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HomeMy WebLinkAboutMH Provider Meeting Minutes 06-10-22Mental Health Provider Meeting Friday, June 10, 2022 MEETING MINUTES Welcome & Introductions The meeting was held via Google Meets. Jim confirmed provider attendance. Standing Agenda Items  Tuscarora Manage Care Alliance (TMCA) Update – Brad Coccagna At the beginning of May, TMCA’s Office Manager, Jessica Allen resigned. TMCA is currently looking to fill this position. In the meantime, please reach out to Brad Coccagna or Gen Harper.  PerformCare Update No update at this time.  Community Resource Spotlight: Franklin County Adult Probation Doug Wilburne, Chief of Franklin County Adult Probation, attended the meeting to present on the First Contact Committee, a subcommittee of the Criminal Justice Advisory Board (CJAB). The First Contact Committee focuses on issues that are occurring on the front line of the criminal justice system specifically with law enforcement. The committee meets every other month to discuss concerns going on in the first contact world related to courts, magisterial district judges, training, etc. A recent issue the committee is trying to tackle is the perception by law enforcement with the disconnect to many human service agencies that they work with on a daily basis. Often times inquiries are made by law enforcement and they are told by service providers of their limitations to help or what they cannot provide instead of what they can do to help. The committee is trying to get information from human services agencies and departments such as Mental Health, Aging, Drug & Alcohol, Veterans Affairs, and Children & Youth Services to develop a comprehensive list of what they can provide, contact information, after hours contact information, etc. Many times things happen on the weekends and before or after hours of operation. Once the list is developed, it will be distributed to all. A reoccurring theme that law enforcement has encountered is trying to get an individual admitted into crisis to be evaluated at the hospital for inpatient treatment. The perception is that an officer brings an individual in, they get evaluated then they are pushed back out the door. There is a subcommittee working on this concern. If anyone has information that they would like to provide to Doug to share with the First Contact Committee, please email him at djwilburne@franklincountypa.gov. He will distribute the information to all first responders including law enforcement. --------------------------- Are you interested in learning more about a community resource? Please let Jim know so he can work out a schedule for a future presentation. Mental Health Provider Meeting Friday, June 10, 2022  Provider Spotlight: Mental Health Association Alexandra Shatzer, Suicide Prevention Specialist at the Mental Health Association, attended the meeting to present on the Suicide Prevention Specialist position and data. Part of Alexandra’s job is to collect and work with data gathered from the coroners and crisis intervention providers in Franklin and Fulton counties. In Franklin County –  Since 2012, there were 188 suicide deaths; an average of 17.1 deaths per year.  Self-inflicted gunshot wound is the most common; making up 68.6%. The next most common is asphyxia then self-induced overdose.  There have been seven (7) deaths so far in 2022; a crude rate of 4.5. Currently, self- inflicted gunshot wound and asphyxia are tied, each having three (3) deaths so far this year.  We are seeing a decrease in the average age of suicide. The 25-34 year group is becoming more common.  There has been an increase in the asphyxia deaths due to hanging, this year specifically.  We have been seeing more youth seeking crisis intervention services. The 14-17 year old and 6-13 year olds are seeking crisis intervention for suicidal ideation.  Alexandra showed a map that indicated the 2012 to 2021 deaths by year and method.  For youth – o There have been 8 suicides since 2012 ranging from 14-17 years old. o Youth suicides have made up 4.3% of all deaths since 2012. o Most occurred in Waynesboro School District with the most common method being a self-inflicted gunshot wound. o Alexandra showed a map of those under 18 years old deaths from 2012 to 2022 by year and method. There map indicated a cluster near Waynesboro School District then Greencastle Antrim School District.  For ages 25-34 – o Total of 35 deaths since 2012; making up 18.6% of all suicide deaths. o Most deaths occurred in the Chambersburg area with the most common method being self-inflicted gunshot wound. o Alexandra showed a map of those 25-34 years old deaths by year and method. With these maps, the location is where the body was found not the address of the individual.  