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HomeMy WebLinkAboutMH Provider Meeting Minutes 12-14-18Mental Health Provider Meeting Friday, December 14, 2018 MH 1 12/14/18 MEETING MINUTES Welcome & Introductions Everyone introduced themselves and their agency affiliation. Provider Announcements & Updates ≠ Franklin Family Services Franklin Family Services Shippensburg clinic is scheduled for grand opening on January 17th. Open house is scheduled from 2:00 p.m. to 5:00 p.m. with ribbon ceremony scheduled for 3:30 p.m. The clinic is located at 240 West King Street. Services provided are outpatient therapy, medication management and psychiatry. ≠ Healthy Communities Partnership Karen Johnston met with the Deputy Director from the Department of Education. Discussion was held regarding Narcan being rolled out across the state, community responses to opioid and things seen in the community, services Keystone has to offer, etc. The Deputy Director was excited to hear about the things we are doing in the community. HCP is starting the seventh season of Go Girls Go! Anyone who wants to be a mentor/volunteer, please contact HCP. It is a life changing program that you get the chance to interact with kids. It is nine (9) weeks. Volunteers/mentors must commit to at least one (1) time a week but it’s preferred two (2) times. The group meets on Tuesdays and Thursdays. In the nine (9) weeks, those involved run (walk, jog, skip, etc.) in groups. At the end of the program, all areas are brought together to run a 5k. A flyer will be developed and distributed. ≠ Pennsylvania Counseling Services Since the last provider meeting, Critical Time Intervention (CTI) staff has been trained and the program is up and running. PCS is working with TrueNorth Wellness Services and Keystone Rural Health Center Crisis. CTI is a team for individuals who are accessing crisis but not following through or engaged in the recommendations. The team comes in for nine (9) months to access and engage the individuals into services and recommendations. They will assess what needs are happening, such as overcoming barriers, housing, etc. The program started in mid-November and currently has a couple clients. PCS has a Certified Recovery Specialist (CRS) working with SCCAP. PCS works with TMCA for those who have PerformCare and SCCAP for those who do not. It is a service for individuals with drug and alcohol concerns who want to pursue recovery. PCS added a Care Navigator. This person is able to work with anyone who has drug and alcohol related concerns with accessing care and resources, attending meetings, overcoming barriers, etc. To access the above services, please reach out to PCS. The referral process is still in the works. In the spring, PCS will be moving next door to the M&T Bank building (the entrance will be located in the back of Black Avenue). PCS will be occupying the 2nd, 3rd and 4th floors. The 2nd floor will be outpatient space and the 4th floor will be recovery support services. Mental Health Provider Meeting MH 2 12/14/18 Addressing Burnout in the MH Field Dr. Kim Weikel and Sarah Howell from Shippensburg University presented on addressing burnout in the mental health field. Dr. Weikel has been teaching in the Psychology department for 25 years. The last few years her focus has been on burnout, doing research on it and offering workshops. Dr. Weikel and Sarah would like feedback from providers to see if they would be interested in being involved, collecting data and participating in workshops on burnout and well- being. The goal would be to look at all careers/positions of burnout and provide a break down for the County. There is data published regarding burnout but less data regarding burnout in the mental health field than any other fields. This research would be specific to Franklin and Fulton counties. In addition, the research would look at turnover rates in burnout. This would necessitate asking participants if they are interested and to provide more identifying information to do these types of correlations. Dr. Weikel discussed an initial survey then at a later date a second round of surveys for the individuals who were willing to give more identifying information. The data could be used to make program changes and offer services. Cori and Jim’s focus is on a burnout as a system such as are there things the County can assist providers with, ways to reduce recidivism, etc. A letter was provided to those in attendance at the provider meeting. The hope is that providers would give the letter to all employees to see if they are interested in participating in the survey as well as workshops. Data collection would be done in February. Surveys should be sent back to Jim