HomeMy WebLinkAboutMH Provider Meeting 12-13-24 Mental Health Provider Meeting Friday, December 13, 2024 -%%4).' -).54%3 7¤«¢®¬¤  ­£ )­³±®£´¢³¨®­² This meeting was held via Google Meet. Jim Gilbert confirmed which providers were in attendance at the start of the meeting. 0±®µ¨£¤± !­­®´­¢¤¬¤­³²  ­£ 5¯£ ³¤² AHEDD AHEDD has a new staff member starting in Franklin County on Monday, December th 16. (¤ «³§¸ #®¬¬´­¨³¨¤² 0 ±³­¤±²§¨¯ Ȩ(#0ȩ th HCP had a new hire start on Monday, December 9 to fulfill a part time position in the Student Assistance Program (SAP) as well as the Check and Connect program. Karen will send Jim contact information for YWCA in Harrisburg. They are doing a specific program related to human trafficking. They cover several counties, including Franklin. They are looking for opportunities to speak about their program. on the mental health side. Karen asked if this was common this time of the year or anything that others were seeing. Dr. Lisa Gordon from the WellSpan Behavioral Health Unit (BHU) noted that the BHU has been variable. Right now, they are at a census of 20 out of 26 beds. In the last week, they have had about 20-23 patients. Generally, this time of the year, inpatient units are trending towards being more full than not. The low capacity typically occurs in February and August. 0! #®´­²¤«¨­¦ 3¤±µ¨¢¤² Ȩ0#3ȩ PCS has started a private practice program called Live Up Counseling. The program has several locations to include Lebanon and Carlisle but just recently opened a Chambersburg location on Hamilton Road. It is licensed clinicians who accept private insurance or self-pay. They cannot accept Medical Assistance. PCS would like to have Live Up Counseling as a future provider spotlight. -¤­³ « (¤ «³§ !²²®¢¨ ³¨®­ Ȩ-(!ȩ MHA hired a new Peer Specialist and Transitional Housing worker. They are still looking to hire two (2) to three (3) more Peer Specialists. If anyone knows of anyone interested, please have them contact MHA. # ¬¯¡¤«« 0²¸¢§®«®¦¨¢ « 3¤±µ¨¢¤² Campbell Psychological Services has an outpatient therapy office in Chambersburg for the last 3 ½ years. Their original office is located in Carlisle and has been in existence for eight (8) years. There are currently four (4) therapists working at the MH 1 12/13/24 Mental Health Provider Meeting Friday, December 13, 2024 Chambersburg location who have a small number of openings. Campbell Psychological Services works largely with children but does work with adults as well. They focus on trauma centered therapy services. They have some therapists trained in trauma focused cognitive behavioral therapy (TF-CBT) and another therapist is going for Eye Movement Desensitization and Reprocessing (EMDR) training next month. 4±´¤.®±³§ 7¤««­¤²² 3¤±µ¨¢¤² TrueNorth Outpatient has hired new staff which now puts them at fully staffed! They have a lot of availability for those with Medicaid but very limited availability for those with commercial insurance. TrueNorth is still operating their open access program where they offer intakes every week to those who need them. If you have anyone interested in outpatient mental health therapy services please have them contact TrueNorth for an intake. +¤¸²³®­¤ (´¬ ­ 3¤±µ¨¢¤² Ȩ+(3ȩ KHS has hired a new Program Coordinator as well as overnight and day time staff for the Specialized Community Residence on McKinley Street. 3³ ­£¨­¦ !¦¤­£  )³¤¬² 4´²¢ ±®±  - ­ ¦¤£ # ±¤ !««¨ ­¢¤ There was no representation from TMCA during the meeting. 0¤±¥®±¬# ±¤ 5¯£ ³¤ There were no updates. #®¬¬´­¨³¸ 2¤²®´±¢¤ 3¯®³«¨¦§³ -¤±¢¸ (®´²¤ ®¥ #§ ¬¡¤±²¡´±¦ Ashley Winters, Executive Director of Mercy House presented. The end of life is an extremely important time. Ashley has worked in long term care in health care for 16 years, specifically in long-term care facilities and nursing homes. In her experience, in the four (4) facilities she has worked in, those homes are great for a lot of things such as short term and long term rehab, but when it came to transition and end of life, there was a disconnect. This is a time that is extremely fragile. Individuals need a different type of attention and care during this met in long-term care facilities and nursing homes which is no fault of the facility itself. These facilities are serving a lot of individuals, there are staffing concerns and they do not have the right training for end of life even with hospice involved. Hospice is a wonderful service. However, when you take an individual home on hospice, hospice is not there 24/7 and families do not always understand that. Families and friends are then responsible to be caregivers. Nurses and aides will come to the home several