HomeMy WebLinkAbout2017-06-02 Franklin County Block Grant 17-18 Plan FINAL
Franklin County Human Services Plan
Fiscal Year 2017-2018
Submitted: June 2, 2017
PART I: COUNTY PLANNING PROCESS
[[180,849,2390,906][12][,I,][Arial]]Describe the county planning and leadership team and the process utilized to develop the plan for
[[180,906,394,963][12][,I,][Arial]]the expe [[372,906,1909,963][12][,I,][Arial]]nditure of human services funds by answering each question below.
[[255,1021,333,1078][12][,I,][Arial]]1. [[330,1021,2248,1078][12][,I,][Arial]]Please identify the critical stakeholder groups, including individuals and their families,
[[330,1079,2351,1136][12][,I,][Arial]]consumer groups, providers of human services, and partners from other systems, involved
[[330,1136,1236,1193][12][,I,][Arial]]in the county’s human services system.
Planning team members include human services providers and stakeholders as well as consumers
and advocate family members. In addition, the team includes staff support from each of the
departments included in the block grant. Appendix D includes a comprehensive list of the members
of the planning team and their affiliations.
The leadership team is comprised of key fiscal and human service administration staff and
includes: Human Services Administrator, Fiscal Specialist, Human Services Fiscal Director,
MH/ID/EI Administrator, Drug & Alcohol Administrator, Health and Human Services Planning and
Development Director, County Grants Director, and the County Administrator.
[[255,1826,333,1883][12][,I,][Arial]]2. [[330,1826,481,1883][12][,I,][Arial]]Pleas [[456,1826,1370,1883][12][,I,][Arial]]e describe how these stakeholders were [[1362,1826,2365,1883][12][,I,][Arial]]
provided with an opportunity for participation
[[330,1884,2201,1941][12][,I,][Arial]]in the planning process, including information on outreach and engagement efforts.
We have a small but active Planning Team that deliberates on the larger Block Grant Plan,
monitors implementation, and recommends adjustments throughout the year. In addition to
participating in the Human Services Block Grant (HSBG) meetings, program consumers and their
families are often asked for their input through surveys, evaluations, and informal feedback; this
feedback informs the operation of Block Grant-funded programs. Block Grant hearings were
advertised in the newspaper, the County website, and Facebook, to elicit stakeholder feedback.
[[255,2401,333,2458][12][,I,][Arial]]3. [[330,2401,481,2458][12][,I,][Arial]]Pleas [[456,2401,2004,2458][12][,I,][Arial]]e list the advisory boards that were involved in the planning
process.
•The Franklin/Fulton Drug & Alcohol Drug Advisory Board holds eleven meetings per
year, six in Franklin County and five in Fulton County. The voting members of the
Advisory Board include the following sector representation: Criminal Justice;
Business/Industry; Labor; Education; Medicine; Psycho-Social; Student; Elderly; Client
and Community. They provide input into the Block Grant Plan, are informed of Block
Grant impact and are made aware of any Drug/Alcohol requests for new funding,
projects or service enhancements.
•The Franklin County Housing Task Force consists of about 25 people who meet bi-
monthly on issues around housing and homelessness. Representatives from both
County shelters and the HAP program attend regularly, along with Housing Authority
staff, staff from the domestic violence shelter, Salvation Army, an FQHC, two Boroughs,
and several religious organizations. They also receive updates on Block Grant plans and
funding requests. The Task Force now combines their meetings with those of the
Program Coordinating Committee hosted by the County Housing Authority, a change
which has engaged additional community members and offered opportunities for
presentations on local housing resources.
•T
he Franklin/ Fulton County Mental Health/ Intellectual Disabilities/ Early Intervention
Advisory Board meets bi-monthly, with 13 members, including one Commissioner from
Fulton and one from Franklin. The committee requires representation from each county:
four members from Fulton County; nine members from Franklin County. At least two
representatives appointed tothe Board are physicians (preferably, a psychiatrist and a
pediatrician). Four participants are consumers or family members, of which half
represent Intellectual Disabilities/ Early Intervention. Additional representation comes
from the following areas ofexpertise: psychology, social work, nursing, education,
religion, local health and welfare planning organizations, local hospitals, businesses and
other interested community groups. The MH/ID/EI Administrator provides HSBG updates
as applicable during theBoard meetings. They have impact on decisions related to
MH/ID/EI funding and decisions, which indirectly can impact the HSBG.
[[255,1378,333,1435][12][,I,][Arial]]4. [[330,1378,380,1435][12][,I,][Arial]]P
[[363,1379,2340,1436][12][,I,][Arial]]lease describe how the county intends to use funds to provide services to its residents in
[[330,1436,2246,1493][12][,I,][Arial]]the least restrictive setting appropriate to their needs. (The response must specifically
[[330,1493,1631,1550][12][,I,][Arial]]address providing services in the least restrictive setting.)
Franklin/Fulton Drug & Alcohol provides prevention, treatment and recovery services in the
environment most appropriate for the individuals receiving the services. Prevention services are
delivered to youth in either a school-based or after-school based environment appropriate to their
age and the selected evidence-based program. Treatment services are delivered to individuals
based on their substance use assessment's level of care recommendation. High levels of care
(detox, short-term rehab and long-term rehab) include 24/7 monitoring and supervision as
treatment services are delivered within the provider setting. Low levels of care (halfway housing,
partial hospitalization, intensive outpatient, outpatient and early intervention) services are delivered
in a community-based setting by the provider of their choice. Recovery support/housing services
are delivered to individuals based on their recovery needs which vary from ancillary treatment
needs to direct treatment care in a community-based setting. Individuals are assisted by the
department in discovering what recovery supports and services are the best fit for their current
stage of recovery. Services are delivered in the least restrictive manner appropriate for the
individual.
F
ranklin/Fulton Mental Health / Intellectual Disabilities / Early Intervention follows the principle of
least restrictive alternative when providing services. A full continuum of care from community
based to inpatient hospitalization is provided. Tools such as the Strengths Intensity Scale (SIS) are
utilized to match individual need with the least restrictive service. Multiple criteria such as disability,
level of autonomy, individual’s request, and potential harm to self or others are evaluated to assure
least restrictive alternative is utilized through all levels of care.
5.[[330,2873,380,2930][12][,I,][Arial]]P [[363,2873,2317,2930][12][,I,][Arial]]lease list any substantial programmatic and/or funding changes being made as a result [[2295,2873,2373,2930][12][,I,][Ar
ial]]of
[[330,2931,835,2988][12][,I,][Arial]]last year’s outcomes.
No substantial changes are planned; new programs may be added as part of the reallocation
process in 2017-18.
PART II: PUBLIC HEARING NOTICE
[[180,343,230,400][12][,I,][Arial]]T [[211,343,2396,400][12][,I,][Arial]]wo (2) public hearings are required for counties participating in the Human Services Block Grant.
[[180,401,2418,458][12][,I,][Arial]]One (1) public hearing is required for counties not participating in the Human Services Block Grant.
[[255,516,333,573][12][,I,][Arial]]1. [[330,516,380,573][12][,I,][Arial]]P [[364,516,809,573][12][,I,][Arial]]roof of publication;
[[405,573,483,630][12][,I,][Arial]]a. [[480,573,2321,630][12][,I,][Arial]]Please attach a copy of the actual newspaper advertisement for the public hearing
[[480,631,772,688][12][,I,][Arial]](see below) [[739,631,789,688][12][,I,][Arial]].
[[405,688,483,745][12][,I,][Arial]]b. [[480,688,1036,745][12][,I,][Arial]]When was the ad publis [[1011,688,1144,745][12][,I,][Arial]]hed?
[[405,746,480,803][12][,I,][Arial]]c. [[480,746,1631,803][12][,I,][Arial]]When was the second ad published (if applicable)?
[[180,861,230,918][12][,I,][Arial]]P [[214,861,506,918][12][,I,][Arial]]lease attach [[497,861,942,918][12][,I,][Arial]]proof of publication [[920,861,1011,918][12][,I,][Arial]](s) [[992,861,1548,918
][12][,I,][Arial]]for each public hearing.
[[255,976,380,1033][12][,I,][Arial]]2.P [[364,976,506,1033][12][,I,][Arial]]lease [[498,976,1190,1033][12][,I,][Arial]]submit a summary and/or sign [[1167,976,1217,1033][12][,I,][Arial]]-
[[1184,976,2270,1033][12][,I,][Arial]]in sheet of each public hearing. (This is required
[[330,1033,1576,1090][12][,I,][Arial]]whether or not there is public attendance at the hearing [[1554,1033,1618,1090][12][,I,][Arial]].)
[[180,1148,369,1205][12][B,I,][Arial]]NOTE: [[363,1148,944,1205][12][,I,][Arial]]The public hearing notice [[937,1148,1595,1205][12][,I,][Arial]]for counties participating in a [[1587,1148,2319,1205]
[12][,I,][Arial]]LCA should be made known to
[[180,1206,489,1263][12][,I,][Arial]]residents of [[452,1206,541,1263][12][,I,][Arial]]all [[517,1206,767,1263][12][,I,][Arial]]counties. [[731,1206,795,1263][12][B,I,][Arial]]
Pursuant to the Sunshine Act, 65 Pa.C.S. 701-716, the County conducted two public hearings to
receive input on the Human Services Plan detailed in this document. A draft of the Block Grant
Plan was posted on the County’s website on May 12, 2017 for public review and comments. Public
hearings were held at 3:00 PM on May 22, 2017, as part of the Block Grant Planning Committee,
and 9:30 AM on May 25, 2017, as part of the Board of County Commissioners meeting. Appendix
B contains the proof of publication and summaries of the public hearings.
PART III: CROSS-COLLABORATION OF SERVICES
(Limit of 4 pages)
[[180,1896,230,1953][12][,I,][Arial]]F [[210,1896,2298,1953][12][,I,][Arial]]or each of the following, please provide a description of how the county administers services
[[180,1953,1486,2010][12][,I,][Arial]]collaboratively across categoricals and client populations. [[1478,1953,2295,2010][12][,I,][Arial]]In addition, please explain how the
[[180,2011,1990,2068][12][,I,][Arial]]county intends to leverage funds to link residents to existing opportunities and/or [[1970,2011,2273,2068][12][,I,][Arial]]to generate [[2237,2011,2379,2068][12
][,I,][Arial]]new
[[180,2068,516,2125][12][,I,][Arial]]opportunities.
[[180,2183,522,2240][12][,I,][Arial]]Employment: [[486,2183,595,2240][12][,,][Arial]]The [[586,2183,2173,2240][12][,,][Arial]]Franklin/Fulton ID Program participates in the Transition
Council with O [[2162,2183,2360,2240][12][,,][Arial]]ffice of
Vocational Rehabilitation and the School Districts and providers to promote and support the
Employment First Model. The Transition Council promotes employment as the first opportunity for
students graduating from high school. The Transition Council has applied to be an Experience the
Employment Connection Team to further promote the collaboration between these agencies to
better support individuals with disabilities to obtain competitive integrated employment. Our
Information And Referral specialist can refer individuals calling 2-1-1 to employment programs
such as Career Link and United Way’s Stepping Forward Works. The most promising movement
in our employment collaboration has come from the newly formed Reentry Coalition, and we hope
to see the benefit for all citizens regardless of their criminal justice involvement.
[[180,2815,427,2872][12][,I,][Arial]]Housing: [[391,2815,2395,2872][12][,,][Arial]]Our Housing Specialist works with our Information and Referral Coordinator and multiple
housing providers to help ensure a good fit for individuals in need of housing. Through funds from
HAP, PATH, HUD, ESG, 8-1-1, and PCDD, we can provide an array of housing options:
transitional housing, master lease, rental assistance, rapid rehousing, and emergency housing
supports, all of which areavailable to individuals meeting a range of specific criteria, including
income, mental health, ID, D&A involvement, family status, or criminal justice involvement.In
2017-18, we will be working with HUD to institute Coordinated Entry within our Regional Housing
Advisory Board, which will impact the way we do intakes across multiple housing programs, with
the hope that it will result in better collaboration, streamlining of services, and increased leveraging
of funding sources.
PART IV: HUMAN SERVICES NARRATIVE
Created through a collaborative process utilizing local needs data and involving a cross-section of
community stakeholders, the goal of this plan is to provide a comprehensive continuum of human
services for residents in the least restrictive setting appropriate to their needs. Franklin County
collaborates as a joinder with Fulton County in four of the funds included in the Block Grant. Both
counties have longstanding Human Services Administrative models. Both counties are
participating in the Block Grant and submit separate plans.
Franklin County’s Human Services Block Grant Planning Committee has established as its
mission: [[397,1148,1036,1205][12][,I,][Arial]]To assist in identifying need [[1014,1148,1064,1205][12][,I,][Arial]]- [[1031,1148,1137,1205][12][,I,][Arial]]bas [[1111,1148,2264,1205][12][,I,][Arial]
]ed program priorities for promoting the health, well [[2225,1148,2275,1205][12][,I,][Arial]]-
[[199,1206,561,1263][12][,I,][Arial]]being, and self [[525,1206,575,1263][12][,I,][Arial]]- [[541,1206,2387,1263][12][,I,][Arial]]sufficiency for all people in Franklin County by and
through maximizing resources.
The services described in this plan are an outflow of this mission statement, and are measured
against this guiding standard.
MENTAL HEALTH SERVICES
[[180,1666,230,1723][12][,I,][Arial]]T [[211,1666,2326,1723][12][,I,][Arial]]he discussions in this section should take into account supports and services funded (or to be
[[180,1723,2401,1780][12][,I,][Arial]]funded) with all available funding sources, including state allocations, county funds, federal grants,
[[180,1781,411,1838][12][,I,][Arial]]HealthCh [[389,1781,1114,1838][12][,I,][Arial]]oices, reinvestment funds, etc.
a)Program Highlights:
[[180,1995,2240,2052][12][,I,][Arial]]Highlight the achievements and other programmatic improvements that have enhanced the
[[180,2052,1128,2109][12][,I,][Arial]]behavioral health service system in FY 16 [[1106,2052,1156,2109][12][,I,][Arial]]- [[1122,2052,1242,2109][12][,I,][Arial]]17.
The Franklin/ Fulton County Mental Health Program provides servicesto Franklin/ Fulton County
adults with severe and persistent mental illness and children who have a mental health diagnosis
or who are at risk of developing a mental illness.
Through contracted case management, our agency provides intake, assessment, andcoordination
of the following services: outpatient psychotherapy, psychiatric and psychological evaluation,
medication monitoring, residential programs, vocational and social rehabilitation, short-term
inpatient, partial hospitalization and 24- hour emergency services.
Due to the budget issues faced this fiscal year, we focused on maintaining and strengthening the
current services already offered in our community. The following list describes program
achievements and improvements:
Crisis Intervention Team (CIT)
–
On January 1, 2017, Franklin County was awarded a grant from the Pennsylvania
Commission on Crime and Delinquency to pilot an innovative program to divert individuals
with mental illness from the criminal justice system. The mental health co-responder
program provides an integrated approach for individuals living with a mental illness,
intellectual disability, Autism, and/or co-occurring disorder and coming into contact with law
enforcement without rising to the level of police officer custody. The co-responder will be
hired through a service provider and will be housed within the law enforcement
departments. There are three municipal police departments targeted for this project and the
co-responder will be assigned desk time at each. Greencastle, Waynesboro, and
Washington Township, all in the southern part of Franklin County, have been identified by
the District Attorney as benefiting from the additional support of a professional with MH
background to assist them in their interventions with individuals with mental health issues.
The objectives of the co-responder program are to connect and integrate those individuals
identified as being in crisis with community based and natural supports. This will involve the
co-responder assisting with locating supports and helping the individual make appointments
and transportation arrangements. The act of offering assistance fosters the individual’s
ability to independently remain connected and integrated in the future. The program is also
designed to reduce the number of individuals (within the target population) getting involved
in the justice system. When the police are dispatched for an incident where the behavior
does not rise to the level of police officer custody, the co-responder will/can interveneand
begin the screening and risk assessment to determine level of care.
O
ur training program is in its fifth year and continuing to gain momentum. The team is now
76 strong with half of our members representing law enforcement and first responders. The
remainder of the team represents crisis, jail officers/staff, probation/paroleofficers, hospital
staff, mental health professionals and advocates.
South Central Region CIT continues to follow the fidelity of the Memphis Model of CIT.
During the 40 hoursof training, we are fortunate to have a certified trainer for the Veterans
module, 2 certified trainers for the de-escalation and 1 CIT Coordinator to be trained in
August. We also offer evidence based training such as QPR (Question Persuade Refer) and
Pat Madigan’s [[661,1902,1026,1959][12][,I,][Arial]]Hearing Voices [[1014,1902,1516,1959][12][,,][Arial]]throughout the week.
O
utcomes:
To date we have held five (5) CIT trainings and have seventy six(76)members with
o
half of our teambeing represented bylaw enforcementand first responders:
Evidence Based Practices-
TraumaFocused Cognitive Behavioral Therapy(TF-CBT)
To foster more trauma awareness in our communities, Franklin/Fulton County has
o
five (5) providers certified to provide TF-CBT.
Eye Movement Desensitization and Reprocessing Therapy
Our county was fortunate tobe able to assist two local therapists, with managed care
o
assisting five, to begin the training of becoming EMDR certified. This will increase our
capacity for evidence-based therapies.
Mental Health First Aid
There are four (4) trainers available to Franklin/Fulton County.They are certified to
o
provide adult, youth, older adult and veteran Mental Health First Aid. Over the past
six (6) years they have trained over 300 people within our community. During our
mental health awareness conference in May, a class for Veterans and a class for
older adults will be provided.
b)Strengths and Needs:
[[180,1200,1106,1257][12][,I,][Arial]]Please identify the strengths and needs [[1070,1200,1914,1257][12][,I,][Arial]]of the county/joinder service system [[1879,1200,2413,1257][12][,I,][Arial]]spec
ific to each of the
[[180,1257,2237,1314][12][,I,][Arial]]following target populations served by the behavioral health system. When completing this
[[180,1315,2315,1372][12][,I,][Arial]]assessment, consider any health disparities impacting each population. Additional information
[[180,1372,1147,1429][12][,I,][Arial]]regarding health disparities is available at [[1111,1372,1825,1429][12][,I,][Arial]]https://www.samhsa.gov/health [[1803,1372,1853,1429][12][,I,][Arial]]-
[[1820,1372,2070,1429][12][,I,][Arial]]disparities [[2045,1372,2108,1429][12][,I,][Arial]].