whether electronic or paper. For those completing surveys in paper form, the consent forms should go in one folder and the survey in another as they want to assure honest answers for surveys. There will be 5-6 different surveys that will take a total of 10-15 minutes. The purpose of the multiple surveys is due to measuring different variables. Providers noted that some prefer electronic and some prefer paper. It was suggested that providers note on the interest survey how many prefer online versus paper and indicate how many staff would be involved. The County will cover the costs of the workshops. Additional participation, if interested, would be focus groups. The purpose of the focus groups would be that the surveys only ask so much information while the focus groups would allow the option to ask more questions that could result in additional data collection. The County has also developed a workgroup that providers can get involved in. Burnout Workgroup – Jim and Cori met with Dr. Weikel to discuss creating a workgroup of provider agencies to come together to discuss results of the survey, interventions, what providers are doing to support staff that is helpful, sharing information, etc. If anyone would be interested or know of staff that would be interested in being part of the workgroup, please contact Jim or Cori. The workgroup is scheduled to meet January 24th from 10:00 a.m. – 12:00 p.m. at the Human Services Building. The intention of the first meeting would be to see what providers need, what time commitment and other commitments are needed for the workgroup, etc. Discussion from the workgroups would then be reported at the provider meetings. Feedback is appreciated. Program Spotlight – Mental Health Association (MHA) Leadership Academy A Leadership Academy graduate presented at the provider meeting on what she has learned from the academy, such as self-esteem, networking, communicating, working with groups to accomplish a common goal, working as a team, advocating for oneself and others and more. Mental Health Provider Meeting MH 3 12/14/18 The next Leadership Academy begins in March 2019. Sessions take place on Mondays for six (6) weeks from 9:30 a.m. to 3:00 p.m. (with one session in the morning and another in the afternoon). The Leadership Academy is free. Typically, there are about 15-16 registered. There is no set deadline for registration; as long as spots are available registrations are accepted. For those presenting, if you have any questions, you can send them to akw@mhaff.org. Kenny Wuertenberg, CEO of MHA, is retiring as of December 31, 2018 but his email will still be open to receive questions. For those who are interested, you can reach out to the Mental Health Association (MHA) for Leadership Academy graduates to be part of Advisory Boards, committees, and interview panels. The County recently had two (2) requests for proposals (RFPs) – Mobile Psychiatric Nurse and Forensic Specialized Community Residence (SCR) where they connected with graduates from the academy to serve on the RFP review board. The individual was appreciative to be involved in the capacity to help in the decision making process. Going forward, the County will continue to reach out to graduates to participate in such tasks. Jim highly encourages others to do so as well. Children’s Services ≠ CASSP Update No update at this time. ≠ TMCA Update Michelle Mosher is no longer with TMCA as of the end of September. TMCA has recently hired Jessica Brangaccio to fulfill Michelle’s position as Health and Human Services Planning and Development Director. Jessica will be meeting with providers who are working on reinvestment plans next week. ≠ PerformCare Update – Kourtney Griggs Kourtney Griggs is the Account Executive for Franklin/Fulton. Janina Kloster is now the Account Executive for Cumberland/Perry. PerformCare’s Franklin County Office is no longer located on Lincoln Way West. The new address is 417 Phoenix Drive, Chambersburg. ≠ Chambersburg Cares Coalition – Christy Unger Chambersburg Cares Coalition is a drug free community coalition aimed to reduce substance use among children. An “Our Community: Youth Survey Data” was handed out during the meeting that includes goals, commitment and stats. The coalition is made up of service providers, businesses, community members, etc. All are welcomed! One of the focuses of the coalition is adolescent depression and how mental health is leading to substance use experimentation. Another focus is on smoking, specifically targeting vaping. There has been a use increase in vaping. Presentations were conducted for grades 7 – 12. The coalition has a vaping campaign going on that is wrapping up in December. PA STOP materials