HomeMy WebLinkAbout2021-07-08 Franklin County Human Service Plan 2021- 2022Appendix A Fiscal Year 2021-2022
COUNTY HUMAN SERVICES PLAN
ASSURANCE OF COMPLIANCE
COUNTY OF: ___________________________________
A. The County assures that services will be managed and delivered in accordance with the
County Human Services Plan submitted herewith. B. The County assures, in compliance with Act 80, that the County Human Services Plan submitted herewith has been developed based upon the County officials’ determination of County need, formulated after an opportunity for public comment in the County.
C. The County assures that it and its providers will maintain the eligibility records and other
records necessary to support the expenditure reports submitted to the Department of Human Services. D. The County hereby expressly, and as a condition precedent to the receipt of state and federal funds, assures that in compliance with Title VI of the Civil Rights Act of 1964;
Section 504 of the Federal Rehabilitation Act of 1973; the Age Discrimination Act of 1975;
and the Pennsylvania Human Relations Act of 1955, as amended; and 16 PA Code, Chapter 49 (relating to contract compliance): 1. The County does not and will not discriminate against any person because of race,color, religious creed, ancestry, origin, age, sex, gender identity, sexual orientation,
or disability in providing services or employment; or in its relationship with other
providers; or in providing access to services and employment for individuals with disabilities.
2. The County will comply with all regulations promulgated to enforce the statutory provisions against discrimination.
COUNTY COMMISSIONERS/COUNTY EXECUTIVE
Signature(s) Please Print Name(s)
Date:
Date:
Date:
Franklin
David S. Keller
John T. Flannery
Robert G. Ziobrowski
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Appendix B County Human Services Plan Template
The County Human Services Plan (Plan) is to be submitted using the template outlined below. It is to be submitted in conjunction with Appendices A and C (C-1 or C-2, as applicable) to the Department of Human Services (DHS) as instructed in the Bulletin 2021-01. PART I: COUNTY PLANNING PROCESS (Limit of 3 pages)
Describe the county planning and leadership team and the process utilized to develop the Plan for the expenditure of human services funds by answering each question below. 1. Please identify the critical stakeholder groups, including individuals and their families, consumer
groups, providers of human services, and partners from other systems involved in the county’s human services system. Planning team members include human services providers and stakeholders as well as participants and advocate family members. In addition, the team includes staff support from each
of the departments included in the block grant. Appendix D includes a comprehensive list of the
members of the planning team and their affiliations. The leadership team is comprised of key fiscal and human services administration staff and includes: the Human Services Administrator, Fiscal Specialist, Human Services Fiscal Manager,
MH/IDD/EI Administrator, Drug & Alcohol Administrator, Human and Health Services Planning and Development Director, County Grants Management Director, Veterans Affairs Director, and the Director of the Area Agency on Aging. 2. Please describe how these stakeholders were provided with an opportunity for participation in the
planning process, including information on outreach and engagement efforts.
We have a small but active Planning Team that deliberates on the larger Block Grant Plan, monitors implementation, and recommends adjustments throughout the year. In addition to participating in the Human Services Block Grant (HSBG) meetings, program participants and their
families are often asked for their input through surveys, evaluations, and informal feedback; this feedback informs the operation of Block Grant funded programs. Block Grant hearings are advertised in the newspaper, on the County website, and the County's Facebook page to elicit stakeholder feedback.
3. Please list the advisory boards that participated in the planning process.
• The Franklin/Fulton Drug & Alcohol Advisory Board holds recurring meetings throughout the
fiscal year on a rotating basis between Franklin and Fulton County. The voting members of
the Advisory Board include the following sector representation: Criminal Justice; Business/Industry; Labor; Education; Medicine; Psycho-Social; Student; Elderly; Client and Community. Sector representation is also evenly split among genders and county of residence. The Advisory Board provides input into the Block Grant plan, is informed of Block Grant impact, and is made aware of any Drug/Alcohol requests for funding, projects, or
service enhancements.
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• The Franklin County Local Housing Options Team consists of individuals who meet
regularly on issues around housing and homelessness. Representatives from the Franklin
County Housing Authority, the County emergency shelters, and the Homeless Assistance Program (HAP) attend regularly. In addition to these individuals, there are an array of representatives on the LHOT that also include Rapid Rehousing programs, Homeless Prevention programs, Permanent Supportive Housing programs, the Domestic Violence
Shelter, Veterans Housing Program, Legal Services, Connect to Home staff, the Self-Determination Housing Project of Pennsylvania, Inc. (SDHP), a Federally Qualified Health Center (FQHC), two Boroughs, several religious Organizations and Franklin County Grants Management. The group also receives updates on Block Grant
plans and funding requests and provides input, as appropriate. During the past year,
several virtual meetings have been held to keep landlords up to date on housing programs and various items related to COVID 19 including moratoriums and funding programs. Landlords have become more actively involved with the LHOT and it is the desire of the group to continue to offer opportunities and information that will keep our local landlords interested and involved.
• The Franklin/Fulton County Mental Health/Intellectual and Developmental Disabilities/Early Intervention Advisory Board meets bi-monthly, with 13 members, including
one Commissioner from Fulton County and one from Franklin County. The committee
requires representation from each county: four members from Fulton County and nine
members from Franklin County. At least two representatives appointed to the Board are physicians (preferably, a psychiatrist and a pediatrician). Four individuals are program participants or family members, of which half represent Intellectual and Developmental Disabilities/Early Intervention. Additional representation comes from the following areas of
expertise: psychology, social work, nursing, education, religion, local health and welfare planning organizations, local hospitals, businesses and other interested community groups. The MH/IDD/EI Administrator provides HSBG updates as applicable during the Board meetings. They have impact on decisions related to MH/IDD/EI funding, which indirectly can
impact the Human Services Block Grant.
4. Please describe how the county intends to use funds to provide services to its residents in the least restrictive setting appropriate to their needs. The response must specifically address providing services in the least restrictive setting.
• Franklin/Fulton Drug and Alcohol provides prevention/intervention, treatment, and recovery services in the environment most appropriate for the individual receiving the services. Prevention services are delivered to youth in either a school-based or afterschool based environment appropriate to their age and the selected evidence-based program.
Intervention services are provided to individuals that meet program/service eligibility and
occur through a variety of contracted service providers. Treatment services are delivered to individuals based on the state’s use of the American Society of Addiction Medicine (ASAM) criteria and the appropriate level of care indicated as well as the utilization of risk assessments. High levels of care (withdrawal management, and residential) include 24/7
monitoring and supervision as treatment services are delivered within the providers setting. Low levels of care (halfway housing, partial hospitalization, intensive outpatient, outpatient, and early intervention) services are delivered in a community-based setting by the provider of their choice. Recovery support/housing services are delivered to individuals based on
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their recovery needs which vary from ancillary treatment needs to direct treatment care in a
community-based setting. Individuals are assisted by the department in discovering what
recovery supports and services are the best fit for their current stage of recovery. Services are delivered in the least restrictive manner appropriate for the individual.
• Franklin/Fulton Mental Health/Intellectual and Developmental Disabilities follows the
principle of providing the least restrictive services and promotes the offering of individualized services which will best meet the participant’s needs rather than putting an individual in a program that will not elicit best outcomes for that person. Assessed need for services and supports in the Intellectual and Developmental Disabilities Program is determined by a SIS
(Supports Intensity Scale) which is mandated by the Office of Developmental Programs.
People with IDD and their families are part of this process. Assessed need in the Intellectual and Developmental Disabilities program is determined using the SIS as directed by the Office of Developmental Programs. 5. Please describe any substantial programmatic and funding changes being made as a result of last
year’s outcomes. No substantial changes are planned; new programs may be added as part of the reallocation process in 2021-2022. PART II: PUBLIC HEARING NOTICE Two (2) public hearings are required for counties participating in the Human Services Block Grant. One (1) public hearing is needed for non-block grant counties.
1. Proof of publication; a. Please attach a copy of the actual newspaper advertisement(s) for the public hearing(s). b. When was the ad published? 6/18/2021 c. When was the second ad published (if applicable)? N/A
2. Please submit a summary and/or sign-in sheet of each public hearing. NOTE: The public hearing notice for counties participating in local collaborative arrangements (LCA)
should be made known to residents of all counties. Please ensure that the notice is publicized in each county participating in the LCA.
See Appendix E Public Hearings were advertised in the Public Opinion Newspaper, on the Franklin County website and on
the Franklin County Facebook page.
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PART III: CROSS-COLLABORATION OF SERVICES
For each of the following, please explain how the county works collaboratively across the human services programs; how the county intends to leverage funds to link residents to existing opportunities and/or to generate new opportunities; and provide any updates to the county’s collaborative efforts and any new efforts planned for the coming year. (Limit of 4 pages)
Employment:
• The Franklin/ Fulton IDD Program participates in the Transition Council with the Office of Vocational Rehabilitation, school districts, and providers to promote and support the Employment
First Model. The Transition Council promotes employment as the first opportunity for students
graduating from high school.
• Franklin County’s Information and Referral Specialist can refer individuals calling 211 to employment programs such as CareerLink and United Way’s Stepping Forward Works program.
• The Franklin/ Fulton IDD Program also supports a TALS (Transition to Adult Life Success) program in local high schools. This program is collaboration between local school districts, AHEDD (provider) and Franklin/ Fulton IDD Program. The TALS program engages young adults with disabilities in discussions and activities pertaining to areas of self- determination and career exploration. The goal is to encourage and prepare students to find competitive integrated
employment.
• Franklin Together, Franklin County's Reentry Coalition, is actively pursuing local employers engaging in the employment of returning citizens to the community after their incarceration. To
date the Outreach Committee has identified and linked with over 80 local employers who will hire
returning citizens and work with them in the employment field. The Committee has reached out To Parole Officers, Drug Court staff and the Judge presiding over Drug Court to identify individuals in need of employment in this arena. The Outreach Committee has identified transportation as one of the barriers to successful employment in rural Franklin County and throughout the upcoming year the committee will continue to look for creative ideas to help overcome this barrier.
Housing:
• The Franklin County Local Housing Options Team (LHOT) consists of individuals who meet
regularly on issues around housing and homelessness. Representatives from the Franklin County
Housing Authority, the County emergency shelters, as well as, the Homeless Assistance Program
(HAP) attend regularly. In addition to these individuals, there are an array of representatives on the LHOT that also include Rapid Rehousing programs, Homeless Prevention programs, Permanent Supportive Housing programs, the Domestic Violence shelter, Veterans Housing Program, Legal Services, Connect to Home staff, the Self-Determination Housing Project of Pennsylvania, Inc.
(SDHP), a Federally Qualified Health Center (FQHC), two Boroughs, several religious Organizations and Franklin County Grants Management. The group also receives updates on Block Grant plans and funding requests. During the past year, several virtual meetings have been held to keep landlords up to date on housing programs and various items related to COVID 19
including moratoriums and funding programs. Landlords have become more actively involved with
the LHOT and it is the desire of the group to continue to offer opportunities and information that will
keep our local landlords interested and involved.
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• Our Case Management staff works through the Coordinated Entry Process with the assistance of
multiple housing providers to help ensure a good match for individuals in need. Of housing.
Through funds from the Homeless Assistance Program (HAP), Projects for Assistance in Transition from Homelessness (PATH), Housing and Urban Development (HUD), the Emergency Solutions Grant (ESG), the Pennsylvania Housing Finance Agency (PHFA), Emergency Solutions Grant – CARES (ESG-CV), Home 4 Good, the Pennsylvania Housing Affordability and Rehabilitation
Enhancement Fund (PHARE), 8-1-1 Housing and the Emergency Rental Assistance Program (ERAP) we provide an array of housing options, transitional housing, master lease, rental assistance, rapid rehousing, and emergency housing supports, all of which are available to individuals/families meeting a range of specific criteria. Criteria are based on the completion of a
Vulnerability Index Service Prioritization Decision Assistance Tool (VI-SPDAT) assessment. The
VI-SPDAT examines factors of current vulnerability and future housing stability and assists to identify what supports and housing interventions will be most beneficial. In 2020 - 2021, we will continue to work through the Coordinated Entry process with the intent that this will result in continued collaboration, streamlining of services, and increased leveraging of funding resources
• The IDD Program partners with the County Housing Program to support an Independent Living Apartment Program for people living in their own apartments who need less than 30 hours of support a week. Because the County subsidizes the rent with base funds, people are able to live in
affordable and safer neighborhoods. There are currently 12 people in this program. PART IV: HUMAN SERVICES NARRATIVE
MENTAL HEALTH SERVICES
The discussion in this section should take into account supports and services funded (or to be funded) with all available funding sources, including state allocations, county funds, federal grants, HealthChoices, reinvestment funds, and other funding. a) Program Highlights: (Limit of 6 pages)
Please highlight the achievements and other programmatic improvements that have enhanced the behavioral health service system in FY20-21. 1. Training: a. The county took the opportunity afforded by the virtual world and hosted several training
events for our community providers and county staff in an effort to strengthen our service system. Franklin/Fulton County MH/IDD/EI purchased a year long license for the online course, Trauma Treatment with Eye Movement Desensitization and Reprocessing (EMDR),
Cognitive Behavioral Therapy (CBT), and Somatic-Based Interventions: A Certified Clinical
Trauma Professional Training Course. Participants were able to receive Continued
Education Units (CEUs) as well as a trauma certification. See chart below for participation
outcomes:
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b. Franklin County’s Annual Training Day event had to be converted to a virtual event instead
of in person. The featured theme was trauma informed care. Fortunately, the Keynote speaker, Tonier Cain, was able to make adjustments to still present to our community. She works tirelessly to raise awareness about trauma informed care around the world. She has trained providers in all fifty (50) states. Tonier is an advocate and educator, speaking all
over the world on trauma, addiction, incarceration, homelessness, substance abuse and
mental health. Her work has been used as a model in other countries for the establishment
of their trauma informed care protocols. There were 336 participates for this online event.
See the graphs below for just a little of the feedback.
c. Franklin County’s Suicide Prevention Coalition was selected to host one (1) of the sessions
of the 2021 PA Suicide Prevention Conference. This conference was also made available to our community providers to include our school districts. This conference was done virtually and also provided CEUs.
d. Mental health has been fortunate enough to be able to continue training opportunities for the next fiscal year. Three (3) online training opportunities are being offered to our providers
and county staff. Certified Dialectical Behavior Therapy Professional (C-DBT)Training: An
Advanced Online Skills Training for Adapting Dialectical Behavior Therapy for Everyday
Clinical Needs; Compassion Fatigue Certification Training Course: Enhance Client Care,
Completed Licensed
66%
50%
Trauma Cert Class
61 registered
234
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I felt the topic was
interesting,
stimulating, and
suitable. 194
44 7 2 0
Strongly
Agree
Somehat
Agree
Neutral Somewhat
Disagree
Strongly
Disagree
As a result of this presentation,
my knowledge of the subject has
improved.
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Regain Purpose, Manage Anxiety and Overcome Burnout; and The New Era of Anxiety:
Helping Clients Navigate Stress, Fear, Loss & Grief During Turbulent Times. All of which will
be offered to our service system providers and CEUs will be available for those that are credentialed. They will have access to these courses for a year. 2. Community Outreach a. The county mental health office was able to assist the providers in purchasing personal protective equipment (PPE) as well as needed equipment in order to make accommodations
for providing safe services and supports. Many of the providers were able to begin providing telehealth services in order to continue supports to those they were serving. b. Service Access and Management, Inc. Base Service Unit (BSU) worked in collaboration with a communications organization to develop a referral link to access services. The link
will allow individuals and providers to make a referral and request services. If an individual
utilizes the link to make a referral for mental health services the request immediately goes to the designated email and is responded to by the appropriate staff. This enhancement will improve accessibility to community mental health for community members as well provider agencies in Franklin and Fulton counties. The Base Service Unit also worked with the county office to request funding to obtain laptop computers for individuals going to their
office for intake services. The laptops allow the individual to complete a required health screening and self-referral information form prior to their appointment. The use of the laptops for these functions reduces the unnecessary use of paper and decreases the length of the appointment time for the person served.
c. Laurel Life was able to collaborate with the county to be able to provide specialized
assessment tools and programming for those they serve. Assessment of Basic Language and Learning Skills (ABLLS) – R Kit: provides all the materials needed to use the ABLLS assessment that looks at communication, life skills, and social skills. ABLLS-R Program Book: breaks down the assessment into domain areas that have specific tasks that have mastery criteria that the student has to reach in order to advance to the next program level.