times a week but it is ultimately up to the family to care for their loved one at home MH 2 12/13/24 Mental Health Provider Meeting Friday, December 13, 2024 when they really want to be spending quality time with the individuals through the last days or weeks of living. This is extremely hard and a burden on the individuals. The only other option is a nursing home. Mercy House offers the ability to bridge the gap between those options. Mercy House is licensed as a personal care home in the state of Pennsylvania. Mercy House is not a traditional personal care home in that they do not provide traditional personal care experience but that is what they are licensed as. The only individuals admitted to Mercy House are those who are end of life on hospice care. Mercy House considers end of life for individuals that are terminally ill within days to weeks of living. They look at individuals who are within 30 to 45 days or less of life expectancy. Hospice looks at six (6) months or less based on what is going on with an individual medically. Mercy House works collaboratively with eight (8) hospice agencies locally. Individuals coming to Mercy House remain with those hospice providers. Hospice is the clinical oversight. Their physician is the one providing the orders and giving Mercy House the medications. Mercy House is administering the Staffing is made up of licensed practical nurses (LPNs), med techs certified nursing assistants (CNAs) and direct caregivers. Ashley welcomed anyone to tour the home any time to see what it is like. You do not need to schedule an appointment; you can just stop by. It is very home like, comforting, compassionate and dignified. The intent is for it not to feel like a hospital or nursing home but like a home. There are ten (10) private rooms. Visitation is 24/7. There are large convertible couches in every room that pull out into beds so that families have the opportunity to stay if they want to do that. The staff take care of all the care, medication, worrying, etc. There is a lot of shared space in the home that is offered to guests and families to include living rooms, reflection room which is a place for prayer/meditation, a lounge with water cooler, microwave, coffee maker, visiting. There is a house cat which has been one of the best assets. He provides a lot of comfort to guests and families. Families are able to bring their pets in to visit as well which is extremely important to individuals. The guest is the most important thing to make sure their needs are being met but the families are an extension of the guests that are being taken care of. Mercy House makes sure they are trying to meet the needs of the family just as much as they are the guest during this time. Mercy House is a new concept in Franklin County. They are not a Medicare/Medicaid certified home; no personal care home is. They cannot accept insurance. It is a private pay home with a daily rate of $375. Mercy House is very flexible in working with families and guests with how that needs to be paid. There is no money asked for up front and they do not look at financials. Mercy House does a MH 3 12/13/24 Mental Health Provider Meeting Friday, December 13, 2024 lot of fundraising and looks for donor support to help offset costs for families that may not be able to pay fully. A question was asked whether Mercy House offers support groups or provides the family with resources. Ashley noted that the hospice providers do help provide grief support afterwards to the families. Mercy House offers a list of support as well. They have a volunteer that is certified in grief recovery that is offered to the families after the fact if anyone is interested. Ashley welcomed any additional resources that providers may have that she could share with families. Mercy House is located at 730 Norland Avenue, Chambersburg. If anyone has any questions, please call or email (awinters@mercyhouseofchambersburg.org) Ashley any time. Mercy House has been opened for one year as of November. They have served close to 200 individuals in that year. A question was asked if individuals from outside of Franklin County were admitted. Ashley confirmed that it is not just Franklin County residence. Their main referral source is the Chambersburg Hospital but they do receive a lot of individuals from other counties and agencies. -------------------------- If you are aware of any e to learn more about or think it would be helpful to have them participate, please make Jim aware and he will add them to a future agenda. 0±®µ¨£¤± 3¯®³«¨¦§³ There was no provider spotlight during this meeting. Any providers that would like to be in the Provider Spotlight to share information about their services please let Jim know. #®´­³¸ !