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Home My WebLink AboutMH Provider Meeting 03-14-25 Mental Health Provider Meeting Friday, March 14, 2025 -%%4).' -).54%3 7¤«¢®¬¤ £ )³±®£´¢³¨®² This meeting was held via Google Meet. Jim Gilbert confirmed which providers were in attendance at the start of the meeting. 0±®µ¨£¤± !®´¢¤¬¤³² £ 5¯£ ³¤² AHEDD AHEDD is still actively searching for candidates to fill positions in Natalie Campbell, 3¤±µ¨¢¤ !¢¢¤²² ǉ - ¦¤¬¤³ Ȩ3!-ȩ Referrals are currently slower than normal. SAM also has one staff vacancy and another staff member out on leave. /¢¢´¯ ³¨® « 3¤±µ¨¢¤²Ǿ )¢ȁ Ȩ/3)ȩ OSI recently received an adjustment to their mental health budget so they are looking to add a minimum of three (3) additional individuals to their program. After they see where that puts them in their budget, they may add additional individuals if funding is still available. (¤ «³§¸ #®¬¬´¨³¨¤² 0 ±³¤±²§¨¯ Ȩ(#0ȩ HCP is working on tasks related to Go Girls Go! There are 12 school districts involved with almost 250 girls participating. HC just received a letter notification that they received a grant they applied for. They were one of the few awarded in PA for the Department of Health grant to expand Student Assistance Program (SAP) for the Blues program. This will be expanded to Waynesboro first then branch out from there. # ¬¯¡¤«« 0²¸¢§®«®¦¨¢ « 3¤±µ¨¢¤² Campbell Psychological Services just added a new therapist a couple weeks ago. Her the end of the month to a new location on East High Street. This office will be their mailing office (not the Chambersburg office). The new address will be added to their website. 7¤««3¯ #§ ¬¡¤±²¡´±¦ (®²¯¨³ « For outpatient services, there are four (4) therapists. One is accepting patients. Dr. th Gobin will be the new Medical Director that is starting March 24. With her coming on board, WellSpan will be starting Transcranial Magnetic Stimulation (TMS) services in April and also expanding their Medication Assisted Treatment (MAT) programs in the next month or two. In the las month, WellSpan hired a new Clinical MH 1 3/14/25 Mental Health Provider Meeting Friday, March 14, 2025 Operations Administrator Kelly Kent. She will be the point person for all things WellSpan Outpatient moving forward. For inpatient, there are two (2) full time doctors, Dr. Gordon and Dr. Ebong, at WellSpan at times as they do hybrid services (telehealth and in person). There are openings for therapy as needed for the community. .¤¶ 6¨²¨®² personal care homes in Cumberland County. New Visions now has three (3) Specialized Community Residence (SCR). They are also in the process of building a new long-term structured residence (LTSR). 2®·¡´±¸ 4±¤ ³¬¤³ #¤³¤± The new Director of Admissions joined Roxbury this week. Her name is Mindy. She has a lot of experience from other United Health Services (UHS) programs. Matthew Null and Mindy will be going out for meet and greets with providers eventually. 3³ £¨¦ !¦¤£ )³¤¬² 4´²¢ ±®± - ¦¤£ # ±¤ !««¨ ¢¤ There were no updates. 0¤±¥®±¬# ±¤ 5¯£ ³¤ PerformCare has a number of Diversity, Equity and Inclusion resources on their website as well as suicide prevention memos. There is an upcoming trauma- thth informed cultural sensitivity training on March 26 and April 9. There are free continued education units (CEUs). The registration is full but a wait list was started. th The deadline to register is March 18. #®¬¬´¨³¸ 2¤²®´±¢¤ 3¯®³«¨¦§³ 0!!4(ΔΘ #±®²²±® £² Barb Bingham, Community Engagement and Training Specialist of PAATH15 Crossroads presented a brief overview of human trafficking. Barb reviewed a PowerPoint slide. The first slide was an image of the YWCA is Harrisburg which includes a visitation center where non-custodial parents can have visits with their children, a pre k childcare center and mostly known for their housing and shelter. Barb comes from the Violence Intervention and Prevention program, specifically the PAATH 15 Crossroads program. This program is for human service providers, legal services, immigration services, substance abuse programs, etc. PAATH15 program covers 13 counties and has numerous partners to include Roxbury who provides the treatment for survivors of human trafficking is specifically training, education, awareness and outreach but there is also technical MH 2 3/14/25 Mental Health Provider Meeting Friday, March 14, 2025 assistance on human trafficking and comprehensive direct services provided by case managers and other staff at the YWCA. The learning objectives of this presentation are 1) identifying the scope of human trafficking and its impact, 2) understanding who is victimized and 3) identifying traffickers and common recruitment tactics. trafficking became a specific crime in the US even though it has been happening for years. Prior to that, it was prosecuted under more like indentured servitude and anti-slavery laws. In 2014, PA got a little more stringent and expanded the definition to include prosecution prevention and protection. A heat map was reviewed that identified red areas known as hot spots which is why the PAATH15 program is in existence. Route 15 corridor is a specific hot spot which runs through the 13 counties PAATH 15 was established for. The program looks at outreach, education and services targeting those 13 counties. A red circle on the map indicated roughly the greater Harrisburg area. About 85-90% of the human trafficking cases through the PAATH 15 program