Assessment of Functional Living Skills (AFLS): Once someone masters the ABLLS, they move to AFLS. This tool is used to prepare someone for independent living and is typically used for individuals that are 13 or older. The program focuses on basic living skills, communication, dressing, community participation, health, safety and vocational skills. The
final assessment tool is PEAK (Promotion the Emergency of Advanced Knowledge)
Programming: this program combines traditional ABA and verbal behavioral to make relations between concepts. d. Family Care Services was able to continue providing services through the pandemic by collaborating with the county and HealthChoices. PPE was made available for staff. Other safety improvements were made to the facility include building an outside pavilion for
meetings, visits and trainings. This pavilion helps to provide social distancing in an outside location. Being able to access laptops, headphones and Zoom accounts allowed the family based mental health teams to continue engagement with those they were serving. Using this equipment they were also able to conduct interviews and hire staff to provide services.
e. The county website now has a page dedicated to trauma information and resources. The
community is able to access the information and website links directly from this county page. f. The Behavioral Health Task Force worked in conjunction with the county Geographic Information System (GIS) staff and was able to create an interactive map of local mental health resources. This map is to assist public and service agencies looking for mental health
resources in our community.
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g. On March 13, 2020, the President of the United States released “Proclamation on Declaring
a National Emergency Concerning the Novel Coronavirus Disease (COVID-19) Outbreak”
(White House, 2020). Review of this suicide data update must take care to consider the context in which the data were collected. It has now been 15 months since the proclamation was made. There was a decrease of 28.6% in the annual rate of death from suicide in Franklin County when comparing 2019 to 2020, and this trend has continued into the first half of 2021. The most concerning trend is the downward median age for deaths from
suicide. Our median age in 2020 was 32 years and in 2021 has inched up somewhat to 41 years. During 2020, we saw an increase of 30% for deaths occurring outside of the home and in more isolated areas such as empty mall parking lots and game lands. A boots-on-the-ground canvassing effort began in November 2020, with suicide prevention materials
delivered directly to front doors in Chambersburg and Greencastle. During Covid-19, there
was a large increase in the number of individuals completing suicide outside of their home. h. Mental Health Association’s annual Walk the Walk event managed to still happen in a creative way this year. While this also had to be a virtual event it provided for an engaging platform for the community to participate. An anti-stigma video was created of a walk that featured facts and statistics regarding mental health. The County was fortunate to have
Gisele Fetterman, 2nd Lady of Pennsylvania, as the keystone speaker. i. LINK, through the use of ACLU funds, collaborated with Mental Health and Aging to create and distribute “beat the blues” bags. The targeted population was the 60+ and those in housing support situations. Inside the bags were word puzzles, cards, and resource
information to include phone numbers and website addresses. Over 1,200 bags were
distributed. b) Strengths and Needs by Populations: (Limit of 8 pages)
Please identify the strengths and needs of the county/joinder service system specific to each of the
following target populations served by the behavioral health system. When completing this assessment,
consider any health disparities impacting each population. Additional information regarding health disparities is available at https://www.samhsa.gov/health-disparities.
• Older Adults (ages 60 and above)
Strengths:
Franklin County Older Adult Advocacy Team (FCOAAT) continues to meet monthly and collaboratively links older adults to services and identifies service gaps. This also
fosters cross systems training between the team members which assists in making appropriate support services available to the person in need. The team consists of MH staff, Aging staff, mobile psychiatric nurse, Ombudsman, Information and Referral (I&R) and Human Services.
Mobile Psychiatric Nurse outreach continues to be available to the community to
provide education, consultation and assessments. Some examples of access points
include: the senior centers, Area Agency on Aging, personal care homes, co
responders, and other referrals from mental health service providers. The services
continued during the pandemic via the phone and home visits practicing social
distance and using PPE.
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Senior Reach program contacts individuals 60+ by phone once a week to check in
and offer them some socialization. They are also able to refer the individuals to any
supports or services that may be available to them. This was able to continue during
social distancing rules and actually received several new referrals as a result.
Needs:
More and more of the population are staying home longer and families are in need of
service and supports for older adults experiencing beginning stages of dementia.
Law enforcement and emergency responders are receiving calls for assistance with
behaviors for a lack of other support in our community.
The creation of an Aging Cross Systems case manager that could work
collaboratively across systems in order to better serve our older adults. Additionally,
the person in this position would be able to support and guide individuals and families
as they navigate the local system of care. This would include support for individuals
and their families that are living at home with cognitive impairments and/or medical
issues.
• Adults (ages 18 to 59)
Strengths:
Mobile Psychiatric Nurse (please see immediately preceding section for additional information).
Critical Time Intervention (CTI) a nine (9) evidence based case management program continues and has great results for engaging and connecting individuals with community supports and services.
Needs:
MH is exploring the need of crisis beds or the use of respite for our adults to divert
some inpatient hospitalizations.
The structure that residential services can offer that focuses on individuals living with
a dual diagnosis.
• Transition-age Youth (ages 18-26)- Counties are encouraged to include services and supports
assisting this population with independent living/housing, employment, and post-secondary education/training.
Strengths:
Franklin/Fulton County has two (2) agencies (Mental Health Association and TrueNorth Wellness Services) that provide youth and young adult Certified Peer
Specialist services.
Needs:
Supports and services for those in this transition age that do not have a serious
mental illness diagnosis.
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In order for many individuals transitioning into adulthood and independence there is a
need for supports in learning to live independently and how to care for a home that is
not available.
Housing supports and services are a need for those in the transition age population
in our community.
• Children (under age 18)- Counties are encouraged to include services like Student Assistance
Program (SAP), respite services, and Child and Adolescent Service System Program (CASSP) coordinator services and supports, as well as the development of community alternatives and
diversion efforts to residential treatment facility placements.
Strengths:
Respite is available in several forms. There is overnight and hourly respite available
for emergency situations. Mental Health has been successful at identifying an
additional respite program provider. A respite program will be offered once a month
for a three (3) hour period. This program will focus on allowing families some time apart in order to rejuvenate and take care of themselves.
Franklin/Fulton County has two (2) agencies (Mental Health Association and TrueNorth Wellness Services) that provide youth and young adult Certified Peer
Specialist services.
Student Assistance Program (SAP) is in all secondary public schools. SAP team members are trained to identify problems, determine whether or not the presenting problem lies within the responsibility of the school and to make recommendations to
assist the student and the parent. When the problem lies beyond the scope of the
school, the SAP team will assist the parent and student so they may access services
within the community.
Elementary Student Assistance Program (ESAP) is provided in most schools in the largest district (Chambersburg) and in several others: Waynesboro School District, Tuscarora Area School District, Greencastle Area School District, Fannett-Metal Area
School District, Shippensburg Area School District, Central Fulton School District, Forbes Road School District, and Southern Fulton School District.
School-based counseling services through managed care are available in most public schools in both Franklin and Fulton counties.
Child and Adolescent Service System Program (CASSP) services are available to all
children who are experiencing behavioral/mental health concerns. CASSP is able to
get families and providers around the table to determine the best services and supports for the child in need.
Healthy Communities Partnership was able to provide a Strengthening Families
Program for ages 10-14 virtually.
Needs:
Access to immediate inpatient care when identified as a need. Currently, those under
18 have had long exaggerated stays in the emergency room. This adds stress to the
child/adolescent and their family as well as the emergency room staff.
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School based counseling services for students with commercial insurance. Due to
credentialing, sometimes providers are not in service with some of the commercial
insurances and that can be a barrier for students attempting to access services.
Therapeutic treatment programs that are shorter in duration and closer to home, as compared to Residential Treatment Facilities that are long-term and further away.
Additional mental health therapy is needed for all school grades. Therapy services
are limited and contingent on insurance coverages. Franklin County is experiencing
long wait lists which are a struggle for children who have immediate needs. Franklin
County lost their local partial hospitalization program years ago. Recently, there have
been more and more recommendations for children to access this service.
Please identify the strengths and needs of the county/joinder service system (including any health disparities) specific to each of the following special or underserved populations. If the county does not currently serve a particular population, please indicate and note any plans for developing services for that population.
• Individuals transitioning from state hospitals
Strengths:
Case management is available to individuals while at the state hospital which assists
with accessing services and supports to foster a positive transition home to the
community.
Community based services that are available include outpatient, peer specialist, and
housing supports to mention a few.
Franklin and Fulton Counties have active Community Support Programs (CSP). The
monthly meeting consists of an educational component as well as community news.
The meetings continued virtually when the restrictions were put in place around
social distancing due to COVID-19.
Needs:
Supportive housing situations are a need for individuals transitioning back home to
the community after staying at the state hospital.
Our County lost access to an extended acute care setting several years ago and
have not had any success in securing a contract with any providers to regain access
for our community residents. This level of care would prove helpful in both as a step
down from the state hospital and from a diversionary perspective.
• Individuals with co-occurring mental health/substance use disorder
Strengths:
Franklin/Fulton County residents have access to two (2) dually diagnosed licensed
outpatient providers.
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Needs:
Outpatient counseling for individuals living with a co-occurring disorder has proven
difficult. The need exists for more dual licensed programs to help serve this
population.
• Criminal justice-involved individuals- Counties are encouraged to collaboratively work within the
structure of County Criminal Justice Advisory Boards to implement enhanced services for
individuals involved with the criminal justice system including diversionary services that prevent
further involvement with the criminal justice system as well as reentry services to support
successful community reintegration.
Strengths:
FCOAAT has continued to grow and has recently expanded into the criminal justice
system by including adult probation and the re-entry community.
Franklin/Fulton Counties have strong and active CJAB committees. The committees
are diverse in membership and foster collaboration among community services.
Franklin/Fulton County Sequential Intercept Model (SIM) is revised yearly to ensure
that all services are captured and service gaps are identified.
Franklin County has an active Re-Entry Coalition made up of mental health providers,
drug & alcohol providers, faith based organizations, housing providers, individuals
and their families with re-entry lived experience, employment specialists, and
probation and jail officers. Individuals involved in the criminal justice system, along
with their families, are encouraged to be part of the coalition and guide the work
through their lived experiences. Franklin Together is recognized on the state level as
a leading coalition whose by-laws, strategic plan, and membership documents have
been used as models for other coalitions to follow.
The Forensic Specialized Community Residence (FSCR) has received all needed
licenses and is ready to house eight (8) individuals. Currently, the contracted provider
is in the hiring process and it is proving to be difficult in this current climate.
Forensic Blended Case Management (BCM) is available and works with individuals
involved with probation and preparing to be released from jail. Assisting individuals
accessing services and supports to foster their success upon re-entry to the
community.
The Co-Responder Program continues to be embedded inside of four (4) local
municipal police departments. This program has served as a go-to resource for many
other counties throughout Pennsylvania interested in implementing a similar program
Needs:
Local employment options
Affordable housing poses a barrier for individuals trying to re-establish themselves in
the community.
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Franklin County continues to explore the Stepping Up initiative and implementing
strategies within the jail, courts and mental health to identify gaps and needs to
reduce recidivism.
• Veterans
Strengths:
Franklin County Veteran Affairs office maintains a relationship with the community
human service providers that fosters warm hand offs for veterans needing services
and supports.
Needs:
Locally, a larger choice of counselors those are knowledgeable and competent in the
military culture.
• Lesbian/Gay/Bisexual/Transgender/Questioning/Intersex (LGBTQI)
Strengths:
Franklin County MH has joined a diversity subcommittee of Healthy Franklin County.
This committee includes representation from members of the LGBTQI community,
county government, and local agencies. The committee has launched a welcoming
project. Window clings have been designed for businesses to apply to their store
front to identify as a safe space for the LGBTQI community.
A list has been generated to identify mental health counselors that self identifies as
being competent in LGBTQI culture.
PRIDE of Franklin County has an active website that includes information on
resources, training opportunities, and events.
Needs:
The committee is working to identify more outreach strategies and ways to
communicate and share information.
Supports for families to learn about and understand how to support their loved ones
that identify as part of the LGBTQI community.
• Racial/Ethnic/Linguistic Minorities (RELM) including individuals with Limited English
Proficiency (LEP)
Strengths:
A few of our mental health outpatient providers have been able to secure bilingual
staff that is able to provide clinical services to individuals speaking Spanish.
WellSpan medical facilities have access to a system that connects a live translator on
a computer screen to assist during appointments.
Franklin County does have a Hispanic Center that is active and collaborates with
human services.
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Needs:
Access to more bilingual professional staff is a need in our community.
More providers with access to language line or assistance with interpretations.
• Other (specify), if any (including tribal groups, people living with HIV/AIDS or other chronic
diseases or impairments, acquired brain injury, fetal alcohol spectrum disorders)
Strengths:
Keystone Health Services provides free HIV/AIDS testing throughout the community.
They provide mobile pop-up testing sites due to transportation being an issue
throughout our community. They also provide free education to anyone or groups
that request it.
Needs:
Services and supports for individuals living with traumatic brain injury are needed in
our community.
Education for professionals regarding traumatic brain injury has been difficult to
locate.
Services and supports for individuals with fetal alcohol syndrome. There are services
for substance use and educational material for prevention but nothing to support
those individuals and families with the disease.
c) Strengths and Needs by Service Type:
Is the county currently utilizing Cultural and Linguistic Competence (CLC) Training?
☐ Yes ☒ No
If yes, please describe the CLC training being used, including training content/topics covered, frequency with which training is offered, and vendor utilized (if applicable). If no, counties may include descriptions of plans to implement CLC trainings in FY21-22. (Limit of 1 page) Are there any additional Diversity, Equity, and Inclusion (DEI) efforts that the county has completed to address health inquities?
☒ Yes ☐ No
If yes, please describe the DEI efforts undertaken. If no, indicate any plans to implement DEI efforts in FY21-22. (Limit of 1 page) A committee has just been formed and will begin meeting this summer. A strategic plan will be created at that time
Franklin County Human Services Plan 2021/2022
21
Does the county currently have any suicide prevention initiatives?
☒ Yes ☐ No
If yes, please describe the initiatives. If no, counties may describe plans to implement future initiatives in the coming fiscal year. (Limit of 1 page)
Franklin County Suicide Prevention Plan
Goal 4.2: Reduce the rates of suicide in Franklin County
Objective 4.2.1: Expand the existing community-wide mental health initiatives to focus on supporting at-risk populations,
reducing stigma, and increasing
Strategy Activities Lead/Responsible Performance
Measures
Status
Jul-Sep Oct-Dec Jan-Jun
(Qtr 1) (Qtr 2) (Qtr 3 &
4)
Strategy 4.2.1.1:
Increase local
capacity to
reduce
suicide by
providing EBP
Provide training:
QPR
Working Minds:
Suicide Prevention in
the Workplace
Mental Health Association of
Franklin/Fulton
Counties (MHA) &
Franklin/Fulton
County MH/IDD/EI
# of people
trained
# of trainings
Strategy 4.2.1.2:
Increase
awareness of
suicide prevention
resources and
interventions
Implement Suicide
Prevention Month
Campaign initiatives.
• Distribute Talk
About it
Coasters
• First Friday
• Window clings
• Proclamation &
Purple
Ribbons/Lights
Suicide Prevention
Canvassing
• Mental health, human services, & suicide
prevention
materials will
be placed in
door-hanger
baggies &
delivered to
front doors
throughout
Franklin County
Suicide Prevention
Coalition
Mental Health
Association of
Franklin/Fulton
Counties (MHA) &
Franklin/Fulton
County MH/IDD/EI
# of events
# of
participants
# of outreach
# of MHA
staff/volunteers
participating in
the canvasses
#of door hangers
distributed
# of incidences
the door
hangers are
mentioned
during Helpline
calls
Franklin County Human Services Plan 2021/2022
22
Research and create
Out of Darkness walk
plan
Suicide Prevention
Coalition Plan created
Strategy
4.2.1.3: Work with schools
to identify
students with
depression and connect families with
appropriate
services
Offer programming to
schools.
• EBP programs
• Suicide
Prevention
HCP, MHA,
Franklin/Fulton County MH/IDD/EI
# of students
screened
# of referrals
made to
services
# & % of
screenings
positive for
depression
Employment First The PA Act 36 of 2018 The Employment First Act requires county agencies provide services and supports to individuals with a disability to support competitive integrated employment for individuals with a disability who are eligible to work under Federal or State law. For further information on the Employment
First Act 36 of 2018, see the Employment-First-Act-three-year-plan.pdf.
1. Please provide the name and contact information for your county employment point of contact. Name: Michelle Powell, Occupational Services, Inc. and Sarah Guyer/Marshall, AHEDD Email address: mpowell@osinc.org and sarah.guyer-marshall@ahedd.org
2. Please indicate if your county follows the SAMHSA Supported Employment Evidence Based Practice (EBP) Toolkit:
☒ Yes ☐ No
3. Please complete the following table for all county mental health office-funded, community-based
supported-employment services.
County MH Office Supported Employment Data
Please complete all columns below with data from FY 19-20. If data is not available for a category, please list as N/A. If data is available, but no individuals were served in a category, please list as zero.
Data likely available from Supported Employment vendors/providers. Additional information that the county/vendor has on the population served can be included in the notes section (for example 50% of the Asian population served speaks English as a Second Language or number served for ages 14-21 includes juvenile justice population).