Older Adults (ages 60 and above)
Strengths:
The Mental Health program has been presenting suicide prevention and
mental health awareness to staff within our senior centers and personal care
homes.
The newly formed Franklin County Older Adult Advocacy Team consists of a
partnership with advocates, Area Agency on Aging, mental health, crisis, and
first responders. Theirmission is to bridge the gap in aging and mental health
services for individuals age 60 and over.
Currently, five (5) Area Agency on Aging staff havebeen trained to provide
person-centered counseling. They are able to offer specific case management
functions and needs assessments.
Senior centers are moving towards functioning as senior center without walls.
They are hosting functions attracting community to foster integration and
intergenerational involvement.
Needs:
Specialized facilities for individuals living with dementia. Our crisis and ER’s
have seen an increase in patients and are having difficulty with locating
facilitiesfor care.
Front line staff working with our older adults need better education in working
with individuals living with dementia.
More accessible transportation would be useful.
Adults (ages 18 and above)
Strengths:
Physical and behavioral health providers have begun collaborating on health
literacy and educating both our residents and our health system regarding the
importance of addressing both issues for wellness.
Working towards increasing our supported employment opportunities for those
in the workforce to turn into employment placements. We have had a
significant increase this fiscal year. We credit this to the increased
relationships our providers are fostering with employers in the community.
Employment
Fiscal year
Fiscal Year14-1515-16*Fiscal year 16-17%Change 15-16to 16-17
AHEDD211830+40%
2122+5%
OSI21
3952+25%
Total42
*16-17datathrough April
Needs:
According to the 2015 Summit Health Community Health Needs
Assessment (CHNA), Franklin County had a suicide death rateof 13.8
people/100,000 population. Individuals with a depressive disordertotaled
16% and 17% hadan anxiety disorder.52% reported depressive
symptoms in the last 2 weeks.
Adults and families expressed a need forbetter communication with the
doctor. According to the Mental Health Association of Franklin and Fulton
Counties’ Individual/Family Satisfaction Team January-March 2017
quarterly report,families report a barrier to services was having the doctors
listen to them regarding symptoms.
Transition-age Youth (ages 18-26)- Counties are encouraged to include services
and supports assisting this population with independent living/housing,
employment, and post-secondary education/training.
Strengths:
Mental Health Associationis in contact with the OMHSAS to revise their
Peer Support Services program description to also allow them to provide
peer support services to youth and young adults; most likely this will begin
on or sometime after July 1, 2017.
Children’s Program Specialistsas well as Adult Program Specialists are
available to meet with youth and othersto discuss needs and services.
Needs:
There are no formalized transition services in the county, but CASSP can
assist families with this as needed.
Children (under 18)- Counties are encouraged to include services like Student
Assistance Program (SAP), Respite, and CASSP Coordinator Services and
Supports, as well as the development of community alternatives and diversion
efforts to residential treatment facility placements.
Strengths:
Student Assistance Program (SAP)
Elementary SAP is being provided in several elementary schools in
Franklin County with the goal of further expansion in Franklin
County and initiating it in Fulton County schools.Eighteen additional
students were screened this yearin Franklin County.
Franklin only
# students screened% MH% D/A% CO
2016-201732183%4%13%
County human service agencies have begun a complex needs
workgroup for early identification of children/adolescents in our
community that may have complexneeds and benefit from a better
supported treatment/support team.
Children/Adolescent Service System Program (CASSP)
Continues to work with our adolescents to build capacity for more
natural supports and remain in the community. Assists families in
navigating the mental health service system and accessing services.
School-based mental health therapy services have continued to
expand in area school districts and in addition delivery of service
has improved. This service is monitored by a QI process including
HealthChoices, MH, schools and providers.
Respite
Respite is availableto Franklin and Fulton County children under the
age of 18 on an hourly basis or an overnight stay. The number of
children served is unduplicated; however, the hours represent all
hours provided.
FY12-13FY13-14FY14-15FY15-16FY16-17
Respite
Children Served15121648
Hours of Respite
519637636288344.5
Needs:
Available community and inpatient services with specialty in complex
issues. Crisis has seen an increased numberof adolescents and hasfound
barriers of finding inpatient placements and services for
children/adolescents with complex needs to include dual diagnosis,
sexualized behaviors and fire setting behaviors.
Respite services could be used more if the provider had more availabilityof
beds and specialty for complex needs.
Our area lost a very valuable resource and advocate service when the only
educational advocate left. This is a very needed service and our closest
educational advocate is in Pittsburgh.
Provider staff turnover and lack of staff continue to be an issue that
impacts treatment delivery. There is a meeting planned to review this issue
and develop a response to assist in building capacity for enhanced
treatment.
[[255,2820,2299,2877][12][,I,][Arial]]Identify the strengths and needs of the county/joinder service system (including any health
[[255,2878,344,2935][12][,I,][Arial]]dis [[319,2878,547,2935][12][,I,][Arial]]parities) [[511,2878,703,2935][12][,I,][Arial]]specific [[692,2878,2408,2935][12][,I,][Arial]]to each of
the following special/underserved populations. If the county does
[[255,2935,2348,2992][12][,I,][Arial]]not currently serve a particular population, please indicate and note any plans for developing
[[255,2993,916,3050][12][,I,][Arial]]services for that population.
Individuals transitioning out of state hospitals
Strengths:
Franklin/Fulton County Mental Health continues to facilitate Community
Support Plan meetings at the state hospital in order to assist in the
transition of returning home and meeting the person’s needs.
Needs:
Many of our peoplecurrently at Danville State Hospital have complex
needs which require nursing home level of care or structured residential
programs (the latter hasvery limited capacity).
Co-occurring Mental Health/Substance Use Disorder
Strengths:
Training related to co-occurring disordercontinues to be offered free to our
providersto include continue education credits from the Pennsylvania
State Board of Social Workers.We also offer an on-line training series that
is available for all Franklin/Fulton County providers. It features training
based on the Tip-42 to include motivational interviewing.
Needs:
Healthliteracy of the community, recognizing that mental health and
substance use disorder can be co-occurring and the treatment often
includes addressing both.
[[405,1472,455,1529][12][B,I,][Arial]]J [[433,1472,600,1529][12][B,I,][Arial]]ustice [[578,1472,628,1529][12][B,I,][Arial]]- [[594,1472,1094,1529][12][B,I,][Arial]]involved individuals
[[1072,1472,1138,1529][12][B,I,][Arial]]- [[1103,1472,2334,1529][12][,I,][Arial]]Counties are encouraged to collaboratively work within
[[405,1529,2212,1586][12][,I,][Arial]]the structure of County Criminal Justice Advisory Boards to implement enhanced
[[405,1587,839,1644][12][,I,][Arial]]services for justice [[817,1587,867,1644][12][,I,][Arial]]- [[833,1587,2287,1644][12][,I,][Arial]]involved individuals to include diversionary services
that prevent
[[405,1644,527,1701][12][,I,][Arial]]furth [[505,1644,2248,1701][12][,I,][Arial]]er involvement within the criminal justice system as well as reentry services to
[[405,1702,1417,1759][12][,I,][Arial]]support successful community reintegration.
Strengths:
As of November 2016, Service Access Managementhas been providing
forensic case management services for individuals currently incarcerated in
the Franklin County Jail or recently released, as well as individuals who are
within three months of maxing out their sentences at State Correctional
Institutions. Individuals mustexpress interest in returning to Franklin or
Fulton County and beagreeable to continuing with mental health services
in the community.
Also see information above regarding CITand the Mental Health Co-
Responder, which was initiated by a CJAB grant.
The mental health program is very active on the Criminal Justice Advisory
Board to include the Executive Committee and the Behavioral Health
Committee.
A mental health program specialist meets weekly with the Franklin County
Jail to review individuals that are currently incarcerated with mental health
issues.
InMay 2017, keybehavioral health and criminal justice stakeholders in
Franklin County met to update a sequential intercept mapping model, first
created in 2009, to detail the intersection of local human services with the
criminal justice system, identifying gaps and developing objectives to
address unmet needs.
Franklin County continues to be part of the national Stepping Up Initiative.
We wereone of 50 counties chosen to be part of the Stepping Up
Initiative’s National Summit in Washington DC in April 2016, an event that
brought together jurisdictions of all sizes to learn from each other and from
experts in the ongoing push to reduce the number of people with mental
illnesses in local jails. We have seen new initiatives around MH and
criminal justice-involved individuals developas a result.
MH/ID staff continueto be part of Franklin Together: The Franklin County
Reentry Coalitionas a vital voice regarding MH and criminality.
Franklin County was chosen by SAMHSA to receive technical assistance in
the form of train-the-trainers for their Trauma-Informed Criminal Justice
program. By training 20 Franklin County staff as trainers, we will increase
the number of departments we can reach with this program.
Franklin County CJAB received a grant in January 2017to provide
Intensive Reentry Case Management for at least 10 women with complex
MH, D&A, housing, and other needs. MH staff were an integral part of
writing and now implementing the program, which has trauma as a central
focus.
Needs:
We hope to expand the MH Co-responder program to include the rest of
the county, not just the southern portions. This will require additional staff.
In addition, we would like to see a co-responder on each shift to ensure full
coverage of any needs that might arise.
Veterans
Strengths:
In conjunction with the Copeland Center, Franklin County is offering a
WRAP group session in June. The class is able to accommodate 16
Veterans. In addition a goal is that one of the Veterans will be interested in
pursuing the opportunity to become a certified facilitator upon completion of
the class.
Veterans Affairs and mental health continue to work together to educate
the primary health system, employers, and criminal justice system
regarding resources and contacts available to the Veterans of Franklin
County.
Beginning in May, Veterans will be able to access a mental health
counselor two days a month in the local Veterans Affair office.
Operation Save A Vet, Save A Pet program has made five (5) pairings and
currently has four (4) dogs inclass to become certified service dogs.
Veterans Affair is partnering with a group to begin offering hunting and
fishing adventures to include Veterans with a disability, with a primary
focus on mental health.
Needs:
Reliable transportation to appointments and employment is needed.
Currently it is a barrier due to having to cross state lines and not having
handicapped vehicles available.
The closest VA clinic is 25 miles away and out of state.Again, being out of
state poses a barrier to healthcare. The appointment times are limited due
to the availability of transportation.
Lesbian/Gay/Bisexual/Transgender/Questioning/Intersex (LGBTQI) consumers
Strengths:
Within this past year, an outpatient program has started group therapy for
individuals identifying as LGBTQI.
Mental Health staff participated in the White House and the U.S.
Department of Health and Human Services conference call with the
LGBTQIcommunity regarding the Affordable Care Act.
Needs:
Health literacy for physical and behavioral healthcare professionals. The
LGBTQI community requires health care and having a professional with
whom they feel safe andcandiscuss health related issues is important.
Racial/Ethnic/Linguistic minorities(including Limited English Proficiency)
Strengths:
The County does have access to the language line that allows us to
respond to any language.
Currently, we do have access to a small number of bilingual therapists in
our community.
Needs:
The County continues to find it challenging to secure services of multiple
bilingual professionals in our area.
Other (specify), if any (including Tribal groups, people living with HIV/AIDs or
other chronic diseases/impairments, Traumatic Brain Injury)
Strengths:
HIV/AIDS Program – Keystone Health has been providing services in
Franklin County for individuals living with HIV/AIDs since 1995. They offer
a full range of services aimed at promoting healthy individuals and a
healthy community.
Needs:
Health literacy and supports for traumatic brain injury and other diseases
would be helpful for our providers. It would also assist those living with the
diseases to live healthier and happierlives.
Is the county currently utilizing Cultural and Linguistic Competence (CLC) Training?
Yes No
c)Supportive Housing:
[[850,911,1641,956][9][,I,][Arial]]Supporting Pennsylvanians through Housing
The DHS’ five- year housing strategy, , is a comprehensive plan to connect
Pennsylvanians to affordable, integrated and supportive housing. This comprehensive strategy aligns well with OMHSAS
planning efforts, and OMHSAS is an integral partner in its implementation.Supportive housing is a successful, cost-effective
combination of affordable housing with services that helps people live more stable, productive lives. Supportive housing works
well for people who face the most complex challenges—individuals and families who have very low incomes and serious,
persistent issues that may include substance use, mental illness, and HIV/AIDS; and may also be homeless, or at risk of
homelessness.
SUPPORTIVE HOUSING ACTIVITY [[834,1254,884,1299][9][,I,][Arial]]I [[845,1254,2444,1299][9][,I,][Arial]]ncludes Community Hospital Integration Projects Program (CHIPP), Reinvestment,
County
[[197,1299,604,1344][9][,I,][Arial]]base funded or other [[564,1299,614,1344][9][,I,][Arial]]p [[586,1299,1487,1344][9][,I,][Arial]]rojects that were planned, whether funded or not.
[[1447,1300,2343,1344][9][B,I,][Arial]]Include any program activity approved in FY 16 [[2315,1300,2365,1344][9][B,I,][Arial]]- [[2328,1300,2400,1344][9][B,I,][Arial]]17
[[197,1345,417,1389][9][B,I,][Arial]]that is in t [[380,1345,2307,1389][9][B,I,][Arial]]he implementation process. Please use one row for each funding source and add rows as necessary.
1.Capital Projects for Behavioral Health
Check if available in the county and complete the section.
Capital financing is used to create targeted permanent supportive housing units (apartments) for consumers, typically, for a 15-30 year period.
Integrated housing takes into consideration individuals with disabilities being in units (apartments) where people from the general population also
live (i.e. an apartment building or apartment complex.
Project Name*Funding Sources by [[836,1741,957,1782][9][,I,][Arial]]Total [[925,1741,975,1782][9][,,][Arial]]$ [[1039,1741,1268,1782][9][,,][Arial]]Projected $ [[1313,1741,1503,1782][9][,,][Arial]]A
ctual or [[1582,1741,1782,1782][9][,,][Arial]]Projected [[1815,1741,2031,1782][9][,,][Arial]]Number of [[2051,1741,2223,1782][9][,,][Arial]]Term of [[2303,1741,2428,1782][9][,,][Arial]]Year
Type Amount for FY Amount for Estimated Number to be Targeted BH Targeted Project
(16-17FY 17-18Number Served Served in FY UnitsBH Unitsfirst
include grants,
in FY 16-1717-18(ex: 30 started
federal, state & local (only County (onlyCounty
)
MH/ID MH/ID
sources years)
dedicated dedicated
)
funds)
funds
Housing HealthChoices 151520 years
Development Reinventment
Initiative
Housing County$185,000004-14420 years2017
Development
Initiative
Bridge Rental Subsidy Program for Behavioral
2.
Check if available in the county and complete the section.
Health
Short term tenant based rental subsidies, intended to be a “bridge” to more permanent housing subsidy such as Housing Choice Vouchers.
*Funding[[763,993,884,1034][9][,I,][Arial]]Total [[852,993,902,1034][9][,,][Arial]]$ [[943,993,1172,1034][9][,,][Arial]]Projected $ [[1183,993,1373,1034][9][,,][Arial]]Actual or [[1404,993,1604,103
4][9][,,][Arial]]Projected [[1623,993,1839,1034][9][,,][Arial]]Number of [[1867,993,2049,1034][9][,,][Arial]]Average [[2076,993,2221,1034][9][,,][Arial]]Numbe [[2190,993,2291,1034][9][,,][Arial]]r
of [[2313,993,2438,1034][9][,,][Arial]]Year
Sources by Amount for amount for Estimated Number to be Bridge Monthly Individuals Project
Type (FY 16-17FY 17-18Number Served in FY Subsidies in Subsidy Transitioned first
include
Served in FY 17-18FY 16-17Amount in FY to another started
grants, federal,
state & local
16-1716-17Subsidy in
)
sources
FY 16-17
Master Leasing (ML) Program for Behavioral
3.Check if available in the county and complete the section.
Health
Leasing units from private owners and then subleasing and subsidizing these units to consumers.
*Funding Source[[654,1721,775,1762][9][,I,][Arial]]Total [[743,1721,793,1762][9][,,][Arial]]$ [[828,1721,1057,1762][9][,,][Arial]]Projected $ [[1065,1721,1255,1762][9][,,][Arial]]Actual
or [[1274,1721,1474,1762][9][,,][Arial]]Projected [[1473,1721,1689,1762][9][,,][Arial]]Number of [[1682,1721,1898,1762][9][,,][Arial]]Number of [[1883,1721,2323,1762][9][,,][Arial]]Average
subsidy amount [[2319,1721,2444,1762][9][,,][Arial]]Year
by Type (Amount for Amount for Estimated Number to Owners/ Units in FY 16-17Project
include
FY 16-17FY 17-18Number be Served in Projects Assisted first
grants, federal, state
)
& local sources Served in FY FY 17 –18Currently with Master started
16-17LeasingLeasing in
FY 16-17
HUDFederal/HUD$178,435$178,435212021$538/month/participant2006
Master
County Match$11,408$11,408
Lease
PSH
Housing Clearinghouse for Behavioral Health
4.
Check if available in the county and complete the section.
An agency that coordinates and manages permanent supportive housing opportunities.
*Funding Source by Type[[624,993,745,1034][9][,I,][Arial]]Total [[713,993,914,1034][9][,,][Arial]]$ Amount [[926,993,1031,1034][9][,,][Arial]]Proj [[990,993,1156,1034][9][,,][Arial]]ected
$ [[1202,993,1559,1034][9][,,][Arial]]Actual or Estimated [[1565,993,1940,1034][9][,,][Arial]]Projected Number to [[1944,993,2243,1034][9][,,][Arial]]Number of Staff [[2222,993,2467,1034][9][,,][
Arial]]Year Project
(for FY 16-17Amount for FY Number Served in FY be Served in FY 17-FTEs in FY 16-first started
include grants, federal, state &
) 17-1816-171817
local sources
Housing Support Services for Behavioral Health
5.Check if available in the county and complete the section.
HSS are used to assist consumers in transitions to supportive housing and/or services needed to assist individuals in sustaining their housing after
move-in.