are coming from that area. PA is ranked in the top 10 for prevalence of human trafficking. Human trafficking is one of the fastest growing criminal industries which has most likely passed drug trafficking. Human trafficking is a business that involves a lot of money. Most people tend to equate human trafficking to sex trafficking but there is also labor trafficking. When looking at the definitions of both, they are virtually identical except for sex trafficking acquiring the person for sex trade and labor trafficking acquiring the person to do manual labor. Both types have a piece of recruitment, harboring, transportation, provision and obtaining. o An example of harboring would be a hotel owner allowing trafficked individuals to stay in their hotel or allowing trafficking to happen out of their establishment. When broadening that definition, the hotel owners could be considered traffickers as well. o With transportation, there may be an instance of Uber drivers taking sex workers on out calls from hotel to hotel which would potentially consider them a trafficker. However, there have been stories of Uber drivers who have known what is going on and have taken their passenger to safety. o Provision is what some think of as a pimp; providing the sex worker to another person who obtains that person which would be the purchaser or buyer of the sex act. A commercial sex act is the exchange of money or something of value, such as drugs, phone, getting hair or nails done, sex for rent money to a landlord, etc. Commercial sex act includes force, fraud and coercion in both labor and sex trafficking. The exception to that in sex trafficking is if the sex worker is under the age of 18, it is automatically trafficking; you do not have to prove the force, fraud or coercion. MH 3 3/14/25 Mental Health Provider Meeting Friday, March 14, 2025 o For labor trafficking, it is obtaining the person to perform manual labor which is force, fraud and coercion. Fraud is big in labor trafficking. Human trafficking is a crime against a person. It is different than human smuggling which is a crime against a border where people are coming across a border illegally. However, those who are human smuggled may be smuggled into an area to then be trafficked. Who are the victims? The answer is it can be anyone! It can be male, female, younger or older, children, etc. There is no prevalence of any demographic necessarily to culture or ethnicity or to race. There are close to 30 million victims globally. A large prevalence of children are being victimized and a disproportionate amount of females as well. Barb shared an eight (8) minute video of a story of a girl named Chloe. This video was more akin to what is being seen in central PA. The video ended with a statement that the average life expectancy of someone being human trafficked is seven (7) years. This is for a lot of reasons such as drug use, overdose, lack of medical care, suicide, murder, etc. Barb also noted that in the video, Chloe was invited by a friend. Most likely, the friend was threatened in some way to bring another girl into the business. The shocking thing for most people is that Chloe left after 36 hours of being at the YWCA; what took her back into the street; and trying to understand that pull. Victims can be anyone, but victims are not just anyone. Traffickers are looking for people who have certain vulnerabilities such as: o Immigrants without documentation o Runaways o People experiencing homelessness (the lure of a home and shelter has become a very big enticement tactic for traffickers.) o Victims of trauma and abuse o Mental health o Addictions (traffickers will hang outside of rehab centers waiting for people to come out to target.) o People who are oppressed o Living in poverty o Those who won unlike her to disappear for a couple days or weeks but she always came back. However, this time when she disappeared her family did not immediately throw out any time of alarm. Who are the traffickers? The most prevalent ones are parents and other family members, boyfriends/husbands, employers and pimps. Other traffickers include MH 4 3/14/25 Mental Health Provider Meeting Friday, March 14, 2025 women, men, older adolescents, smugglers, agencies (adoption, staffing, immigration assistance), strangers, drug dealers, gang members and organized public but it is really our social circle and people that we already know that are doing the recruitment of trafficking. They do so by establishing fake friendships and fake loving and caring relationships. There is a lot of recruitment, buying, purchasing and selling online (53% of buyers solicited and 16% of victims recruited). The three most utilized websites for the sex industry is Facebook, Snapchat and Instagram. Industries prone to labor trafficking are factories and food processing (meat, poultry), construction, janitorial (homes, stores, offices, laundry), landscaping/tree trimming, hospitality (hotels/motels, amusement parks, carnivals, restaurants), agriculture (orchards, fieldwork, mushrooms), and domestic work (home health aide, nanny, cleaning). Some indictors for labor trafficking are feeling pressured by employer to stay in a job they want to leave, owing money to an employer or recruiter, not being paid what was promised/not being paid fair wages (as many do working in isolated conditions (cut off from support systems), monitored by another person, living in