­­®´­¢¤¬¤­³²ȝ)­¥®±¬ ³¨®­ 2¤¯®±³² $´¤ 3¨­¢¤ /´± , ²³ -( 0±®µ¨£¤± -¤¤³¨­¦ o Quarterly Report of Expenditures (July - September) 2¤¯®±³² $´¤ 0±¨®± 4® /´± , ²³ -( 0±®µ¨£¤± -¤¤³¨­¦ th o Audited Financial Report (for fiscal year ending June 30) o Audit Engagement/Extension Letter (for calendar year ending December st) 31 o Progress Report on Outcomes in Appendix A (if applicable) o Internal Quality of Service Survey o Quarterly Report of Expenditures (October - December) MH 4 12/13/24 Mental Health Provider Meeting Friday, December 13, 2024 5¯£ ³¤² ¥±®¬ -¤­³ « (¤ «³§ 3³ ¥¥ o Ashley McCartney If anyone has any fiscal questions, please contact Ashley (almccartney@franklincountypa.gov). o Cori Seilhamer Cori is working on the next round of PESI trainings that MH purchases a license that we can offer online courses to providers to obtain education and Continuing Education Units (CEUs). The license is usually for one year. It is a free service from the County. Providers must serve Franklin and Fulton county residents to have access to the trainings. Cori asked providers for topics and things that staff would be interested in getting more training on. Cori has already flagged topics on trauma, CBT, Dialectical behavior therapy (DBT), suicide, geriatric care, youth, anxiety, burn out, personality disorder and anger. Some providers mentioned trauma, drug and alcohol support and EMDR in the chat. If anyone has any ideas, please email Cori (caseilhamer@franklincountypa.gov). PESI is also offering free courses. The list will be sent out with the minutes. Anyone would be able to login to their current account or create a new account to access these courses. The courses were on anxiety, mindfulness, EMDR, couples therapy, risk management, etc. ------------------- Crisis Intervention Team (CIT) training registration for 2025 has been sent ththnd out. The two (2) trainings will occur April 7 11 and September 22 th 26. CIT is a community program that has law enforcement partnered with mental health in trying to divert individuals from the criminal justice system, if possible, into the human services field. There is a lot of focus on verbal de- escalation to try to divert individuals and get them supports and services. CIT has been in Chambersburg for 11 years. o Jennifer Hutchinson The Coordinated Entry System, which is 211 or Community Connections Division at the County, has changed for those that are homeless or looking for assistance with back rent or a security deposit. It is now 12 questions instead of 24 which makes the assessment quicker and has resulted in better scores. When an individual goes into the system, they get put on the by name list. They then get pulled for either permanent supportive housing or rapid rehousing. If an individual calls in that is living in a hotel they will not be MH 5 12/13/24 Mental Health Provider Meeting Friday, December 13, 2024 added to the by name list unless someone else paying for it or they are couch surfing. Jenn oversees the Projects for Assistance in Transition from Homelessness (PATH) which can assist individuals with secure housing if they are couch surfing. The Salvation Army is also able to assist. nd The Point In Time (PIT) count is January 22. Food is available at 4:30 p.m. then volunteers head out at 5:00 p.m. with the goal to complete the count by 9:00 p.m. If anyone has any questions, please let Jenn know. o Jim Gilbert The land has been purchased for the Forensic Long-Term Structured Residence (FLTSR), a 16-bed facility that Franklin/Fulton is partnering with Cumberland/Perry on. New Visions is the contracted provider for this service. The FLTSR will be located in Shippensburg on the Cumberland County side. Franklin/Fulton will have eight (8) beds and Cumberland/Perry will have eight (8) beds at this facility. As this process continues further updates will be provided. o Nancy Strueber th ecember 20 from 10:00 a.m. to 11:30 a.m. Nancy just resent the invite. .¤¶ !¦¤­£  )³¤¬² ΑΏΑΔ -¤¤³¨­¦ 3¢§¤£´«¤ For 2025, we are moving towards a different direction. The March and December meetings will be virtual and the June and December meetings will be in person only. The in person meetings will be held at the Human Services Building. If anyone would like to share their thoughts regarding this format, please reach out to Jim (jgilbert@franklincountypa.gov). 4§¤ ¬¤¤³¨­¦ ¶ ²  £©®´±­¤£ȁ .¤·³ -¤¤³¨­¦Ȁ Friday, March 14, 2025 starting at 10:00 a.m. in virtual format. 2025 Meetings: thththth March 14 June 13 September 12 December 12 Minutes by Erin Nye MH 6 12/13/24