*Funding[[820,1452,941,1493][9][,I,][Arial]]Total [[909,1452,959,1493][9][,,][Arial]]$ [[1023,1452,1252,1493][9][,,][Arial]]Projected $ [[1330,1452,1520,1493][9][,,][Arial]]Actual or
[[1652,1452,1852,1493][9][,,][Arial]]Projected [[2004,1452,2220,1493][9][,,][Arial]]Number of [[2285,1452,2410,1493][9][,,][Arial]]Year
Sources by Type Amount for Amount for Estimated Number Number to be Staff FTEs in Project
(FY 16-17FY 17-18Served in FY 16-Served in FY 17-FY 16-17first started
include grants,
1718
federal, state &
)
local sources
Franklin/Fulton Federal$49,485$54,55826-3025-3532.252005
PATH Program
State$16,495$18,186
Housing Contingency Funds for Behavioral Health
6.Check if available in the county and complete the section.
Flexible funds for one-time and emergency costs such as security deposits for apartment or utilities, utility hook-up fees, furnishings etc.
*Funding[[804,2008,925,2049][9][,I,][Arial]]Total [[893,2008,943,2049][9][,,][Arial]]$ [[1005,2008,1234,2049][9][,,][Arial]]Projected $ [[1305,2008,1495,2049][9][,,][Arial]]Actual or
[[1542,2008,1877,2049][9][,,][Arial]]Projected Number [[2011,2008,2193,2049][9][,,][Arial]]Average [[2299,2008,2424,2049][9][,,][Arial]]Year
Sources by Type Amount for Amount for FY Estimated Number to be Served in FY Contingency Project
(FY 16-1717-18Served in FY 16-17-18Amount per personfirst
include grants,
17started
federal, state &
)
local sources
Franklin County County HSBG$9,77410-12Uncertain of $815/person2016
Family Housing funding
Grant
Franklin County County$21,539.36$11,80822-3010-20$717/person2006
Housing Expansion
7.Other: Identify the program for Behavioral Health
Check if available in the county and complete the section.
Project Based Operating Assistance PBOA
(is a partnership program with Pennsylvania Housing Finance Agency in which the County provides operating
Fairweather Lodge
;
FWL
or rental assistance to specific units then leased to eligible persons)(is an Evidenced Based Practice where individuals with serious
CRR Conversion
;
mental illness choose to live together in the same home, work together and share responsibility for daily living and wellness)(as described in
other.
,
the CRR Conversion Protocol )
*Funding[[741,1146,862,1187][9][,I,][Arial]]Total [[830,1146,880,1187][9][,,][Arial]]$ [[924,1146,1153,1187][9][,,][Arial]]Projected $ [[1174,1146,1364,1187][9][,,][Arial]]Actual or
[[1397,1146,1597,1187][9][,,][Arial]]Projected [[1652,1146,1909,1187][9][,,][Arial]]# of Projects [[1982,1146,2229,1187][9][,,][Arial]]# of Projects [[2315,1146,2440,1187][9][,,][Arial]]Year
Sources by Type Amount for Amount for Estimated Number to Projected in FY 17-projected in FY 17-Project
(FY 16-17FY 17-18Number be Served in 18 (i.e. if PBOA; 18 (if other than first
include grants,
Served in FY FY 17-18FWLs, CRR PBOA, FWL, CRR started
federal, state &
)
16-17Conversions Conversion)
local sources
planned)
HUD 3 Leasing Federal$83,352$83,3522013-15NANA2008
Assistance
County $1,628$1,628
Program
Match/In Kind
Franklin County County$24,160$24,16085-8NANA2006
Housing
Expansion
Supportive County $730,269$730,26918NANANA2005
Living Program
Specialized County $386,218$386,21899NANA2005
Community
Residence
Community County $293,096$293,0961215NANA2003
Rehabilitative
Residential
c)Recovery-Oriented Systems Transformation:
[[70,961,215,997][8][B,I,][Arial]]Priority [[406,961,577,997][8][B,I,][Arial]]Narrative [[800,961,930,997][8][B,I,][Arial]]Action [[909,961,1029,997][8][B,I,][Arial]]Steps [[1541,961,1703,997][8][B,I
,][Arial]]Timeline [[1731,961,2051,997][8][B,I,][Arial]]Resources Needed [[2100,961,2439,997][8][B,I,][Arial]]Tracking Mechanism
1.Suicidea.Develop a Zeroi.Identify key community influencers that shareDecember $10,000 may be This is monitored
PreventionSuicide Prevention the Zero Suicide Prevention and can work on 2018needed to support the through the Suicide
philosophy statement behalf of this effort.education and prevention task force
and community awareness campaign. and Healthy Franklin
ii.Schedule conversation with National AllianceJuly 2017
education program County. The coroner’s
for Suicide Prevention for technical assistance.
emphasizing the value office will be a source
iii.Create a community awareness/ educationDecember
and importance of each of data collection.
action plan for spreading this message into the 2018
individual
community(QPR trainings, depression
screenings)
2.Addressing healtha.Increase the numberi.Develop community consensus on aDecember The dollar amount This is monitored
literacy in both our of patients who are depression assessment instrument that can be 2017needed will be through the MH task
residents and our screened fordepression used by all Primary Care Providers, Hospital assessed as the force and Healthy
systemwithin the primary care Physicians, and Mental Health Professionals. committee is Franklin County.
setting by December The survey instrument should include questions researching a program.
2020.related to screening for and managing patients
with depression, and identifying resources
needed to assist primary care providers.
ii.Create an action plan for educating andMarch
gaining support on the use of the depression 2018
assessment tools, and compiling the assessment
results at a centralized location for PrimaryCare
Providers and Mental Health Providers.
iii.Provide training and support for Primary CareJanuary
Providers and Mental Health Professionals on 2019
the use of the assessment tools, documentation
of assessment results, and making appropriate
referrals for support for individuals experiencing
depression.
iv.Identify a lead organization for coordinatingNovember
assessment tool training, collecting assessment 2018
results, and providing support and coaching for
Primary Care Physicians and Mental Health
Professionals in the assessment of patients for
depression.
b.Improve access andi.Develop a model for integrating behavioralDecember Referral processThis is monitored
quality of care by health services, training and resources into 2018through the MH task
designing a model by Primary Care officesto include education for force and Healthy
which behavioral health special populations such as older adults and FranklinCounty.
services are integrated LGBTQI.
[[70,783,215,819][8][B,I,][Arial]]Priority [[406,783,577,819][8][B,I,][Arial]]Narrative [[800,783,930,819][8][B,I,][Arial]]Action [[909,783,1029,819][8][B,I,][Arial]]Steps [[1541,783,1703,819][8][B,I
,][Arial]]Timeline [[1731,783,2051,819][8][B,I,][Arial]]Resources Needed [[2100,783,2439,819][8][B,I,][Arial]]Tracking Mechanism
with Primary Care ii.Conduct a pilot program in which behavioral
offices. health therapists serve as a resource and provide
support to one or more (maximum of 3) Summit
Physician Services offices.
c.Increase communityi.The Mental Health Task Force will develop aDecember $5000 may be needed This is monitored
awareness about community awareness and education action plan 2020for educational and through the MH task
depression and available for informing the community about depression resource material force and Health
resources within the and other mental illnesses.identified to assist with Franklin County.
community community awareness
ii.Continue and expand existing community
campaign.
campaigns that educate the public about
effective ways to manage depression (i.e.,
physical activity, nutrition).
3.Re-entry ofAs a result of Coalition i.Create an awareness/education plan for theongoingStakeholders (faith Reentry Education
individuals from our Planning meetings and county, including plans for media.organizations, jail, Committee meetings
jail to our surveys, the Reentry courts, human
community.Coalition has established services, law
the following priorities for enforcement, public)
the next steps of reentry
ii.Educate employers about reentry and hiringongoingStakeholders (faith Reentry Education
planning:
individuals with criminal backgrounds.organizations, jail, Committee meetings
courts, human
a.EDUCATION
services, law
enforcement, public,
employers)
b.SUPPORTi.Identify all existing community resources andongoingStakeholders (jail, Reentry Advisory
update theReentry Resource Guide available in courts, human Board reassess as
print and digital formats.services, law needed
enforcement)
ii.Identify inmate needs prior to release and craftongoingStakeholders (jail, Case Review Task
individual release plan, providing the inmate with courts, human Force
a resource directory and packet of materials. services)
Offer guidance on how to connect with
resources.
iii.Develop a reentry discharge planning teamFall 2017Stakeholders (faith Case Review Task
and/or follow up team to work with people before organizations, jail, Force
and after release.courts, human
services, law
enforcement, public)
c.INCREASEi.Complete a housing inventory to ensureFall 2017Stakeholders (faith Housing Task Force
CAPACITYaffordable housing is available to returning organizations, jail,
citizens and craft a comprehensive housing plan courts, human
for reentry.services, law
enforcement, public)
ii.Commit to keeping formerly incarceratedongoingStakeholders (faith Coalition Advisory
people involved in Reentry Coalition meetings organizations, jail, Board
[[70,783,215,819][8][B,I,][Arial]]Priority [[406,783,577,819][8][B,I,][Arial]]Narrative [[800,783,930,819][8][B,I,][Arial]]Action [[909,783,1029,819][8][B,I,][Arial]]Steps [[1541,783,1703,819][8][B,I
,][Arial]]Timeline [[1731,783,2051,819][8][B,I,][Arial]]Resources Needed [[2100,783,2439,819][8][B,I,][Arial]]Tracking Mechanism
and include on committee work.courts, human
services, law
enforcement, public)
d.ADVOCATEFORi.Examine reentry processes and protocols,ongoingStakeholders (jail, Intercept Task Force
CHANGElooking for opportunities to enhance or develop courts, law
better processes and remove process barriers. enforcement, human
services)
4.Data collection toa.Our local advocacyi.Training to authorized usersSummer Staff and computers This is monitored by
increase knowledge provider, Mental Health 2016neededMH Task Force and
of quality of services Association, has Healthy Franklin
in order to assist in partnered with Penn County. Penn State
making better State Mont Alto to begin Mont Alto is also
decisions for service the development of a monitoring.
delivery.data warehouse.
ii.Data entry to beginOctober Data and data analystThis is monitored by
2016MH Task Force and
Healthy Franklin
County. Penn State
Mont Alto is also
monitoring.
iii.Collaboration with county providers to educateJanuary Data and data analyst. This is monitored by
and share the benefits to having a data 2017Education and MH Task Force and
warehouse for our community.demonstration of the Healthy Franklin
data. County. Penn State
Mont Alto is also
monitoring.
iv.Actual use of the system2018Provider agency This is monitored by
participation MH Task Force and
Healthy Franklin
County. Penn State
Mont Alto is also
monitoring.
b.County Humani.Createprocess for data collection from eachWinterCounty and This is monitored
Services is working with department2017HealthChoices have through the County
our managed care committed funds to project planning.
organization to create a pursue the project.
ii.Begin upload of data for county HSSpring
data warehouse to track
departments to compare and contrast for 2018
human services data
developing services
across systems.
[[127,2277,2193,2322][9][,I,][Arial]]*On a quarterly basis, progress on each of the transformation priorities is reported to our Community Support Program.
e)Existing County Mental Health Services:
Please indicate all currently available services and the funding sourceor sources utilized.
Services By CategoryCurrently Funding Source (Check allthat apply)
Offered
Outpatient Mental Health
County HCReinvestment
Psychiatric Inpatient Hospitalization
County HCReinvestment
Partial Hospitalization
County HCReinvestment
Family-Based Mental Health Services
County HCReinvestment
ACT or CTT
County HCReinvestment
Children’s Evidence Based Practices
County HCReinvestment
Crisis Services
County HCReinvestment
Emergency Services
County HCReinvestment
Targeted Case Management
County HCReinvestment
Administrative Management
County HCReinvestment
Transitional and Community Integration Services
County HCReinvestment
Community Employment/Employment Related Services
County HCReinvestment
Community Residential Services
County HCReinvestment
Psychiatric Rehabilitation
County HCReinvestment
Children’s Psychosocial Rehabilitation
County HCReinvestment
Adult Developmental Training
County HCReinvestment
Facility Based Vocational Rehabilitation
County HCReinvestment
Social Rehabilitation Services
County HCReinvestment
Administrator’s Office
County HCReinvestment
Housing Support Services
County HCReinvestment
Family SupportServices
County HCReinvestment
Peer Support Services
County HCReinvestment
Consumer Driven Services
County HCReinvestment
Community Services
County HCReinvestment
Mobile Mental Health Treatment
County HCReinvestment
BHRS for Children and Adolescents
County HCReinvestment
Inpatient D&A (Detoxification and Rehabilitation)
County HCReinvestment
Outpatient D&A Services
County HCReinvestment
Methadone Maintenance
County HCReinvestment
Clozapine Support Services
County HCReinvestment
Additional Services(Specify –add rows as needed)
County HCReinvestment
*HC= HealthChoices
f)Evidence Based Practices Survey:
Evidenced Based Is the Current What fidelity Who How often Is SAMHSA EBP Is staff Additional
Practiceservice Number measure is measures is fidelity Toolkit used as specifically Information
available served in used?fidelity? measured?an trained to and
in the the (agency, implementation implement Comments
County/ County/ county, guide? (Y/N)the EBP?
Joinder? Joinder MCO, or (Y/N)
(Y/N)(Approx)state)
Assertive No
Community
Treatment
Supportive Yes18Outcomes Agency6 monthsNoYes
HousingRating Scale
Supported NoInclude #
EmploymentEmployed
Integrated Yes135AgencyNoSeveral
Treatment for Co-agencies use
occurring different
Disorders (MH/SA)programs
Illness Yes18Agency/CEvery NoOnly included
Management/ ountysessiongroup
Recoverynumbers
Medication No
Management
(MedTEAM)
Therapeutic Yes
Foster Care
Multisystemic
Therapy
Functional Family
Therapy
Family Psycho-Yes25StrengtheninAgencyEvery NoYes
Educationg Families session
Program 10-
14
*Please include both county and Medicaid/HealthChoices funded services.
To access SAMHSA’s EBP toolkits:
http://store.samhsa.gov/list/series?name=Evidence-Based-Practices-KITs
g)Additional EBP, Recovery Oriented and Promising Practices Survey:
Recovery Oriented and Promising PracticesService Current Additional Information and Comments
Provided Number
(Yes/No)Served
(Approximate)
Consumer Satisfaction Team
Yes300
Family Satisfaction Team
Yes125
Compeer
No0
Fairweather Lodge
Yes8
MA Funded Certified Peer Specialist
Yes40
Other Funded Certified Peer Specialist
Yes39
Dialectical Behavioral Therapy
Yes20
2 providers offer group
Mobile Meds
No0
Wellness Recovery Action Plan (WRAP)
Yes42
Groups & individual
High Fidelity Wrap Around
No0
Shared Decision Making
No0
Psychiatric Rehabilitation Services (including clubhouse)
Yes84
Self-Directed Care
No0
Supported Education
No0
Treatment of Depression in Older Adults
No0
Competitive/Integrated Employment Services**
Yes174Include # employed 52
Consumer Operated Services
Yes350Mental Health Association
Parent ChildInteraction Therapy
Yes17Actual FY 16/17 as of April
Sanctuary
Yes2In our larger system
Trauma Focused Cognitive Behavioral Therapy
Yes16Actual FY 16/17 as of April
Eye Movement Desensitization And Reprocessing (EMDR)
Yes15
First Episode Psychosis Coordinated Specialty Care
No0
Other (Specify)Check & Connect
Yes23Middle school age
*Please include both County and Medicaid/HealthChoices funded services.
**Do not include numbers served counted in Supported Employment on Evidenced Based Practices Survey above [table (f)]
h)Certified Peer Specialist Employment Survey:
“Certified Peer Specialist” (CPS) is defined as:
An individual who has completed a 10-day Certified Peer Specialist training course
provided by either the Institute for Recovery and Community Integration or Recovery
Innovations/Recovery Opportunities Center.
Please include CPSs employed in any mental health service in your county/joinder
including, but not limited to:
case managementMedicaid-funded peer support programs
inpatient settingsconsumer-run organizations
psychiatric rehabilitation centersresidential settings
intensive outpatient programsACT, PACT, or FACT teams
drop-in centers
Total Number of CPSs Employed15
Number Full Time (30 hours or more)2
Number Part Time (Under 30 hours)13
INTELLECTUAL DISABILITY SERVICES
[[225,1974,275,2031][12][,I,][Arial]]T [[255,1974,2262,2031][12][,I,][Arial]]he Office of Developmental Programs (ODP), in partnership with the county programs, is
[[225,2032,1860,2089][12][,I,][Arial]]committed to ensuring that individuals with an intellectual disability live ri [[1820,2032,2368,2089][12][,I,][Arial]]ch and fulfilling lives in
[[225,2089,1270,2146][12][,I,][Arial]]their community. It is important to also ensure [[1262,2089,2307,2146][12][,I,][Arial]]that the families and other stakeholders have
[[225,2147,2326,2204][12][,I,][Arial]]access to the information and support needed to help be positive members of the individuals’
[[225,2204,411,2261][12][,I,][Arial]]teams.
[[225,2319,275,2376][12][,I,][Arial]]T [[255,2319,2410,2376][12][,I,][Arial]]his year, we are asking you to focus more in depth on the areas of the county plan that will help
[[225,2377,1532,2434][12][,I,][Arial]]us achieve the goal of an Everyday Life for all individuals.
[[225,2492,279,2549][12][,I,][Arial]]W [[273,2492,2363,2549][12][,I,][Arial]]ith that in mind, describe the continuum of services to enrolled individuals with an intellectual
[[225,2549,854,2606][12][,I,][Arial]]disability within the county. [[845,2549,2422,2606][12][,I,][Arial]]In a narrative format, please include the strategies that will be utilized
[[225,2607,2396,2664][12][,I,][Arial]]for all individuals registered with the county, regardless of the funding stream. In completing the
[[225,2664,2421,2721][12][,I,][Arial]]chart below, regarding estimated numbers of individuals, please include only those individuals for
[[225,2722,2449,2779][12][,I,][Arial]]whom base or block grant funds have or will be expended. Appendix C should reflect only base or
[[225,2779,2397,2836][12][,I,][Arial]]block grant funds except for the Administration category. Administrative expenditures should be
[[225,2837,1754,2894][12][,I,][Arial]]included for both base/block grant and waiver administrative funds.
