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HomeMy WebLinkAboutMH Provider Meeting 6-14-13Mental Health Provider Meeting Human Services Building Friday, June 14, 2013 MEETING MINUTES  Welcome and Introductions Everyone introduced themselves and their agency affiliation.  Provider Announcements and Updates Adams Hanover Counseling Services has changed their name to TrueNorth Wellness Services. The name change will occur throughout PA for all AHCS services. Candace Rutherford, a member of the MH/ID Advisory Board and Search Committee for the Administrator position for MH/ID/EI, discussed Claire Hornberger’s old position. The position is being advertised around the state. If anyone is interested in looking at the advertisement, Candace has it. Candace is also attending the Provider Meeting to solicit feedback on qualities or characteristics for potential candidates. The Advisory Board will gather the applications submitted, interview the applicants then provide the Commissioners with two candidates. Feedback can be provided to Dick Shoap, the president of the board, Sherry Goertz, the vice president of the board or Candace Rutherford, secretary of the board. Keystone Behavioral Health will have a new doctor starting July 15th. Dr. Garg is an adult psychiatrist for ages 16 and up. MHA – Dr. Daniel Fisher is coming to present at the Orchards on June 18th. A handout was provided during the meeting. It will be from 6:00 p.m. to 8:00 p.m. CEU credits will be given to those who attend. The meal is free. Christmas in July Picnic will be on July 12th. It is from 9:30 a.m. to 2:00 p.m. It is open to providers and anyone who wants to attend. A handout was provided. Jen Johnson/Housing Program –  Right now there are 35 full apartments through the Mental Health program; 20 of those apartments are supported housing, 9 are shelter plus care, 5 are housing expansion and 1 is transitional. We have one vacant shelter plus care slot. Jen has offered this to Fulton County first since there is only one in that area. That person would need to have enough income so that 30% of their income could at least pay for their utilities. If you have anyone who is chronically homeless with a mental health diagnosis, call Jen to see if they would be eligible.  Two months ago, we opened an apartment for the Intellectual Disabilities program. It is an independent living program.  Through PATH outreach funding, we were able to support some of our homeless shelters with curriculum on Mental Health and Drug & Alcohol awareness and financial help.  A presentation was held at the local Landlord Association meeting. The meetings are held once a month. If anyone has information that they feel would benefit the landlords in the area, please share that with Jen. The landlords are very appreciative of the information given to them. PA Counseling has hired a new psychiatrist for the outpatient office. Dr. Nicole Witman will be starting on July 15th. PA Counseling is also in the final stages of getting telepsych approved to be able to start. This will be a big part of offering evaluations and med checks for ages 5 and up. Dr. Stouffer will still continue to do med management appointments. TrueNorth Wellness Services (previously known as Adams Hanover Counseling Services) has started telepsychiatry in the Fulton County office. They can see adults in person and through telepsych. Healthy Communities Partnership has a tobacco cessation class starting July 19th at the Chambersburg Hospital at 6:30 p.m. If anyone is interested, call the office. Jim Gilbert – if you are not receiving emails regarding the Sharing Resources Network and would like to, let Jim know so he can add you to the list.  Children’s Services  CASSP Update Kim has compiled a list of Summer Camps which is revised as she hears of new camps. The list has been posted to the county website. Kim is also able to email the list to providers if needed. A handout was provided. By the next provider meeting, Kim is hoping to have the CASSP referral form revised. Kim is still using the old form. Kim does not post the referral online because she likes people to call and talk to her about the situation first. High Profile Tool – TMCA had a committee work on a draft form, which was piloted in a few agencies in the county. This will be part of the CASSP referral process. TMCA and CBHNP would also like this form to be used more often as well to identify children’s needs earlier. This can also help to get CASSP involved earlier instead of waiting until a higher level of care is prescribed. We should be more proactive. Kim attended two trainings this week. CBHNP and TMCA co-sponsored a training called Parent-Child Interactive Therapy (PCIT). Brian Gannon and Kim discussed this training which is also a grant opportunity. PCIT is an evidence based treatment, targeting children ages 3-7. The training’s focus is teaching the parents how to interact with the child. The therapist stands in an observation room, while the parent has an ear piece in so they can hear the therapist coach them through their interaction. One of the barriers to the training is the cost, which can sometimes be as high as $2,000 for a provider to receive training. The University of Pittsburgh has a grant that would be able to bring the training for free to providers. CBHNP is hoping they will agree to sign onto this grant. Providers will be updated on this information. All 8 of the outpatient providers that would be eligible for the training were present for the presentation that was previously provided. CBHNP will do follow-up with providers. The second training Kim attended this week was on Traumatic Brain Injury. Kim saw a lot of similarities with this training and some of the children involved with CASSP. Because of some of the children’s abusive backgrounds, there may be a lot of brain injuries as a result. This is not usually mentioned in evaluations or as part of discussions about behaviors. Kim will pass around the packet that was provided during the training. If anyone would like a copy, she can scan it and email it to providers. If interested in scheduling training, contact Carol Hoover. The training pertains to adults and children.  