel
  • Working with Families
Staff Development
  • Coaching for Success
  • Cost-Effective Training
  • Effective Training
  • From Enthusiasm to Punishment in 5 Easy Steps: Stress Management
  • Issues and Application for Direct Service Personnel
  • Six C Skills of Professional Masochists (motivational/stress management)
  • Staff Stress and Coping Strategies                       
  • Stress Management for Human Services Professionals                  
  • Thinking Differently
  • Time Management
Management/Leadership
  • Sheep Are Managed, People Are Led.  Building a values-based organization
  • The Productivity Chain.  Linking job description, work plan and employee evaluation.
  • Managing Time Rather Than It Managing You.  From “busy” to “productive”.
  • Facilitation.  How to get people to talk to each other rather than past each other.
  • Avoiding Titanic Management.  You might have rearranged the desk chairs to get a better view, but you forgot the ship was sinking.
  • Keeping Your Eyes on the Prize.  The importance of mission, vision and values in the strategic planning process.
  • From Pilots to Navigators.  A professional journey from continuum to self-determination.
System Issues
  • Building a Bridge to the Future.  What to do before the cliff and after the fall from transition to adulthood.
  • No Place Like Home.  Developing affordable integrated housing options for people with disabilities.
  • Changing the System One Person at a Time.  If you don’t know what to do, do something!
  • No More Queen for a Day.  Lead, follow, or get out of the way.
  • Slaying the Developmental Dragon.  Moving from a system of facilities and readiness to supports and urgency.
Person/Individual Related
  • Client or Citizen?  The difference between being “in the community” and “of the community”. 
  • Keeping the Person in Person-Centered Planning.  The difference between “important to” and “important for”.
  • Quality or Compliance.  The difference between having a program and having a life.
  • I Am Smart.  Understanding learning styles to minimize the focus on disability.
  • Can’t Buy Me Love (Oh, Yes You Can!).  The role of money in friendships and relationships.
  • The Role of Work in Promoting Community Membership for People with Disabilities.  Minimum wage means minimum wage.
  • The Visioning Process for People with Dual Diagnosis.  Beyond the walls of flesh.
  • If It’s My Life, It Must Be My Plan.  The difference between person-centered planning and system-centered planning.
Planning for organizational change. 

CRA provides consultation and training to boards, agencies, and others interested in organizational change. This has included:
  • The downsizing and closing of large residential facilities;
  • The conversion of a facility-based model to a support model, and
  • Strategic and long range planning.
Housing and financing strategies.
  • Downsizing and disposal of residential facilities
  • Arranging financing for apartments, single family homes, duplexes, etc.
  • Securing rental subsidies such as Section 8 vouchers and independent group residences and home ownership certificates
  • Securing developmental subsidies such as the low income housing credit, community development block grants and other funding mechanisms that make regular housing in the community affordable and accessible for people with disabilities.
  • Maximizing community resources to make housing affordable for people with disabilities.
    Individual consultation and support for families
and people with disabilities.
 

This includes developing individual futures plans for people with disabilities as well as demonstrating how an individual can make a difference in a system one person at a time.

    Self-Determination:  From Philosophy to Implementation.

Focuses on the promise and the pitfalls of moving from a facility model to a support model utilizing the principles of self-determination.  Topics covered include:
  • Person-centered planning
  • Individual budgets
  • Separating housing and supports
  • Building community and personal supports
  • Nontraditional funding strategies
  • Rethinking staffing patterns

 

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Selected Focus Areas of CRA:


 

Management/Leadership/Supervision System Solutions
Developing the means to get beyond the limitations of our past to embrace the future with leadership towards excellence
.

Person/Individual Related
Making the system of supports work for the people it is committed to without breaking any backs.


Person Specific Consultation and Support 
From deinstitutional transition to community crisis prevention and intervention plans that make life in the community possible.


Staff Development Plans and Services
Going beyond the traditional compliance approach training to create ways that result in improved staff performance and quality services.


Our dedicated team members also augment our focus areas through their own areas of expertise. To learn more about the areas of expertise of the two Senior Partners of CRA, visit the About Us page, or the Training page.
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A resource to the community that assists others to develop the knowledge, skills, and abilities that enable people with disabilities to move from clients to citizens.
CRA Is The Home of 5 Star Quality and EBT
 







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