overcrowded/dangerous/unhygienic conditions, being threatened with deportation, and unsafe/dangerous work conditions/inadequate breaks/lack of safety gear. For this audience specifically, the populations that MH/IDD/EI providers work with could be targeted by traffickers for some reasons such as getting access to public benefits (SSI/SSD), communication difficulties, and social discrimination. Some individuals require a caregiver to meet their basic needs. This caregiver could take advantage of the dependency and worse them into labor or sex trafficking. Some wishes due to that dependency on the caregiver. They may have normalized this unequal power dynamic in the relationship. There are also individuals that may be desensitized to touch due to isolation, lack of sex education or a medical procedure. They may be unaware that they can object or reject unwanted touching and are not sure what may constitute a crime or what their rights may be. Susceptible to false relationships is very prevalent. The internet makes it easier to establish fake relationships. Those who are sheltered or isolated are really looking for friendships and relationships and are more vulnerable to traffickers. Barb shared a story of an adult victim with a developmental disability who was recruited from a recreational and vocational training center. MH 5 3/14/25 Mental Health Provider Meeting Friday, March 14, 2025 YWCA is seeing more psychological bondage when it comes to screening and identifying victims of trafficking. Indicators are not looked at as a checklist but more so as finding details that may help paint a bigger picture. Indictors are o Physical indicators tattoos, branding, torture, beatings/injuries and malnourishment. Some images are common in trafficking such as a crown or any image that indicates property ownership. o Social indictors unhoused, living on premises, lacking access to documents, children living with adults who took them in, lacking control, running away, working long hours and no breaks, and involved with older man/woman. o Venue indicators gang activity, narcotics trafficking, hotels, airports, migrant camps, nail salons/massage parlors/domestic workers, and online child to get money for drugs or to the landlord to pay for rent. o Can you leave your job/situation if you want? o Can you come and go as you please? o What are your living and work conditions? o Where do you sleep and eat? o Do you sleep in a bed, cot, or on the floor? o What are your working hours? o Has anyone threatened your family? o Have you been threatened if you try to leave? o Has your ID or documentation been taken? o How do you get paid? There are human trafficking screening tools available. Questions should be worked into conversation. If you give people time, space, safety and sit in silence, they usually will start talking. At this point you can begin to peel back the layers and potentially uncover what is going on. PAATH15 Chief Operating Officer, Rhonda Hendrickson, is available (800-654-1211) to offer more technical assistance if you want to help build informed practices specifically for victims of human trafficking. There is a National Human Trafficking Resource Center Hotline (1-888-373-7888) that you can call if you are noticing something more at a macro level. Do not forget your local law enforcement. They will most likely be your first contact if you see something suspicious in your area. Some tips from law enforcement o Call right away (do not wait a week) o Provide details (clothes, physical description, tattoos, vehicle make/model, license plate, hotel room) o Take photos if safe to do so o Do NOT intervene! MH 6 3/14/25 Mental Health Provider Meeting Friday, March 14, 2025 If you are concerned about a particular individual or someone that is ready to exit trafficking, call the hotline. YWCA is not law enforcement, so they wouldn't respond to that but the hotline is manned 24 hours a day, 7 days a week. To contact the YWCA for support and services they have available, call 1-800-654-1211. Barb would be available to come to your agency and provide training to staff. There is no charge and the training is tailored to the audience. If interested, you can reach Barb at the YWCA number noted above or email her at bbingham@ywcahbg.org. -------------------------- would be helpful to have them participate, please make Jim aware, and he will add them to a future agenda. 0±®µ¨£¤± 3¯®³«¨¦§³ ,¨µ¤5¯ #®´²¤«¨¦ Leah Hannah from Pennsylvania Counseling Services (PCS) presented. PCS was started in the early 80s by Dr. Roy Smith out of a desire to provide quality mental health and drug and alcohol services. What was started out of his home in Lebanon has grown to Berks, Cumberland, Perry, Lebanon, Lancaster, York, Adams, Franklin, Schuylkill and Dauphin counties. In Franklin County, the office is located at 50 Black Avenue. In that office, there are office are delivered through a community mental health model and are mental health and drug and alcohol treatment. Therapists provide individual, couples and family therapy with a focus on a variety of areas such as depression, grief, loss, trauma and anxiety. There are also numerous groups running for drug and alcohol. For any clients that may need it, PCS is able to provide medication management. which is a team delivered service provided in the home and community. The therapists are available 24 hours a day, seven (7) days a week to assist