HomeMy WebLinkAboutMH Provider Meeting Minutes 12-11-15Mental Health Provider Meeting
Human Services Building
Friday, December 11, 2015
MH Provider Meeting 1 12/11/15
MEETING MINUTES
Welcome and Introductions
Everyone introduced themselves and their agency affiliation.
Provider Announcements and Updates
› Healthy Communities Partnership (HCP) ~ Karen Johnston
HCP has a free eight (8) week Smoking Cessation Class starting January 11th
at 6:30 p.m. at the Chambersburg Hospital for anyone that may be interested.
Participants will receive four (4) weeks of nicotine replacement. To register,
call HCP office (717-264-1470), walk into the office or visit their website:
http://www.hcpfranklinpa.org/. If anyone calls now, they are provided the
Fax to Quit referral; beginning on January 5th, if Fax to Quit was not a success
the person will be registered for the class.
HCP started elementary Student Assistance Program (SAP) services in
September at St. Thomas Elementary School in Tuscarora School District.
Staff is at St. Thomas weekly. SAP liaisons already are located in all the
middle and high schools in Franklin and Fulton County. Stevens, Ben
Chambers and Scotland are probably the highest usage of the service as far as
elementary SAP. It has been good providing extra layers of services to the
elementary level. HCP also has a Spanish speaking liaison.
Provider Presentations
› Vaping and e-cigarettes/Fax to Quit – Karen Johnston: Healthy
Communities Partnership (handouts)
There are a lot of unknowns about vaping and e-cigarettes. Some of the
things that are known are:
There is a battery and liquid component and some electronics. The
battery heats the liquid and provides the vapor. Some vapors have a
smell while others do not.
Companies selling e-cigarettes claim that some products are nicotine-
free but each has a level of nicotine in them. It may be a small
percentage but since it is not regulated it is difficult to determine how
much is in each cartridge.
The biggest issue is people co-using: smoking cigarettes and vaping.
These people are getting twice the nicotine. The Centers for Disease
Control (CDC) is now saying if you completely quit smoking and use e-
cigarettes that is better than nothing but co-using is absolutely
dangerous. Vaping is not a quit device.
PA is trying to pass a law that pertains to an age limit to purchase e-
cigarettes. At one point there was no age limit. Children were
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purchasing e-cigarettes at an alarming rate as states were not
regulating who could purchase them.
E-cigarettes have toxic chemicals. Chemical flavorings are causing
people to get addicted. The chemicals are linked to lung
disease/respiratory disease. The Food and Drug Administration (FDA)
has not regulated these yet.
The cheaper e-cigarettes and oils come from third world countries,
such as China. The batteries can blow up in these, which is a potential
dangerous hazard.
Some of the devices have refillable containers. CDC did a presentation
stating that people are putting marijuana in the refillables. The
refillables are also not child or pet proof. If children or pets are
exposed to liquid nicotine, it can be fatal.
Chambersburg Area School District has included e-cigarettes and
vaping in their policy addressing drug and alcohol abuse. If a child
gets caught on the grounds with these items it is a count of drug
paraphernalia.
There are not enough studies completed to say vaping or e-cigarettes
are safe. The lithium batteries cannot be exposed to heat and have
exploded in people’s faces. We do not know the dangers to vapor
second hand smoke.
Tobacco usage in children has fallen. However, vaping and e-
cigarettes has tripled in children.
Please refer to the “10 Things to Know About Vaping” brochure for more
information.
Fax to Quit program – the referral can be filled out by someone else other
than the individual seeking help. If you are on the phone with someone and
they agree to the service, there is a check box stating “In the absence of the
patient being physically present to provide signature, provider please check
to indicate that patient provided verbal consent to be referred to the PA
FREE Quitline”. The provider completes the top part of the form, checks the
box, asks the individuals the questions on the bottom of the form then faxes it
in. If the provider is HIPAA compliant, please check that box. The provider
will receive notification that the Quitline has been in contact with the
individual and when they received nicotine replacement. They will receive
eight (8) sessions over the phone to talk to trained facility during the time of
their choice. They are also eligible for four (4) weeks of nicotine replacement.
› Psychiatric Rehabilitation – Shendelle Edwards: Keystone Service
Systems (handouts)
Shendelle is the Mobile Psych Rehab Specialist. The service is provided to
individuals eighteen (18) years of age and older. The individuals choose their
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own goals. The program works with the individuals to help them reach their
goals and, ultimately, feel they are getting what they want out of life.
Shendelle’s aspect with the mobile psych rehab is when individuals choose to
come into the program but feel hesitant with large groups; she can interact
with them at the beginning to see what skills they want to work on to feel
more comfortable coming into the program. If an individual is discharged
from the hospital, she tries to meet with them before discharge to transition
them into the program. If individuals leave in the middle of the program due
to medical reasons, she tries to keep the program going with them, such as,
working with them to keep their goals going. At time of discharge from the
program, if an individual feels they accomplished all their goals except for
one, Shendelle meets with them individually to accomplish that goal outside
of the group. Shendelle meets with individuals in the community, at their
home or wherever they may feel comfortable.
For more information, please refer to the packet that was handed out during
the meeting. The packet includes: referrals and brochures to explain the
Keystone Center.