For those 60+ - o Total of 53 deaths since 2012 aged 60-90 years old; making up 28.2% of all deaths. o Most deaths occurred in Chambersburg, Fayetteville and Waynesboro area with the most common method being self-inflicted gunshot wound. o Alexandra showed a map of those 60+ from 2012 to 2022 by year and method. In Fulton County –  There is not a lot of information pertaining to Fulton County. The suicide prevention coalition is new and has not been able to collect as much data yet. Mental Health Provider Meeting Friday, June 10, 2022  The average suicide deaths per year are 2.1.  There were two (2) suicide deaths in 2022 so far; a crude rate of 13.7. Both deaths were due to self-inflicted gunshot wound. One of them having veteran status.  To put into perspective, the PA crude rate is 13.5 and the US crude rate is 13.9 which means that Fulton County does have a higher crude rate than PA does.  We have been able to start tracking veteran status in Fulton County. MHA is looking to do this for Franklin County as well. The veteran population is a higher risk of suicide.  Fulton is following the same crisis trend as Franklin with young coming in for suicidal ideation. The youth numbers are overpowering the amount of adults seeking crisis for suicidal ideation. It especially becomes concerning when someone is under 6 seeking out crisis for suicidal ideation. Part of Alexandra’s job is to help train the community and help them become more aware. The following trainings have been completed –  70 online Question, Persuade, Refer (QPR) trainings completed so far in 2022. These are offered for free.  There were 20 in person QPR trainings in May completed.  There are 5 QPR trainings either scheduled or in the process of being scheduled.  Mental Health First Aid training is scheduled for July. What’s Next?  Expand data to include military status and occupation.  Youth focused suicide trainings and trainings related to resiliency.  Trainings to school staff including admin, bus drivers, cafeteria workers (not just teaching staff).  Trainings for home health aides/senior living.  Training for universities to get the group transitioning from universities to adults.  Prevention efforts towards veteran population and working with local veteran resources.  Strategic plan in progress (hoping to roll it out soon). Suicide Prevention Month (September)  Ribbons to be placed downtown  Light bulbs for awareness. These will be purple or teal and will be handed out to providers.  Movie viewing and discussion targeted towards schools. The movie will be “My Ascension” which is about a girl who attempted suicide but survived. She is now an advocate.  Book reading and discussion If anyone is interested in training or joining the Franklin or Fulton Coalitions, please contact Alexandra at ashatzer@mhaff.org or (717) 264-4301 ext. 227. Question was asked about the self-inflicted gunshot wound being the number method and if this was seen in other areas. Alexandra stated that the self-inflicted gunshot wound is the most common method statewide and in the United States. This has to do with accessibility as there is a super high ownership rate and that it is a quicker method. It does not have to Mental Health Provider Meeting Friday, June 10, 2022 be as planned out as compared to asphyxia. There was a period of time that asphyxia by hanging was the most common method. --------------------------- If your agency would like to be in the Provider Spotlight during a future MH Provider meeting, please let Jim know. County Announcements/Information  Psychiatric Admissions Reporting Overview (handout): Comparing January – March 2022 with January – March 2021 This handout was sent out with the meeting agenda. The hospital report compares the first quarter of this year to the first quarter of last year. Danville State Hospital information –  There are currently three (3) individuals on the waiting list. There is one (1) individual tentatively scheduled for admission early next month. Another will be starting their short term leave to a residential program later this month with the goal that they will be discharged sometime next month. At this time, the census is eight (8) which is three (3) over the bed cap of five (5).  Reports due prior to our next MH Provider Meeting:  Appendix A for upcoming fiscal year  Budget Packets (to include Budget/Rate Letter, Staff Roster, Unit Assumptions, Budget Narrative for upcoming fiscal year – if appropriate)  Quarterly Report of Expenditures (January-March)  Reports due prior to our next MH Provider Meeting:  Audit Financial Report (for calendar year ending 12/31)  Audit Engagement/Extension Letter for FY ending 6/30  Progress Report for Outcomes in Appendix A  Quarterly Report of Expenditures (April-June)  Property Purchased/Property Leased Report for FY ending 6/30*  Fixed Assets Purchased with MH/IDD/EI Funds for FY ending 6/30* Reports with an * are not required from providers whose service is being paid at a “State- set” rate.  