Data Requested County Response Notes
Total Number Served 144
# served ages 14 up to 21 34
# served ages 21 up to 65 110
# of male individuals served 90
# of females individuals served 54
# of non-binary individuals
served
0
Franklin County Human Services Plan 2021/2022
23
Non-Hispanic White 135
Hispanic and Latino (of any
race)
3
Black or African American 11
Asian 2 Native Americans and Alaska Natives 1
Native Hawaiians and Pacific Islanders 0
Two or more races 1
# of individuals served who have
more than one disability
70
# of individuals served who have more than one disability 26
# working part-time (30 hrs. or less per wk.) 77
# working full-time (over 30 hrs. per wk.) 13
Lowest earned wage $7.375/hour
Highest earned wage $18.00/hour
# receiving employer offered
benefits; (i.e. insurance, retirement, paid leave)
1
Supportive Housing: DHS’ five- year housing strategy, Supporting Pennsylvanians Through Housing is a comprehensive plan to connect Pennsylvanians to affordable, integrated and supportive housing. This comprehensive strategy aligns well with the Office of Mental Health and Substance Abuse Services
(OMHSAS) planning efforts, and OMHSAS is an integral partner in its implementation.
Supportive housing is a successful, cost-effective combination of affordable housing with services that
helps people live more stable, productive lives. Supportive housing works well for people who face the
most complex challenges—individuals and families who have very low incomes and serious, persistent
issues that may include substance use, mental illness, and HIV/AIDS; and may also be, or at risk of,
experiencing homelessness.
SUPPORTIVE HOUSING ACTIVITY includes Community Hospital Integration Projects Program (CHIPP),
Reinvestment, County base-funded projects and others that were planned, whether funded or not.
Identify program activities approved in FY20-21 that are in the implementation process. Please
use one row for each funding source and add rows as necessary. (However, do not report
collected data (columns 3, 4 & 5) for the current year, FY20-21, until the submission of next year’s
planning documents.)
Franklin County Human Services Plan 2021/2022
24
1. Capital Projects for Behavioral Health ☐ Check if available in the county and complete the section.
Capital financing is used to create targeted permanent supportive housing units (apartments) for consumers, typically, for a 15-30 year period.
Integrated housing takes into consideration individuals with disabilities being in units (apartments) where people from the general population
also live (i.e., an apartment building or apartment complex).
Project Name Funding
Sources by
Type
(include
grants, federal,
state & local
sources)
Total $
Amount for
FY19-20
(only County
MH/ID
dedicated
funds)
Projected $
Amount for
FY21-22
(only County
MH/ID
dedicated
funds)
Actual or
Estimated
Number
Served in
FY19-20
Projected
Number to be
Served in
FY21-22
Number of
Targeted BH
Units
Term of
Targeted BH
Units
(e.g., 30
years)
Year Project
first started
Totals
Franklin County Human Services Plan 2021/2022
25
Notes:
2. Bridge Rental Subsidy Program for Behavioral
Health
☐ Check if available in the county and complete the section.
Short-term tenant-based rental subsidies, intended to be a “bridge” to more permanent housing subsidy such as Housing Choice Vouchers.
Funding
Sources by
Type (include
grants, federal,
state & local
sources)
Total $
Amount for
FY19-20
Projected $
Amount for
FY21-22
Actual or
Estimated
Number
Served in
FY19-20
Projected
Number to
be Served in
FY21-22
Number of
Bridge
Subsidies in
FY
Average
Monthly
Subsidy
Amount in
FY19-20
Number of
Individuals
Transitione
d to another
Subsidy in
FY19-20
Year Project
first started
Totals
Notes:
Franklin County Human Services Plan 2021/2022
26
3. Master Leasing (ML) Program for Behavioral
Health
☐ Check if available in the county and complete the section.
Leasing units from private owners and then subleasing and subsidizing these units to consumers.
Funding
Source by
Type (include
grants, federal,
state & local
sources)
Total $
Amount for
FY19-20
Projected $
Amount for
FY21-22
Actual or
Estimated
Number
Served in
FY19-20
Projected
Number to
be Served in
FY21-22
Number of
Owners/
Projects
Currently
Leasing
Number of
Units
Assisted with
Master
Leasing in
FY19-20
Average
Subsidy
Amount in
FY19-20
Year Project
first started
HUD Mater
Lease - PSH
Federal HUD $188,447 $244,637 23 23 10
Landlords
23 $602 2006
Housing
Trust Fund
Match
$7,045 $13,210
In-Kind
Match
$11,037 $14,047
Totals $206,509 $271,894 23 23 10
Landlords
$602
Franklin County Human Services Plan 2021/2022
27
Notes:
4. Housing Clearinghouse for Behavioral Health ☐ Check if available in the county and complete the section.
An agency that coordinates and manages permanent supportive housing opportunities.
Funding
Source by
Type (include
grants, federal,
state & local
sources)
Total $
Amount for
FY19-20
Projected $
Amount for
FY21-22
Actual or
Estimated
Number Served
in FY19-20
Projected
Number to be
Served in
FY21-22
Number of Staff
FTEs in
FY19-20
Year Project
first started
Totals
Notes:
Franklin County Human Services Plan 2021/2022
28
5. Housing Support Services (HSS) for Behavioral
Health
☐ Check if available in the county and complete the section.
HSS are used to assist consumers in transitions to supportive housing or services needed to assist individuals in sustaining their housing after
move-in.
Funding
Sources by
Type
(include grants,
federal, state &
local sources)
Total $
Amount for
FY19-20
Projected $
Amount for
FY21-22
Actual or
Estimated
Number Served
in FY19-20
Projected
Number to be
Served in
FY21-22
Number of
Staff FTEs in
FY19-20
Year Project
first started
PATH Grant Federal $46,182 $49,725 51 40-50 .5 FTE 2005
State HSBG $15,394 $16,575
County Match $416 $448
Totals $61,992 $66,748 51 49 – 50 .5 FTE
Franklin County Human Services Plan 2021/2022
29
Notes:
6. Housing Contingency Funds for Behavioral Health ☐ Check if available in the county and complete the section.
Flexible funds for one-time and emergency costs such as security deposits for apartment or utilities, utility hook-up fees, furnishings, and other
allowable costs.
Funding
Sources by
Type
(include grants,
federal, state &
local sources)
Total $ Amount
for FY19-20
Projected $
Amount for
FY21-22
Actual or
Estimated Number
Served in
FY19-20
Projected
Number to be
Served in
FY21-22
Average
Contingency
Amount per
person
Year Project
first started
COVID Rent
Utility
Assistance
State HSBG $40,077 $0 34 0 $1,211 2020
County
Match
$1,112 $0
Totals $41,189 $0 34 0 $1,211
Franklin County Human Services Plan 2021/2022
30
Notes:
7. Other: Identify the Program for Behavioral Health ☐ Check if available in the county and complete the section.
Project Based Operating Assistance (PBOA) is a partnership program with the Pennsylvania Housing Finance Agency in which the county provides
operating or rental assistance to specific units then leased to eligible persons; Fairweather Lodge (FWL) is an Evidenced-Based Practice where individuals
with serious mental illness choose to live together in the same home, work together and share responsibility for daily living and wellness; CRR Conversion
(as described in the CRR Conversion Protocol), other.
Project Name
(include type of
project such as
PBOA, FWL, CRR
Conversion, etc.)
Funding
Sources by
Type (include
grants, federal,
state & local
sources)
Total $ Amount
for FY19-20
Projected $
Amount for
FY21-22
Actual or Estimated
Number Served in
FY19-20
Projected Number
to be Served in
FY21-22
Year Project first
started
HUD Shelter +
Care
Federal $22,068 $87,444 4 10 2008
In-Kind Match $11,059 $21,861
Housing
Expansion
State HSBG $16,984 $30,941 4 4 2006
County Match $471 $859
Keystone
Service Systems
SCR
State HSBG $380,612 $356,066 9 8 2005
Federal $21,911 $21,022
County Match $10,562 $9,881
True North State HSBG $597,924 $690,162 17 17 2005
Franklin County Human Services Plan 2021/2022
31
Wellness SLP Federal $42,883 $39,533
County Match $16,582 $19,151
New Visions –
CRR Full Care
State HSBG $305,796 $312,096 14 15 2003
Federal $17,869 $19,429
County Match $8,496 $8,660
Keystone
Systems FSCR
State HSBG $483,888 $524,757 0 8 2019
County Match $13,427 $14,562
Totals $1,950,531 $2m156,242 48 62
Notes:
d) Recovery-Oriented Systems Transformation: (Limit of 5 pages)
1. Provide a brief summary of the progress made on the priorities listed in the FY20-21 plan. a. Priority 1 b. Priority 2 c. Priority 3
d. Priority 4 e. Priority 5
Priority Narrative Action Steps Timeline Progress Made: 1. Suicide Prevention
(☒ Continuing from
a. Develop and implement a Suicide Prevention initiative emphasizing the value and importance of each individual.
Provide QPR training to the community free. Training available in person or online. continual Training continued & made the switch to a virtual platform. 1,000 online accounts were purchased for use. 6 presenters attended a train the Train the Trainer event for ASIST June 2021
Franklin County Human Services Plan 2021/2022
32
prior year ☐ New
Priority)
Implement Suicide Prevention Month Campaign initiatives September 2020 trainer event for Working Minds: Suicide Prevention for the Workplace A canvassing project was implemented. A Proclamation and ribbons were in place for prevention month. Social media was used to share resources and tips. 2. Addressing health literacy and resilience in our
community
(☒ Continuing from
prior year ☐ New Priority)
a. Increase provider awareness of trauma informed care.
i. MH will purchase license agreement with PESI, for training, “Treatment Certification Workshop: EMDR, CBT and Somatic Based Interventions to Move Clients from Surviving to Thriving” for contracted providers to complete and licensed providers will be certified trauma professionals
November 2020 There was a 66% completion rate for this training with 50% having a license.
How Being Trauma Informed Improves the Criminal Justice
Response was offered 4 times from Feb-May as a CIT refresher course for 41 CIT team members. The County has created a page on the website for Trauma Informed. It
contains links to trauma sites with resources and information.
$
ii. CIT will sponsor several refresher training courses to CIT officers “How Being Trauma Informed Improves Your Criminal Justice Response” and De-escalation Techniques
June 30
iii. Provide training and support for local community to include: business, neighbors, providers etc.
continual
Franklin County Human Services Plan 2021/2022
33
b. Increase community awareness about depression and available resources within the community
i. The Mental Health Task Force will develop a community awareness and education action plan for informing the community about depression and other mental illnesses.
September 2020 Activities completed were: canvassing with door hangers been left on doors; beat the blues campaign targeted for the 60+ with activities and resources left at their door; social media campaign with resources & numbers; flyers with local resource #s distributed; virtual social gatherings
ii. Continue and expand existing community campaigns that educate the public about effective ways to manage depression (i.e., physical activity, nutrition).
January 2021 Used social media to advertise the use of public parks and creative ways to get physically active.
iii. Develop a model for integrating behavioral health services, training and resources into Primary Care offices to include education for special populations such as older adults, TBI, fetal alcohol syndrome, and LGBTQI.
June 2021 No progress due to COVID
3. Housing placements and supportive services needed for individuals with intense behaviors
(☐ Continuing from
prior year ☒ New
Priority)
a. Identify models of housing programs available
i. Identify scenarios and case studies of behaviors that have been prohibited to successful placement of residential options.
December 2020 Most scenarios involved the criminal justice system being involved.
ii. Create workgroup to develop residential/housing model for those needs. April 2021 Put on hold due to COVID; will resume fall 2021
b. Identify models of supportive services that support individuals
experiencing an immediate crisis need
i. Create a workgroup to include families that would be able to utilize respite to research and create a model of respite for our community.
December 2020 Put on hold due to COVID; will resume fall 2021
Franklin County Human Services Plan 2021/2022
34
ii. Research the models in which crisis beds can be provided and create plan for implementation. April 2021 A visit to a peer run respite program is scheduled for July 2021.
4. Continue growth of CIT program
(☐ Continuing from
prior year ☒ New
Priority)
a. Training for Franklin/Fulton first responders
i. Continue to host 40 Memphis model based CIT training at least every April. Depending on COVID a makeup training may be held Sept 2020 due to cancelation of April 2020
Sept 2020 April 2021 Sept 2020 had to be canceled. One 40 hour CIT training was conducted to include 21 officers.
ii. Host CIT refresher trainings. Topics to include: trauma and de-escalation. March 2021 May 2021 4 trauma training sessions conducted from Feb-May that included 41 CIT officers. 4 de-escalation training sessions offered from Jan-Feb that included 25 officers.
iii. Expansion of co responder program to include 3rd co responder with a focus of the 60+ population. This co responder would take the lead on inmates who are ready for release also.
June 2021 Still exploring funding possibilities for such an expansion.
2. Based on the strengths and needs reported in section (b), please identify the top three to five priorities for recovery-oriented system transformation efforts the county plans to address in FY21-22 at current funding levels. For each transformation priority, please provide:
• A brief narrative description of the priority including action steps for the current fiscal year.
• A timeline to accomplish the transformation priority including approximate dates for progress steps and priority completion in the
upcoming fiscal year. Timelines which list only a fiscal or calendar year for completion are not acceptable and will be returned for
revision.
• Information on the fiscal and other resources needed to implement the priority. How much the county plans to utilize from state
allocations, county funds, grants, HealthChoices, reinvestment funds, other funding and any non-financial resources.
• A plan mechanism for tracking implementation of the priorities.
Franklin County Human Services Plan 2021/2022
35
1. (Identify Priority)
1. Crisis Intervention Service system
(☐ Continuing from
prior year ☒ New
Priority)
a. Department of Human Services are updating the state regulations regarding crisis intervention services and preparing for the initiation of the 988#
Upon the release (projected fall 2021) of the updated crisis regulations, the county crisis system will be reviewed for compliance
Fall 2021 This will be determined as plan is created.
This is monitored through Franklin/Fulton County MH/IDD/EI, TMCA, DHS Support use of mobile crisis services
continual
Assist with startup and implementation of 988 July 2022
2. Addressing health literacy and resilience in our community
(☒ Continuing from
prior year ☐ New Priority)
a. Provide training opportunities for the providers in order to strengthen our system
i. MH will purchase license agreement with PESI, for training and consider other trainings as they become available
continual $15,000
$500
This is monitored through the Franklin/Fulton County MH/IDD/EI,
ii. Provide training and support for local community to include: business, neighbors, providers etc. continual
b. Increase community awareness about depression and
available resources within the community
i. The Mental Health Task Force will develop a community awareness and education action plan for informing the community
about depression and other mental illnesses.
September 2021 $6,500 This is monitored through the MH task force and
Health Franklin County.
ii. Continue and expand existing community campaigns that educate the public about effective ways to manage depression (i.e., physical activity, nutrition).
February 2022
$1,500 This is monitored through Chambersburg Cares, the MH task force and Health Franklin County.
Franklin County Human Services Plan 2021/2022
36
iii. Develop a model for integrating behavioral health services, training and resources into Primary Care offices to include education for special populations such as older adults, TBI, fetal alcohol syndrome, and LGBTQI.
June 2022 $5,500 This is monitored through Franklin/Fulton MH/IDD/EI, TMCA, the MH task force and Health Franklin County.
3. Housing placements and supportive services needed for individuals with intense behaviors
(☒ Continuing from
prior year ☐ New Priority)
a. Identify models of housing programs available
i. Gather information on different housing options and explore the working structure.
September 2021 The needed funds will be determined during action steps.
This is monitored through Franklin/Fulton MH/IDD/EI
ii. Create workgroup to develop residential/housing model for those needs. December 2021 The needed funds will be determined during action steps.
This is monitored through Franklin/Fulton MH/IDD/EI
b. Identify models of supportive services that support individuals experiencing an immediate crisis need
i. Create a workgroup to include families that would be able to utilize respite to research and create a model of respite for our community.
July 2021 $8,000 (estimate) This is monitored through Franklin/Fulton MH/ID/EI and Human Services Block Grant Committee
ii. Research the models in which crisis beds can be provided and create plan for implementation. April 2021 $10,000 (estimate) This is monitored through Franklin/Fulton MH/IDD/EI and TMCA
4. Stepping Up Initiative
(☐ Continuing from
prior year ☒ New
Priority)
a. Rejuvenate this initiative to include all county stakeholders
i. Researching the initiative and creating a committee Sept 2021 The needed funds will be determined during action steps.
This is monitored by Franklin/Fulton MH/IDD/EI and CJAB
ii. Continue growth of CIT program to include fidelity to the Memphis model and apply for program certification through CIT International
April 2022 $4,000 This is monitored by Franklin/Fulton MH/IDD/EI and CJAB
iii. Expansion of co responder program to include 3rd co responder with a focus of the 60+ population. This co responder would take the lead on inmates who are ready for release also.
June 2022 $75,000 This is monitored by Franklin/Fulton MH/IDD/EI and CJAB’s First Contact Committee
Franklin County Human Services Plan 2021/2022
37
Franklin County Human Services Plan 2021/2022
38
e) Existing County Mental Health Services
Please indicate all currently available services and the funding source(s) utilized.