TMCA Update – Michelle Mosher Michelle Mosher was not present for the MH Provider Meeting.  CBHNP – Brian Gannon Family Behavioral Resources will be providing Summer Therapeutic Activity Program this summer. This starts in July. Information will be coming out on CBHNP’s website in the next couple weeks. The next Stake Holder meeting will be held at the CBHNP Office from 10:00 a.m. to 11:30 a.m. on Thursday, June 20th. CBHNP will be offering training on July 24th. It is for adult case managers but is also open for any other adult providers. The training is on Cardiovascular Disease with the SMI population. The announcement has not been put together yet because the details have just been finalized. It will be held at the Human Services Building. CBHNP and TMCA will be sponsoring a scholarship to become a certified tobacco treatment specialist. The training is in New Jersey. The application is on the CBHNP website. If you are interested and have not seen any information, let Brian Gannon know so he can provide you with that information. Once certified, this will be a billable service through CBHNP. The training is in September or October. In order to be eligible, the provider has to be credentialed with CBHNP, the clinician works for an outpatient clinic for Mental Health or Drug & Alcohol, and the provider has to primarily serve Franklin and Fulton counties. The same training was offered in the spring but there was not enough notice given, resulting in little responses to attending.  Coordinating Services for Adults Team (adult CASSP) (handouts) One of the things we would like to spend some time discussing during this meeting is an adult like CASSP program. A working term or acronym that is being used is Coordinating Services for Adults Team (CSAT). Cori and Jim have started working on this and putting information together. One of the handouts provides information on potential team members and other members depending on the situation. The miscellaneous things on the CSAT handout are just some things that came to mind that Cori and Jim want to do moving forward. On the back of that handout are criteria for eligibility for a referral to this program and potential triggers for a referral. Jim included a handout that compares CSP and CASSP principals. There are some similarities between the two. As we move forward, we should be respectful of both. Jim wants to see what the thoughts are on creating this, what should be a part of an adult CASSP, what it should look like, are there other individuals who should be part of the team and information on documentation and referrals. Jim and Cori would be interested in forming a time-limited task force that would meet to start moving this forward. Questions/Comments/Concerns: Kim Lucas – are you looking at doing more of a team that has representatives not necessarily involved with the individual? When Kim holds her CASSP meetings, she takes representatives already involved in the case to see what is going on. If someone from Drug & Alcohol or another agency needs to be involved, she invites them to join the team meeting. Kim does not get people involved that do not know the individual (i.e. the old CASSP CARE team model). Laura Straub – thinks CSAT is a good idea because a lot of adults do not know all the services and resources available to them. This is needed. Kelly Goshen – you might have to decide if you want it to be what you are describing now or an interdisciplinary team. You already have agencies who are involved with this individual who may not be at the table. It could cause some difficulties. How do you communicate what happened at the meeting to those who are already involved with the individual? Candace Rutherford – When Barbara Johncour was the CASSP Coordinator, it started out as an ISP then it turned into people who attended every meeting. Everyone who was working with that family came in and the core team (CARE) joined them. Candace feels this is when it was the most useful. It provides for different ideas. Kim Lucas – suggested learning more about Family Group Decision Making and blend that all together. Adams County used to do that with adults and the jail population. Kim thinks what Jim and Cori are trying to do is very needed for adults. Natasha Kara – is curious if the team is coming together like CASSP meetings come together or if it will be an ongoing meeting. CASSP and Family Group Decision Making have an initial meeting then they do a follow up meeting a month or so after to see how things are going. As an ongoing meeting, Natasha is referring to WRAP around (planning team). It is the Family Group Decision Making style, but it is consistent for an extended amount of time in hopes to not just invite the support team. There is a time frame attached to it. There is consistency so that when the team closes out, the rest of the team continues for that individual with the natural supports in place. Natasha will provide Jim with additional information. Kelly Goshen – will someone meet with the individual to tell them about the process? For example, Kim or someone else meets with the families to talk to them about the meeting before it takes place. It can be very overwhelming if an individual is not informed, especially if people will be there the individual doesn’t know. Jim Gilbert – if you would be interested in being part of the task force, send Jim an email or call the office so that he can get you connected as we move forward with this. This will take some time to get up and going but this is a very good start.  