HomeMy WebLinkAboutMH Provider Meeting Minutes 09-8-17Mental Health Provider Meeting
Human Services Building
Friday, September 8, 2017
MH 1
MEETING MINUTES
Welcome & Introductions
Everyone introduced themselves and their agency affiliation.
Provider Announcements and Updates
› Keystone Human Services
Kara McClain is the new Executive Director over the Mental Health division.
› Franklin Family Services
The new outpatient clinic in Greencastle is scheduled to open between September 28th
and October 2nd. An official notice will be sent out when the date is final. The address is
11368 Williamsport Pike, Suite 5, Greencastle.
› Mental Health Association
CSP Meetings take place the last Monday of every month. On September 25th, the topic
is Hearing Voices: Schizophrenia with William “Dan” Reese from 10:30 a.m. to noon.
The meeting is located at the MHA Office – 478 Grant Street, Chambersburg.
› Occupational Services, Inc.
OSI provided the newest edition (September 2017) Connector. OSI has also relaunched
a new and updated website: www.osinc.org. They would appreciate any feedback.
Keystone Psychiatric Rehabilitation Center
There have been quite a few changes at Keystone due to a licensing visit that did not go well.
Staffing changes have taken place as well as revising the program and how the services are
being provided. The program is now aligned more with Boston University Model of Psychiatric
Services. Through this, due processes have been changed as well as classes. It is now focused
on an evidence based curriculum. PerformCare and the Office of Mental Health and Substance
Abuse (OMHSAS) has since come and completed an audit. Keystone is now back on track!
Keystone has already hired a certified psychiatric rehab professional and has another
potential candidate taking an exam. Keystone is also hiring for other positions. Once fully
staffed, classes will be Monday through Friday from 9:30 a.m. to 3:45 p.m. There are two (2)
classes at any given time. An individual can pick and choose the classes they are interested in
depending on their goals. All classes pertain to living, learning, wellness, socialization, and
working. There are classes on employment skills, conflict management, assertiveness skills,
healthy living, wellness, etc. The July – September schedule was provided. The new schedule
will be released in October. If you are interested in receiving it, please let Amy DeMay know.
The state sets the requirements for who is eligible for the program. They must have an Axis I
diagnosis and a challenge or functional impairment in living, learning, wellness, working and
socialization. A licensed practitioner of the healing arts (primary care physician, certified
registered nurse practitioner, psychiatrist or psychologist) can make a referral. For those who
may have an individual interested in the program, Keystone is open to provide tours (in which
the referral forms would be provided at that time). There is no maximum number of days that
an individual must attend the program. Keystone provides transportation services for those
who attend a full day. For those who provide their own transportation, they can come and go
and pick and choose classes.
Contact information: Amy DeMay, Service Director, Psychiatric Rehabilitation Services. Email:
ademay@keystonehumanservices.org; Phone: (717) 265-6978.
Children’s Services
› TMCA Update – Gen Harper
The Nurse Navigator program (through TMCA reinvestment dollars) has been
approved by OMHSAS for Franklin and Fulton residents. Service Access and
Management (SAM) will be the contracted provider. There have been 83 individuals
identified as having high physical and behavioral health needs. Of those 83, 30
individuals had no services and 20 currently had an ICM. Since the program is
voluntary, all these individuals may not be involved in the program. SAM is working
with individuals who currently have an Intensive Case Manger (ICM) to inform them of
the program. The nurse will be working with the ICM that will develop a wellness plan
to include physical and mental health. The nurse will be onsite with the individuals in
their homes twice a month. TMCA is looking to have a report available in December of
how the program is going.
The job description for the Nurse Navigator has minimum qualifications; must obtain
physical, community and mental health experience. SAM is currently looking at a few
candidates. At a minimum, they must be a registered nurse. The nurse navigator will
serve in a case coordination role not a direct RN role. If an individual needs
medications (such as an injectable), the RN will coordinate to make sure that is
provided. The nurse navigator can go along on appointments (but not transport).
Individuals do not currently have to have an ICM at the start of services but if receiving
the nurse navigator services, they will be given an ICM. A matrix is completed for SAM.
If an individual is deemed appropriate for the nurse navigator program but the matrix
identifies them as Administrative Case Management (ACM) or Resource Coordination
(RC) levels, they can still qualify for the service. The way the matrix is written it does
not address medical concerns. An individual can matrix for a lower level of care, such
as ACM or RC, but the case manager can indicate on the matrix an explanation of why
a higher level of care is needed; for example: physical needs. Once the needs are met
then the individual can go back to receiving a lower level of case management.
› PerformCare Update – Janina Kloster
Janina discussed the provider notice regarding ordering, referring and prescribing
providers needing to be enrolled in Medical Assistance by January 1st. These providers
must obtain a Promise number. Additional information on encounters, billing, etc. will
be coming from PerformCare soon.
› Communities That Care – Christy Unger
Christy Unger, who works for Healthy Communities Partnership, helps mobilize the
coalition Chambersburg Cares. It is made up of community members and
representatives from other agencies and organizations. The goal is to reduce risk
factors so that youth grow up to be healthy and well. The Communities that Care (CTC)
model is an evidence based model out of Washington University. It identifies cause of
why youth choose risky behaviors. It includes youth violence, pregnancy, dropout,
mental health, depression, substance abuse, etc. The model walks you through a
process of where your community is at. This particular committee is Chambersburg
focused. It is hoped to get it up and running and show data that other communities
could benefit from their own CTC. For Chambersburg, it is currently 75% through all
phases. It has been going on for about 2 ½ years.