with crisis management and behavioral stabilization. The service is geared toward a child and adolescent that are at risk out of home placement due to behavioral disorder or a severe mental illness. Family based services strives to reduce out of home placements, strengthen and maintain the family unit, increase the life skills and coping capacities of each family member, and reunify families separated due to the mental illness of their child. Typically, this service is authorized for an eight (8) month time period. To submit a referral to PCS, there are a couple of options MH 7 3/14/25 Mental Health Provider Meeting Friday, March 14, 2025 o A referral link that provides an option to submit a general referral or if you want to just submit it for family based. If you are not sure which service fits best for your client, you can go ahead and submit it through our general referral and then our team will assess the individual's needs and connect them with the appropriate care to address their challenge. If using the referral link, a signed release will be needed in order to provide any information about the outcome of the referral. o If the preference is to just reach out because you have a couple of questions and you want to talk to someone, or if you're looking to get someone scheduled for our outpatient service, you would want to contact our patient registration department. If you were looking to speak to someone about getting family based setup, you would want to contact the number for the children's service office. Patient registration is available Monday through Friday 8 am to 5 pm. o The last way to register is if someone is scheduling their own appointment, they would utilize the referral link and schedule their appointment. If that person wanted to speak to someone directly, they would be reaching out to patient registration department. is in Chambersburg at the 55 Hamilton Road office. This is a private practice model that is under the Pennsylvania Counseling Services umbrella. All the therapists are licensed and provide personalized outpatient therapy for every stage of life. They are only accepting clients that have private insurance, and they do have availability to provide evening appointments. The therapists are also accepting referrals for children 12 and older. Therapists can meet with the clients in person if they prefer or they can meet via telehealth. This is also quick access to medication management. Currently, there are four (4) licensed therapists that are part of LiveUp Counseling. The therapists at LiveUp Counseling are helping clients to address a wide range of challenges that include trauma, anger management, depression, parenting concerns, family conflict, etc. PCS accepts a majority of insurances. The patient registration department is going to be the department that will verify and confirm the availability of services covered by the client's insurance. There is immediate availability. --------------------------------- Any providers that would like to be in the Provider Spotlight to share information about their services, please let Jim know. #®´³¸ !®´¢¤¬¤³²ȝ)¥®±¬ ³¨® 2¤¯®±³² $´¤ 3¨¢¤ /´± , ²³ -( 0±®µ¨£¤± -¤¤³¨¦ th o Audited Financial Report (for fiscal year ending June 30) MH 8 3/14/25 Mental Health Provider Meeting Friday, March 14, 2025 o Audit Engagement/Extension Letter (for calendar year ending December st) 31 o Progress Report on Outcomes in Appendix A (if applicable) o Internal Quality of Service Survey o Quarterly Report of Expenditures (October - December) 2¤¯®±³² $´¤ 0±¨®± 4® /´± , ²³ -( 0±®µ¨£¤± -¤¤³¨¦ o Appendix A (for the upcoming fiscal year) o Budget packets (to include Budget/Rate Letter, Staff Roster, Unit Assumptions, Budget Narrative for upcoming fiscal year; if appropriate) o Quarterly Report of Expenditures (January - March) 5¯£ ³¤² ¥±®¬ -¤³ « (¤ «³§ 3³ ¥¥ o Ashley McCartney If you are a provider that submits a fiscal budget packet, please feel free to contact Ashley by email or phone. If anyone has any fiscal questions, please contact Ashley (almccartney@franklincountypa.gov). o On Behalf of Cori Seilhamer Free PESI trainings are available Youth Mental Health in Crisis Innovation Certification Training for Treating Young Clients Certification in Geriatric Care Masterclass Information has been sent out regarding the trainings. If anyone has any questions, please contact Cori (caseilhamer@franklincountypa.gov). There has been positive feedback shared regarding the trainings so far. o Jim Gilbert Keystone Human Services recently notified the county that they will not be renewing their contract for the SCR on McKinnley Street. We are working with some agencies who have expressed interest of potentially operating the program. Jim met with the residents recently and had opportunity to talk with them about plans and intentions. More to come in regard to the SCR. The LTSR is a forensic LTSR located in the Shippensburg area. It is a 16 bed facility with eight (8) being Franklin/Fulton and eight (8) being Cumberland/Perry. At this point, the target opening date is April 2026. MH 9 3/14/25 Mental Health Provider Meeting Friday, March 14, 2025 4§¤ ¬¤¤³¨¦ ¶ ² £©®´±¤£ȁ .¤·³ -¤¤³¨¦Ȁ Friday, June 13, 2025 starting at 10:00 a.m. in the front conference rooms at the Human Services Building (425 Franklin Farm Lane, Chambersburg) ¨ ¯¤±²® ®«¸ȅ 2¤¬ ¨¨¦ 2025 Meetings: thth September 12 December 12 Minutes by Erin Nye MH 10 3/14/25