› 2016 Presentations
As we look to 2016 and our providers, if anyone has topics they would like to
present or topics they are interested in seeing presented, please let Jim know.
Children’s Services
› CASSP Update – Kim Lucas (handout)
Kim has been working on tracking data on CASSP meetings, such as, the
outcomes, purpose, where the meeting was held, etc. A CASSP survey is being
created so that meeting participants can be randomly surveyed.
Kim is available to meet with you individually to talk about CASSP or to meet
with agencies and staff. It can be an informal or formal meeting. If interested,
please call (717-709-2307) or email Kim at kmlucas@franklincountypa.gov.
Kim reviewed a handout titled Guidelines to Referring to CASSP. Please refer
to the handout for more detail.
› TMCA Update
There was no representation from Tuscarora Managed Care Alliance.
› PerformCare Update – Janina Kloster
PerformCare is offering MTM Just in Time Scheduling training on Friday,
December 18th. It is an informal session for mental health outpatient
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providers. Representative will go over what they can offer as far as being
able to help with processes and improving outpatient access for members for
therapy and psychiatry.
Standing Agenda Items
› County Announcements/Information
Reports due since our last MH Provider Meeting:
- MCR Report (Program Funded providers only)
- Quarterly Report of Expenditures (July-September)
Reports due prior to our next MH Provider Meeting:
- Audited Reports for fiscal year ending June 30th
- Progress Report on Outcomes in Appendix A
- Internal Quality of Service Survey
- Quarterly Report on Expenditures (October-December)
- Appendix A for upcoming fiscal year
- Budget/Rate Letter for upcoming fiscal year
- Staff Roster for upcoming fiscal year (if appropriate)
- Unit Assumptions for upcoming fiscal year (if appropriate)
- Budget Narrative for upcoming fiscal year (if appropriate)
Psychiatric Admissions Reporting Overview (handout)
Please review the handout for more detail.
Overview – individuals were hospitalized for fewer days but there
were more admissions and more individuals.
Currently, there are seven (7) individuals at Danville and one (1) on
the waiting list that has been approved for admission. There are five
(5) individuals at Holy Spirit EAC, which is two (2) over our bed count.
Cumberland/Perry County has let us borrow two (2) beds as they
have not had many referrals. There is also one (1) individual on the
waiting list.
Sequential Intercept Model (handout)
The Sequential Intercept Model continues to be updated. Services that
were discussed at the previous meeting were added: Eye Movement
Desensitization & Reprocessing (EMDR), Comprehensive Continuous
Integrated System of Care (CCISC), Crisis Intervention Team (CIT) and
Trauma Informed Therapy. All provider names have been removed
from the document to reflect services only. The report can be
expanded later to include contacts, if needed. As providers start new
services, please make sure to share so it can be added to the list.
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New Agenda Items
› FY 16-17 Contract Discussion – Submission Deadlines, etc.
By the next provider meeting the contract process will be starting. The dates
may change based on calendar dates but all other expectations will remain
the same. For more detailed information, please review the following
procedure statements: Contract-MHIDEI-1304 Contract Process and MHIDEI-
416 Contract Required Reports and Due Dates. There is a change in the
boilerplate to reference Child Protective Service Laws. There were twenty-
three (23) changes to the law that took effect January 1, 2015. If working
with children, please make sure you have the proper clearances and training.
The County continues to use the electronic process with contracts. A contract
survey was sent out to providers in which feedback was provided. Overall,
the feedback was positive. There were some things that the County cannot
change. For those requiring additional lines on the Roster of Personnel,
please contact Becky Leidig at raleidig@franklincountypa.gov or 717-264-
5387.
County staff is currently updating procedure statements. It is referenced in
the contracts that providers will adhere to the procedure statements. If there
are any major changes providers will be notified. An Acknowledgement Form
will be sent out in January for providers to sign and return to Erin Nye at
ednye@franklincountypa.gov indicating they have reviewed the policies.
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The County is moving forward as if they will receive the same allocation for
MH as they did in FY 15-16. As for the budget, the Senate proposed a budget
to include 3% increase to Human Services. However, until the budget is
passed, the time to utilize those dollars may be tough. The House proposed
an additional budget that included tax increases. The Governor was willing to
sign the Senate proposal but not the House. Franklin County continues to
fund programs out of general funds but it is unknown for how much longer.
Fulton County has taken the steps to talk to some providers about holding
payment, as those providers indicated there were able to sustain for a certain
amount of time.
› Miscellaneous from MH/ID/EI Staff
Franklin County 2016 check dates are now available. Please refer to the
handout for more detail. The document contains the dates the checks are cut
for provider payment and the dates that the invoices must be to Becky in
order for her to process them in time.
If anyone is interested in QPR training, there is now the ability to attend
online for free – supported by a grant from Summit Endowment.
Go to http://www.qprtraining.com/setup.php
At the prompt enter “mhaff” as the organizational code
You will be required to create an account with a user name and
password
Then take the course!
The meeting was adjourned.
Next Meeting:
Friday, March 11, 2016 starting at 10:00 a.m. in the Human Services Building
2016 Meeting Schedule:
(All second Fridays of the month beginning at 10:00 a.m.)
June 10th September 9th December 9th
FYI – the June 10th meeting will take place at the Administrative Annex located at
218 North Second Street, Chambersburg