START (Napa Expanded Works)
START is designed for adult clients with major mental
illness combined with substance abuse and language or learning
disabilities, attention deficit hyperactivity disorders, cognitive
communication difficulties and/or traumatic brain injuries.
It is a highly interactive, multi-sensory, personalized curriculum
focused on skill building. The curriculum is self-contained
and presented in sequence - one skill builds on another. Classes
consist of not more than 10 participants co-lead by two leaders
who facilitate the learning of skills through the use of discussion,
role-plays and activities. The program consists of 22 sessions
(44 hrs) with five components: Self Awareness and Identity
(Personal Profiles), Strategies for Coping with Special Needs
Anger Management, Problem Solving and Decision Making, and
Mental Illness Recovery Skills.
START integrates the START's program with substantial
revisions and addition of original materials developed by
Napa State Hospital staff to address the needs of adult forensic
clients with mental illness. Napa State Hospital provides
training and mentoring for the California State Mental Hospital
system in replication of New START.
the conclusion of NEW START participants showed:
- Enhanced prosocial skill competency and overt prosocial
- Reduced level of impulsiveness
- Increased ability to manage anger
- Decreased acting out behaviors (both in frequency and intensity).
Because of the basic skills taught in NEW START
- clients are free from penalties
- staff are free of possible containment injuries,
stress and the mountain of paperwork incidents cause.
It's Powerful, It's energizing, It can be deadly and
It can be Managed"
Correctional News, Margaret Lalich, Napa State Hospital