were used on billboards. Healthy Communities Partnership can offer presentations on vaping to providers who are interested. Anyone that may be interested in a presentation or would like education and literature, please contact HCP. Be Kind campaign is in February. The store has been reopened today. Those interested can purchase Be Kind shirts and hats. Part of the campaign is to wear your shirts and hats in February, especially on Fridays. Be Kind was not meant to be a fundraiser but a Mental Health Provider Meeting MH 4 12/14/18 campaign meant to bring awareness. The Youth Advisory Board is made up of students from Chambersburg Area Senior High School (CASHS). Chambersburg Cares Coalition meets the first Tuesday of every month at noon at the Coyle Free Library. However, the meeting in January will take place on the 8th and February will take place on the 12th. Starting in March the schedule will go back to the first Tuesday of the month. Those interested in participating can contact the coalition through their website (www.chambersburgcares.org) or by phone (717-264-1470). Provider Spotlight – Service Access & Management Targeted Case Management (TCM) offers two (2) levels of care – Resource Coordination (RC) and Intensive Case Management (ICM). Both services have the same function; however, one monitors individuals more frequently. RC has a minimum of once every other month. Service Access & Management (SAM) expects RC’s to meet with individuals monthly. ICM has a minimum contact of once every 14 days. Depending on the individual’s case, TCM staff may meet with individuals more often. The service is catered to the individuals and what is requested. There are two (2) ICM teams – one for children and one for adults and one (1) RC team. Individuals must have a serious mental illness. There is no waiting list for case management. If an individual comes in for an intake, they can be set up with a case manager within five (5) days. SAM now offers walk-in hours for intake – Monday thru Friday 8:30 a.m. – noon. Case Managers help individuals with housing, educational needs, vocational needs, etc. SAM works in coordination with all providers. A matrix is completed to determine if an individual qualifies for TCM. For children, there are ten (10) domains; for adults, there are six (6). The matrix looks at level of care such as, Utilization Management (UM), Administrative Case Management (ACM), Resource Coordination (RC) or Intensive Case Management (ICM). The matrix looks at needs and what the individual is looking for. An individual can matrix at the RC level but (for example) if they are homeless they can receive ICM services. Nurse Navigator program has been up and running for about a year now. There are currently 27 individuals being served. The service is an intense service where a Registered Nurse and ICM pair up. They act as a team to support the individual. So far there have been fantastic outcomes specific to physical health. The nurse will go along to appointments with individuals. The program looks at the entire person not just behavioral health or physical health. The service is for individuals who have Medical Assistance. When the program was created, it was initially thought that the individuals had to matrix at an ICM level. However, there are some individuals who are RC that are part of the Nurse Navigator program. In these cases, the RC works as an ICM. The program is flexible. SAM’s Franklin County Office is moving to Orchard Drive on January 7th. Community Resource Spotlight – South Central Community Action Program If anyone has any questions about programs or would like more information, please call or email Alaina Ingels. SCCAP’s mission is to empower families and engage the community. Some of the services are situational (such as food pantry) while others are more in depth programs (such as Circles) for those who have not learned the skills to be successful. SCCAP has three (3) impact teams – Health and Nutrition, Family and Asset Development, and Education and Employment. All programs and directors work together. The impact teams offer: Mental Health Provider Meeting MH 5 12/14/18 ≠ Health & Nutrition – Women, Infants and Children (WIC), the Gleaning Project, food pantries, and community work. ≠ Family & Asset Development – Circles, Homelessness programming, Recovery and Reentry services, weatherization, and community work. ≠ Education & Employment – Early Learning Resource Center, Work Ready Employment services, MLK Career Aid Project, and community work. The Circles program meets weekly on Thursday evenings on King Street. There are activities and programming for all in attendance. Families bring their children. Adults are in one