[[225,2952,275,3009][12][,I,][Arial]]* [[244,2952,2374,3009][12][,I,][Arial]]Please note that under Person Directed Supports, individuals served means the individual used
[[225,3009,2335,3066][12][,I,][Arial]]Vendor Fiscal/Employer Agent (VF/EA) or Agency with Choice (AWC) for at least one service
[[225,204,347,261][12][,I,][Arial]]duri [[309,204,2387,261][12][,I,][Arial]]ng the fiscal year. The percentage of total individuals served represents all funding streams.
[[225,262,2449,319][12][,I,][Arial]]The percentage might not add to 100 percent if individuals are receiving services in more than one
[[225,319,467,376][12][,I,][Arial]]category.
The mission of Franklin/Fulton Mental Health/Intellectual Disabilities/ Early Interventionis to
partner with the community to develop and assure the availability of quality MH/ID/EI services
and supports for individuals and families. Through the use of a person-centered planning
approach and the utilization of Prioritization of Urgency of Needfor Services (PUNS), the ID
program assists individuals in accessing services and supports within their community regardless
of the funding stream. The PUNS gathers information from the person-centered planning
approach to identify current and anticipatedneeds. This information allows Franklin/Fulton
Mental Health/Intellectual Disabilities/Early Intervention to budget and plan for the continuum of
services and to develop programs to meet the needs of the community. Programs support client
engagement and provide access to services for employment, training, housing and family
support as appropriate. As of April 30, 2017, there were 528 people registered in the Intellectual
Disabilities program in Franklin County, of which 37 are participants in the life sharing program.
Individuals Served
[[789,1241,1062,1298][12][,I,][Arial]]Estimated [[1126,1241,1405,1298][12][,I,][Arial]]Percent of [[1482,1241,1744,1298][12][,I,][Arial]]Projected [[1840,1241,2119,1298][12][,I,][Arial]]Percent
of
[[783,1299,1069,1356][12][,I,][Arial]]Individuals [[1194,1299,1339,1356][12][,I,][Arial]]total [[1441,1299,1784,1356][12][,I,][Arial]]Individuals to [[1907,1299,2052,1356][12][,I,][Arial]]total
[[799,1356,1052,1413][12][,I,][Arial]]served in [[1122,1356,1409,1413][12][,I,][Arial]]Individuals [[1451,1356,1774,1413][12][,I,][Arial]]be served in [[1836,1356,2122,1413][12][,I,][Arial]]Indivi
duals
[[798,1414,954,1471][12][,I,][Arial]]FY 16 [[932,1414,982,1471][12][,I,][Arial]]- [[948,1414,1026,1471][12][,I,][Arial]]17 [[1162,1414,1343,1471][12][,I,][Arial]]Served [[1485,1414,1641,1471][12][,I,
][Arial]]FY 17 [[1619,1414,1669,1471][12][,I,][Arial]]- [[1635,1414,1713,1471][12][,I,][Arial]]18 [[1875,1414,2056,1471][12][,I,][Arial]]Served
Supported
224 234
Employment
Pre-Vocational5 1 5 1
Adult Training
0 0 0 0
Facility
Base Funded
Supports 76146312
Coordination
Residential
0 0 0 0
(6400)/unlicensed
Life sharing
0 0 0 0
(6500)/unlicensed
PDS/AWC346 346
PDS/VF0 0 0 0
Family Driven
Family Support 184 508
Services
[[225,2720,275,2777][12][B,I,][Arial]]S [[259,2720,856,2777][12][B,I,][Arial]]upported Employment: [[820,2720,2429,2777][12][,I,][Arial]]“Employment First” is the policy of all commonwealth
executive branch
[[225,2777,2221,2834][12][,I,][Arial]]agencies under the jurisdiction of the governor. Therefore, ODP is strongly committed to
[[225,2835,1196,2892][12][,I,][Arial]]Community Integrated Employment for all.
[[375,2896,2399,2953][12][,I,][Arial]]Please describe the services that are currently available in your county such as discovery,
[[375,2953,1059,3010][12][,I,][Arial]]customized employment, etc.
[[375,208,425,265][12][,I,][Arial]]I [[389,208,2340,265][12][,I,][Arial]]dentify changes in your county practices that are proposed for the current year that will
[[375,265,2257,322][12][,I,][Arial]]support growth in this area and ways that ODP may assist the county in establishing
[[375,323,533,380][12][,I,][Arial]]emplo [[511,323,1067,380][12][,I,][Arial]]yment growth activities.
[[375,384,2241,441][12][,I,][Arial]]Please add specifics regarding the Employment Pilot if your county is a participant.
Employment First is a concept promoting community integrated employment. Franklin/ Fulton ID
program is supporting this concept in a variety of ways.
The "Transition to Adult Life Success" program engages young adults with disabilities in
discussions and activities pertaining to areas of self-determination and career exploration. The
"Transition to Adult Life Success" program activities include presentations on employability,
community resources, and post-secondary opportunities. One-to-one services include connecting
with employers, job shadowing, community-based work assessments, and work incentive
counseling. There are currently 44 students in the TALS program in Franklin County. The TALS
program has a goal of placing 10 individuals into a competitive job. As of March 2017, 5
individuals had been placed into a competitive job.
Supported Employment Services include direct and indirect services provided in a variety of
community employment work sites with co-workers who do not have disabilities. Supported
Employment Services provide work opportunities and support individuals in competitive jobs of
their choice. Supported Employment Services enable individuals to receive paid employment at
minimum wage or higher from their employer. Providers of Supported Employment Supports have
outcomes of “placing individuals with intellectual disabilities in a competitive job.” Of the 22 people
receiving base funded supported employment, 20 have competitive jobs.
Transitional Work Services support individuals transitioning to integrated, competitive employment
through work that occurs at a location other than a facility subject to 55 Pa. Code Chapter 2380 or
Chapter 2390 regulations. Transitional work service options include mobile work force, work
station in industry, affirmative industry, and enclave. Franklin/ Fulton County currently serves all
individuals using Transitional Work Services in the Waiver. Thereare currently 57 individuals in
the Transitional Work Program. All these individuals are waiver funded. With the waiver renewals,
this service will change to “small group employment.” Individuals must be paid at least minimum
wage. Therefore, people who are currently enrolled in transitional work will switch to pre-
vocational services completing the same pre-employment functions until the small group
employment service is created by providers.
The ID department is concentrating on Community Employment which includes supported
employment and transitional work for the Quality Management Goal and logic model(see
Appendix E). The outcome for the Quality Management Plan/ logic model is “[[1924,2313,2405,2370][12][,I,][Arial]]people who choose
[[225,2370,1120,2427][12][,I,][Arial]]to work are employed in the community [[1094,2370,2323,2427][12][,,][Arial]].” As of April 1, 2017, there were 101 Franklin County
residents in community employment. Franklin County’s QM/logic model objective is to increase by
5% the number of people who want to work to achieve community employment by June 30, 2017.
The percentage of individuals working in the community is currently 45% (108/241). This is a
decrease in the percentage of people who are community employed. The Intellectual Disability
Program’s QM plan will be measuring the number of new people in Competitive Integrated
Employment as defined by the Department of Labor in the upcoming 2017-2019 QM year. This
also aligns with the Office of Developmental Program’s Quality initiative as set by the ISAC.
The Franklin County ID Program started supporting a new program which began in June 2016.
The Pathways Program is a time-limited program that teaches independent living skills and/or
employment skills. The outcome of this program is for individuals to complete this curriculum in a
2 year period and live independently in their own apartment and/or have competitive employment
at the end of the 2 years. There are currently 10 people enrolled in the first year of this program.
The program is almost at capacity and has pending referrals for recent graduates.
During the summer of 2017,the ID Program will also fund a summer youth work program through
Occupational Services, Inc. to provide paid work experience opportunities to 16 students who
have learning disabilities or intellectual disabilities. The program will target students in Franklin
County school districts who do not have the opportunity for extended school year, transition
activities or paid work during the summer months. This will be the last year for this program as
OVR is operating a Pre-employment Transition Service (PETS).Franklin County ID Program will
encourage students to attend this program as appropriate. The Franklin/Fulton ID Program
participates in the Transition Council with OVR,the School Districts, and providers to promote and
support the Employment First Model.
[[225,2035,275,2092][12][B,I,][Arial]]S [[259,2035,820,2092][12][B,I,][Arial]]upports Coordination:
[[375,2096,2269,2153][12][,I,][Arial]]Describe how the county will assist the supports coordination organization to engage
[[375,2153,2382,2210][12][,I,][Arial]]individuals and families in a conversation to explore natural support available to anyone in
[[375,2211,750,2268][12][,I,][Arial]]the community.
[[375,2272,1184,2329][12][,I,][Arial]]Describe how the county will assist [[1162,2272,2388,2329][12][,I,][Arial]]supports coordinators to effectively plan for individuals
[[375,2329,809,2386][12][,I,][Arial]]on the waiting list.
[[375,2390,2424,2447][12][,I,][Arial]]Describe how the county will assist the supports coordination organizations to develop ISPs
[[375,2447,2132,2504][12][,I,][Arial]]that maximize community integration and Community Integrated Employment.
Base Funded Supports Coordination includes home and community based case management for
individuals in nursing facilities, MA eligible individuals who are admitted for psychiatric
hospitalization and in community residential settings. These services are only paid for individuals
who have had a denial of Medical Assistance Coverage. There are 47 people who have base
funded Supports Coordination. There are 9 people who have the OBRA Waiver and have base
funded Supports Coordination. There are 6 people who reside in an ICF/ID or State Center and
receive base funded Supports Coordination. Currently no one is leaving a State Hospital system
from Franklin or Fulton Counties, so transition services are not needed at this time.The program
has MA denials for people who are receiving base services over $8000.
Th
e ID Program collaborates with the Supports Coordination Organization (SCO) by holding
monthly meetings with Supports Coordination Supervisors. During these meetings, individuals
who are deemed high profile or have Emergency PUNS are discussed regarding natural supports
and what supports are necessary for that person. Any individual can be added to this list. At these
meetings, PUNS, ISPs, Physicals, Levels of Care and other items are part of the standing agenda
discussed monthly. The SCO is also represented on the Transitional Council and is encouraged to
participate in SELN trainings to promote community integrated employment. The ID Program
collaborates and participates in training with the Office of Vocational Rehabilitation on
implementation of WIOA. The ID Program developed an OVR referral process to streamline, track,
and facilitate in accessing OVR services.
[[225,895,305,952][12][B,I,][Arial]]Li [[270,895,749,952][12][B,I,][Arial]]fesharing Options:
[[375,956,2085,1013][12][,I,][Arial]]Describe how the county will support the growth of Lifesharing as an option.
[[375,1017,600,1074][12][,I,][Arial]]What are [[592,1017,1838,1074][12][,I,][Arial]]the barriers to the growth of Lifesharing in your county?
[[375,1077,2383,1134][12][,I,][Arial]]What have you found to be successful in expanding Lifesharing in your county despite the
[[375,1135,594,1192][12][,I,][Arial]]barriers?
[[375,1196,2421,1253][12][,I,][Arial]]How can ODP be of assistance to you in expanding and growing Lifesharing as an option in
[[375,1253,589,1310][12][,I,][Arial]]your cou [[567,1253,684,1310][12][,I,][Arial]]nty?
According to 55 Pa. Code Chapter 6500: “Family Living Homes are somewhat different than other
licensed homes as these settings provide for life sharing arrangements. Individuals live in a host
life sharing home and are encouraged to become contributing members of the host life sharing
unit. The host life sharing arrangement is chosen by the individual, his or her family and team and
with the life sharing host and Family Living Provider Agency in accordance with the individual’s
needs. Licensed Family Living Homes are limited to homes in which one or two individuals with an
intellectual disability who are not family members or relatives of the life sharing host reside.”
Satisfaction surveys have shown that people in life sharing living arrangements are more satisfied
with their life. This, along with the QM plan/ Logic Model that people choose where they wish to
live, has driven the objective for Life Sharing, “[[1251,1885,2341,1942][12][,I,][Arial]]to increase the number of people in life sharing. [[2305,1885,2355,1942][12][,,][Arial]]”
The Franklin/Fulton County Intellectual Disabilities Program will support the growth of life sharing
in the following ways:
The Administrative Entity (AE) and SCO will continue to work on providing information to
individuals and families on the values and benefits of Life Sharing and correctingthe
“stigma” that it is “adult foster care. We will continue helping families understand that Life
Sharing is a supportive, sharing and mentoring environment that enhances the natural
supports of the family.
The AE has encouraged local Life Sharing providers to develop new licensed homes to be
used for periodic and emergency respite situations that can be available when needed.
This has helped to expedite emergency respite placements which,in turn, has developed
into a new life sharing connection.
The AE will work with providers with the expansion of the Life Sharing service definition to
include individuals living in their own home or a home of a relative and receive agency-
managed life sharing services.
Life sharing is the first residential optionoffered to any person who needs a residential placement.
This is documented in the Individual Support Plan. Currently, there are 37 people living in life
sharing homes in Franklin County (Franklin/ Fulton QM/ logic model information). All 37 people
have waiver funding to support the services they need in the life sharing home. The Intellectual
Disability Program’s Quality Management/ logic model outcome is “[[1709,319,2257,376][12][,I,][Arial]]people live where they
[[225,377,436,434][12][,I,][Arial]]choose. [[401,377,1949,434][12][,,][Arial]]” The QM objective is to increase the number of people in life sharing [[1940,377,2387,434][12][,,][Arial]]in
Franklin/ Fulton
Counties by 10% (n=44) by June 30, 2019.
Some of the barriers to growth in lifesharing in Franklin/ Fulton County are the lack of families
interested in lifesharing. Another barrier is the complex needs of individuals that may be
interested in lifesharing. The final barrier is that caregivers that are lifesharers are aging. As they
age, their own needs increase and they cannot continue to provide the care required. While there
are barriers to lifesharing in Franklin/ Fulton Counties, there are also successes. Many of the
people in lifesharing have lived in their lifesharing homes for 20+ years. One provider of life
sharing actively recruits lifesharing families successfully. Finally, Franklin/Fulton has been
successful in moving people from CRR and Children Foster Care to life sharing when they age out
of the children’s system.
[[225,1125,275,1182][12][B,I,][Arial]]C [[261,1125,1370,1182][12][B,I,][Arial]]ross Systems Communications and Training:
[[375,1186,2391,1243][12][,I,][Arial]]Describe how the county will use funding, whether it is block grant or base, to increase the
[[375,1243,678,1300][12][,I,][Arial]]capacity of y [[653,1243,2418,1300][12][,I,][Arial]]our community providers to more fully support individuals with multiple needs.
[[375,1304,2391,1361][12][,I,][Arial]]Describe how the county will support effective communication and collaboration with local
[[375,1361,2060,1418][12][,I,][Arial]]school districts in order to engage individuals and families at an early age.
[[375,1422,566,1479][12][,I,][Arial]]Describ [[545,1422,2338,1479][12][,I,][Arial]]e how the county will communicate and collaborate with local children and youth
[[375,1479,2371,1536][12][,I,][Arial]]agencies, the Area Agency on Aging and the mental health system to ensure individuals
[[375,1537,2326,1594][12][,I,][Arial]]and families are provided with the information they need to access needed community
[[375,1594,550,1651][12][,I,][Arial]]resour [[517,1594,1943,1651][12][,I,][Arial]]ces as well as formalized services and supports through ODP.
The ID program collaborates with the following agencies to increase the support for individuals
with multiple needs. The ID program staff attends Child and Adolescent Service System Program
(CASSP) meetings to discuss the supports needed for individuals to be supported in their
community and school. The ID staff also has a working relationship with Home Health Aid
Providers to support individuals in the home and community. Lastly, the Managed Care
Organization Specialized Needs Unit is available for individuals who meet their criteria.
T
he ID program also collaborates with the school districts by offering information sessions to both
parents and teachers. The ID staff has attended IEPs when requested to help problem solve
and/or to provide intake information. The Administrative Entity (AE) also is a member of the
transition council and attends the Transition Fairs at all High Schools county-wide.
The ID program partners with Children and Youththrough CASSP. There are also individual
cases where C & Y and the ID Program are involved where communication between the two
agencies resulted in the best outcome for the child while protecting the individual’s rights.
The ID program collaborates with Franklin County Office of Aging through participation in the
Aging/ ID Meetings as well as reviewing PASSAR packets. The ID staff also attends the Building
Bridges Conference.
The Mental Health and Intellectual Disabilities program hasa long history ofcommunication and
collaboration. ID collaborated with the Copeland Center for Wellness and Recovery and Mental
Health to pilot WRAP® for People with Developmental Distinctions, which supports people with
both a mental illness and Developmental Disability.WRAP® is a recovery oriented evidence-
based model that is accepted internationally. Franklin/ Fulton County and Philadelphia are the
pilot areas. The first group was held at OSI in 2013. The County is also on the committee that
wrote the WRAP® for People with Developmental Distinctions curriculum in collaboration with The
Copeland Center, OMHSAS, NASDDDS and ODP. This curriculum is the next step for WRAP®
for People with Developmental Distinction to become evidenced-based. The County has
supported WRAP® efforts to explain this new program at conferences and trainings. WRAP®
groups were held throughout the year. (See Mental Health Section.)
The ID program also presents the module on Intellectual Disabilities in the Crisis Intervention
Team Curriculum. This curriculum helps police officers, MH professionals and first responders
respond to someone with a disability in the course of their professions.
The ID program continues to collaborate with Tuscarora Managed Care Alliance and PerformCare
to develop policy and procedures for people who have a dual diagnosis.
The Quality Management Plan/ Logic Model also includes an outcome to “[[1863,1067,2255,1124][12][,I,][Arial]]collaborate and
[[225,1124,1796,1181][12][,I,][Arial]]implement promising practices to assist people in achieving outcomes [[1771,1124,2319,1181][12][,,][Arial]].” The objective for the
2015-2017 QM Plan/ logic model wasto identify individuals who have a dual diagnosis and/or a
Behavior Support Plan, then develop a toolkit for them to assist in recovery and achieve their
outcomes. In 2015, the baseline data was gathered and the toolkit started. The toolkit was
developed and is available for use for those teams that would like to use it. This outcome was
met and will be discontinued in the next QM plan.