Services By Category Currently Offered Funding Source (Check all that apply)
Outpatient Mental Health ☒ ☒ County ☒ HC ☐ Reinvestment
Psychiatric Inpatient Hospitalization ☒ ☐ County ☒ HC ☐ Reinvestment
Partial Hospitalization - Adult ☒ ☐ County ☒ HC ☐ Reinvestment
Partial Hospitalization - Child/Youth ☒ ☐ County ☒ HC ☐ Reinvestment
Family-Based Mental Health Services ☒ ☒ County ☒ HC ☐ Reinvestment
Assertive Community Treatment (ACT) or Community Treatment Team (CTT) ☐ ☐ County ☐ HC ☐ Reinvestment
Children’s Evidence-Based Practices ☒ ☐ County ☒ HC ☐ Reinvestment
Crisis Services ☒ ☐ County ☐ HC ☐ Reinvestment
Telephone Crisis Services
Walk-in Crisis Services ☒ ☒ County ☒ HC ☐ Reinvestment
Mobile Crisis Services ☒ ☒ County ☒ HC ☐ Reinvestment
Crisis Residential Services ☐ ☐ County ☐ HC ☐ Reinvestment
Crisis In-Home Support Services ☐ ☐ County ☐ HC ☐ Reinvestment
Emergency Services ☒ ☒ County ☐ HC ☐ Reinvestment
Targeted Case Management ☒ ☒ County ☒ HC ☐ Reinvestment
Administrative Management ☒ ☒ County ☐ HC ☐ Reinvestment
Transitional and Community Integration Services ☐ ☐ County ☐ HC ☐ Reinvestment
Community Employment/Employment-Related Services ☒ ☒ County ☐ HC ☐ Reinvestment
Community Residential Rehabilitation Services ☒ ☒ County ☐ HC ☐ Reinvestment
Psychiatric Rehabilitation ☐ ☐ County ☐ HC ☐ Reinvestment
Children’s Psychosocial Rehabilitation ☐ ☐ County ☐ HC ☐ Reinvestment
Adult Developmental Training ☐ ☐ County ☐ HC ☐ Reinvestment
Facility-Based Vocational Rehabilitation ☐ ☐ County ☐ HC ☐ Reinvestment
Social Rehabilitation Services ☐ ☐ County ☐ HC ☐ Reinvestment
Administrator’s Office ☒ ☒ County ☐ HC ☐ Reinvestment
Housing Support Services ☒ ☒ County ☐ HC ☐ Reinvestment
Family Support Services ☒ ☒ County ☒ HC ☐ Reinvestment
Peer Support Services ☒ ☒ County ☒ HC ☐ Reinvestment
Consumer-Driven Services ☒ ☒ County ☒ HC ☐ Reinvestment
Community Services ☒ ☒ County ☐ HC ☐ Reinvestment
Mobile Mental Health Treatment ☒ ☐ County ☒ HC ☐ Reinvestment
Behavioral Health Rehabilitation Services for Children and Adolescents ☒ ☐ County ☒ HC ☐ Reinvestment
Inpatient Drug & Alcohol (Detoxification and
Rehabilitation) ☐ ☐ County ☐ HC ☐ Reinvestment
Outpatient Drug & Alcohol Services ☒ ☐ County ☐ HC ☐ Reinvestment
Methadone Maintenance ☒ ☐ County ☒ HC ☐ Reinvestment
Clozapine Support Services ☐ ☐ County ☐ HC ☐ Reinvestment
Additional Services (Specify – add rows as needed) ☐ ☐ County ☐ HC ☐ Reinvestment
Note: HC= HealthChoices
Franklin County Human Services Plan 2021/2022
39
f) Evidence-Based Practices (EBP) Survey*:
Evidenced-Based Practice Is the service available in the County/ Joinder? (Y/N)
Current number served in the County/ Joinder (Approx)
What fidelity measure is used?
Who measures fidelity? (agency, county, MCO, or state)
How often is fidelity measured?
Is SAMHSA EBP Toolkit used as an implementation guide? (Y/N)
Is staff specifically trained to implement the EBP? (Y/N)
Additional Information and Comments
Assertive Community Treatment
N N/A N/A N/A N/A N/A N?A County would like to have this service
Supportive Housing Y 89 N/A County/
Agency
Annually N/A Y
Supported Employment Y 122 N/A County/
Agency
Annually N/A Y Include # Employed
Integrated Treatment for Co-occurring Disorders (Mental Health/SUD)
Y N/A CodeCat
Agency/ County/ HC
Annually N/A Y
Illness Management/ Recovery
N N/A N/A N/A N/A N/A N/A
Medication Management (MedTEAM)
N N/A N/A N/A N/A N/A N/A
Therapeutic Foster Care Y N/A N/A N/A N/A N/A N/A
Provided by C&Y Services
Multisystemic Therapy N N/A N/A N/A N/A N/A N/A
Functional Family Therapy N N/A N/A N/A N/A N/A N/A
Family Psycho-Education N N/A N/A N/A N/A N/A N/A
Information Not Tracked
*Please include both county and HealthChoices funded services. To access SAMHSA’s EBP toolkits visit: https://store.samhsa.gov/product/Supported-Education-Evidence-Based-Practices-EBP-KIT/SMA11-4654
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g) Additional EBP, Recovery-Oriented and Promising Practices Survey*:
Recovery-Oriented and Promising Practices Service Provided (Yes/No)
Current Number Served (Approximate)
Additional Information and Comments
Consumer/Family Satisfaction Team Yes 741
Compeer No N/A
Fairweather Lodge No N/A Lodge in county, not county funded
MA Funded Certified Peer Specialist (CPS)- Total** Yes 129
CPS Services for Transition Age Youth (TAY) Yes 1 2 agencies approved for this service
CPS Services for Older Adults (OAs) Yes 9
Other Funded CPS- Total** Yes 24
CPS Services for TAY Yes 0 2 agencies approved for this service
CPS Services for OAs Yes 9
Dialectical Behavioral Therapy Yes N/A No modifier to determine number
Mobile Medication No N/A
Wellness Recovery Action Plan (WRAP) Yes N/A
High Fidelity Wrap Around No N/A
Shared Decision Making No N/A
Psychiatric Rehabilitation Services (including clubhouse) No N/A Available, but travel is required
Self-Directed Care No N/A
Supported Education No N/A County funded training & CEUs
Treatment of Depression in OAs No N/A
Consumer-Operated Services Yes N/A Mental Health Authority
Parent Child Interaction Therapy Yes 12 1 provider
Sanctuary No N/A
Trauma-Focused Cognitive Behavioral Therapy Yes 88 5 providers
Eye Movement Desensitization and Reprocessing (EMDR) Yes N/A No modifier to determine number
First Episode Psychosis Coordinated Specialty Care No N/A
Other (Specify) Critical Time Intervention (CTI) Yes 1 provider
*Please include both county and HealthChoices funded services. **Include CPS services provided to all age groups in total, including those in the age break outs for TAY and OAs.
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Reference: Please see SAMHSA’s National Registry of Evidenced-Based Practices and Programs for more information on some of the practices. https://www.samhsa.gov/ebp-resource-center h) Certified Peer Specialist Employment Survey:
“Certified Peer Specialist” (CPS) is defined as:
An individual with lived mental health recovery experience who has been trained by a Pennsylvania Certification Board (PCB) approved training entity and is certified by the PCB. Please include CPSs employed in any mental health service in the county/joinder including, but not limited to:
• case management • HealthChoices peer support programs
• inpatient settings • consumer-run organizations
• psychiatric rehabilitation centers • residential settings
• intensive outpatient programs • ACT or Forensic ACT teams
• drop-in centers
Total Number of CPSs Employed 15
Number Full Time (30 hours or more) 4
Number Part Time (Under 30 hours) 11
i) Involuntary Mental Health Treatment
1. During CY2020, did the County/Joinder offer Assisted Outpatient Treatment (AOT) Services
under PA Act 106 of 2018?
☒ No, chose to opt-out for all of CY2020
☐ Yes, AOT services were provided from ___________ to ___________ after a
request was made to rescind the opt-out statement
☐ Yes, AOT services were available for all of CY2020
2. If the County/Joinder chose to provide AOT, list all outpatient services that were provided in the County/Joinder for all or a portion of CY2020 (check all that apply):
☐ Community psychiatric supportive treatment
☐ ACT
☐ Medications
☐ Individual or group therapy
☐ Peer support services
☐ Financial services
☐ Housing or supervised living arrangements
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☐ Alcohol or substance abuse treatment when the treatment is for a co-occurring condition for
a person with a primary diagnosis of mental illness
☐ Other, please specify: _________________________________________
3. If the County/Joinder chose to opt-out of providing AOT services for all or a portion of CY2020:
• How many written petitions for AOT services were received during the opt-out period? ____________0______________________
• How many individuals did the county identify who would have met the criteria for AOT under Section 301(c) of the Mental Health Procedures Act (MHPA) (50 P.S. § 7301(c))?
_________not tracked_________________ Please complete the following chart with the number served and administrative costs of AOT and IOT. Please complete all cells in the chart. If services are available in your county, but no one has
been served in the year, enter 0. If services are not available in your county, enter N/A.
AOT IOT
Number of individuals subject to involuntary treatment in
CY2020
N/A 125
Inpatient hospitalizations following an involuntary
outpatient treatment for CY2020
3
Number of AOT modification hearings in CY2020 N/A
Number of 180-day extended orders in CY2020 N/A 25
Total administrative costs (including but not limited to court fees, costs associated with law enforcement, staffing, etc.) for providing involuntary services in CY2020
N/A $55,569.90
j) CCRI Data reporting
The Department requires the County/Joinder to submit a separate record, or "pseudo claim," each time a Member has an encounter with a Provider. An encounter is a service provided to a Member. This would include, but not be limited to, a professional contact between a Member and a Provider and will result in more than one encounter if more than one service is rendered. For services provided
by County/Joinder contractors and Subcontractors, it is the responsibility of the County/Joinder to
take appropriate action to provide the Department with accurate and complete encounter data. The Department's point of contact for encounter data will be the County/Joinder and not other Subcontractors or Providers. It is the responsibility of the County/Joinder to take appropriate action to provide the Department with accurate and complete data for payments made by County/Joinder to its contractors and Providers. The Department will validate the accuracy of data on the encounter.
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Have all available claims paid by the county/joinder during CY 2020 been reported to the state as a
pseudo claim? ☒Yes ☐ No
k) Categorical State Funding-FY 20-21 (ONLY to be completed by counties not participating in the Human Services Block Grant)
1. Does the county currently receive state funds for Respite services?
☐ Yes ☐ No
If yes, please describe the services rendered with these funds, including an estimate of the number of individuals served? If no, what services would be provided if funding was available? 2. Does the county currently receive state funds for Consumer Drop-in Centers?
☐ Yes ☐ No
If yes, please describe the services rendered with these funds, including an estimate of the
number of individuals served? If no, what services would be provided if funding was available? 3. Does the county currently receive state funds to be used for the Direct Service Worker Initative?
☐ Yes ☐ No
If yes, please describe the services rendered with these funds, including an estimate of the number of individuals served? If no, what services would be provided if funding was available? 4. Does the county currently receive state funds to support the Philadelphia State Hospital closure?
☐ Yes ☐ No
If yes, please describe the services rendered with these funds, including an estimate of the number of individuals served? If no, what services would be provided if funding was available?
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5. Does the county currently receive state children’s funds to support the closure of the Eastern State School & Hospital?
☐ Yes ☐ No
If yes, please describe the services rendered with these funds, including an estimate of the number of individuals served? If no, what services would be provided if funding was available? 6. Does the county currently receive state funding for the Mayview Children’s Unit Closing?
☐ Yes ☐ No
If yes, please describe the services rendered with these funds, including an estimate of the number of individuals served? If no, what services would be provided if funding was available?
7. State Categorical Funding Chart (ONLY to be completed by counties not participating in the Human Services Block Grant) State Categorical Funding
Please complete the following chart below for all funding received. Funding expended can be estimated for fourth quarter expenditures of FY 20-21. If no funding received for a line, please
indicate with n/a. These numbers will be compared to the county Income and Expenditure Reports when received to ensure accuracy. Program Funding Received FY 20-21 Funding Expended FY 20-21 Balance of funds
Respite Services
Consumer Drop in
Center
Direct Service Worker initiative
Philadelphia State Hospital Closure
Eastern State School & Hospital
Mayview Children’s Unit Closing
Student Assistance Program
INTELLECTUAL DISABILITY SERVICES
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The Office of Developmental Programs (ODP), in partnership with the county programs, is committed
to enabling individuals with an intellectual disability and autism live rich and fulfilling lives in their community. It is important to also afford the families and other stakeholders access to the information and support needed to help be positive members of the individuals’ teams. This year, we are asking the county to focus more in depth on the areas of the Plan that will help us
achieve the goal of an Everyday Life for all individuals. With that in mind, please describe the continuum of services to registered individuals with an intellectual disability and autism within the county. In a narrative format, please include the strategies
that will be utilized for all individuals registered with the county, regardless of the funding stream. In
completing the chart below regarding estimated numbers of individuals, please include only individuals for whom Base or HSBG funds have been or will be expended. Appendix C should reflect only Base or HSBG funds except for the Administration category. Administrative expenditures should be included for both base and HSBG and waiver administrative funds.
*Please note that under Person-Directed Supports (PDS), individuals served means the individual
used Vendor Fiscal/Employer Agent (VF/EA) or Agency with Choice (AWC) for at least one service
during the fiscal year. The percentage of total individuals served represents all funding streams. The percentage might not add to 100 percent if individuals are receiving services in more than one
category.
The mission of Franklin/Fulton Mental Health/ Intellectual and Developmental Disabilities/Early Intervention is to partner with the community to develop and assure the availability of quality MH/IDD/EI services and supports for individuals and families. Through the use of a person-centered
planning approach and the utilization of Prioritization of Urgency of Need for Services (PUNS), the IDD program assists individuals in accessing services and supports within their community regardless of the funding stream. The PUNS gathers information from the person-centered planning approach to identify current and anticipated needs. This information allows Franklin/Fulton IDD Program to
budget and plan for the continuum of services and to develop programs to meet the needs of the
community. Programs support client engagement and provide access to services for employment,
training, housing and family support as appropriate. In fiscal year 2020-2021, 560 individuals were registered in the IDD program in Franklin County. Of those registered, twenty-five (25) closed due to choice, death or moving out of state. The individuals
in the chart below are from all funding streams.
Diagnosis Number of Individuals Percentage Autism Only 25 5
Intellectual Disability with
Secondary Diagnosis of Autism
163 30
Intellectual Disability Only 347 65
Individuals Served
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Estimated
Number of
Individuals
served in
FY 20-21
Percent of
total
Number of
Individuals
Served
Projected
Number of
Individuals to
be Served in
FY 21-22
Percent of
total Number
of Individuals
Served
Supported Employment 22 4.1 25 4.7
Pre-Vocational 0 0 0 0
Community participation 6 1.1 6 1.1
Base-Funded Supports Coordination 62 11.6 65 12.1
Residential (6400)/unlicensed 0 0 0 0
Lifesharing
(6500)/unlicensed 0 0 0
PDS/AWC 14 3 15 3
PDS/VF 0 0 0 0
Family Driven Family
Support Services 19 3.5 25 4.5
Supported Employment: “Employment First” is the policy of all commonwealth executive branch agencies under the jurisdiction of the governor. ODP is strongly committed to competitive integrated employment for all.
• Please describe the services that are currently available in the county such as discovery, customized employment, and other services.
• Please identify changes in the county practices that are proposed for the current year that will
support growth in this area and ways that ODP may assist the county in establishing employment growth activities.
• Please add specifics regarding the Employment Pilot if the county is a participant.
Employment First is a policy that promotes competitive integrated employment. Franklin/ Fulton County IDD program is supporting this policy in a variety of ways. Due to the recent COVID pandemic, individuals with disabilities were either laid off, quit their jobs, were furloughed, or were terminated just like those without disabilities. This has affected the programs we offer in many
different ways.
The “Transition to Adult Life Success” (TALS) program engages young adults with disabilities in discussions and activities pertaining to areas of self-determination and career exploration. The TALS program activities include presentation on employability, community resources and post-secondary opportunities. One-to-one services include connecting with employers, job shadowing, community
based work assessments and work incentive counseling. There were 27 students in the TALS program in Franklin County. The TALS program has a goal of placing eight (8) individuals into a competitive job. During 2020-2021, the TALS program has meet their goal and placed eight (8)
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students in competitive employment. While COVID affected how the program operated, students
continued to attend.
Supported Employment Services include direct and indirect services provided in a variety of community employment work sites with co-workers who do not have disabilities. Supported Employment Services provide work opportunities and support individuals in competitive jobs of their choice. Supported Employment Services enable individuals to receive paid employment at minimum
wage or higher from their employer. Providers continue to have staff become certified by the Association of Community Rehabilitation Educators (ACRE) and/or Certified Employment Support Professional (CESP). Providers of Supported Employment Supports have outcomes of placing individuals with disabilities in competitive jobs. Of the 22 individuals receiving base funded Supported
Employment; all 22 have a competitive integrated employment job.