Updates from Mental Health staff –  Erin Nye Both admin staff, Dan Rhodes and Larry Reed, have left their positions effective the end of May. Contracts and emails regarding reports will come from Erin during this vacancy. If anyone has any questions, please let Erin know. We are approaching contract season. If anyone has any updates such as a person leaving that is responsible to sign contracts, please let Erin know so we can update our records. An email recently went out to providers requesting contract Mental Health Provider Meeting Friday, June 10, 2022 information but often times we do not receive updates regarding a change unless we reach out. On behalf of Cori Seilhamer – Franklin County is developing a threat assessment team. Various staff attended a two (2) day training Wednesday and Thursday in Camp Hill to help them prepare a team and what needs to go into that. Please be aware that as providers you may get contacted by County staff, District Attorney, schools, etc. with a request for information regarding an individual if there are signs of the pathway to violence. If anyone would like to be a part of the team, please contact Cori. Being a part of the team as a provider could include things such as to help plan or being willing to offer emergency appointments if these threat assessment situations were to occur. A meeting is scheduled for July to further develop the team and planning. For more information on the threat assessment team, please contact Cori (caseilhamer@franklincountypa.gov).  Kim Lucas As all are aware, mental health is a priority and there are waiting lists. It is a struggle to get children and their families what they need currently, in a timely manner. The next Children’s Resource Meeting is September 16th at 10:30 a.m. Kim recently sent out a save the date notice. Anyone can join the meeting. If you are interested, please let Kim know and she will send you the invite. The meeting will be virtual. There will be three speakers at the meeting – o Heather Nolan from Hoffman Homes will be presenting on the girls transitional program as well as their shelter care program. o Alexandra Shatzer from the Mental Health Association will be presenting on her role as the suicide prevention specialist. o Michelle Jones from Healthy Communities Partnership will be presenting on the Strengthening Families program. Provider Announcements & Updates  Healthy Communities Partnership – Karen Johnston There will be a Spanish version of Strengthening Families in the fall. HCP is recruiting Spanish speaking families for the first time. There is also planning for early winter for a virtual Strengthening Families session and a live session in the spring. More information to come. Karen attended training this week with the American Lung Association noting the prevalence of tobacco and vaping use among individuals with mental health. They are doing a lot of work with HCP regarding this to include putting out the 800 number – 1-800-QUIT NOW. This number is for anyone. Karen wanted everyone to be aware that those with mental health (including depression and anxiety) are being targeted for tobacco use and continues to be. HCP is trying to get local classes going. Karen is working with WellSpan, Healthy Franklin County. They are trying to do at least two (2) – three (3) camp fire conversations with youth. Right now they are trying to find a space Mental Health Provider Meeting Friday, June 10, 2022 to do contained camp fires. Attendees bring chairs, sit around and talk about starting the new school year, what that looks like, transitioning to a new year, etc. Other topics have not yet been determined. The plan is to hold these camp fires in August. The hope is to have firm dates and times coming soon.  Keystone Rural Health Center – Kelly Goshen The 988 number goes live July 16, 2022. Keystone is a call center for the National Suicide Prevention Lifeline. The number will work the same as the national number but is a three (3) digit number. Calls will go to the main center then get routed to the closest place according to the area code of the phone you are calling from. Last month there were 44 calls off of the National Suicide Prevention Lifeline. The meeting was adjourned. Next Meeting: Friday, September 9, 2022 starting at 10:00 a.m. Meeting format to be determined. Remaining 2022 Meetings: December 9th Minutes by Erin Nye