[[225,1527,275,1584][12][B,I,][Arial]]E [[259,1527,779,1584][12][B,I,][Arial]]mergency Supports:
[[375,1588,2124,1645][12][,I,][Arial]]Describe how individuals in an emergency situation will be supported in the co [[2102,1588,2315,1645][12][,I,][Arial]]mmunity
[[375,1645,1802,1702][12][,I,][Arial]](regardless of availability of county funding or waiver capacity).
[[375,1706,1932,1763][12][,I,][Arial]]Provide details on your county’s emergency response plan including:
[[525,1763,2407,1820][12][,I,][Arial]]Does your county reserve any base or block grant funds to meet emergency needs?
o
[[525,1821,2371,1878][12][,I,][Arial]]What is your county’s emergency plan in the event an individual needs emergency
o
[[525,1878,2263,1935][12][,I,][Arial]]services, residential or otherwise, whether within or outside of normal working
[[525,1936,700,1993][12][,I,][Arial]]hours?
[[525,1993,1431,2050][12][,I,][Arial]]Does your county provide mobile crisis?
o
[[525,2051,2320,2108][12][,I,][Arial]]If your county does provide mobile crisis, have the staff been trained to work wit [[2285,2051,2335,2108][12][,I,][Arial]]h
o
[[525,2108,1718,2165][12][,I,][Arial]]individuals who have an ID and/or Autism diagnosis?
[[525,2166,1687,2223][12][,I,][Arial]]What is the composition of your mobile crisis team?
o
[[525,2223,2388,2280][12][,I,][Arial]]Do staff who work as part of the mobile crisis team have a background in ID and/or
o
[[525,2281,727,2338][12][,I,][Arial]]Autism?
[[525,2338,2156,2395][12][,I,][Arial]]Is there training available for staff who are part of the mobile crisis team?
o
[[525,2396,2340,2453][12][,I,][Arial]]If your county does not have a mobile crisis team, what is your plan to create one
o
[[525,2453,1318,2510][12][,I,][Arial]]within your county’s infrastructure?
[[375,2514,1026,2571][12][,I,][Arial]]Please submit the county 24 [[1004,2514,1054,2571][12][,I,][Arial]]- [[1020,2514,2432,2571][12][,I,][Arial]]hour Emergency Response Plan as required
under the Mental
[[375,2572,1005,2629][12][,I,][Arial]]Health and Intellectual Disa [[984,2572,1440,2629][12][,I,][Arial]]bilities Act of 1966.
If waiver capacity is unavailable, individuals will be supported out of funds in the Block
Grant. Base money will be provided to graduates for day programs and transportation to
maintain their residence at home, so their parents can maintain their employment status.
The ID Independent Apartment Program has 11 people living in their own apartments with
less than 30 hours of support per week. Base funds are used to subsidize the rent. The
Franklin County ID department will increase the availability for combinations of Family
Aide, Day Programs, Transportation, Adaptive Equipment, Home modifications and
Respite so that individuals can continue to live at home instead of residential programs
which are more costly.
The AE has a Risk Management Committee that meets quarterly to discuss incident
management and any items that may arise to become a future emergency.
Franklin County responds to emergencies outside of normal work hours in Procedure
Statement ID-2014-505 Incident Management. In this procedure statement, all Program
Specialists are listed as well as the MH/ID/EI Administrator with their cell phone numbers.
These contacts can be used after hours for any emergency. All providers have been
trained in the policy. The Incident Management Program Specialist checks the HCSIS
database on a daily basis to assure that all the incidents provide for the health and safety
of the individuals served. This includes weekends and holidays. Franklin County reserves
base respite funds to authorize respite services as needed in an emergency and works
with providers and the Supports Coordination Organization to set up these services,
whether during normal business hours or after. These services may become Emergency
Lifesharing or Emergency Residential while the person is in respite. This provides for the
safety of the person and finds a long term solution.
The MH/ID Department’s mission-essential functions are those critical processes the
department must maintain, during the response and recovery phases of an emergency, to
continue to serve its constituents. The department’s mission-essential functions must be
able to be executed within 12 hours of a major emergency and be sustainable for up to 30
days during the recovery phase of the emergency.
TheIntellectual Disabilities Program utilizes the current contract with Keystone Behavioral
Health for Crisis Services. The Crisis Department is operated 24 hrs. per day, 7 days per
week for 365 days. One aspect of this contracted service is Mobile Crisis.Mobile Crisis is
available in Franklin County. Any of the Crisis workers can provide mobile crisis. Some of
the crisis workers do have a background in working with individuals with Autism and/or
Intellectual Disabilities. They do have some trained staff; training is available for any staff
as requested. As with the other Crisis Services Offered, when an individual with an
Intellectual Disability or Autism utilizes crisis services, the crisis staff will notify either the
Supports Coordinator or the AE if the person is not registered with the ID program. A
program is being piloted in Franklin County to utilizea co-responderfor individuals with MH
or ID. Please see Mental Health Section for details.
The County24-hour Emergency Response Plan, as requiredunder the Mental Healthand
IntellectualDisabilities Act of1966, is on file, but will be provided if requested due to the
personal phone numbers published in it.
[[224,2562,275,2619][12][B,I,][Arial]]A [[261,2562,850,2619][12][B,I,][Arial]]dministrative Funding: [[814,2562,2212,2619][12][,I,][Arial]]ODP has engaged the PA Family Network to provide
support [[2177,2562,2310,2619][12][,I,][Arial]]and
[[225,2619,2374,2676][12][,I,][Arial]]training in the community. The PA Family Network will be providing individuals who are person
[[225,2677,837,2734][12][,I,][Arial]]centered thinking trainers.
[[375,2795,2326,2852][12][,I,][Arial]]Describe how the county will utilize the trainers with individuals, families, providers, and
[[375,2852,681,2909][12][,I,][Arial]]county staff.
[[375,2913,2201,2970][12][,I,][Arial]]Describe other strategies you will utilize at the local level to provide discovery and
[[375,2971,2311,3028][12][,I,][Arial]]navigation (information, education, skill building) and connecting and networking (peer
[[375,3028,1209,3085][12][,I,][Arial]]support) for individuals and families.
[[375,208,429,265][12][,I,][Arial]]W [[423,208,1880,265][12][,I,][Arial]]hat kinds of support do you need from ODP to accomplish the ab [[1857,208,1988,265][12][,I,][Arial]]ove?
[[375,269,2415,326][12][,I,][Arial]]Describe how the county will engage with the Health Care Quality Units (HCQU) to improve
[[375,326,1609,383][12][,I,][Arial]]the quality of life for the individuals in your community.
[[375,387,2346,444][12][,I,][Arial]]Describe how the county will use the data generated by the HCQU as part of the Quality
[[375,445,831,502][12][,I,][Arial]]Management Plan [[795,445,1020,502][12][,I,][Arial]]process.
[[375,506,2371,563][12][,I,][Arial]]Describe how the county will engage the local Independent Monitoring for Quality (IM4Q)
[[375,563,1923,620][12][,I,][Arial]]Program to improve the quality of life for individuals in your program.
[[375,624,2377,681][12][,I,][Arial]]Describe how the county will use the data generated by the IM4Q process as part of your
[[375,682,1000,739][12][,I,][Arial]]Quality Management Plan.
[[375,743,1982,800][12][,I,][Arial]]Are there ways that ODP can partner with you to utilize data more fully?
[[375,803,2296,860][12][,I,][Arial]]Describe how the county will support local providers to increase their competency and
[[375,861,1928,918][12][,I,][Arial]]capacity to support individuals who present with higher levels of need [[1921,861,2329,918][12][,I,][Arial]]related to: aging,
[[375,918,1624,975][12][,I,][Arial]]physical health, behavioral health, communication, etc.
[[375,979,1890,1036][12][,I,][Arial]]How can ODP assist the county’s support efforts of local providers?
[[375,1040,2276,1097][12][,I,][Arial]]Describe what Risk Management approaches your county will utilize to ensure a high [[2254,1040,2304,1097][12][,I,][Arial]]-
[[375,1097,959,1154][12][,I,][Arial]]quality of life for individua [[937,1097,1023,1154][12][,I,][Arial]]ls.
[[375,1158,2340,1215][12][,I,][Arial]]Describe how the county will interact with individuals, families, providers, advocates and
[[375,1216,1820,1273][12][,I,][Arial]]the community at large in relation to risk management activities.
[[375,1277,2180,1334][12][,I,][Arial]]How can ODP assist the county in interacting with stakeholders in relation to risk
[[375,1334,731,1391][12][,I,][Arial]]management a [[709,1334,923,1391][12][,I,][Arial]]ctivities?
[[375,1395,2393,1452][12][,I,][Arial]]Describe how you will utilize the county housing coordinator for people with an intellectual
[[375,1453,617,1510][12][,I,][Arial]]disability.
[[375,1514,2218,1571][12][,I,][Arial]]Describe how the county will engage providers of service in the development of an
[[375,1571,1118,1628][12][,I,][Arial]]Emergency Preparedness Plan.
Franklin/ Fulton ID program is a Regional Collaborative for the Community of Practice. As part of
the Community of Practice, the PA Family Network is partof our Stakeholder Group. In
collaboration with the PA Family Network, the Franklin/ Fulton County Collaborative will host
events and parent seminars to present the Life Course Planning Tools. The Stakeholder group
is meeting on a monthly basis and hashosted two different kinds of events. The PA Family
Network and ID Program attended the Early Childhood Learning Expo and had five families
express interest in more information. They also collaborated to provide a family session to a
family support group. The ID program will continue to collaborate with the PA Family Network
and the Stakeholder Group to provide more family sessions. The Stakeholder group also wants
to reach providers of Human Services to work with individuals who are not registered with the
county. As a result, Nancy Richey and the PA Family Network will be presenting at the Human
Service Training Days in October as the Keynote on the Community of Practice and a break out
session on the tools.
The ID program uses the vast experience of the HCQU. Monthly trainings by the HCQU are held
in Franklin County. They also provide individualized training that is requested by providers and
families. The AE attends the Positive Practices Committee Meetings as well as Regional HCQU
meetings. The HCQU is represented at our provider meetings and sits on both the Risk
Management Committee and the QI Council. As a result of thiscollaboration, a Medication Error
Task Force has been convened in Franklin/Fulton Counties. This is an outcome and objective in
both the Logic model and QM Plan. The HCQU provides training to individuals, provider homes,
staff or individuals depending on the trends found while analyzing the data. This supports the
outcome [[431,2951,481,3008][12][,I,][Arial]]t [[445,2951,2251,3008][12][,I,][Arial]]o assure the health and safety of individuals receiving services, Franklin/ Fulton
[[225,3008,2429,3065][12][,I,][Arial]]Intellectual Disabilities Program will use the objective of reducing the number of medication errors
[[225,204,303,261][12][,I,][Arial]]by [[292,204,484,261][12][,I,][Arial]]10% by [[459,204,811,261][12][,I,][Arial]] June 30, 2017 [[789,204,839,261][12][,I,][Arial]]. [[817,204,2127,261][12][,,][Aria
l]]The baseline data is 270 medication errors from July 2013 [[2105,204,2171,261][12][,,][Arial]]- [[2135,204,2425,261][12][,,][Arial]]April 2015.
As of March 31, 2017, there are 291 medication errors this 2015-2017 QM year. This is not a
decrease and this outcome will continue with the Medication Error Task Force taking the lead.
The Med Error Task Force has nurses from all residential providers on the committee as well as
HCQU nurses. They evaluate the Medication Administration processes at each provider and
brainstorm ways together to solve the problemsthat they have with medication errors. The Task
Force has not been in existence long enough to note if these changes are effective.
As with the HCQU, a representative for the IM4Q local program sits on the QI Council. As a
result of the IM4Q data, the local program realized that people did not know what to do in an
Emergency even though they had a backup plan in their ISP. So, the QI Council recommended
that a one page “What to do in an Emergency” form be developed. This has turned into a folder
with different Emergency Preparedness information in it. This folder is given to individuals when
reviewing what to do in an emergency or at ISPs when questions are raised. The QI Council also
reviews Employment and Lifesharing IM4Q data to determine satisfaction with services. Both of
these Outcomes are included in the QM Plan and Logic Model. The biggest barrier to reviewing
IM4Q data is that the reports are not current. As a result, there is a lag in developing QM
outcomes and objectives.
The ID program supports local providers by encouraging them to develop a relationship with the
HCQU for trainings needed for their staff to support individuals with higher levels of need. The
HCQU can also do biographical timelines, CDCs, medication/pharmacy reviews and provide
training. The AE continues to support providers in developing relationships with the local
hospital. As previously mentioned, the MH/ID Coordination Meetings help to support providers
also.
Franklin/ Fulton County ID Program has collaborated with the HCQU to provide training to
individuals. These trainings are held monthly and are on various topics such as Summer Safety,
Hygiene, How To Make A Friend, etc.
The Risk Management Committee holds quarterly meetings to assess incidents to establish a
higher quality of life for individuals. The Risk Management Committee realized that Individual to
Individual (I-2-I) abuse was an issue that needed addressed. The logic model and QM Plan both
address the I-2-I abuse issue. The outcome,[[1217,2102,1704,2159][12][,I,][Arial]]“People are abuse fr [[1671,2102,1806,2159][12][,I,][Arial]]ee,” [[1770,2102,2243,2159][12][,,][Arial]]is
measured by the
objective of reducing the number of I-2-I abuse incidents by 5%. The number of incidents of I-2-I
abuse will be measured through quarterly analysis of the HCSIS Incident Data and the target
trends to prevent future incidents will beanalyzed by the Risk Management Team.The baseline
data is 115 incidents of I-2-I abuse for 2013-2015. As of March 31, 2017, there were 165 incidents
of I-2-I abuse. The Risk Management Committee has found several trends over this year as
evidenced by thepeaks in the graph and worked to resolve these situations. Several of the trends
were resolved by making residential moves as the target and victim were always the same. Some
of the trends required Behavior Support Plans to be modified or training for the individual or direct
support staff. The Risk Management Committee will continue to monitor the data for trends.
The ID Program partners with the County Housing Program to provide an Independent Living
Apartment Program. The people living in theseapartments need less than 30 hours of support a
week and the county helps subsidize the rent with base funds. There are currently 11 people in
this program.
T
he County engages providers of service by ensuring that all ISPs have emergency plans
included. As stated in the IM4Q paragraph, the county has developed Emergency Preparedness
Folders for people who request them. A total of 13 folders were given out to individuals and their
families over the last year. Folders will continue tobeupdated and given to individuals and their
families.
[[225,1732,275,1789][12][B,I,][Arial]]P [[259,1732,1118,1789][12][B,I,][Arial]]articipant Directed Services (PDS):
[[375,1793,1595,1850][12][,I,][Arial]]Describe how your county will promote PDS services.
[[375,1854,2224,1911][12][,I,][Arial]]Describe the barriers and challenges to increasing the use of Agency with Choice.
[[375,1914,1446,1971][12][,I,][Arial]]Describe the barriers and challenges to increas [[1421,1914,1930,1971][12][,I,][Arial]]ing the use of VF/EA.
[[375,1975,2351,2032][12][,I,][Arial]]Describe how the county will support the provision of training to individuals and families.
[[375,2037,2154,2094][12][,I,][Arial]]Are there ways that ODP can assist you in promoting/increasing PDS services?
F
ranklin/ Fulton Countieshaveno individuals or families using VF/EA. When the VF/EA is
explained to families, they choose Agency with Choice (AWC) instead. Franklin County has 34
families using AWC supports. All of their supports and services are paid with waiver funding.
The county coordinates trainings for familiesthrough the Arc of Franklin/ Fulton Counties (the
AWC provider) and the HCQU.
T
he major challenge for AWC is that families have trouble finding staff especially in the rural
areas of the county. This is due to the low wage, lack of transportation and/ or locations far from
any services, to name a few. Another challenge is that families have a lack of knowledge of the
ID system and the service definitions. And finally, families get frustrated at the amount of
documentation required of them. ODP assistance could be used to find creative ways to
address these issues and to provider trainings to families.
[[225,2898,275,2955][12][B,I,][Arial]]C [[261,2898,725,2955][12][B,I,][Arial]]ommunity for All: [[703,2898,2349,2955][12][,I,][Arial]]ODP has provided you with the data regarding the
number of individuals
[[225,2956,1176,3013][12][,I,][Arial]]receiving services in congregate settings.
[[375,208,425,265][12][,I,][Arial]]D [[411,208,811,265][12][,I,][Arial]]escribe how the [[776,208,2199,265][12][,I,][Arial]]county will enable these individuals to return to the community.
Franklin County has 13 individuals in congregate settings. Two of these individuals are in
Private ICF/ID. Both of the individuals have medical needs too complex to be supported by
current providers in the local community. Two of the people at State Centers could leave and go
to a Nursing Home but are happy where they currently reside. The remaining person at a State
Center is offered community placement annually and chooses to stay at the State Center. One
person in the nursing home expresses the wish to return to the community and is too young for
the nursing home. She repeatedly refuses placements that are offered for various reasons.
The remaining seven individuals reside in nursing homes. This is a generic support for them
due to their need for a nursing home level of care.
HOMELESS ASSISTANCE SERVICES
[[225,1185,275,1242][12][,I,][Arial]]D [[261,1185,2216,1242][12][,I,][Arial]]escribe the continuum of services to individuals and families within the county who are
[[225,1243,1165,1300][12][,I,][Arial]]experiencing homelessness or facing evi [[1126,1243,2429,1300][12][,I,][Arial]]ction by answering each question below. An individual or
[[225,1300,2410,1357][12][,I,][Arial]]family is facing eviction if they have received either written or verbal notification from the landlord
[[225,1358,2360,1415][12][,I,][Arial]]that they will lose their housing unless some type of payment is received. Include achievements
[[225,1415,2332,1472][12][,I,][Arial]]and improvements in services to families experiencing or at risk for homelessness, as well as
[[225,1473,784,1530][12][,I,][Arial]]unmet needs and gaps. [[748,1473,812,1530][12][,I,][Arial]]
[[225,1588,275,1645][12][B,I,][Arial]]B [[261,1588,647,1645][12][B,I,][Arial]]ridge Housing:
[[375,1649,2422,1706][12][,I,][Arial]]Please describe the Bridge Housing services offered. Include achievements and
[[375,1706,2426,1763][12][,I,][Arial]]improvements in services to families experiencing or at risk for homelessness, as well as
[[375,1764,934,1821][12][,I,][Arial]]unmet needs and gaps.