Small Group Employment services consist of supporting participants in transitioning to a competitive integrated employment through work that occurs in a location other than a facility subject to 55 Pa. Code Chapter 6100 regulations. The goal of Small Group Employment is competitive integrated employment. Participants participating in this service must have a competitive integrated employment outcome included in their service plan and it must be documented in the service plan how and when the provision of this service is expected to lead to competitive integrated employment. Work that participants perform during the provision of Small Group Employment must be paid at least at the minimum wage rate and the compensation must be similar to compensation earned by workers
without disabilities performing the same work. Small Group Employment service options include
mobile work force, work station in industry, affirmative industry and enclave. While there are no base funded individuals participating in Small Group Employment, there are 7 individuals receiving Small Group Employment Services.
Discovery is a targeted service for a participant who wishes to pursue competitive integrated employment but, due to the impact of their disability, their skills, preferences and/ or potential contributions cannot be best captured through traditional, standardized means, such as functional task assessments, situational assessments and/ or traditional normative assessments which compare the participant to others or arbitrary standards of performance and/ or behavior. Discovery involves
comprehensive analysis of the participant in relation to the following:
• Strongest interests toward one or more specific aspects of the labor market and
• Skills, strengths and other contributions likely to be valuable to employers or valuable to
the community if offered through self-employment, and
• Conditions necessary for successful employment or self-employment All employment providers use Discovery as part of their supported employment process. At this time, no one in Franklin County uses Discovery as a discrete service. Community Participation Support (CPS) is defined as “providing opportunities and support for community inclusion and building interest in and developing skills and potential for competitive integrated employment”. Services should result in active, valued participation in a broad range of integrated activities that build on a participant’s interests, preferences, gifts and strengths while
reflecting his or her desired outcomes related to employment, community involvement and
membership. CPS is intended to flexibly wrap around to otherwise support community life secondary to employment as a primary goal. This service involves participation in integrated community settings, in activities that involve persons without disabilities who are not paid or unpaid caregivers. This service is expected to result in the participant developing and sustaining a range of valued social
roles and relationships, building natural supports, increasing independence, increasing potential for
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employment and experiencing meaningful community participation and inclusion. The Franklin/
Fulton IDD program will continue to support providers in providing CPS. There are currently six (6)
individuals who utilize base dollars to fund CPS within a pre-vocational setting. All six (6) of these individuals have experienced difficulty working due to COVID, though some continue to utilize CPS supports remotely during COVID. The Pre-vocational program they attended reopened March 1, 2021 and all six (6) are utilizing the CPS service face to face now.
The IDD Program is concentrated on Competitive Integrated Employment which includes Supported Employment and Small Group Employment for the Quality Management Plan (See Appendix E). The outcome for the Quality Management Plan is “people who choose to work are employed in the community.” There were 87 individuals who were employed in Competitive Integrated Employment
before the COVID-19 pandemic. As with the rest of the state, some individuals were laid off or
furloughed, or the business may have closed, or the individual chose to leave their job, while some individuals continued to work in essential businesses throughout the pandemic. The following graph shows how employment has increased the past four (4) years and the effect of the pandemic. Franklin/ Fulton IDD providers will continue to support people to continue to work or to find new jobs. The outcome will continue in the QM plan also.
Franklin/ Fulton County IDD Program collaborates with the Office of Vocational Rehabilitation (OVR) in identifying individuals who will benefit from Pre-employment Transition Services, Paid Work Experiences and Job Shadowing within the school districts. The Franklin/ Fulton IDD Program participates in the Transition Council, which includes representative from OVR, School Districts and
providers to promote and support the Employment First Model. OVR and the Franklin/ Fulton IDD
Program facilitate the STAR (Student Transition to Adult Review) meetings for students and their
parents to focus on their plan for transitioning from high school. Discussion centers on students’ interests, goals and present levels in relations to employment and independent living and supports needed. This also provides an opportunity to register with the IDD Program and OVR if the person has not already done so. Franklin / Fulton IDD Program also attends the transition fairs at the high
65
70
75
80
85
90 Competitive Employment
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school to provide information to students and families, as well as funding and assisting in the
organization of a County Transition Fair for students at a local college. The fair was cancelled in
2020 due to COVID. The Franklin County Transition Council hosted a Virtual Transition Fair which teachers and school districts can access at any time for students in 2020-2021 due to the COVID pandemic making an in person fair impossible. The IDD Program and the SCO collaborate and participate in trainings with OVR on implementation
of Workforce Innovation and Opportunity Act (WIOA). The IDD Program developed and uses an OVR referral process to streamline, track and facilitate in accessing OVR services. OVR has implemented an Order of Selection Closure and now has a waiting list. While the IDD program is still working closely with OVR during the closure, all individuals interested in competitive integrated
employment are authorized to receive supported employment if needed.
Supports Coordination:
• Please describe how the county will assist the supports coordination organization (SCO) to engage individuals and families to explore the communities of practice/supporting families model using the life course tools to link individuals to resources available in the community.
• Please describe how the county will assist supports coordinators to effectively engage and
plan for individuals on the waiting list.
• Please describe the collaborative efforts the county will utilize to assist SCOs with promoting self-direction.
Base Funded Supports Coordination included home and community case management for
individuals in Nursing Facilities, Medical Assistance (MA) eligible individuals who are admitted for hospitalization, individuals residing in Intermediary Care Facilities, and individuals who do not qualify for MA. These services are only paid for individuals who have a denial of MA Coverage. There are 49 people who have base funded Supports Coordination either because they are not eligible for MA or who lost their MA for part of the year. There are nine (9) individuals who have the OBRA waiver
and have base funded Supports Coordination, and four (4) people who reside in an ICF/ID or State Center and receive base funded Supports Coordination. Currently, no one is interested in leaving the State Center system from Franklin County so transition services are not needed at this time. See Community for All Section for more information. The IDD program has MA denials for individuals who
are receiving base services over $8000.
The IDD Program collaborates with the Supports Coordination Organization (SCO) by holding monthly meetings with the SC Supervisors. During these, meetings, individuals who are deemed high profile or have an Emergency PUNS are discussed regarding natural supports and what supports are necessary for that person. Any individual can be added to the list. During these monthly meetings, PUNS, ISPs, Levels of Care, incident management, provider risk assessments, IM4Q and other items are part of the standing agenda discussed. The SCO is also represented on the Transition Council and is encouraged to participate in State
Employment Leadership Network (SELN) trainings to promote community integrated employment.
Franklin/ Fulton County is part of one of the Regional Collaboratives for the Community of Practice. Franklin/ Fulton combined their stakeholder group with York/ Adams Counties last year. The SCO is part of the Stakeholder group for the Regional Collaborative. The State Community of Practice has established the following goals: Family Engagement, Employment, Front Door and Supports
Coordination. Support Coordinators use the life course principles and activities to help individuals
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and families plan for the future. The SCO supports the initiatives of the Community of Practice. See
more information about Regional Collaboratives in Administrative Funding.
In addition to the Transition Council and Regional Collaborative, the SCO also sends representatives for the Risk Management Committee and the Quality Improvement Council. Lifesharing and Supported Living:
• Please describe how the county will support the growth of Lifesharing and Supported Living as an option.
• Please describe the barriers to the growth of Lifesharing and Supported Living in the county.
• Please describe the actions the county found to be successful in expanding Lifesharing and Supported Living in the county despite the barriers.
• Please explain how ODP can be of assistance to the county in expanding and growing Lifesharing and Supported Living as an option in the county. According to 55 Pa. Code Chapter 6100 regulations: “Family Living Homes are somewhat different
than other licensed homes as these settings provide for life-sharing arrangements. Individuals live in a host life-sharing home and are encouraged to become contributing members of the host life-sharing unit. The host life-sharing arrangement is chosen by the individual, his or her family and team, and with the life-sharing host and Family Living Provider Agency, in accordance with the individual’s needs. Licensed Family Living Homes are limited to homes in which one (1) or two (2) individuals with
an intellectual disability, who are not family members or relatives of the life-sharing host, reside.”
Satisfaction surveys have shown that individuals in life-sharing living arrangements are more satisfied with their life. The Franklin/Fulton County IDD Program will support the growth of life-sharing in the following ways:
• The Administrative Entity (AE) and SCO will continue to work on providing information to individuals and families on the values and benefits of Life-Sharing and correcting the “stigma” that is “adult foster care.” We will continue to help families understand that Life-Sharing is a supportive, sharing, and mentoring environment that enhances the natural supports of the family. • The AE has encouraged local Life-Sharing providers to develop new licensed homes to be used
for periodic and emergency respite situations that can be available when needed. This has helped
to expedite emergency respite placements which, in turn, have developed into new life-sharing connections. • The AE will work with providers with the expansion of the Life-Sharing service definition to include individuals living in their own home or the home of a relative and receiving agency managed life-
sharing services. Life-sharing is the first residential option offered to any person who needs a residential placement. This is documented in the Individual Support Plan. Currently, there are 37 people living in Life-Sharing homes in Franklin County (Franklin/Fulton QM information). The funding that supports 36 of
these individuals in their life-sharing homes is waiver funding. The remaining person is private pay for
his life-sharing home. Some of the barriers to growth in life-sharing in Franklin/Fulton County are the lack of families interested in life-sharing. Another barrier is the complex needs of individuals that may be interested in
life-sharing. The final barrier is that caregivers that are life-sharers are aging. As they age, their own needs increase and they cannot continue to provide the care required. While there are barriers to life-
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sharing in Franklin/Fulton Counties, there are also successes. Many of the people in life-sharing have
lived in their life-sharing homes for 20+ years. One provider of life-sharing actively recruits life-sharing
families successfully. Finally, Franklin/Fulton has been successful in moving individuals from CRR (Community Rehabilitation Residential) facilities and Children’s Foster Care to life-sharing when they age out of the children’s system. In 2020-2021, another provider has added a Life-Sharing Home to Franklin County.
In July 2018, ODP expanded their waiver offerings by adding the Community Living Waiver (CLW); this waiver has a funding capacity of $70,000 dollars. This is enough funding to support an individual that has a low SIS Needs Group in a Life-Sharing home as long as that individual is either working or not attending a traditional day program.
During the COVID pandemic, the IDD Program checked in with Life-Sharing Providers, as well as other residential providers to determine whether they had enough personal protective equipment (PPE), number of COVID cases and to check on the health and safety of individuals in their program. The meetings started out weekly and are still being held, but have changed to every 2-3 weeks since Franklin/ Fulton is in the Low category for positivity rate. Cross-Systems Communications and Training:
• Please describe how the county will use funding, whether it is HSBG or Base funding, to
increase the capacity of the county’s community providers to more fully support individuals with multiple needs, especially medical needs.
• Please describe how the county will support effective communication and collaboration with
local school districts in order to engage individuals and families at an early age and promote
the life course/supporting families paradigm.
• Please describe how the county will communicate and collaborate with local children and youth agencies, the Area Agency on Aging, and the mental health system to enable individuals and families to access community resources, as well as formalized services and supports through
ODP. The IDD program collaborates with the following agencies to increase the support for individuals with multiple needs. The IDD program staff attends Child and Adolescent Service System Program
(CASSP) meetings to discuss the supports needed for individuals to be supported in their community
and school. The IDD staff also has a working relationship with Home Health Aid providers to support individuals with medical needs in their home and community. Lastly, the Managed Care Organization Specialized Needs Unit is available for individuals under the age of 18 who meet their criteria. The IDD program collaborates with the school districts by offering informational sessions to both parents and teachers. The IDD staff attends IEPs when requested to help problem-solve and/or to provide intake information. STAR meetings (student transition to adult review) meetings that is facilitated by OVR Supervisor and IDD Program Specialist to discuss and plan for services/supports after graduation. The IDD program has also worked with school districts and the PA Family Network to provide information to families and hold workshops after Back to School Nights on different subjects.
During COVID, these sessions have not been held, or held virtually, due to the restrictions of ODP,
Franklin County and School Districts. The Administrative Entity (AE) also is a member of the Transition Council and attends the Transition Fairs at all High Schools county-wide. The IDD program partners with Children and Youth (C&Y) through CASSP. There are also individual cases where C&Y and the IDD program are involved and the collaboration between the two agencies has resulted in the
best outcome for the child while protecting the individual’s rights.
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The Mental Health and IDD program has a long history of communication and collaboration. IDD
collaborated with the Copeland Center for Wellness and Recovery and Mental Health to pilot WRAP® for People with Developmental Distinctions, which supports individuals with both a mental illness and developmental disability. WRAP® is a recovery oriented evidence-based model that is accepted internationally. Franklin/Fulton County and Philadelphia are the pilot areas. The first group was held at Occupational Services, Inc. (OSI) in 2013. The County is also on the committee that wrote the
WRAP® for People with Developmental Distinctions curriculum in collaboration with The Copeland Center, OMHSAS, NASDDDS and ODP. This curriculum is the next step for WRAP® for People with Developmental Distinction to become evidenced-based. The County has supported WRAP® efforts to explain this new program at conferences and trainings. WRAP® groups were not held throughout the
year due to the COVID pandemic. Franklin County will continue to support WRAP® for People with
Developmental Distinctions once the pandemic restrictions are lifted. The IDD program presents the module on Intellectual & Developmental Disabilities in the Crisis Intervention Team (CIT) Curriculum. This curriculum helps police officers, Mental Health professionals and first responders respond to someone with a disability in the course of their professions. The IDD section has been revised to better suit the audience of police officers and first responders for 2020-2021. It was presented twice and was well received because it was more interactive.
The IDD program continues to collaborate with Mental Health, CASSP, School Districts, Tuscarora
Managed Care Alliance and Perform Care to support people who have a dual diagnosis
Emergency Supports:
• Please describe how individuals in an emergency situation will be supported in the community
(regardless of availability of county funding or waiver capacity).
• Please provide details on the county’s emergency response plan including:
o Does the county reserve any base or HSBG funds to meet emergency needs?
o What is the county’s emergency plan in the event an individual needs emergency
services, residential or otherwise, whether within or outside of normal working hours?
o Does the county provide mobile crisis services?
o If the county does provide mobile crisis services, have the staff been trained to work
with individuals who have an ID and/or autism diagnosis?
o Do staff who work as part of the mobile crisis team have a background in ID and/or
autism?
o Is training available for staff who are part of the mobile crisis team?
o If the county does not have a mobile crisis team, what is the county’s plan to create one
within the county’s infrastructure?
• Please submit the county 24-hour emergency crisis plan as required under the Mental Health
and Intellectual Disabilities Act of 1966.
If waiver capacity is unavailable in an emergency situation, individuals will be supported out of
funds in the Block Grant. Base money will be provided to graduates for day programs and
transportation to maintain their residence at home and/ or to allow their parents to maintain their
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employment status. The Franklin County IDD Department will increase the availability for
combinations of Family Aide, Day Programs, transportation, adaptive equipment, home
modifications and respite care so that individuals may continue to live at home instead of
residential programs, which are more costly. Franklin County reserves 28 days for Emergency
Respite care in base funds.
The IDD Independent Apartment Program has 13 individuals living in their own apartments with
less than 30 hours of support per week. Base funds are used to subsidize the rent. This program
is the least restrictive housing option for individuals who wish to live independently.
The AE has a Risk Management Committee that meets quarterly to discuss incident management,
to review restrictive procedures, discuss risk mitigation and any items that may lend to a future
emergency. Under the direction of ODP, the County is implementing Provider Risk Assessments
as a proactive means to determine if a provider has risk in their operations. The AE reviewed two
(2) residential providers who Franklin/ Fulton is the assigned AE and also one (1) larger residential
provider at the direction of the assigned AE in 2020-2021.
Franklin County responds to emergencies outside of normal work hours in Procedure Statement
IDD505 Risk Mitigation. In this procedure statement, all Program Specialists are listed, as well as
the MH/IDD/EI Administrator, with their cell phone numbers. These contacts can be used after
hours for any emergency. All providers have been trained in the policy. Initial incidents are
reviewed daily to assure the health and safety of the individuals served; this includes weekends
and holidays. Franklin County reserves base respite funds to authorize respite services as needed
in an emergency and works with providers and the Supports Coordination Organization to set up
these services, whether during normal business hours or after business hours. These services
may become Emergency Life-Sharing or 43 DHS Bulletin County Human Services Plan
Guidelines Emergency Residential while the person is in respite. This provides for the safety of
the person and finds a long-term solution.
The MH/IDD Department’s mission of essential functions is those critical processes the
department must maintain during the response and recovery phases of an emergency, to continue
to serve its constituents. The department’s mission-essential functions must be able to be
executed within 12 hours of a major emergency and be sustainable for up to 30 days during the
recovery phase of the emergency.
The IDD Program utilizes the current contract with Keystone Behavioral Health for Crisis Services.