area, teens in another and children in another. Each person is matched with allies that help guide them with decision making. The program follows the Getting Ahead curriculum. It is a 12 week cycle. The Gleaning Project came out of the Circles program; and now they are working on tiny houses. Weatherization is for individuals who own their own home but have a low income. It is not just for seniors. Adults can apply for services. The waiting list is long. This program services four (4) counties – Dauphin, Adams, York and Franklin. Please review the handout for additional information on each program. SCCAP has existed for over 52 years. There are 25+ programs and initiatives. There have been 13,000+ families impacted by SCCAP services. Communication and working together among programs has allowed SCCAP to be successful! County Announcements/Information ≠ Staffing Updates Ashley Yinger’s last day as MH/IDD/EI Administrator was October 31st. Patty Winebrenner is the Acting Administrator. First round interviews have been conducted for the Administrator position. Second round interviews will take place next month with the goal of having a new Administrator by the end of January/beginning of February. ≠ FY 2019-2020 Contract Updates For any fiscal updates, a memo will be sent out to all providers to include changes. Please review the memo. If anyone has any questions pertaining to budget or fiscal attachments, please contact Becky Leidig. There will be new language added to the boilerplates to address fixed assets. There will also be changes to procedure statements to include name changes on reports due. Please review these documents carefully. ≠ 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 Financial Reports (for FY ending June 30th)  Audit Engagement or Extension Letter (for calendar year ending December 31st)  Progress Report on Outcomes in Appendix A (first six months)  Friendly reminder to report on specific goals (on Appendix A) included in your executed contract!  Internal Quality of Service Survey  Quarterly Report of Expenditures (October – December) Mental Health Provider Meeting MH 6 12/14/18  Appendix A for upcoming fiscal year  Budget packets (to include Budget/Rate letter for upcoming fiscal year, Staff Roster, Unit Assumptions, and Budget Narratives for upcoming fiscal year - if appropriate) ≠ Psychiatric Admissions Reporting Overview Danville State Hospital – we are still seven (7) over the bed cap of five (5). Franklin/Fulton has two (2) individuals on the waiting list; but Danville has 16 individuals (includes our two) on theirs. We are hoping to discharge one (1) individual to the Keystone Long-Term Structured Residence (LTSR) next month. There is nothing new regarding the Extended Acute Care (EAC). Facilities that have expanded their EAC are not in this local area. In addition, other county agencies are utilizing the resources that were available. We are back to community and state hospitals with no “hospital service” in between. New Agenda Items ≠ Mobile Psychiatric Nurse In the past Franklin/Fulton had a CHIPP Psychiatric Nurse in which Martha Swope fulfilled that position. Now, the County has contracted with Martha directly to provide Mobile Psychiatric Nurse services. It is a full time position. If you have a teenager or adult who needs extra care or someone to talk to, reach out to Martha. She is able to talk about medications, why the individual is on that medication, provide a better understanding, talk depression, brainstorm on ideas the individual can do to help themselves, etc. Martha is also available to come out and train staff about the service. She will be conducting head to toe assessments and state of mind of an individual. Martha will also be called by the Co Responders in the community. Kay Martin is the Co Responder of Greencastle, Waynesboro and Washington Township and Jenn Ewing is the Co Responder in Chambersburg. In addition, Healthy Communities Partnership just contracted with Roxbury Treatment Center for a Recovery Liaison. If needed, Martha could be utilized for this as well. Martha has worked at the Chambersburg Hospital on the Behavioral Health Unit. She also works on telemetry observation and has experience in med surg. Referrals can be made directly to Martha. She will then make the determination if other services are needed. She is available Monday through Friday 8:00 a.m. – 4:30 p.m. for Franklin and Fulton counties. Martha is an added support in the community! The meeting was adjourned. Next Meeting Friday, March 15, 2019 starting at 10:00 a.m. in the Human Services Building [425 Franklin Farm Lane, Chambersburg] Remaining 2019 Meetings June 21st September 20th December 20th Minutes by Erin Nye