[[375,1825,1970,1882][12][,I,][Arial]]How does the county evaluate the efficacy of Bridge Housing services?
[[375,1886,2102,1943][12][,I,][Arial]]Please describe any proposed changes to Bridge Housing services for FY 17 [[2080,1886,2130,1943][12][,I,][Arial]]- [[2095,1886,2201,1943][12][,I,][Arial]]18.
[[375,1946,1245,2003][12][,I,][Arial]]If Bridge Housing services are not offe [[1223,1946,2368,2003][12][,I,][Arial]]red, please provide an explanation of why services
[[375,2004,750,2061][12][,I,][Arial]]are not offered.
Due to limited funds, Franklin County has not expanded into bridge housing support.
[[225,2177,275,2234][12][B,I,][Arial]]C [[261,2177,714,2234][12][B,I,][Arial]]ase Management:
[[375,2237,2422,2294][12][,I,][Arial]]Please describe the Case Management services offered. Include achievements and
[[375,2295,575,2352][12][,I,][Arial]]improve [[553,2295,2426,2352][12][,I,][Arial]]ments in services to families experiencing or at risk for homelessness, as well as
[[375,2352,934,2409][12][,I,][Arial]]unmet needs and gaps.
[[375,2413,2051,2470][12][,I,][Arial]]How does the county evaluate the efficacy of Case Management services?
[[375,2474,2182,2531][12][,I,][Arial]]Please describe any proposed changes to Case Management services for FY 17 [[2160,2474,2210,2531][12][,I,][Arial]]- [[2176,2474,2282,2531][12][,I,][Arial]]18.
[[375,2535,425,2592][12][,I,][Arial]]I [[389,2535,2251,2592][12][,I,][Arial]]f Case Management services are not offered, please provide an explanation of why
[[375,2592,947,2649][12][,I,][Arial]]services are not offered.
Every Rental Assistance applicant will be part of HAP Case Management. A service plan will be
established with and signed by each applicant that will include referrals to address factors that led
to the housing crisis in addition to other factors that may have contributed to the problem.
Specifically, case management will be available through referrals with regard to budgeting,
parenting, hygiene, sanitary housekeeping, accessing resources, and life skills with a goal of
working towards self-sufficiency. Individuals that consistently do not participate in the service plan
may transition out of the program and become ineligible for the program for a period of up to two
years. In this event the efforts will be made to refer the individual to other programs for alternative
shelter assistance.
The SCCAP HAP Program Coordinator will be responsible for completing all intakes and
assessments for Franklin County Homeless Assistance Program. This process will include
assessment of other needs, especially those that brought the family to a housing crisis.
Case management services/activities offered by SCCAP, as defined by the HAP Guidelines, may
include but are not limited to the following:
Intake and assessments (service plan) for individuals who are in need of supportive services
and who need assistance in accessing the service system.
Assessing service needs and eligibility and discussion with the individual of available and
acceptable service options.
Referring individual to appropriate agencies for needed services.
Providing referrals to direct services such as budgeting, life skill training, job preparation, etc.
Providing advocacy, when needed, to ensure the satisfactory delivery of requested services.
Protecting the individual’s confidentiality.
The SCCAP HAP Program Coordinator will refer the individual to appropriate agencies/resources
as needed for services such as linkages to income supports, parenting skills, life skills, budgeting,
hygiene, feeding, making appointments, priority setting, maintaining records, literacy training, adult
basic education, etc. The case manager will establish linkages with the Housing Authority and
other local housing programs for low-income housing and the County Assistance Office.
Specifically, the HAP Program Coordinator will assure that individuals who are eligible have
accessed Emergency Shelter Assistance through the Title IV-A program at the CAO so long as
the ESA program exists. The SCCAP HAP case manager will discuss with the individual any
service needs and options.
Confidentiality of the individual will be protected, and all reasonable efforts will be made to
coordinate service delivery and to avoid duplication of services. Therefore, Releases of
Information will be required so that all other agencies offering housing services can be contacted
to cross reference whether the family is receiving services elsewhere and to ensure coordination
of services.
After the individual has been approved, we will complete a payment agreement between the
individual, landlord and us. We will then complete a goal plan specific for the individual needs.
Individuals will be informed in writing by SCCAP, Inc. of the right to appeal if service is denied to
them as set forth per the HAP guidelines. The following will be provided in writing to any
individual who is denied or terminated from service:
the action being taken;
the reason for the action;
the effective date of the action and
the availability of an appeal process at the County and State level.
Written appeal may be made to the County of Franklin. The individual will be informed in writing
of the result of the appeal. Further appeals will follow the guidelines as setforth by HAP which
states that after exhausting the first level of appeal at the County, an individual may appeal to
DHS to the Office of Hearings and Appeals.
All individuals will be informed of the appeal process at the point when they sign their service plan.
The appeal plan will be spelled out on a least one document which the individual will sign.
Some notable successes for Case Management has been the intentional referral to Support
Circles for all HAP clients. That has allowed both families fromthe shelter and families applying
for rental assistance to be enrolled in a long-term program that will support the family on their
journey out of poverty. While not a requirement, we have seen several families take advantage of
this opportunity and theyare receiving ongoing appropriate support.
As we have evaluated the results of this program and the recidivism of families returning for help,
we are also opening our case management opportunities to families after they receive help and
promoting that as an ongoing opportunity so families can come back to talk through options before
they are in another crisis.
A
nother addition to this component for SCCAP is Rapid Rehousing through HUD and ESG
funding. This allows us the opportunity to identify the appropriate program for the individual.
SCCAP can now work with families before they become homeless through HAP dollars, if they are
currently homeless through our Emergency Shelter to get them off the streets and then through
HAP or Rapid Rehousing to help them get into safe affordable housing and then on an ongoing
basis through Case Management or Support Circles. We feel the addition of these services along
with the coordination of internal and external supports provides a much better continuum of care
for families.
Of notable success are two additional partnerships created this year. HAP is currently working
with individuals referred through the Veterans program and the Franklin Together Re-entry
Coalition. Both of those county collaborative groups have a host of supports which assist the
individual in having a better opportunity of long term success.
S
CCAP has also added, in coordination with Franklin County Government, a Recovery Specialist
who can assist us in working with individuals dealing with alcohol or drug addiction. While SCCAP
has many of the social supports for families, we have not traditionally had supports directed
specifically at addictions.
Unmet needs for this program include a longer term money management program. SCCAP does
not currently administer a Money Management Program. In assessing current programs in the
community, we have a few organizations that offer financial services but most of those are geared
toward individuals not in crisis. The ones offered for low incomefamilies are only budgeting
sessions (one time – teach you to budget class) and we do that in our Case Management with all
HAP clients. What we have seen be successful in the past were programs that met weekly for 6 –
12 weeks and helped individuals reassess their values and perceptions of money – planning for a
way to stabilize their situation and then seeing what could happen if that was accomplished.
There was a program like this in the past that had significant success but funding for the program
waslost. We continue to look for ways to create or identify a resource similar to this.
The most common reasons we are unable to help individuals is due to individuals being over the
income limit or not being a resident of Franklin County for 6 months. We also receive many calls
about people wanting us to help before they have an eviction notice. Individuals are reaching out
to receive help to prevent an eviction notice. If we are not able to help, there are not many other
organizations in the community that are able to provide support. Many organizations have the
same regulations;at times local churches can assist and we make those referrals as appropriate.
Franklin County staff completes an annual onsite monitoring visit to evaluate case management
services to ensure that all program requirements are being met. This process includes an
evaluation of fiscal and program requirements along with individual file chart reviews.
[[225,607,275,664][12][B,I,][Arial]]R [[261,607,706,664][12][B,I,][Arial]]ental Assistance:
[[375,668,1791,725][12][,I,][Arial]]Please describe the Rental Assistance services offered. [[1776,668,1960,725][12][,I,][Arial]]Include [[1973,668,2422,725][12][,I,][Arial]]achievements
and
[[375,726,2450,783][12][,I,][Arial]]improvements in services to families experiencing or at risk for homelessness, as well as
[[375,783,909,840][12][,I,][Arial]]unmet needs and gaps
[[375,844,2028,901][12][,I,][Arial]]How does the county evaluate the efficacy of Rental Assistance services?
[[375,905,1662,962][12][,I,][Arial]]Please describe any proposed changes to Rental Assista [[1640,905,2159,962][12][,I,][Arial]]nce services for FY 17 [[2138,905,2188,962][12][,I,][Arial]]-
[[2154,905,2260,962][12][,I,][Arial]]18.
[[375,966,2230,1023][12][,I,][Arial]]If Rental Assistance services are not offered, please provide an explanation of why
[[375,1023,948,1080][12][,I,][Arial]]services are not offered.
HAP’s Rental Assistance program is for rent and security deposits for eligible low-income
applicants who are homeless or near homeless as defined below:
Individuals or families are homeless if they:
Are residing in a group shelter; domestic violence shelter; hotel or motel paid for with public
or charitable funds; a mental health; drug, or alcohol facility; jail; or hospital with no place to
reside; or living in a home, but due to domestic violence; needs a safe place to reside;
Have received a verification that they are facing foster care placement of their children
solely because of lack of adequate housing, or need housing to allow reunification with
children who are in foster care placement;
Are living in a “doubled-up” arrangement for six months or less on a temporary basis;
Are living in a condemned building;
Are living in housing in which the physical plant presents life and /or health threatening
conditions; e.g. having dangerous structural defects or lacking plumbing, heat, or utilities; or
Are living on the streets, in cars, doorways, etc.
near homeless
Individuals and families are if they;
Are facing eviction (having received either written or verbal notification from the landlord
that they will lose their housing unless some type of payment is received. Verbal
notification must be followed up with written documentation). Actual Eviction notice is
requiredin the file.
Individuals served by the HAP program must have been a resident of Franklin County for 6 months
prior to applying for assistance.
Priority for Rental Assistance will be given to Franklin County applicants who can demonstrate that
they will be able to become self-sufficient within three (3) months with regard to housing. Applicants
are to engage with case management services and individuals will be required to sign a service plan
showing areas of responsibility between the case manager and the individual.
Individuals served by the HAP Rental Assistance Program will fall into one or more of the following
categories:
Franklin County families with children who are homeless or near homeless.
Persons fleeing domestic violence.
Individuals who have fallen on hard times who need temporary assistance to get back on their
feet.
To receive financial assistance, the individual or family must be at or below 150% poverty. Referrals
to other agencies that can provide needed services will be made available to those who do not meet
the income guidelines as appropriate. Income requirements will be waived for persons fleeing
domestic violence and for those who are experiencing a housing crisis due to a disaster such as fire
or flood (upon State approval bythe State HAP Manager as stated in the guidelines).
In cases where extenuating circumstances have been identified and a county based eligibility
requirement is less than the States’ HAP guidelines (e.g. income eligibility of 150% of FPIG is a
county guideline and is less than the HAP guideline of up to 200% of FPIG, or the 6 month county
residency requirement which is a county determined regulation) the HAP Program Coordinator may
request a waiver from SCCAP’s Executive Director or their designee to allowservices to be provided
to an otherwise eligible family or individual. The Executive Director or their designee may approve
services, but under no circumstancescan services be provided that violate the State Eligibility Criteria
for the HAP Program. Ininstances where a waiver was granted, a note must be added to the file with
the reason for the waiver and who approved the waiver.
The amount of Rental Assistance allocated will be determined by the facts of the case and the
creation of a service plan for each household addressing the conditions which precipitated the
housing crisis and addressing the acquisition of permanent housing including the schedule for
disbursement of rental assistance funds. The service plan is signed and placed within the individual’s
file. The service plan will address other services needed and referrals made. In all cases the goal for
the family will be to acquire stability and permanent, affordable housing. The household must
demonstrate through the service plan and their actions that they have the ability to become self-
sufficient and a commitment to work toward that goal. All service plans will include an agreement to
cooperate with the HAP Program Coordinator/Case Manager. Individuals that consistently do not
participate in the service plan may be transitioned out of the program and ineligible for assistance for
up to two years.
Applicants will be expected to contribute financially towards the housing plan as determined by their
individual service plan. The individualor family must have anticipated income sufficient to pay the
rent in the future. Whenever possible and practical, payment plans will be established whereby the
applicant retains part of the responsibility for current or back rent or utility payments.
Themaximum assistance available in a 24-month period is $1,500 for families with children, and
$1,000 for adult only households. In most instances, households will not receive the maximum
amount of assistance, but only the amount determined appropriate as stated in their service plan.
Assistance given by Emergency Shelter Assistance (ESA) or Emergency Food and Shelter Program
(EFSP) will be included in the maximum allowed per household, as per DHS.
Applicants will be required to exhaust all other resources available through the County Assistance
Office (CAO) or other local resources before being considered for HAP Rental Assistance. This
includes but is not limited to Emergency Shelter Assistance (ESA), Low Income Home Energy
Assistance Program (LIHEAP), fuel assistance, utility assistance, etc. Applicants who may to be
eligible for Title IV-A Emergency Shelter Assistance must apply at the County Assistance Office, and
receive a determination from the CAO before HAP can be considered. Families with a child under 21
whose income is below 80% of poverty will be referred for ESA before Rental Assistance is utilized.
This requirement will end if the ESA program is discontinued.
Individuals or families must have an agreement with the landlord to rent to them before financial
assistance will be given. Written agreements must be confirmed by the HAP Case Manager before
funds can be released.
Special services may be available in extreme hardship cases to provide services and/or items
necessary to obtain or retain permanent housing or to achieve self-sufficiency. Applicants who
receive Housing Vouchers/Section 8 or who live in subsidized housing will receive the same
consideration as all other applicants. Circumstances that led to a housing crisis will be considered as
will the applicant’s ability to pay future rent.
Franklin County staff completes an annual onsite monitoring visit to evaluate case management
services to ensure that all program requirements are being met. This process includes an evaluation
of fiscal and program requirements along with individual file chart reviews.
Another addition to this component for SCCAP is Rapid Rehousing through HUD and ESG funding.
SCCAP’s emergency shelter had attempted rental assistance in the past with limited success. With
the implementation of the longer term supports of Rapid Rehousing, we have found we are better
able to help families find and maintain housing. While a relatively new program, this addition is
strengthening our continuity for families. This allows us the opportunity to identify the appropriate
program for the individual. SCCAP can now work with families before they become homeless
through HAP dollars, if they are currently homeless through our Emergency Shelter to get them off
the streets, and then through HAP or Rapid Rehousing to help them get into safe affordable housing
and then on an ongoing basis through Case Management or Support Circles. We feel the addition of
these services along with the coordination of internal and external supports provides a much better
continuum of care for families.
SCCAP has also added, in coordination with Franklin County Government, a Recovery Specialist who
can assist us in working with individuals dealing with alcohol or drug addiction. While SCCAP has
many of the social supports for families, we have not traditionally had supports directed specifically at
addictions. We believe these supports will help families stabilize and maintain long-term, safe,
affordable housing!
[[150,2562,200,2619][12][B,I,][Arial]]E
[[184,2563,654,2620][12][B,I,][Arial]]mergency Shelter:
[[300,2623,2422,2680][12][,I,][Arial]]Please describe the Emergency Shelter services offered. Include achievements and
[[300,2680,2426,2737][12][,I,][Arial]]improvements in services to families experiencing or at risk for homelessness, as well as
[[300,2737,834,2794][12][,I,][Arial]]unmet needs and gaps
[[300,2798,1978,2855][12][,I,][Arial]]How does the county evaluate the efficacy of Emergency Shelter services?
[[300,2859,2110,2916][12][,I,][Arial]]Please describe any proposed changes to Emergency Shelter services for FY 17 [[2088,2859,2138,2916][12][,I,][Arial]]- [[2104,2859,2209,2916][12][,I,][Arial]]18.
[[300,2920,2377,2977][12][,I,][Arial]]If Emergency Shelter services are not offered, please provide an explanation of why services
[[300,2977,675,3034][12][,I,][Arial]]are not offered.
Em
ergency Shelter is provided to families who are currently homeless. Basic needs (shelter and
food) are provided in conjunction with intensive case management and effective referrals.
This program is evaluated on a number of factors:
Did the individual increase their income?
Did the individual obtain needed supportive services (mental health, job training,
physical health needs, etc.)?
Did the individual achieve safe affordable housing?
The Franklin County Shelter for the Homeless is located centrally at 223 South Main Street in
Chambersburg, PA. The Shelter provides 10 bedrooms, two of which are family rooms, with the
capacity to house up to 18 individuals at one time. The Franklin County Shelter for the Homeless is
the last safety net for the residents who may find themselves without a place to live. One of its major
goals is to move homeless residents back into permanent housing and toward self-sufficiency. In
order to accomplish this, the Shelter staff provides case management activities, setting goals with the
residents to be accomplished during and after their stay, and cooperates with other agencies within
the County to direct residents to the available resources that will help them achieve their established
goals. Individuals also participate in a basic life skills program.
In order to become an individual atthe Franklin County Shelter for the Homeless, an individual/family
must be legally homeless. If legally homeless, the potential individual completes an Application for
Assistance and Assessment package, which includes a self-declaration of homelessness. Upon
completion of an intake, the individual/family works with the staff to identify his/her/their particular
causes for homelessness. Once the causes have been identified, the individual/family, in coordination
with the staff, develops a plan of action including specific goals to be achieved during their stay at the
Shelter. Long term goals that lead to the attainment of stable housing are also set. The caseworker
assesses the individual’s work history, medical history, and educational background. This information
becomes a permanent part of the individual’s file. The staff identifies the individual’s family needs
such as nutritional education, parenting classes, and drug/alcohol treatment services. Using this
information, staff, under supervision from the Program Coordinator, acquirethe necessary information
or services to address that particular individual/family’s needs.
Homeless Assistance Program funds are needed to support the daily operational costs of the Franklin
County Shelter for the Homeless as it tries to adapt to the steady increase in homeless needs and
extensive supportive services. The shelter staff is finding that an increasing number of homeless
individuals need more than 30 days of emergency shelter due to the lack of employment
opportunities.