The Crisis Department is operated 24 hours per day, 7 days per week, 365 days per year. One
aspect of this contracted service is Mobile Crisis and is available in Franklin County. Any of the
Crisis workers can provide Mobile Crisis. Some of the Crisis workers do have a background in
working with individuals with autism and/or Intellectual & Developmental Disabilities and are
trained; Training is available for any staff as requested. As with the other Crisis services offered,
when an individual with an intellectual disability or autism utilizes Crisis services, the Crisis staff
will notify either the Supports Coordinator or the AE if the person is not registered with the IDD
program. The Co-Responder program is also a way to divert individuals with disabilities from
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being incarcerated and seek the community resources help that they need. Please see Mental
Health Section for details.
The Franklin/Fulton IDD Program supports CSG’s Mobile MH/IDD Behavioral Intervention
Services to expand the Mobile Crisis service in Franklin/Fulton County. The service would be a
“time limited service designed to evaluate the current situation, develop treatment strategies,
provide direct interventions with the individual, deliver consultation, provide resources and develop
skills so that existing supports can continue to implement the treatment strategies developed by
the team” for individuals who have a dual diagnosis and are struggling to have an “everyday life.”
The program has served two (2) individuals this past year.
Franklin/ Fulton County have had a recent increase in individuals being discharged from the jail/
prison system. While some of the individuals are registered with the AE, others are not known to
the IDD system. This delays the provision of services and supports as many do not have the
documentation necessary to determine eligibility. As a result, an IDD Program Specialist has
been invited to sit on the Human Services Behavioral Health Committee, which collaborates with
other Human Services agencies and the jail system. Franklin County has also recently organized
a Complex System Triage Team Workgroup to discuss certain cases that may cross different
departments, and to develop policies and procedures to make it easier to support individuals in
need.
The County 24-hour Emergency Response Plan, as required under the Mental Health and
Intellectual Disabilities Act of 1966, is on file and will be provided if requested, due to the personal
phone numbers published in it.
Administrative Funding: ODP has engaged the PA Family Network to provide support and training
in the community. The PA Family Network will be providing individuals who are person-centered trainers.
• Please describe the county’s interaction with PA Family Network to utilize the network trainers with individuals, families, providers, and county staff.
• Please describe other strategies the county will utilize at the local level to provide discovery and navigation services (information, education, skill building) and connecting and networking services (peer support) for individuals and families.
• Please describe the kinds of support the county needs from ODP to accomplish the above.
• Please describe how the county will engage with the Health Care Quality Units (HCQUs) to improve the quality of life for individuals in the county’s program.
• Please describe how the county will use the data generated by the HCQU as part of the
Quality Management Plan process.
• Please describe how the county will engage the local Independent Monitoring for Quality (IM4Q) Program to improve the quality of life for individuals and families.
• Please describe how the county will support local providers to increase their competency and capacity to support individuals who present with higher levels of need related to: aging, physical health, behavioral health, communication, and other reasons.
• Please describe how ODP can assist the county’s support efforts of local providers.
• Please describe what risk management approaches the county will utilize to ensure a high quality of life for individuals and families.
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• Please describe how the county will interact with individuals, families, providers, advocates
and the community at large in relation to risk management activities.
• Please describe how ODP can assist the county in interacting with stakeholders in relation to
risk management activities.
• Please describe how the county will utilize the county housing coordinator for people with autism and intellectual disabilities.
• Please describe how the county will engage providers of service in the development of an
Emergency Preparedness Plan.
The IDD Program has hired a Community Mobile Nurse position. The Community Mobile Nurse will be primarily stationed in one (1) home but will be able visit IDD individuals who reside in Franklin/Fulton counties when a referral has been made to the Administrative Entity through the
Support Coordination Organization or when an Incident Report is entered into the IDD state
system that a nurse should make a Health and Safety visit to that individual. This position was established to aid in providing individuals living with family members with added nursing support when needed.
Franklin/Fulton IDD program is a Regional Collaborative for the Community of Practice. As part of the Community of Practice, the PA Family Network is part of our Stakeholder Group. Due to the COVID-19 pandemic, all in-person trainings had been cancelled. The PA Family Network will continue to provide weekly Family Forums using a Zoom platform. The PA Family Advisor on the Regional Collaborative continues to support families via internet/ phone during this time. The
Regional Collaborative will concentrate on the four (4) areas that ODP has initiated. They are
Employment, Family Engagement, Front Door and Supports Coordination. York/ Adams and Franklin/ Fulton have merged into one Regional Collaboration. Franklin/ Fulton is concentrating on collaborating with other Human Services Departments to create a user friendly guide for Franklin County residents to use to find community resources. Franklin/ Fulton are naming this as
the “Front Porch” project. Due to the COVID pandemic, the Regional Collaborative Stakeholder Group has not been meeting. The Program Specialist and PA Family Network Advisor who are co-leads plan to “restart” the Regional Collaborative in September with an activity to develop a mission and vision for the Collaborative. The meetings will be a hybrid model using both face to face meetings and virtual to be welcoming to more people.
The IDD program uses the vast experience of the HCQU. Monthly trainings by the HCQU are held in Franklin County. They also provide individualized training that is requested by providers and families. The AE attends the Positive Practices Committee meetings as well as Regional HCQU meetings. The HCQU is represented at our provider meetings and participates on both the Risk
Management Committee and the Quality Improvement Council. Medication Errors is one (1) of the outcomes and objectives in the Quality Management Plan. The HCQU provides training to individuals, provider homes, staff or individuals, depending on the trends found while analyzing the data. This supports the outcome “people are healthy, and Franklin/Fulton Intellectual and Developmental Disabilities Program will use the objective of reducing the number of medication
errors by 10% by June 30, 2021”. The baseline data is 200 medication errors from July 2019-
June 2020. As of June 15, 2021, there are 137 medication errors this 2020-2021 QM year, demonstrating a 31% decrease in the number of medication errors. This outcome will remain in the QM plan.
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As with the HCQU, a representative for the IM4Q local program sits on the QI Council. The QI
Council also reviews Employment IM4Q data to determine satisfaction with services. The QI Council also looks for trends in IM4Q data where satisfaction of services is below the state average. The greatest barrier to reviewing IM4Q data is that the reports are not current. As a result, there is a lag in developing QM outcomes and objectives. Since the surveys were cancelled due to the pandemic, IM4Q data will not be used for the next year outcomes as there will not be a
report. When a new QM plan is developed, IM4Q data is reviewed for Franklin/Fulton County to determine if and where the IDD program is falling behind the state average or if there is a reoccurring issue for consideration.
The IDD program supports local providers by encouraging them to develop a relationship with the
HCQU for trainings needed for their staff to support individuals with higher levels of need. The HCQU can also do biographical timelines, Consumer Data Collection (CDCs), medication/pharmacy reviews and provide training. CDCs were being scheduled for all residential homes on a routine basis. Providers have been utilizing the Health Risk Screening Tool to improve the quality of life for individuals. The AE continues to support providers in developing relationships with the local hospital. As previously mentioned, the MH/IDD Coordination meetings help to support providers.
The Risk Management Committee holds quarterly meetings to assess incidents to establish a
higher quality of life for individuals. The Risk Management Committee realized that Individual to
Individual (I-2-I) abuse was an issue that needed addressed. The QM Plan addresses the I-2-I abuse issue. The outcome, “People are abuse free,” is measured by the objective of reducing the number of I-2-I abuse incidents by 5%. The number of incidents of I-2-I abuse will be measured through quarterly analysis of the HCSIS Incident Data and the target trends to prevent future
incidents will be analyzed by the Risk Management Team. The baseline data is 84 incidents of I-2-I abuse for 2019-2020. As of June 15, 2021, there were 32 incidents of I-2-I abuse. This was a decrease of 62 % decrease in I-2-I abuse. The Risk Management Committee is looking to see if this is because day programs were closed during the pandemic. The number was expected to
rise due to the quarantine during COVID. The Risk Management Committee will continue to
monitor the data for trends.
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The IDD Program partners with the County Housing Program to support an Independent Living
Apartment Program for people living in their own apartments who need less than 30 hours of support a week. The County subsidizes the rent with base funds and therefore, individuals are able to live in affordable and safer neighborhoods. There are currently 13 individuals in this program.
The County engages providers of service by ensuring that all ISPs have backup/emergency plans included. All providers updated their Emergency Preparedness Plans during the COVID-19 pandemic. Providers will continue to update their Emergency Plans as needed and provided re-entry plans to the AE during COVID. Franklin/ Fulton AE continue to follow up with providers during the COVID pandemic. Through the IM4Q considerations, Franklin/ Fulton Counties made
emergency folders with the local information from the Department of Emergency Services and Ready.gov. These are available to all families upon request or when a consideration from IM4Q is indicated. Participant Directed Services (PDS):
• Please describe how the county will promote PDS (AWC, VF/EA) including challenges and
solutions.
• Please describe how the county will support the provision of training to SCOs, individuals and families on self-direction.
• Are there ways that ODP can assist the county in promoting or increasing self-direction?
Franklin/ Fulton Counties have no individuals or families using VF/EA. When the VF/EA is explained to families, they choose Agency with Choice (AWC) if they wish to self-direct their services. Franklin County has 14 families using AWC supports. All of their supports and services are paid with waiver funding, including the administration fee. The County coordinates training for families through the Arc
of Franklin/ Fulton Counties (the AWC provider) and the HCQU.
The major challenges for AWC continue to be that families have trouble finding staff, especially in the rural areas of the county. This is due to the low wage, lack of transportation and/ or locations far from any services, as well as families have a lack of knowledge of the IDD system and the service definition changes. Additionally, families become frustrated with the amount of documentation and
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training required. ODP assistance could be used to find creative ways to address these issues and to
provide training to families regarding AWC. However, due to the COVID pandemic, more families are
considering AWC services. Community for All: ODP has provided the county with the data regarding the number of individuals
receiving services in congregate settings.
• Please describe how the county will enable individuals in congregate settings to return to the community.
Franklin County has 13 individuals in congregate settings. Three (3) individuals reside at State
Centers and all have been given the choice to move into the community. All three (3) individuals have stated that they are happy where they currently reside and have no desire to move. One (1) person resides in a private ICF/ID and continues to choose that placement. The remaining nine (9) individuals reside in nursing homes. All but one (1) of these individuals are age-appropriate and/ or
have a nursing home level of care required, making the nursing home an appropriate placement. The one (1) exception is a woman who is too young to be in the nursing home, but repeatedly refuses appropriate residential options that are offered to her, though she does have a long-term level of care that was determined by ODP. The Supports Coordinator will continue to offer and encourage her to look at residential options that are appropriate.
HOMELESS ASSISTANCE PROGRAM SERVICES
Please describe the continuum of services to individuals and families within the county who are
experiencing homelessness or facing eviction. An individual or family is facing eviction if they have received either written or verbal notification from the landlord that they will lose their housing unless some type of payment is received. Bridge Housing Services:
• Please describe the bridge housing services offered. Include achievements and improvements in services to families at risk or experiencing homelessness, as well as unmet needs and gaps.
• How does the county evaluate the efficacy of bridge housing services? Please provide a brief
summary of bridge housing services results.
• Please describe any proposed changes to bridge housing services for FY 21-22.
• If bridge housing services are not offered, please provide an explanation of why services are
not offered.
Due to limited funding, Franklin County has not expanded into bridge housing support.
Case Management:
• Please describe the case management services offered. Include achievements and
improvements in services to families at risk or experiencing homelessness, as well as unmet
needs and gaps.
• How does the county evaluate the efficacy of case management services? Please provide a
brief summary of case management services results.
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• Please describe any proposed changes to case management services for FY 21-22.
• If case management services are not offered, please provide an explanation of why services are not offered. Every Rental Assistance applicant will be part of Family Services (HAP) Case Management and
Service Navigation program for South Central Community Action Programs (SCCAP) Family and Asset Development Services. A service plan will be established and signed by each applicant that will include referrals to address factors that led to the housing crisis in addition to other factors that may have contributed to the problem. Specifically, case management will be available through
referrals with regard to budgeting, parenting, accessing resources, and life skills with a goal of
working towards self-sufficiency. Individuals that consistently do not participate in the service plan may transition out of the program and become ineligible for HAP funds for a period of up to two years. In this event the efforts will be made to refer the individual to other Family Services or external partner programs for alternative shelter assistance.
The SCCAP HAP Family Services Specialist will be responsible for completing all intakes and assessments for Franklin County Homeless Assistance Program. This process will include assessment of other needs, especially those that brought the family to a housing crisis. Case management services/activities offered by SCCAP, as defined by the HAP Guidelines, may
include but are not limited to the following:
o Intake and assessments (service plan) for individuals who are in need of supportive services and who need assistance in accessing the service system. o Assistance in developing a future story and SMART goals designed to lead to long term stability o Assessing service needs and eligibility and discussion with the individual of available
and acceptable service options.
o Referring individuals to appropriate agencies for needed services. o Providing referrals to direct services such as budgeting, life skill training, job preparation, etc.
o Providing advocacy, when needed, to ensure the satisfactory delivery of requested
services.
o Protecting the individual’s confidentiality. The SCCAP HAP Services Specialist will refer the individual to appropriate agencies/resources as needed for services such as linkages to income supports, parenting skills, life skills, budgeting,
food, making appointments, priority setting, maintaining records, literacy training, adult basic education, etc. The case manager will establish linkages with the Housing Authority and other local housing programs for low-income housing and the County Assistance Office. Specifically, the HAP Family Services Specialist will assure that individuals who are eligible have accessed
Emergency Shelter Assistance (ESA) through the Title IV-A program at the CAO so long as the
ESA program exists. The SCCAP HAP Family Services Specialist will discuss with the individual any service needs and options and any goals the family has identified. Confidentiality of the individual will be protected, and all reasonable efforts will be made to coordinate service delivery and to avoid duplication of services. Therefore, Releases of
Information will be required so that all other agencies offering housing services can be contacted to cross reference whether the family is receiving services elsewhere and to ensure coordination of services.
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After the individual has been approved, the HAP Family Services Specialist will complete a
payment agreement between the individual, landlord and SCCAP and will work with the client to
complete a goal plan specific for the individual needs of the family and appropriate referrals will be made. Some notable successes for Case Management have been the intentional referral to Support Circles for all HAP clients. That has allowed both families from the shelter and families applying
for rental assistance to be enrolled in a long-term program that will support the family on their journey out of poverty. While not a requirement, we have seen several families take advantage of this opportunity and they are receiving ongoing appropriate support.
Another notable success is the creation of a housing landlord survey that is shared with families
that can meet the needs of high barrier families (those who have had an eviction in the past or may have a non-violent criminal history). As we have evaluated the results of this program and the recidivism of families returning for help, we are also opening our case management opportunities to families after they receive help and promoting that as an ongoing opportunity so families can come back to talk through options before they are in another crisis. Another addition to this component for SCCAP is Rapid Rehousing and Homeless Prevention
through HUD and ESG funding. This allows us the opportunity to identify the appropriate program
for the individual. SCCAP can now work with families before they become homeless through HAP or ESG Homeless Prevention dollars, if they are currently homeless through our Emergency Shelter to get them off the streets and then through HAP or Rapid Rehousing to help them get into safe affordable housing. Followed by ongoing services through Case Management or
Support Circles. The addition of these services along with the coordination of internal and external supports through family services and social support navigation assistance provides a much better continuum of care for families experiencing the trauma of homelessness or near homelessness.
Of notable success are two critical partnerships. HAP is currently working with individuals referred
through the Veterans program and the Franklin Together Reentry Coalition. Both of those county collaborative groups have a host of supports which assist the individual in having a better opportunity of long term success.
In assessing the barriers to services the most common reasons we are unable to help individuals is due to individuals being over the income limit or not being a resident of Franklin County for six months. We also receive many calls about people wanting us to help before they have an eviction notice. Individuals are reaching out to receive help to prevent an eviction notice. If we are not able to help, there are not many other organizations in the community that are able to provide support.
Many organizations have the same regulations; at times local churches can assist and we make
those referrals as appropriate. Franklin County staff members complete an annual onsite monitoring visit to evaluate case management services to ensure that all program requirements are being met. This process
includes an evaluation of fiscal and program requirements along with individual file chart reviews.
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During the COVID 19 Pandemic we have been able to coordinate services with clients while
maintaining safety for the client and their families. We have been able to perform most of the
eligibility via the phone and sending documents via text or email. We anticipate managing the program in a similar manner as long as needed to keep HAP clients and their families safe. Individuals will be informed in writing by SCCAP, of the right to appeal if service is denied to them as set forth per the HAP guidelines. The following will be provided in writing to any individual who
is denied or terminated from service:
o the action being taken; o the reason for the action; o the effective date of the action and
o the availability of an appeal process at the County and State level.
Written appeal may be made to the County of Franklin. The individual will be informed in writing of the result of the appeal. Further appeals will follow the guidelines as set forth by HAP which states that after exhausting the first level of appeal at the County, an individual may appeal to DHS to the Office of Hearings and Appeals. All individuals will be informed of the appeal process during their initial appointment. The appeal plan is explained at the first appointment and a copy is signed by the individual.