County Announcements/Information  Friendly Reminders for Our Providers Reports due since our last MH Provider Meeting: o Quarterly Report of Expenditures (January-March) Reports due prior to our next MH Provider Meeting: o Audit Engagement/Extension Letter (FY ending June 30, 2013) o Progress Report on Outcomes in Appendix A o Quarterly Report of Expenditures (April-June) o Salary Review (FY ending June 30, 2013) o Property Purchased Report o Property Leased Report The audit engagement/extension letter is nothing that the provider technically has to do. It is something that the CPA audit firm will initiate. The County would then need to receive a copy of the completed letter. This is for providers whose fiscal year ends June 30th.  Monthly Invoices, County Procedure Statements & Year-end Projections As we are coming to the end of the fiscal year, please make sure all invoices for the entire fiscal year are back to the county by July 15th. With this being the end of the fiscal year, it is important that we get everything back in a timely fashion so it can be put the expense into the proper fiscal year and so we can use the state’s allocation accordingly. If you have an issue from previous months, let us know so that we can account for that information. If you have any questions, contact Becky Leidig or Ed Franchi. An email was sent to all providers regarding the revised county procedure statements pertaining to invoicing. The procedure statements will be effective as of July 1st to correspond with the block grant. We need to have your invoices split between Franklin and Fulton counties. These two counties are separate allocations now. The reporting that goes to the state is being separated as well. If you need help with this, please contact Becky Leidig or Ed Franchi. For any report that comes due and is not applicable to your organization, we ask that you please complete the form and put “none” or “N/A” so that we know that you are aware of the report and that it simply doesn’t pertain to you. Otherwise we are left to wonder why we did not receive a report from your agency. The County may come back and ask for your assistance in making year-end projections. With the block grant, we need to project expenses in greater detail because both counties have a committee to manage the allocation. There were 7 separate programs included in the block grant. The committee needs to know what is going on with funding. If the block grant committees see that providers are not utilizing their encumbrance, that money can be shifted to another program or service. We need to watch our dollars more closely. The fiscal officers may be asking you for additional information. Jim Gilbert will be sending out an email regarding Appendix A #5: Current agency Board roster, including current officers, term for each Board member, and any related third party transactions. The key thing we are looking for is that the information is disclosed and to make sure due diligence/prudent buyer principals are being exhibited as you do that. We need to make sure things are done correctly and that incorrect perceptions are not out there. With reviewing the contracts, providers do well in providing the list of Board members. As a part of #5 in Appendix A, it references the third party agreement. This is the part that Jim usually does not receive information on.  Psychiatric Admissions Reporting Overview (handout) By looking at the handout, you will notice a much lower number of days and number of people hospitalized but a slight bump up in length of stay. The information on the handout is provided by the case managers at Service Access & Management, Inc. An update for Holy Spirit EAC – an individual will be discharged today and another individual will be admitted yet today. There will now be two individuals on the waiting list for EAC, which has three beds that are currently full. An update for Danville – we continue to be one over our cap, which is 5 beds. Two days ago, an individual was referred to Danville. We are hoping to convert that person as the earliest they would be able to be admitted would be next month.  Supported Employment Initiative Updates There is nothing new to report.  Early Warning Sign Reports – Revisited (handout) The Community Mental Health Early Warning Sign Report used to be a requirement as part of the contract. We have seemed to back away from that a little. It is still encouraged that providers use this form. With the case managers now operating under SAM, providers would need to provide two copies – one for the case manager and one for Jim or Cori. This form is something that we have found helpful to be able to, in a proactive way, try to address situations that providers see coming up and to communicate to the people who are trying to provide services to the individuals. The form is available in electronic format if needed. One thing that we know has been an issue in the past is closing the loop. This meaning you completed the form, submitted it and never heard anything back regarding it. We are trying to eliminate the last part. That way if it gets to whomever you sent it to, the recipient completes the last part and sends it back to you. Questions/Comments/Concerns: Kim Lucas - Will the form be updated? Jim said yes. The form is available for providers to use then send to the case managers. It is also available for the case managers if they would notice something, they could initiate it. The form is a means of communication. Kristen Fischer – Family Care Services complete a HCSIS report, would the Early Warning Sign Report be an addition? Or would the HCSIS report be okay to submit? Jim stated that either would work. The meeting was adjourned. Next meeting: Friday, September 13, 2013 starting at 10:00 a.m. in the Human Services Building. Remaining Meetings for 2013: (All second Fridays starting at 10:00 a.m.) December 13th