Franklin County staff completes an annual onsite monitoring visit to evaluate case management
services to ensure that all program requirements are being met. This process includes an evaluation
of fiscal and program requirements along with individual file chart reviews.
[[150,2620,200,2677][12][B,I,][Arial]]O [[189,2620,780,2677][12][B,I,][Arial]]ther Housing Supports:
[[300,2680,1815,2737][12][,I,][Arial]]Please describe the Other Housing Supports services offered. [[1792,2680,2422,2737][12][,I,][Arial]]Include achievements and
[[300,2737,2426,2794][12][,I,][Arial]]improvements in services to families experiencing or at risk for homelessness, as well as
[[300,2795,834,2852][12][,I,][Arial]]unmet needs and gaps
[[300,2856,628,2913][12][,I,][Arial]]How does the [[620,2856,2090,2913][12][,I,][Arial]]county evaluate the efficacy of Other Housing Supports services?
[[300,2917,2277,2974][12][,I,][Arial]]Please describe any proposed changes to Other Housing Supports services for FY 2017 [[2255,2917,2305,2974][12][,I,][Arial]]- [[2271,2917,2433,2974][12][,I,][Aria
l]]2018.
[[300,208,350,265][12][,I,][Arial]]I [[314,208,2291,265][12][,I,][Arial]]f Other Housing Supports services are not offered, please provide an explanation of why
[[300,265,575,322][12][,I,][Arial]]services ar [[542,265,872,322][12][,I,][Arial]]e not offered.
Franklin County has not used HAP funding for other housing support services. Independent living and
forensic apartments are available through other funding sources.
[[150,553,1265,610][12][B,I,][Arial]]Homeless Management Information Systems:
[[300,614,2434,671][12][,I,][Arial]]Describe the current status of the county’s Homeless Management Information System (HMIS)
[[300,671,2090,728][12][,I,][Arial]]implementation. Does the Homeless Assistance provider enter data into HMIS?
F
ranklin County has actively participated in HMIS. The Emergency Solutions Grant, HUD Permanent
Supportive Housing Programs, PATH and one Shelter Plus Care Program through Franklin County
are currently entering data into the PA-HMIS. Intake forms are organized to capture the information
that needs to be entered into the PA-HMIS system. The goal is to have individuals enteredin to PA-
HMIS immediately following enrollment in the housing programs. Multiple staff members are familiar
with entering data into the system as well as running reports.
SUBSTANCE USE DISORDER SERVICES
(Limit of 10 pages for entire section)
[[150,1387,413,1444][12][,I,][Arial]]This sectio [[391,1387,2449,1444][12][,I,][Arial]]n should describe the entire substance use disorder service system available to all county
[[150,1444,2450,1501][12][,I,][Arial]]residents that is provided through all funding sources, including state allocations, county funds,
[[150,1502,1418,1559][12][,I,][Arial]]federal grants, HealthChoices, reinvestment funds, etc.
Franklin/Fulton Drug & Alcohol (FFDA) ensures that all Franklin County residentsare able to access
andreceive any drug/alcohol related service needed at any point in time of its request and/or need.
FFDA ensures that the full continuum of substance use services (Prevention, Intervention, Treatment
and Recovery) are available and easy to access and utilizes acomprehensive strategic planning
process to assess, develop, enhance and expand any additional services that are needed. FFDA
provides funding for all levelsof care for substance use treatment. These levels include detoxification,
rehabilitation, Medication Assisted Treatment (MAT), halfway housing, partial hospitalization,
intensive outpatient, outpatient, and early intervention services for Franklin and Fulton county
residents. FFDA also provides case management services and oversight of medication assisted
treatment.
1.W
aiting list information (time frames, number of individuals, etc.) for:
Detoxification services: In FY16/17, average wait for a detox bed in or out of county
was 2-3 days from the time of the request and regardless of current environment of the
individual. The majority of primary substances for detox placement were opioids
(prescription and illicit) and alcohol.
Non-hospital rehabilitation services: In FY 16/17, average wait for a short-term rehab
bed was 0-1 days from the time of the request across all provider networks (in/out of
Franklin County); however, average wait for a long-term rehab bed was 2-3 weeks from
the time of the request, across all provider networks (in/out of Franklin County). There
were a total of 6 individuals that received a long-term rehab bed within 1-2 days due to
someone at the provider facility leaving against medical advice.
Medication Assisted treatment: In FY16/17, FFDA contracted with one methadone
provider (closest in geographical proximity) as there aren’t any methadone providers
within Franklin County. There are a total of four Buprehnorphine prescribing physicians
(4 provider systems) within the county, one of whom just obtained the waiver and is
limited to 30 patients. This physician provides women’s OB/GYN services and has
allocated patients slots for pregnant women and women of childbearing age, as this is a
priority population, but also an increasing population in need of MAT services within the
county. There are a total of 3 prescribing physicians of oral naltrexone (Vivitrol) in the
county with limited physician time. Same day/same week access hasn’t been
obtainable. This is extremely importantfor individuals stepping down from a high level
of care/secure environment (rehab, incarceration, psychiatric placement, etc.) where
they received Vivitrol to be able to engage in a community-based delivered process.
FFDA has partnered with a mobile Vivitrol provider to assist in reducing this barrier.
Halfway House Services: In FY16/17, there was no indication of any wait to access this
level of care (whether entry was a step-down from a higher level of care or direct entry).
Partial Hospitalization: In FY16/17, there was no indication of any wait to access this
level of care (whether entry was a step-down from a higher level of care or direct entry).
Outpatient: In FY16/17, there was no indication of any wait to access this level of care
(whether entry was a step-down from a higher level of care or direct entry). One
outpatient treatment provider that operates two (2) sites in the county offers same day
intakes which has allowed individuals to get into outpatient services more quickly, but
also allowed individuals waiting for a detox or inpatient bed to engage in treatment
services until the bed became available.
2.Barriers to accessing any level of care.
An estimated 3,100 Franklin County residents will receive substance use assessments in FY
2017-2018. Level of care assessments are completed by contracted outpatient providers or
FFDA Case Management staff. An estimated 289 adults/adolescents are projected to be
funded for treatment services through the drug and alcohol program in Fiscal Year 2017-2018.
Treatment services are inclusive of detoxification, short and long-term inpatient, halfway
house, partial hospitalization, intensive outpatient and outpatient services. The primary barrier
to accessing treatment services revolves around the need for detoxification and long-term
inpatient treatment beds when the placement is needed. Current wait times to secure
placement in these two levels of care produces barriers to getting individuals engaged in
treatment when it’s needed and when they’re ready. Thisoccurs state-wide with the capacity
needs of detox and inpatient beds available. Treatment services occurring within the
community, on an outpatient basis, do not encounter accesses issues as individuals are able
to enter into these levels of care within7 days of the request, with an average of 2-3 days of
the request.
3.Narcan resources available in the county.
Intra-nasal naloxone is available to both professionals as well as the general community in
Franklin County without a prescription due to the current standing order status in which the
medication has been made available. Franklin/Fulton Drug & Alcohol provides overdose
response/naloxone administration training, known as “Operation Save A Life” (OSAL) to
anyone that wishes to attend, free of charge. Individuals that are residents of Franklin County
are eligible to receive a free dose of intra-nasal naloxone upon completion of the OSAL
training. Trainings occur monthly in various geographic areas within Franklin County for easy
accessibility. Residents that wish to purchase the medication can do so at any Franklin
County pharmacy, as 100% of them are carrying/dispensing the medication. Naloxone is also
available and used by county first responders. Each of the six (6) law enforcement agencies in
Franklin County are also carrying/administering intra-naloxone.
4.Resources developed to address the opioid epidemic such as warm hand-off protocols, use of
CRS, 24/7 Case management services, use of toll free hotline, coordination with local
emergency departments, police, EMS, etc.
Franklin County’s warm hand off process is implemented in two out of the two hospital
emergency room departments (Chambersburg Hospital and Waynesboro Hospital) in the
county; however, each set of protocols as well as resourceslook differentdue to the lack of
financial resources to support the process. FFDA is able to supply one full-time case
management specialist to the Chambersburg Hospital to complete assessments, make
appropriate level of care treatment placements and provide case management services to
individuals entering through the Chambersburg ER onsite. Waynesboro Hospital utilizes FFDA
to make referrals for a case manager or recovery support specialist (both current FFDA
employees) to come onsite to provide assessments, placements and case management
services. FFDA works collaboratively with both hospital systems to leverage resources and to
also offer these services to any individual that presents as needing substance use disorder
treatment; however, overdose survivors are a prioritized population within this process.
Franklin County will be entertaining ways to extend the warm hand off process to EMS/first
responders through the county’s Overdose Task Force as a strategic plan goal.
FFDA employs a full-time Recovery Support Specialist (RSS) to enhance current community
recovery supports, implement new recovery supports and provide recovery support case
management services to individuals who are FFDA funded for substance use treatment.
FFDA’s RSS also works closely with in and out of county recovery houses, treatment
providers, managed care, medical professionals, behavioral health providers and family
members/support systems for individuals engaging in treatment and recovery. The RSS
conducts educational presentations for the community (schools, faith-based community,
human service providers, forensics system, etc.), assists with community recovery-oriented
events and represents recovery on multiple task forces/coalitions/work groups within the
county. FFDA is in and will continue with its partnership with the Franklin County District
Attorney’s Office to provide outreach to those administered naloxone by local law enforcement
officers. The RSS serves as the outreach worker for these individuals.
5.Treatment Services expansion including the development of any new services or resources to
meet local needs.
The Early Intervention level of care has been created by the Department of Drug & Alcohol
Programs and is used within Franklin County for individuals meeting its criteria. This level of
care is not a covered service through Medicaid as a diagnostic code for it doesn’t exist within
the DSM-V; therefore it’s a covered service for FFDA in regards to funding individuals in need
of Early Intervention. In the past year, this level of care is most present in DUI-related
assessments, whether the primary substance leading to the DUI is alcohol or another
substance.
Franklin County will be expanding the availability of oral naltrexone (Vivitrol) on a mobile basis.
FFDA anticipates contracting with Positive Recovery Solutions (PRS) to deliver this mobile
service for anyone that needs it; however, FFDA will provide funding for this service for any
resident that is Medicaid ineligible/denied as well.
Franklin County treatment providers (outpatient and inpatient) will all be trained in Moral
Reconation Therapy (MRT) with the intention of incorporating MRT into their service delivery
model for criminal-justice involved patients, which accounts for over 50% of their patient
population.
6.Any emerging substance use trends that will impact the ability of the county to provide
substance use services.
The implementation of the Commonwealth’s Prescription Monitoring Program may create
higher demand for treatment services within Franklin/Fulton County. With the reduction of
access to prescription opioids, it’s anticipated for counties to see a rise in heroin use, heroin
related overdoses and heroin related overdose fatalities. With the current high level treatment
bed capacity issues across the Commonwealth, it’s anticipated that detox and inpatient beds
will quickly fill up and remain consistently utilized.
[[150,1307,200,1364][12][,I,][Arial]]T [[181,1307,1093,1364][12][,I,][Arial]]his overview should not include the DHS [[1076,1307,1126,1364][12][,I,][Arial]]- [[1093,1307,2355,1364][12][,I,][Arial]]is
sued guidelines for the use of Act 152 or BHSI funds.
[[150,1364,2438,1421][12][,I,][Arial]]The focus should be a comprehensive overview of the substance use services and supports provided
[[150,1423,1367,1480][12][,I,][Arial]]by the SCA and any challenges to providing services.
Target Populations
Please identify the county resources to meet the service needs for the following populations:
Adults (including older adults, transition age youth, ages 18 and above)
Older Adults (ages 60 and above)
o
If indicated, older adults are eligible for all levels of care for substance use treatment.
These levels include detoxification, short and long term rehabilitation, halfway house,
partial hospitalization, intensive outpatient, outpatient, and early intervention outpatient
services for Franklin and Fulton county residents. FFDA also provides case management
services and oversight of medication assisted treatment. Older adults covered by Medicare
qualify for county funding due to the lack of Medicare providers within a 50 mile radius of
Franklin and Fulton Counties.
Adults (ages 18 and above)
o
If indicated, adults ages 18 to 55 are eligible for all levels of care for substance use
treatment. These levels include detoxification, short and long terms rehabilitation, halfway
house, partial hospitalization, intensive outpatient, outpatient, and early intervention
outpatient services for Franklin and Fulton county residents. FFDA also provides case
management services and oversight of medication assisted treatment. It is anticipated that
many of our priority populations, including Pregnant Injection Drug Users, Pregnant
Substance Users, Injection Substance Users, Overdose Survivors and Veterans will fall into
this age demographic.
Transition Age Youth (ages 18 to 26)
o
If indicated, transition-age youth are eligible for all levels of care for substance use
treatment. These levels include detoxification, short and long term rehabilitation, halfway
house, partial hospitalization, intensive outpatient, outpatient, and early intervention
outpatient services for Franklin and Fulton county residents. FFDA also provides case
management services and oversight of medication assisted treatment. It is anticipated that
some of our priority populations, including Pregnant Injection Drug Users, Pregnant
Substance Users, Injection Substance Users and Overdose Survivors will fall into this age
demographic.
Adolescents (under 18)
If indicated, adolescents are eligible for all levels of care for substance use
o
treatment. These levels include detoxification, short and long term rehabilitation,
halfway house, partial hospitalization, intensive outpatient, outpatient, and early
intervention outpatient services for Franklin and Fulton county residents. FFDA also
provides case management services and oversight of medication assisted treatment.
Additionally, FFDA also contracts with providers of prevention and intervention
programs focusing on the adolescent population.
Individuals with Co-Occurring Psychiatric and Substance Use Disorders
If indicated, individuals with co-occurring disorders are eligible for all levels of care
o
for substance use treatment. These levels include detoxification, short and long term
rehabilitation, halfway house, partial hospitalization, intensive outpatient, outpatient,
and early intervention outpatient services for Franklin and Fulton county residents.
FFDA also provides case management services and oversight of medication
assisted treatment. It is anticipated that all of our priority populations, will fall into this
demographic. Individuals are encouraged to engage with a co-occurring provider,
regardless the level of care to ensure that both the mental health and the substance
use needs are being addressed simultaneously with the same provider.
Women with Children
If indicated, women with children in need of substance use services are eligible for
o
all levels of care for treatment. These levels include detoxification, short and long
term rehabilitation, halfway house, partial hospitalization, intensive outpatient,
outpatient, and early intervention outpatient services for Franklin and Fulton county
residents. FFDA also provides case management services and oversight of
medication assisted treatment. The county contracts with multiple providers with
women with children specific services. There will be a targeted focus placed on
mothers of chemically dependent newborns entering the NICU due to their chemical
dependency at birth. Services will focus on treatment as well as in-home support for
non-treatment, ancillary services.
Overdose survivors
If indicated, overdose survivors are eligible for all levels of care for substance use
o
treatment. These levels include detoxification, shortand long term rehabilitation,
halfway house, partial hospitalization, intensive outpatient, outpatient, and early
intervention outpatient services for Franklin and Fulton county residents. FFDA also
provides case management services and oversight of medication assisted treatment.
Additionally, FFDA also contracts with providers of prevention and intervention
programs focusing on the adolescent population. Overdose survivors present
throughout the majority of community-based systems in Franklin County (acute care,
primary care, forensics, education, employment, treatment/recovery, etc.).
County’s identified priority populations:
Franklin/Fulton Drug & Alcohol prioritizes the following populations in the priority
o
order listed below:
Pregnant Injection Substance Users
Pregnant Substance Users
Injection Substance Users
Overdose Survivors
Veterans
If indicated, these priority populations are eligible for all levels of care for substance
use treatment. These levels include detoxification, short and long termrehabilitation,
halfway house, partial hospitalization, intensive outpatient, outpatient, and early
intervention outpatient services for Franklin and Fulton county residents. These
specific individuals receive priority on any service delivered through FFDA’s
continuum of substance use services (screening, assessment, funding, treatment
placement/aftercare and case management).
Recovery–Oriented Services
In FY16/17, Franklin County has engaged in many efforts to incorporate recovery-oriented
services across its multiple service delivery systems, such as community coalitions, task
forces, work groups, strategic planning initiatives, forensic system, medical systems,
behavioral health systems, consumer driven advocacy groups, faith-based community,
educationand employment sectors. The following entities currently/will be employing
recovery support specialists:
Franklin/Fulton Drug & Alcohol
South Central Community Action Programs
Summit Health’s Primary Care
Treatment Providers (Pyramid, Pennsylvania Counseling Services, Dohi Center
for Well-being and Roxbury)
Franklin County now has a PARR certified recovery house for men, Noah’s House, which
can house up to 15 men at any given time. More recovery houses are needed within the
county as the county currently doesn’t have any halfway houses. Women specific recovery
houses are a need that is being explored by multiple entities, as secure/safe housing
conducive to recovery is a necessity.
[[150,2262,200,2319][12][,I,][Arial]]D [[186,2262,2271,2319][12][,I,][Arial]]escribe the current recovery support services including CRS services available in the county
[[150,2319,2393,2376][12][,I,][Arial]]including any proposed recovery support services being developed to enhance the existing system.
[[150,2377,1877,2434][12][,I,][Arial]]Do not include information on independently affiliated 12 step programs (AA, [[1855,2377,1975,2434][12][,I,][Arial]]NA, [[1952,2377,2085,2434][12][,I,][Arial]]et
c).
FFDA employs a full-time Recovery Support Specialist (RSS) to enhance current community
recovery supports, implement new recovery supports and provide recovery support case
management services to individuals who are FFDA funded for substance use treatment.
FFDA’s RSS also works closely with in and out of county recovery houses, treatment
providers, managed care, medical professionals, behavioral health providers and family
members/support systems for individuals engaging in treatment and recovery. The RSS
conducts educational presentations for the community (schools, faith-based community,
human service providers, forensics system, etc.), assists with community recovery-oriented
events and represents recovery on multiple task forces/coalitions/work groups within the
county. FFDA is in and will continue with its partnership with the Franklin County District
Attorney’s Office to provide outreach to those administered naloxone by local law enforcement
officers. The RSS serves as the outreach worker for these individuals. The RSS will be
exploring expansion efforts within the community in FY17/18 to include: certified recovery
housing (specifically for women), increase number of traditional 12-step programs in each
municipality, implementation of SMART Recovery and reduction of stigma/increase in
communityawareness.