Rental Assistance:
• Please describe the rental assistance services offered. Include achievements and improvements in services to families experiencing or at risk for homelessness, as well as unmet needs and gaps.
• How does the county evaluate the efficacy of rental assistance services? Please provide a
brief summary of rental assistance services results.
• Please describe any proposed changes to rental assistance services for FY 21-22.
• If rental assistance services are not offered, please provide an explanation of why services are
not offered. HAP’s Rental Assistance program is used for rent and security deposits for eligible low-income applicants who are homeless or near homeless as defined below:
Individuals or families are homeless if they: • Are residing in a group shelter; domestic violence shelter; hotel or motel paid for with public or charitable funds; a mental health; drug, or alcohol facility; jail; or hospital with no place to reside; or living in a home, but due to domestic violence; needs a safe place to reside; • Have received verification that they are facing foster care placement of their children solely
because of lack of adequate housing, or need housing to allow reunification with children who are in foster care placement; • Are living in a “doubled-up” arrangement for six months or less on a temporary basis; • Are living in a condemned building;
• Are living in housing in which the physical plant presents life and /or health threatening
conditions; e.g. having dangerous structural defects or lacking plumbing, heat, or utilities; or • Are living on the streets, in cars, doorways, etc. Individuals and families are near homeless if they;
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• Are facing eviction (having received either written or verbal notification from the landlord
that they will lose their housing unless some type of payment is received. Verbal notification
must be followed up with written documentation). Actual Eviction notice is required in the file. Individuals served by the HAP program must have been a resident of Franklin County for six months prior to applying for assistance. Rental Assistance is only provided to Franklin County
applicants who can demonstrate that they will be able to become self-sustaining after help is Individuals served by the HAP Rental Assistance Program will fall into one or more of the following categories: • Franklin County families with children who are homeless or near homeless and can show
that with assistance they can be stable in the future.
• Persons fleeing domestic violence. • Individuals who have fallen on hard times who need rental assistance and can show that with assistance they can be stable in the future. To receive financial assistance, the individual or family must be below 200% of the Federal Poverty Income Guidelines. Referrals to other agencies can provide needed services and will be made available to those who do not meet the income or residency guidelines as appropriate. Income requirements will be waived for persons fleeing domestic violence and for those who are experiencing a housing crisis due to a disaster such as fire or flood (upon State approval by the
State HAP Manager as stated in the guidelines).
The amount of Rental Assistance allocated will be determined by the facts of the case and the creation of a service plan for each household addressing the conditions which precipitated the housing crisis and addressing the acquisition of permanent housing including the schedule for
disbursement of rental assistance funds. The service plan is signed and placed within the individual’s file. The service plan will address other services needed and referrals made. In all cases the goal for the family will be to acquire stability and permanent, affordable housing. The household must demonstrate through the service plan and their actions that they have the ability to become self-sufficient and a commitment to work toward that goal. All service plans will include
an agreement to cooperate with the HAP Family Development Specialist/Case Manager.
Individuals that consistently do not participate in the service plan may be transitioned out of the program and ineligible for assistance for up to two years. Applicants will be expected to contribute financially towards the housing plan as determined by
their individual service plan. The individual or family must have anticipated income sufficient to pay the rent in the future. Whenever possible and practical, payment plans will be established whereby the applicant retains part of the responsibility for current or back rent or utility payments. The maximum assistance available in a 24-month period is $1,500 for families with children, and $1,000 for adult only households. In most instances, households will not receive the maximum
amount of assistance, but only the amount determined appropriate as stated in their service plan.
Assistance given by Emergency Shelter Assistance (ESA) or Emergency Food and Shelter Program (EFSP) will be included in the maximum allowed per household, as per DHS. Applicants will be required to exhaust all other resources available through the County Assistance
Office (CAO) or other local resources before being considered for HAP Rental Assistance. This includes but is not limited to Emergency Shelter Assistance (ESA), Low Income Home Energy Assistance Program (LIHEAP), fuel assistance, utility assistance, etc. Applicants who may be
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eligible for Title IV-A Emergency Shelter Assistance must apply at the County Assistance Office,
and receive a determination from the CAO before HAP can be considered. Families with a child
under 21 whose income is below 80% of poverty will be referred for ESA before Rental Assistance is utilized. This requirement will end if the ESA program is discontinued. Individuals or families must have an agreement with the landlord to rent to them before financial assistance will be provided. Written agreements must be confirmed by the HAP Family
Development Specialist before funds can be released. Franklin County staff members complete an annual onsite monitoring visit to evaluate case management services to ensure that all program requirements are being met. This process
includes an evaluation of fiscal and program requirements along with individual file chart reviews.
Another addition to this component for SCCAP is Homeless Prevention and Rapid Rehousing through HUD and ESG funding. SCCAP’s emergency shelter had attempted rental assistance in the past with limited success. With the implementation of the longer term supports of Rapid Rehousing, we have found we are better able to help families find and maintain housing. While a relatively new program, this addition is strengthening our continuity for families. This allows us the opportunity to identify the appropriate program for the individual. SCCAP can now work with families before they become homeless through HAP and ESG Homeless Prevention dollars, if they are currently homeless through our Emergency Shelter to get them off the streets, and then
through HAP or Rapid Rehousing to help them get into safe affordable housing and then on an
ongoing basis through Case Management or Support Circles. We feel the addition of these services along with the coordination of internal and external supports provides a much better continuum of care for families. We believe these supports will help families stabilize and maintain long-term, safe, affordable housing!
Emergency Shelter:
• Please describe the emergency shelter services offered. Include achievements and improvements in services to families at risk or experiencing homelessness, as well as unmet needs and gaps.
• How does the county evaluate the efficacy of emergency shelter services? Please provide a
brief summary of emergency shelter services results.
• Please describe any proposed changes to emergency shelter services for FY 21-22.
• If emergency shelter services are not offered, please provide an explanation of why services
are not offered.
Emergency Shelter is provided to families who are currently homeless. Basic needs (shelter and food) are provided in conjunction with intensive case management and effective referrals. This program is evaluated on a number of factors: - Did the individual increase their income? - Did the individual obtain needed supportive services (mental health, job training, physical
health needs, etc.)? - Did the individual achieve safe affordable housing? The Franklin County Shelter for the Homeless is located in downtown Chambersburg, at 223
South Main Street. The Shelter provides nine bedrooms with the capacity to house up to 18
individuals at one time. During the COVID 19 pandemic, SCCAP has kept its shelter capacity to a
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level that allows for individuals to quarantine in place. We have worked with the local health
system for a process on testing and quarantining, should it be needed, in order to keep everyone
safe. Two of the rooms at the shelter are family rooms and seven others are designed for single adults or couples. The Franklin County Shelter for the Homeless is the safety net for the residents who may find themselves without a place to live. The Franklin County Shelter uses a Housing First Model and staff work diligently to get individuals into housing quickly and then work to help them stabilize and move forward. Our goal is to move homeless residents back into permanent
housing and toward self-sufficiency. In order to accomplish this, the Shelter staff provides case management activities during and after their stay. We also coordinate with other agencies within the County to direct residents to the available resources that will help them achieve their established goals and long term success.
In order to receive services, the Franklin County Shelter for the Homeless, an individual/family must be legally homeless. Families either come to the shelter, where we work with the coordinated entry system to get them registered and evaluated for service, or we receive a referral from the coordinated entry system and a family or individual comes to the shelter referred through 211. Immediately we perform a housing barriers assessment to identify what will prevent the family or individual from getting housed quickly and then begin the work of finding safe, affordable, appropriate housing and stabilizing the family. Our work with the family continues after the family is housed so we can provide the best opportunity for long term success. Homeless Assistance Program funds are needed to support the daily operational costs of the
Franklin County Shelter for the Homeless and the extensive case management needed to help
families and individuals, many of whom are chronically homeless or have extensive housing barriers, obtain and maintain long term housing. Another addition to the Homeless Services Toolkit for SCCAP is Homeless Prevention and Rapid
Rehousing through HUD and ESG funding. SCCAP’s emergency shelter had attempted fragmented one time rental assistance in the past with limited success. With the implementation of the longer term supports of Rapid Rehousing, we have found we are better able to help families find and maintain housing. This addition is strengthening our continuity for families. This allows us the opportunity to identify the appropriate program for the individual. SCCAP can now
work with families before they become homeless through HAP and Homeless Prevention dollars,
if they are currently homeless through our Emergency Shelter to get them off the streets, and then through HAP or Rapid Rehousing to help them get into safe affordable housing, and then on an ongoing basis through Case Management or Support Circles. We feel the addition of these services along with the coordination of internal and external supports provides a much better
continuum of care for families. We believe these supports will help families stabilize and maintain long-term, safe, affordable housing! Franklin County staff members complete an annual onsite monitoring visit to evaluate case management services to ensure that all program requirements are being met. This process
includes an evaluation of fiscal and program requirements along with individual file chart reviews.
Innovative Supportive Housing Services:
• Please describe the other housing supports services offered. Include achievements and improvements in services to families experiencing or at risk for homelessness, as well as unmet needs and gaps.
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• How does the county evaluate the efficacy of other housing supports services? Please provide
a brief summary of other housing supports services results.
• Please describe any proposed changes to other housing supports services for FY 21-22.
• If other housing supports services are not offered, please provide an explanation of why
services are not offered. Franklin County has not used Housing Assistance Program (HAP) funding for other housing support services. Independent living and forensic apartments are available through other funding sources. Homeless Management Information Systems:
• Please describe the current status of the county’s implementation of the Homeless Management Information System (HMIS). Does every Homeless Assistance provider enter data into HMIS? Franklin County has actively participated in the Homeless Management Information System
(HMIS) and has taken a lead role by providing an access center as a secondary option to the 211 system, for those who are seeking housing services. This process allows for individuals and families to be triaged, prescreened and assessed through HMIS so that appropriate services can assist in making individuals achieve permanent housing successfully.
In addition, this system works as a starting point to connect individuals and families with the Emergency Solutions Grant, HUD Permanent Supportive Housing Programs, PATH and one Shelter Plus Care Program. Individuals and families are connected by use of referrals and/or the housing prioritization queue tools that are a part of HMIS. The goal is to have individuals entered into HMIS immediately following enrollment in the housing programs. Multiple County employees
are familiar with entering data into HMIS as well as running reports.
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SUBSTANCE USE DISORDER SERVICES (Limit of 10 pages for entire section)
This section should describe the entire substance use service system available to all county residents
regardless of funding sources. Please provide the following information: 1. Waiting List Information: Services # of Individuals* Wait Time (days)**
Withdrawal Management 40 1-2 day
Medically-Managed Intensive Inpatient Services 2 1-3 weeks
Opioid Treatment Services (OTS) 24 (MAT) 1-2 days
Clinically-Managed, High-Intensity Residential Services 54 1-7 days
Partial Hospitalization Program (PHP) Services 2 Typically step down directly from residential services Outpatient Services 123 2-3 days
Other (specify) 52 -14 days
*Average weekly number of individuals
**Average weekly wait time
• Withdrawal Management Services: In FY20/21, average wait time for a detox bed in or out of county was 1-2 days from the time of the request and regardless of current environment of the individual. The primary substances for detox placement were opioids (prescription and illicit) and alcohol.
• Medically-Managed Intensive Inpatient Services: In FY20/21 to date, FFDA has funded treatment for two complex medically managed/high intensity residential services.
• Opioid Treatment Services: In FY20/21, FFDA contracted with one methadone provider
(closest in geographical proximity) as there aren’t any methadone providers within Franklin County. There are a total of five (4) Buprenorphine prescribing provider agencies within the county, and only one partners with the county SCA. There are a total of four (4) prescribing practices of oral naltrexone (Vivitrol) in the county with limited physician time – our SCA
contracts with two of those. Same day/same week access hasn’t been obtainable. This is
extremely important for individuals stepping down from a high level of care/secure environment
(rehab, incarceration, psychiatric placement, etc.) where they received MAT to be able to engage in a community-based delivered process. FFDA continues to partner with a mobile Vivitrol provider, Positive Recovery Solutions (PRS) to assist in reducing this barrier for individuals that have started Vivitrol as their chosen MAT. In FY20/21, PRS provided mobile
Vivitrol services in one to two locations, one time per month. In FY20/21, FFDA also provided funding for Buprenorphine, which allowed FFDA to provide three primary forms of MAT for individuals with opioid use disorder.
• Clinically-Managed, High-Intensity Residential Services: In FY 20/21, the average wait for a
residential bed was one-seven (1-7) days from the time of the request across all provider
networks (in/out of Franklin County). There were a total of 54 individuals that received this
level of care. Wait times were dependent on bed accessibility, priority population requests,
unplanned discharges and time day that the request was made from FFDA.
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• Partial Hospitalization Services: In FY20/21, there was no indication of any wait to access this
level of care (whether entry was a step-down from a higher level of care or direct entry), nor
did FFDA fund/case manage any individuals in need of this level of care.
• Outpatient Services: In FY20/21, there was no significant wait to access this Intensive
Outpatient Program (IOP) or Outpatient Program levels of care (whether entry was a step-
down from a higher level of care or direct entry).
• Recovery Housing: In FY 20/21, FFDA contracted with two PARR certified recovery houses
(one male home and one female home). Wait time for this service is dependent on bed
availability. Typical wait period is 7-14 days.
2. Overdose Survivors’ Data: Please describe the SCA plan for offering overdose survivors
direct referral to treatment 24/7 in the county. Please indicate if a specific model is used and provide the following data for the State Fiscal Year 2019-2020. # of Overdose Survivors # Referred to Treatment Referral method(s) # Refused Treatment
25 Unknown Recovery
Liaison, leave behind kits, ER crisis workers
Unknown
*Reported information is data from the Commonwealth of PA Overdose Information Network (ODIN) Naloxone Usage by County. This survivor data is based upon law enforcement naloxone usage data inputted into ODIN for 7/1/19-5/31/20. Franklin County has a grant to fund a provider to offer Recovery Liaison services throughout
Franklin County through PCCD funding. These funds provide a Recovery Liaison who is on call for any law enforcement to provide Warm Handoff services to overdose survivors and other clients with substance use concerns to help the individual’s access treatment. The Recovery Liaison works with the referred individual to identify barriers to success and assists
in linking individuals to services. The liaison position provides warm handoff services for a
variety of clients (not just overdose survivors) and focuses on emergent care by connecting clients to treatment; however data tracking does not include separate tracking specifically for overdose survivors. Overall Warm Handoff data is reported above, and this tracking is currently being reviewed to see if data collection could be enhanced to track overdose survivors in FY21/22 more effectively. Law enforcement agencies have access to Recovery
Liaison services for overdose survivors and EMS/BMS/ALS also have access to Leave Behind Kits for survivors. Leave Behind Kits include the following: Pouch with OSAL branding and contact information of SCA, non-latex gloves, mouth shields, Need Help Now hotline card, Naloxone, and Naloxone instruction pamphlet.
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3. Levels of Care (LOC): Please provide the following information for the county’s contracted
providers.
LOC American Society of Addiction Medicine (ASAM) Criteria
# of Providers
# of Providers Located In-County
# of Co-Occurring/Enhanced Programs
4 WM 2 0 0
4 2 0 0
3.7 WM 20 1 0
3.7 0 0 0
3.5 31 1 15 3.1 5 0 0
2.5 2 0 0
2.1 5 4 2
1 5 4 2
4. Treatment Services Needed in County: Please provide a brief overview of the services
needed in the county to afford access to appropriate clinical treatment services. Include any
expansion or enhancement plans for existing providers and any use of HealthChoices reinvestment funds to develop new services. Tuscarora Managed Care Alliance (TMCA) oversees Franklin/Fulton County’s Behavioral
Health HealthChoices Program. Reinvestment Plans that benefit Franklin County residents include two approved and currently implemented programs for Recovery Bridge Housing Subsidy and Certified Recovery Support Specialists. The Recovery Bridge Housing plan focuses on providing a rent subsidy for individuals who are Medicaid eligible/members to
receive financial assistance for recovery housing rent. The recovery house must be PARR
certified or an Oxford House Model in order to receive a contract from TMCA for this plan.
TMCA’s Certified Recovery Specialist plan provides the opportunity for the in-network local outpatient drug/alcohol providers to employ a certified recovery specialist to provide peer support to individuals transitioning from a high level of care (detox/inpatient) to a lower, local level of care such as IOP or OP services. FFDA partners with TMCA on this endeavor by
providing funds to PA Counseling to operate Lighthouse Recovery to community-based recovery support services, including case management. The primary goal is to provide individuals with needed, yet voluntary peer support while in turn reducing the rate of re-admission into a higher level of care. A current need in Franklin County is the lack of
drug/alcohol free pro-social activities for individuals who struggle with substance use disorders
and their families/natural supports.
