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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