The South Central Community Action Programs (SCCAP) now employs a full-time Certified
Recovery Specialist to assist individuals in need of substance use support services with
opportunities for peer support and guidance. SCCAP interfaces with high risk individuals who
often also struggle with substance use disorder or are living with someone that struggles with
substance use disorder. The SCCAP CRS will serve as a peer support mechanism for
individuals in need of treatment, recovery and community resources and will assist the
individuals with engagement and maintenance within these services.
Tuscarora Managed Care Alliance (TMCA) in partnership with FFDA has developed two (2)
substance use recovery service plans in which were approved for implementation:
Supportive Housing Bridge Subsidy:
The target population is MA eligible adults 18 and older who have successfully
completed treatment in a rehabilitation program for substance abuse or persons at risk
of requiring intensive treatment in a rehabilitation program.Subsidies are provided in
one of two ways. The first is to provide rental subsidies to individuals who need a short
term subsidy until they can obtain employment. These subsidies would cover the cost of
up to three months of room and board costs for MA recipients accessing recovery
house services.The second is to provide a shallow subsidy of up to $200/month for up
to six months to rapidly rehouse individuals whocan likely return to work but who
require a shallow rental subsidy for a short period of time in order to obtain and maintain
housing.
Goals: The primary goals are to (1) to reduce the number of non-hospital drug and
alcohol rehabilitation readmissionsto below 10% during the first full 12 months of
treatment, and (2) to increase the members’ ability to be employed and/or participate in
volunteer activities.
Drug and Alcohol Certified Recovery Specialist Services:
The target population consists of Medical Assistance eligible adults, 18 years and over,
who have been diagnosed with a substance use disorders (SUD); participants may also
have co-occurring mental health disorders (COD).The program focuses primarily on
individuals who have had a high re-entry rate into substance abuse rehabilitation
centers and assistance for personstransitioning to the community from inpatient
treatment.CRS will be employed by Substance Abuse Outpatient clinics and the care
they deliver will be integrated with the OP services.Core functions of the CRS include:
Recovery Capital Needs Assessment – to assess the sum of the personal,
social, family and community resources that the individual may draw on to
begin and sustain recovery;
Stage appropriate recovery education/coaching – to build or enhance self-
management skills;
Assistance with identifying and mobilizing needed resources, including mental
health and addiction recovery supports, substance free social and recreational
activities, and community resources to ensure that basic needs are met;
Assertive linkages to assist with treatment and navigating other service
systems;
Recovery check-ups, advocacy, leadership development and empowerment.
The outcomes expected include:
Increase in outpatient follow-upwithin 7 daysof discharge from 24-hour
LOC;
Increase in continuity of outpatient treatment;
Decrease in readmissions to detox and rehab;
In addition CRS service providers will be given access to the DLA-20
functional assessment tool. This tool will assess for functional deficits to
drive treatment and on reassessment improvement in daily living areas will
be noted.
HUMAN SERVICES AND SUPPORTS/ HUMAN SERVICES DEVELOPMENT FUND
[[150,1304,345,1361][12][,I,][Arial]]For eac [[320,1304,2410,1361][12][,I,][Arial]]h of these categories (Adult Services, Aging Services, Children and Youth Services, Generic
[[150,1362,2429,1419][12][,I,][Arial]]Services and Specialized Services), please use the fields and dropdowns to describe how the county
[[150,1419,2388,1476][12][,I,][Arial]]intends to utilize HSDF funds on allowable expenditures (please refer to the HSDF Instructions and
[[150,1477,861,1534][12][,I,][Arial]]Requirements for more detail).
Adult Services
:No services are funded through the block grant
Aging Services
:No services arefunded through the block grant
Children and Youth Services
:No services are funded through the block grant
Generic Services
:
[[150,1994,510,2051][12][,I,][Arial]]Program Name [[488,1994,538,2051][12][,,][Arial]]: [[517,1994,1096,2051][12][,,][Arial]]Information and Referral
[[150,2052,687,2109][12][,I,][Arial]]Description of Services [[661,2052,711,2109][12][,,][Arial]]: [[689,2052,2109,2109][12][,,][Arial]]I&R provides a service that links individuals
and the community [[2098,2052,2359,2109][12][,,][Arial]]through a
variety of communication channels, including in person presentations to local agencies to help
educate the community of the various services throughout the County. The I&R department is also
the contact point for PA 211 coordination.
[[150,2282,445,2339][12][,I,][Arial]]Service Cat [[409,2282,584,2339][12][,I,][Arial]]egory: [[561,2282,1100,2339][12][,,][Arial]]Information & Referral [[1065,2282,1131,2339][12][,,][Arial]]-
[[1095,2282,2405,2339][12][,,][Arial]]The direct provision of information about social and other
human services, to all persons requesting it, before intake procedures are initiated. The term also
includes referrals to other community resources and follow-up.
two
Please indicate which client populations will be served (must select at least ):
AdultAgingCYSSUDMHIDHAP
Specialized Services
:No services are funded through the block grant
Interagency Coordination:
[[150,2829,2393,2886][12][,I,][Arial]]If the county utilizes funds for Interagency Coordination, describe how the funding will be utilized by
[[150,2887,2224,2944][12][,I,][Arial]]the county for planning and management activities designed to improve the effectiveness of
[[150,2944,1749,3001][12][,I,][Arial]]categorical county human services. The narrative should explain both:
[[300,3005,1512,3062][12][,I,][Arial]]how the funds will be spent (e.g. salaries, paying for n [[1490,3005,2080,3062][12][,I,][Arial]]eeds assessments, etc.).
[[300,208,405,265][12][,I,][Arial]]how [[392,208,2070,265][12][,I,][Arial]] the activities will impact and improve the human services delivery system.
Beginning this year, the Franklin County Human Services TrainingDayswill be a 1 day event, held in
October and April of each year, as a format to provide up-to-date training for those who serve in the
human services profession.
The participantswho attend, are from a wide array ofhuman services agencies, faith-based
organization, not-for-profits, and medical programs and range from case managers, to support staff,
to directors and administrators. Our goal is to provide them with quality professionaltrainingthat will
enhance their skills, increase their professional development, and ensure that they are aware of the
current trends in their profession. From the information they receive, agencies and staff can use the
new tools as a way to take their existing and new programs and strengthen the delivery of the
service.
The event is held at the Rhodes Grove Conference Center, which is located in Chambersburg,
Pennsylvania.The site is chosen because of the unique ability to provide space for 200 – 250
individuals to attend. All training is provided at no cost to those who are a part of
thehuman services community.
The Franklin County Human Services Training Days format provides the opportunity for individuals to
learn from several different areas in the field of human services. The event is kicked off by having a
Keynote Speaker, who will present for an hour. Afterwards individuals will attend one of the five 1 ½
hour sessions/presentations that are occurring. A total of 15 session/presentations are held over the
course of the one day.
Individuals are given the opportunity to register for the specific classes that they feel they will benefit
most from. From this, we canexpect approximately 20-50 participants for each session, unless there
is a request for a limit due to the nature of the presentation. These sessions will cover areas of topics
that relate to Veterans/Military, the Aging Community, Mental Health, Early Intervention, Intellectual
Disabilities, Services to Children, as well as ways to take care of ourselves as the human service
professionals.
Franklin County Intro to Human Services is a second training event that provides individualsthe
ability to become educated directly on the specific services that the Franklin County Human Services
Administration departments offer to the residents of Franklin County.
The event is open to the first 40 who register to attend. There is no cost associated with this training.
Individuals are given an overview of each of the departments and how their services are able to
benefit those in the Franklin County community. The session is held twice a year. The participants are
from a wide array ofhuman serviceagencies, faith-based organization, not-for-profits, and medical
programs and range from case managers, to support staff, to directors and administrators who will be
in attendance.
Appendix B: Minutes/ Proof ofPublication
Appendix D
Block Grant Planning Committee
Committee Members:
Megan Shreve (HAP Provider)
Sheldon Schwartz (Mental Health/Intellectual Disabilities Community Rep)
Kim Wertz(MH Advocate)
Anne Larew(ID Advocate)
Karen Johnston (Prevention Provider)
Ann Spottswood (Summit Health)
Amy Hicks (United Way)
Staff Members:
Carrie Gray* (County Administrator)
Stacy Rowe* (Fiscal)
Christy Briggs* (Fiscal)
Sharyn Overcash (Human Services)
Steve Nevada* (Mental Health/Intellectual Disabilities/Early Intervention Director, Interim Human
Services Administrator, and Assistant County Administrator)
Lori Young(IntellectualDisabilities)
Shalom Black* (Grants)
Doug Amsley (Children and Youth Services)
Traci Kline (Aging)
Justin Slep (Veterans Affairs)
April Brown(Drug and Alcohol)
Melissa Reisinger* (Tuscarora Managed Care)
Michelle Mosher* (Health and Human Services Planning and Development)
*[[196,2527,412,2584][12][,I,][Times New Roman]]denotes L [[389,2527,461,2584][12][,I,][Times New Roman]]ea [[436,2527,649,2584][12][,I,][Times New Roman]]dership T [[626,2527,698,2584][12][,I,][Time
s New Roman]]ea [[673,2527,871,2584][12][,I,][Times New Roman]]m Memb [[846,2527,896,2584][12][,I,][Times New Roman]]e [[868,2527,938,2584][12][,I,][Times New Roman]]rs
Appendix E: 2017-2019 Quality Management Plan
[[70,923,623,967][9][B,I,][Arial]]Administrative Entity Name: [[639,923,1432,967][9][B,I,][Arial]]Franklin/Fulton Intellectual Disabilities Pr [[1396,923,1530,967][9][B,I,][Arial]]ogram
[[1885,923,2019,967][9][B,I,][Arial]]Year: [[2030,923,2145,967][9][B,I,][Arial]]2017 [[2116,923,2166,967][9][B,I,][Arial]]-
[[2030,968,2145,1012][9][B,I,][Arial]]2019
[[70,1033,344,1077][9][B,I,][Arial]]Focus Area:
Promote Health , Wellness and Safety
[[1463,1104,2163,1145][9][B,I,][Arial]]Performance Measures/Data Source(s)/
[[180,1124,299,1165][9][B,I,][Arial]]Goal [[513,1124,697,1165][9][B,I,][Arial]]Outcome [[958,1124,1266,1165][9][B,I,][Arial]]Target Objective
[[1528,1145,2086,1186][9][B,I,][Arial]]Frequency/Responsible Person
People are safe People are safe and Due to the low number of restraints, Performance Measure:
and secure in their restraint free. Franklin/ Fulton County Risk
# of Restraint Incidents
homes and Management Team monitors the
communities. number of restraint incidents and
Data Sources:
takes action immediately as
EIM Incident Data
warranted.
Frequency:
Baseline: FY 2015-2017= 2
restraintsQuarterly
Responsible Party:
F/F Incident Manager
F/F Risk Management Team
[[70,835,623,879][9][B,I,][Arial]]Administrative Entity Name: [[639,835,1531,879][9][B,I,][Arial]]Franklin/Fulton Intellectual Disabilities Program [[1867,835,2001,879][9][B,I,][Arial]]Year:
[[2012,835,2127,879][9][,,][Arial]]2017 [[2098,835,2148,879][9][,,][Arial]]- [[2111,835,2226,879][9][,,][Arial]]2019
[[70,899,344,943][9][B,I,][Arial]]Focus Area: [[349,899,429,951][11][B,,][Times New Roman]]Ex [[402,899,1138,951][11][B,,][Times New Roman]]pand Options for Community Living
[[1483,971,2183,1012][9][B,I,][Arial]]Performance Measures/Data Source(s)/
[[180,991,299,1032][9][B,I,][Arial]]Goal [[513,991,697,1032][9][B,I,][Arial]]Outcome [[958,991,1266,1032][9][B,I,][Arial]]Target Objective
[[1548,1012,2106,1053][9][B,I,][Arial]]Frequency/Responsible Person
Lifesharing is the People live where they Increase the number of new and Performance Measure:
first option that choose. unique people in Lifesharing by
# of new and unique individuals enrolled in
individuals have 10% (n=4) by June 30, 2019.
Lifesharing settings
and they also have
the support they Baseline: 40 people in Lifesharing
Data Sources:
need to live where in FY 2015-2017
Franklin/Fulton ID Lifesharing Tracking Form/
they choose in the
Service Authorizations in HCSIS
community.
Frequency:
Monthly
Responsible Party:
F/F ID Lifesharing Point Person
[[70,835,623,879][9][B,I,][Arial]]Administrative Entity Name: [[639,835,908,879][9][B,I,][Arial]]Franklin/Fult [[871,835,1530,879][9][B,I,][Arial]]on Intellectual Disabilities Program
[[1867,835,2001,879][9][B,I,][Arial]]Year: [[2012,835,2127,879][9][,,][Arial]]2017 [[2098,835,2148,879][9][,,][Arial]]- [[2111,835,2226,879][9][,,][Arial]]2019
[[70,899,344,943][9][B,I,][Arial]]Focus Area: [[349,899,806,951][11][B,,][Times New Roman]]Increase Employment
[[1483,971,2183,1012][9][B,I,][Arial]]Performance Measures/Data Source(s)/
[[180,991,299,1032][9][B,I,][Arial]]Goal [[513,991,697,1032][9][B,I,][Arial]]Outcome [[958,991,1266,1032][9][B,I,][Arial]]Target Objective
[[1548,1012,2106,1053][9][B,I,][Arial]]Frequency/Responsible Person
Individuals work People who choose to Increase the number of new hires in
in the community. work are employed in Competitive Integrated Employment
the community. by 10% ( n=5).
Performance Measure:
Baseline: On February 28, 2017, 45
Number of new and unique individuals hired in
people were employed in
competitive integrated employment
Competitive Integrated
Employment.
Data Sources:
AE spreadsheet, ISPs, Provider data
Frequency:
Quarterly
Responsible Party:
F/F ID Employment Point Person
[[70,879,623,923][9][B,I,][Arial]]Administrative Entity Name: [[639,879,1181,923][9][B,I,][Arial]]Franklin/Fulton Intellectual [[1141,879,1530,923][9][B,I,][Arial]]Disabilities Program
[[1867,879,2001,923][9][B,I,][Arial]]Year: [[2012,879,2127,923][9][,,][Arial]]2017 [[2098,879,2148,923][9][,,][Arial]]- [[2111,879,2226,923][9][,,][Arial]]2019
Promote Health, Wellness and Safety
[[70,944,344,988][9][B,I,][Arial]]Focus Area:
[[1483,1008,2183,1049][9][B,I,][Arial]]Performance Measures/Data Source(s)/
[[180,1028,299,1069][9][B,I,][Arial]]Goal [[513,1028,697,1069][9][B,I,][Arial]]Outcome [[958,1028,1266,1069][9][B,I,][Arial]]Target Objective
[[1548,1049,2106,1090][9][B,I,][Arial]]Frequency/Responsible Person
People are People are healthy.Reduce the number of medication Performance Measure:
supported to errors by 10% by June 30, 2019
The number of medication errors.
achieve and (n<260).
maintain optimal
Data Sources:
medical health.
EIM/ Incident counts report
Baseline FY 2015-2017 = 291
medication errors as of March 31,
Frequency:
2017.
Quarterly
Responsible Party:
Risk Management Committee
Incident Management Point Person
Medication Task Force
[[70,968,623,1012][9][B,I,][Arial]]Administrative Entity Name: [[639,968,1531,1012][9][B,I,][Arial]]Franklin/Fulton Intellectual Disabilities Program [[1878,968,2012,1012][9][B,I,][Arial]]Year:
[[2030,968,2145,1012][9][,,][Arial]]2017 [[2116,968,2166,1012][9][,,][Arial]]-
2019
Promote Health, Wellness and Safety
[[70,1077,344,1121][9][B,I,][Arial]]Focus Area:
[[1483,1141,2183,1182][9][B,I,][Arial]]Performance Measures/Data Source(s)/
[[180,1161,299,1202][9][B,I,][Arial]]Goal [[513,1161,697,1202][9][B,I,][Arial]]Outcome [[958,1161,1266,1202][9][B,I,][Arial]]Target Objective
[[1548,1182,2106,1223][9][B,I,][Arial]]Frequency/Responsible Person
People are safe in People are abuse free. Reduce the # of I-2-I abuse incidents Performance Measure:
their homes and by 5% by June 30, 2019 (n<149).
# of incidents of I-2-I abuse
their community.
Data Sources:
Baseline: Fiscal Year 2015-2017
EIM Incident Data
I-2-I abuse = 157 as of March 31,
2017.
Frequency:
Quarterly
Responsible Party:
F/F Incident Manager
F/F Risk management Team
[[70,879,623,923][9][B,I,][Arial]]Administrative Entity Name: [[639,879,1531,923][9][B,I,][Arial]]Franklin/Fulton Intellectual Disabilities Program [[1867,879,2001,923][9][B,I,][Arial]]Year:
[[2012,879,2127,923][9][,,][Arial]]2017 [[2098,879,2148,923][9][,,][Arial]]- [[2111,879,2226,923][9][,,][Arial]]2019
Support Families Throughout the Lifespan
[[70,944,344,988][9][B,I,][Arial]]Focus Area:
[[1483,1008,2183,1049][9][B,I,][Arial]]Performance Measures/Data Source(s)/
[[180,1028,299,1069][9][B,I,][Arial]]Goal [[513,1028,697,1069][9][B,I,][Arial]]Outcome [[958,1028,1266,1069][9][B,I,][Arial]]Target Objective
[[1548,1049,1738,1090][9][B,I,][Arial]]Frequenc [[1707,1049,2105,1090][9][B,I,][Arial]]y/Responsible Person
Develop a Regional
Families receive Reach 20 families in collaboration Performance Measure:
Collaborative and
support to help make with the Family Network to
Number of families who participate in Family
support the work of
an Everyday Life disseminate the Communities of
Network Lifecourse Planning sessions
the PA Family
possible. Practice Lifecourse Planning Tools
network to support
in small group sessions by June 30,
Data Sources:
families.
2019.
Family Network Sign in Sheets
Baseline: none
Frequency:
Monthly
Responsible Party:
QM Point Person
Regional Collaborative point person
PAFamily Network