Local data was looked at to see what increased youth likelihood to participate in
particular behaviors. Priorities, such as underage drinking, came out of that search.
The process then figures out why youth are drinking. This could be reasons such as
parents think it is normal behavior or they have easy access to it. CTC then looks at
why for these reasons. The process is to keep asking why until you can’t then you focus
on that piece of data. A research assessment was completed to come up with evidence
based practices that address the issues and where the gaps are. Community planning is
currently taking place. For example: X amount of youth have been displaying
symptoms of depression; what does CTC want to see this number at in five (5) years.
Strategies can be put in place to target them.
Chambersburg Cares meets once a month. The group is trying to figure out how to get
the idea of what is being done out there to get more participation at meetings. There
are currently no mental health providers that attend. For those who are interested in
attending, please contact Christy at christy.hcp@gmail.com. Meetings are usually the
first Tuesday of the month. However, the next meeting is September 12th at noon
located at the Brethren Fellowship Church. Chambersburg Cares Coalition is also
looking for those who would like to help with leadership as they do not currently have
a chair person.
Chambersburg Cares works with a group of youth at the high school. A leadership
program started last August. The youth want to work on mental wellness. The hope is
they show initiative in their school and among their peers. Christy discussed various
events and activities that the youth participated in as well as the success and
involvement of those youth.
County Announcements/Information
› Reports due since our last MH Provider Meeting
» Audit Engagement/Extension Letter (FY ending June 30th)
» Progress Report on Outcomes in Appendix A
» Quarterly Report of Expenditures (April – June)
» Salary Review (FY ending June 30th)
» Property Purchased Report (FY ending June 30th)
» Property Leased Report (FY ending June 30th)
» Fixed Assets Purchased with MH/ID/EI Funds (FY ending June 30th)
› Reports due prior to our next MH Provider Meeting
» Quarterly Report on Expenditures (July – September)
» MCR Report – Program Funded Providers Only (September 30th)
› OMHSAS Email
An email was received from OMHSAS pertaining to a survey regarding Cultural and
Linguistic Competence (CLC). The survey will assist OMHSAS in the development of
future CLC trainings and resources. To access the survey, please visit
https://www.surveymonkey.com/r/CLCsurvey17. Please refer to the letter for
additional information.
› Psychiatric Admissions Reporting Overview
Please refer to the Community Psychiatric Hospital Admission Report – Second Quarter
Comparison of Calendar Years 2016 and 2017 for additional detail. If you do not have
this document, please contact Jim Gilbert (jgilbert@franklincountypa.gov).
In Danville, we have five (5) beds; however, we are utilizing twelve (12) beds at the
moment. There are different factors for admissions. What allows us to be able to
continue to be over our bed cap is that counties that are in the Danville service area
are under their bed allocation. Those counties then “loan” their beds out to other
counties that can utilize them. Some individuals at Danville came from Torrence State
Hospital who have complex needs.
The County also has two (2) beds at the Long-Term Structured Residence (LTSR) in
Dauphin County; with one of them being loaned to another County. We are opening to
regain access to that bed later this month. An individual from Danville has been
identified as qualifying for the LTSR bed so we are hoping to transfer the individual.
There is also an individual at the LTSR that can be transferred to the Specialized
Community Residence (SCR).
› Update on Access to Extended Acute Care
Soon after the June provider meeting, Jim received a phone call from Geisinger
Behavioral Health, who owns Geisinger Holy Spirit (formerly Holy Spirit Hospital),
informing him that they will be closing the Extended Acute Care (EAC) thirteen (13)
bed unit. The County still has one (1) individual admitted at the EAC that is
progressing towards being ready for discharge. Geisinger has indicated they will not
prematurely discharge the individual. The rationale for the closure is that Geisinger is
having people languish in their emergency department because they do not have the
beds to admit them. By repurposing the EAC beds, they can turn them into additional
beds to admit those in the emergency room.
Jim has been doing outreach to other counties to see what they are doing. Prior to
having access to the EAC, the County had a contract with Philhaven, now known as
Wellspan Philhaven (located in Lebanon County). Jim reached out to them to see if they
would consider opening beds for us. The current request is for one (1) bed in the near
future and the potential for three (3) to five (5) long term. An update has not been
received recently. Their CEO and Managed Care Organization are aware of the EAC
closure. Jim remains optimistic that we will regain access to this level of care. Right
now, we are referring individuals to Danville who would typically have been referred
to the EAC. The average length of stay at the EAC is around 110 days.
› Sequential Intercept Model
Cori provided the Sequential Intercept Model handout that defines the intercept and
the new intercept zero. The handout explains what services fall under each intercept
and what is happening at those intercepts. Services can be in more than one intercept.
The County is in their final draft form of mapping services. Please make sure your
services are listed with us. If your services are not listed or should be in a different
intercept, please let Cori Seilhamer know (caseilhamer@franklincountypa.gov).
The meeting was adjourned.
Next Meeting
Friday, December 8, 2017 at 10:00 a.m. in the Human Services Building
[425 Franklin Farm Lane, Chambersburg]
2018 Meeting Schedule
March 9th June 8th September 14th December 14th
Minutes by Erin Nye