TMCA has invested reinvestment dollars into TARGET (Trauma Affect Regulation Education and Training), an evidenced based treatment modality to address individuals that have experienced trauma. This Evidence Based treatment modality has been implemented in our
Substance Abuse Outpatient Provider network and at Franklin County Jail by treatment specialists working with individuals experiencing substance use issues. Another community-based treatment need is funding/financial assistance for individuals that
are under/un-insured to obtain assistance with medication-assisted treatment. FFDA will
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continue to meet this need in FY21/22 by providing funding to provide financial assistance to
those that meet the funding and clinical eligibility criteria.
5. Access to and Use of Narcan in County: Please describe the entities that have access to
Narcan, any training or education done by the SCA and coordination with other agencies to
provide Narcan. Intra-nasal naloxone is available to both professionals as well as the general community in Franklin County without a prescription due to the current standing order status in which the
medication has been made available.
FFDA provides overdose response/naloxone administration training, known as “Operation Save A Life” (OSAL) to anyone that wishes to attend, free of charge. Individuals that are residents of Franklin County are eligible to receive a free dose of intra-nasal naloxone upon completion of the OSAL training.
Trainings occur often and were offered virtually this past fiscal year to continue offering the training during the impacts of COVID-19. FFDA provides funding to contract with Healthy Communities Partnership (HCP) and Fulton County Family Partnership (FCFP) to deliver the
majority of the community-based trainings.
The SCA completes OSAL trainings for professionals as well as County of Franklin employees. Residents that wish to purchase the medication can do so at any Franklin County pharmacy, as 100% of them are carrying/dispensing the medication. Naloxone is also available and used by county first responders. Each of the six (6) law enforcement agencies in Franklin County are also
carrying/administering intra-nasal naloxone. In FY17/18, FFDA began serving as the Centralized Coordinating Entity (CCE) through PCCD and has continued this role throughout 2020-2021. The CCE’s role is to provide free intra-nasal
naloxone to agencies/organizations that serve as first responders in the county and these
definitions were broadened greatly in 2020. Current partners include agencies within the following categories: EMS/BLS/ALS, Fire & Rescue, Treatment Providers, Prevention Providers, Recovery Houses, Wilson College, Penn State Mont Alto, Mental Health Association, Children & Youth Services, Juvenile Probation Office, Adult
Probation Office, Hotels/Motels, Public School Districts (Nurses), South Central Community Action Council, Shippensburg University, and the Private K-12 School Sector. FFDA has expanded to offer Leave Behind Kits for EMS/BLS/ALS units that wish to participate.
Leave Behind Kits include the following: Pouch with OSAL branding and contact information of
SCA, non-latex gloves, mouth shields, Need Help Now hotline card, Naloxone, and Naloxone instruction pamphlet. 6. County Warm Handoff Process: Please provide a brief overview of the current warm handoff
protocols established by the county including challenges with the warm handoff process implementation.
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Warm Handoff Data:
# of Individuals Contacted 191
# of Individuals who Entered Treatment 104
# of individuals who have Completed Treatment
unknown
*Reported numbers are representative of the number of clients served with Warm Hand Off services through the contracted Recovery Liaison FY20/21 year to date (7/1/20-3/31/21)
Franklin County’s Warm Hand Off process is the primary model to address overdose survivors’ linkages to treatment. It is implemented in two out of the two hospital emergency room departments (Chambersburg Hospital and Waynesboro Hospital) in the county. In both hospitals, the crisis department can do an intake and referral for clients after they are medically
cleared by medical staff.
Additionally, the county contracts with a provider to offer Recovery Liaison services throughout Franklin County through PCCD funding. These funds provide a Recovery Liaison who is on call for law enforcement and is called out to work with clients with substance use concerns to help the individuals access treatment. The liaison position focuses on emergent care and
connects clients to treatment, however tracking of completion of treatment does not occur under the current system. This will be reviewed to see if data collection could be enhanced in future years.
FFDA will be entertaining ways to extend the warm hand off process to EMS/first responders
through the county’s Overdose Task Force in in the future. Please identify Challenges with Warm Handoff Process Implementation: Listed below are some of the Warm Hand Off process challenges and barriers for Franklin County:
1. The Warm Hand Off process in Franklin County is currently a partnership with a contracted agency providing a Recovery Liaison who is on call for law enforcement needs surrounding substance use. The local townships and jurisdictions call the Recovery Liaison to assist in helping clients to access treatment and resources as an emergent care resource. This
liaison helps refer clients to treatment and can set up services. One challenge with this
process is that some law enforcement jurisdictions do not call the liaison and that EMS doesn’t notify the liaison of an overdose if the client refuses transport. Work will continue in 2021-2021 to increase partnerships to increase consistent utilization of the Recovery Liaison and Warm Handoff process. 2. Additionally, referrals can be accepted from the hospital Emergency Room departments for
assessments and case management. The Crisis department at the Chambersburg and Waynesboro Emergency rooms can do referrals for substance use treatment services after the clients are medically cleared, however the clients often leave before completing their crisis intake.
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HUMAN SERVICES AND SUPPORTS/ HUMAN SERVICES DEVELOPMENT FUND (HSDF)
Please use the fields and dropdowns to describe how the county intends to utilize HSDF funds on allowable expenditures for the following categories. (Please refer to the HSDF Instructions and Requirements for more detail.) Dropdown menu may be viewed by clicking on “Please choose an item.” Under each service
category.
Copy and paste the template for each service offered under each categorical, ensuring each service aligns with the service category when utilizing Adult, Aging, Children and Youth, or Generic Services. Adult Services: Please provide the following: Program Name: Description of Services: Service Category: Please choose an item. No services are funded through the Block Grant Aging Services: Please provide the following:
Program Name:
Description of Services:
Service Category: Please choose an item.
No services are funded through the Block Grant. Children and Youth Services: Please provide the following: Program Name: Description of Services: Service Category: Please choose an item.
No services are funded through the Block Grant
Generic Services: Please provide the following:
Program Name: Information and Referral Coordination Description of Services: I&R provides a service that links individuals and the community through a
variety of communication channels, including in person presentations to local agencies to help educate the community of the various services throughout Franklin County. The I&R department is also the contact point for PA 211 coordination. In addition, I&R serve as the local Connect to Home Coordinated Entry Systems Access Center as a secondary option to the 211 system for those who are seeking housing services. This process allows individuals to be triaged, prescreened, and
assessed through HMIS so that appropriate services can assist in helping the individual achieve
permanent housing successfully. Service Category: Information & Referral - The direct provision of information about social and other human services, to all persons requesting it, before intake procedures are initiated. The term also includes referrals to other community resources and follow-up. Please indicate which client populations will be served (must select at least two):
Adult Aging CYS SUD MH ID HAP
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Specialized Services: Please provide the following:
(Limit 1 paragraph per service description) Program Name: Description of Services: No services are funded through the Block Grant
Interagency Coordination: (Limit of 1 page) If the county utilizes funds for Interagency Coordination, please describe how the funding will be utilized by the county for planning and management activities designed to improve the effectiveness
of categorical county human services. The narrative should explain both:
• how the funds will be spent (e.g., salaries, paying for needs assessments, and other allowable costs).
• how the activities will impact and improve the human services delivery system.
Franklin County Human Services Training Days is a 1 day event, held in April of each year, as a format to provide up-to-date training for those who serve in the human services profession. The participants who attend are from a wide array of human services agencies, faith-based organizations, not-for-profit, and medical programs and range from case managers, to support
staff, to directors and administrators. Our goal is to provide them with quality professional training that will enhance their skills, increase their professional development, and ensure that they are aware of the current trends in their profession. From the information they receive, agencies and staff can use the new tools as a way to take their existing and new programs and strengthen the
delivery of the service.
The event is held at the Rhodes Grove Conference Center, which is located in Chambersburg, Pennsylvania. The site is chosen because of the unique ability to provide space for 200 – 250 individuals to attend. All training is provided at no cost to those who are a part of the human services community.
The Franklin County Human Services Training Days format provides the opportunity for individuals to learn from several different areas in the field of human services. The event is kicked off by having a Keynote Speaker, who will present for an hour. Afterwards individuals will attend
one of the four 1.25 hour sessions/presentations that are occurring. A total of 12 sessions/presentations are held over the course of the one day. Individuals are given the opportunity to register for the specific classes that they feel they will benefit most from. From this, we can expect approximately 20-50 participants for each session, unless there is a request for a limit due to the nature of the presentation. These sessions will cover areas of topics that relate to
Veterans/Military, the Aging Community, Mental Health, Early Intervention, Intellectual
Disabilities, Services to Children, as well as ways to take care of ourselves as the human service professionals. If funding becomes available, the expenses associated with this event will be for the facility’s
fees, trainers and supplies. Franklin County Intro to Human Services is a second training event that provides individuals the ability to become educated directly on the specific services that the Franklin County Human Services Administration departments offer to the residents of Franklin County. The event is open
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to a wide array of human service agencies, faith-based organization, not-for-profits, and medical
programs and range from case managers, to support staff, to directors and administrators
Individuals are given an overview of each of the departments and how their services are able to benefit those in the Franklin County community. Departments include Veteran Affairs, Drug and Alcohol, Children and Youth Services, Area Agency on Aging, Mental Health, Intellectual and Developmental Disabilities, Early Intervention, Information and Referral, Housing and Grants Management, The session is held twice a year and there is no cost associated with this training
for participants Other HSDF Expenditures – Non-Block Grant Counties Only
If the county plans to utilize HSDF funds for Mental Health, Intellectual Disabilities, Homeless
Assistance, or Substance Use Disorder services please provide a brief description of the use and complete the chart below. Only HSDF-allowable cost centers are included in the dropdowns.
Category Allowable Cost Center Utilized
Mental Health
Intellectual Disabilities Homeless Assistance
Substance Use Disorder
Note: Please refer to Planned Expenditures directions at the top of Appendix C-2 for reporting
instructions (applicable to non-block grant counties only).
APPENDIX C-1 : BLOCK GRANT COUNTIES
HUMAN SERVICES PROPOSED BUDGET AND INDIVIDUALS TO BE SERVED
County: 1. 2. 3.4.5.6.
MENTAL HEALTH SERVICES
ACT and CTT
Administrative Management 329 256,663$ 5,000$
Administrator's Office 493,570$ 13,000$
Adult Developmental Training
Children's Evidence-Based Practices
Children's Psychosocial Rehabilitation
Community Employment 122 283,753$ 7,000$
Community Residential Services 42 1,976,207$ 47,000$
Community Services 2,473 1,032,383$ 25,000$
Consumer-Driven Services
Emergency Services 180 57,103$ 1,000$
Facility Based Vocational Rehabilitation 17 81,395$ 2,000$
Family Based Mental Health Services 2 24,822$ 600$
Family Support Services 3 6,407$ 175$
Housing Support Services 89 99,462$ 49,725$ 2,000$
Mental Health Crisis Intervention 2,712 134,045$ 3,000$
Other
Outpatient 11 5,355$ 100$
Partial Hospitalization
Peer Support Services 31 39,871$ 1,000$
Psychiatric Inpatient Hospitalization
Psychiatric Rehabilitation
Social Rehabilitation Services 96 333,286$ 8,000$
Targeted Case Management 249 264,961$ 5,000$
Transitional and Community Integration
TOTAL MENTAL HEALTH SERVICES 6,356 5,089,283$ 5,089,283$ 49,725$ 119,875$ -$
INTELLECTUAL DISABILITIES SERVICES
Administrator's Office 347,024$ 9,430$
Case Management 65 68,947$ 1,920$
Community-Based Services 100 289,116$ 32,000$
Community Residential Services 13 54,349$ 1,500$
Other
TOTAL INTELLECTUAL DISABILITIES SERVICES 178 759,436$ 759,436$ -$ 44,850$ -$
Franklin ESTIMATED
INDIVIDUALS SERVED
HSBG ALLOCATION
(STATE & FEDERAL)
HSBG PLANNED
EXPENDITURES
(STATE & FEDERAL)
NON-BLOCK GRANT
EXPENDITURES COUNTY MATCH OTHER PLANNED
EXPENDITURES
APPENDIX C-1 : BLOCK GRANT COUNTIES
HUMAN SERVICES PROPOSED BUDGET AND INDIVIDUALS TO BE SERVED
County: 1. 2. 3.4.5.6.
Franklin ESTIMATED
INDIVIDUALS SERVED
HSBG ALLOCATION
(STATE & FEDERAL)
HSBG PLANNED
EXPENDITURES
(STATE & FEDERAL)
NON-BLOCK GRANT
EXPENDITURES COUNTY MATCH OTHER PLANNED
EXPENDITURES
HOMELESS ASSISTANCE SERVICES
Bridge Housing
Case Management 212 55,658$
Rental Assistance 103 20,000$
Emergency Shelter 25 27,000$
Innovative Supportive Housing Services
Administration 11,000$
TOTAL HOMELESS ASSISTANCE SERVICES 340 113,658$ 113,658$ -$ -$
SUBSTANCE USE DISORDER SERVICES
Case/Care Management
Inpatient Hospital 14 22,640$
Inpatient Non-Hospital
Medication Assisted Therapy 20 47,800$
Other Intervention 152 15,200$
Outpatient/Intensive Outpatient 7 11,277$
Partial Hospitalization
Prevention 561 44,315$
Recovery Support Services 514 121,413$
Administration 43,580$
TOTAL SUBSTANCE USE DISORDER SERVICES 1,268 306,225$ 306,225$ -$ -$ -$
HUMAN SERVICES DEVELOPMENT FUND
Adult Services
Aging Services
Children and Youth Services
Generic Services 5,100 86,371$
Specialized Services
Interagency Coordination
Administration 9,597$
TOTAL HUMAN SERVICES DEVELOPMENT FUND 5,100 95,968$ 95,968$ -$ -$
GRAND TOTAL 13,242 6,364,570$ 6,364,570$ 49,725$ 164,725$ -$
Franklin County Human Services Plan 2021/2022
Appendix D:
Human Service Block Grant Committee Members:
James Fox (Aging Advocate Specialist)
Lorna Blanchard (Intellectual & Developmental Disabilities Advocate Specialist)
Zachary McCauley (Early Intervention/Family Advocate Specialist)
Michael Straley (Drug & Alcohol Advocate Specialist)
Erin Grant (Mental Health Advocate Specialist)
Greg Colbert (Homeless Assistance Advocate Specialist)
Sonja Payne (Member at Large Community Advocate)
Kim Crider (Health Planning Community Advocate)
Sherri Sullivan (Employment/Training/Education Community Advocate)
John Kratz (Faith Based Community Advocate)
Thomas Reardon (Housing/Homelessness Community Advocate)
Doug Wilburne (Criminal Justice Community Advocate)
Staff Members:
Julia Dovey (Fulton County)
Stacy Rowe* (Fiscal)
Ashley McCartney (Fiscal)
Stacie Horvath * (Human Services Administrator)
Sharyn Overcash (Human Services)
Payton Mummert (Human Services)
Stacey Brookens* (Mental Health/Intellectual & Developmental Disabilities /Early Intervention)
Erin Nye (Mental Health/Intellectual & Developmental Disabilities /Early Intervention)
Jane Cline (Intellectual & Developmental Disabilities)
Marion Rowe (Intellectual & Developmental Disabilities)
Lori Young (Intellectual & Developmental Disabilities)
Jim Gilbert (Mental Health)
Cori Seilhamer (Mental Health)
Glenda Helman* (Grants)
Minnie Goshorn * (Children & Youth Services)
Justin Slep* (Veterans Affairs)
Melissa Reisinger* (Tuscarora Managed Care Alliance)
Christy Unger* (Drug & Alcohol)
James Eagler* (Drug & Alcohol)
Katelyn Becker (Drug & Alcohol)
Shawn Haines* (Aging)
Ashley McCullough* (Aging)
Bonnie Speaks* (Fiscal)
Stacy Yurko (211/ Information & Referral)
*denotes Leadership Team Members
Appendix E
First Name*
Last Name*
Department*
Phone Number or Ext*
Email*
Date Needed*
Resources Requested*
Request Detail*
Provide Supporting Documentation*
Website Change Request
I understand that all images provided must be properly licensed in order to prevent potential fines/legal fees.
If any attached file contains images/graphics that are not (or may not be) licensed, I have included this information in the "Request Detail" above.
I agree with the statement above*
File Upload*
Sharyn
Overcash
Human Services Admin
21824
sdovercash@franklincountypa.gov
7/1/2021
County Website Press Release Facebook
LinkedIn Twitter Intranet
Other
Hello
Will you please post the HSBG Ad for me?
Thank you!
Sharyn
Do you have supporting content to include?
Yes No
Website Action*
Website Content*
Page Address (URL)
Website Request Details*
Add New Content Edit Existing Content
Front Page Banner Department Pages Event Calendar
Press Release Staff Listing Sidebar Item
Paste page address (if applicable)
Please post the attached Human Services Block Grant Meeting Ad.
Thank you!
Sharyn
Yes
Include any additional documentation/information pertinent to this request
Newspaper ad 7-13 & 7-21-2021.docx 18.7KB