Program and Activity Detail Worksheet

Transcription

1 Program Title and Org. Code Mental Health Services and Supports (4800) Title and Org. Code Comprehensive Psychiatric Emergency Program (4845) Responsible Individual Name Cynthia Holloway, Crisis & Emergency Services Responsible Individual Title Director Number of FTEs 71 Provides mental health services to adults in a psychiatric crisis with a Functions/Responsibilities need for stabilization to prevent harm to themselves or others. Services are enhanced to convert hospitalizations, prevent decompensation, and provide mobile crisis intervention for this same population. Services within the - Psychiatric, medical, and social work assessments - Medication, stabilization, counseling, and observation monitoring - Referrals for APRA and CSA services - Treatment and discharge planning FY12 Performance Measures - What is the total number of CPEP admissions during FY12? Please provide a breakdown by month and note whether or not the individual was brought to CPEP by the police department or other known source (e.g. case worker). - What is the average length of stay for a patient at CPEP? - What has been the utilization of the 8 extended observation beds? How many of the CPEP admissions have been transferred to the extended observation beds? What is the average length of stay? - The number of individuals served at CPEP linked to substance abuse services during FY12? FY12 Performance Outcomes average length of stay at CPEP is 19 hours. average length of stay in an extended observation bed is 23.5 hours. FY13 Performance Measures FY13 Performance Outcomes (to date) 296 referrals to APRA s intake program. - What is the total number of CPEP admissions during FY12? Please provide a breakdown by month and note whether or not the individual was brought to CPEP by the police department or other known source (e.g. case worker). - What is the average length of stay for a patient at CPEP? - What has been the utilization of the 8 extended observation beds? How many of the CPEP admissions have been transferred to the extended observation beds? What is the average length of stay? - The number of individuals served at CPEP and referred to substance abuse services during FY12? - The number of individuals discharged back to the community (i.e., not hospitalized). The number of mobile crisis service referrals that remained in care at the community (versus hospitalizations) level? 45 referrals to APRA from October 1, 2012 through January 31, 2013 Other Comments: None

2 Program Title and Org. Code Mental Health Services and Supports (4800) Title and Org. Code Homeless Outreach Program (4855) Responsible Individual Name Bob Glennon Responsible Individual Title Homeless Services Coordinator Number of FTEs 8 Functions/Responsibilities Conducts outreach to engage homeless consumers with mental illness, and provides temporary case management to these individuals as they are linked to services provided by Core Service Agencies (CSA) and other community resources. Services within the Community-based services include: engagement, assessment, crisis intervention, linkage to services, care coordination, and follow-up; community consultation and education; and traveler s assistance. Staff also advise and provide technical assistance and training to community providers that are unfamiliar or do not regularly work with the homeless population. FY12 Performance Measures 1. Provide mental health services to at least 1100 unduplicated homeless consumers. 2. Increase outreach to identified mentally ill homeless consumers. 3. Provide intensive interim case management services for high risk consumers (to include clinical services). 4. Identify consumers not linked to CSA/ACT services, and actively link/engage them into services. 5. Develop data system to track number of crisis and other calls for service. 6. Provide supportive services to all engaged consumers (i.e. housing assistance, care coordination, healthcare linkages) 7. Provide technical assistance and education to other community organizations serving the homeless population. FY12 Performance Outcomes unduplicated consumers engaged including 110 children % of consumers had a diagnosis of mental illness (increase from 57% in FY 11); 22% had co-occurring conditions (substance abuse and mental illness) clinical services provided (i.e. assessments, treatment/discharge planning, medication assistance, and primary care assistance) consumers linked to CSAs and 25 consumers referred to ACT services. 5. HOP received 1059 referrals or requests for assistance; 232 (22%) of those referrals were crisis calls requiring immediate response and intervention supportive services provided to all consumers (i.e. care coordination, benefits/ ID, housing assistance, travel vouchers). 7. Facilitated 11 Emergency Rounds meetings to address needs of high risk chronically homeless consumers; facilitated 8 Women s Provider meetings; weekly visits to 20 liaison sites (shelters, meal programs, day program/ drop-in

3 centers); participate in training of MPD Crisis Intervention Officers (CIO). FY13 Performance Measures 1. Provide mental health services to at least 1100 unduplicated homeless consumers. 2. Increase outreach to identified mentally ill homeless consumers. 3. Provide intensive interim case management services for high risk consumers (to include clinical services). 4. Identify consumers not linked to CSA/ACT services, and actively link/engage them into services. 5. Develop data system to track number of crisis and other calls for service. 6. Provide supportive services to all engaged consumers (i.e. housing assistance, care coordination, healthcare linkages) 7. Provide technical assistance and education to other community organizations serving the homeless population. FY13 Performance Outcomes (10/1/12 1/31/13) unduplicated consumers engaged including 48 children % of consumers had a diagnosis of mental illness; 18% had co-occurring conditions (substance abuse and mental illness) clinical services provided (i.e. assessments, treatment/discharge planning, medication assistance, and primary care assistance) consumers linked to CSAs and 7 referred to ACT services 5. HOP has received 352 referrals or requests for assistance; 58 of those referrals were crisis calls requiring immediate response and intervention supportive services provided to all consumers (i.e. care coordination, benefits/ ID, housing assistance, travel vouchers). 7. Facilitated 4 Emergency Rounds meetings to address needs of high risk chronically homeless consumers; facilitated 2 Women s Provider meetings; weekly visits to 20 liaison sites (shelters, meal programs, day program/ drop-in centers); participate in training of MPD Crisis Intervention Officers (CIO).

4 Program Title and Org. Code Division of Care Coordination, 4835 Title and Org. Code Care Coordination 4835 Responsible Individual Name Lisa Bullock, PhD Responsible Individual Title Director, Care Coordination Number of FTEs 19 Counselors and Care Coordinators activities include: Functions/Responsibilities Enrollment Authorization for specialty services such as ACT, Rehab Day Services, crisis beds and involuntary hospitalization admissions Crisis response and deployment of adult and children mobile crisis services Discharge planning Coordination of services Crisis counseling and suicide intervention Services within the Prior authorization and reauthorization of services Authorization of involuntary admissions to Saint Elizabeths and community hospitals Authorization of continued stay at crisis beds Respond to referrals from the community and other agencies Manage 24/7 crisis counseling and suicide prevention lines Enrollment into and disenrollment from services Information and referral services about mental health services and how to access care FY12 Performance Measures Ensure calls answered in professional manner Decrease rate of missed or abandoned calls to less than 3 % Answer all crisis line calls within 6 rings Authorized services within hours FY12 Performance Outcomes Customer service abandoned call rate at 3% Calls answered courteously and professionally Authorized services completed within hours All crisis line calls answered 81% of time within 6 rings FY13 Performance Measures Access to services with denial rate of less than 5% per authorized service Customer Service with decreased rates of missed or abandoned calls-average of 3%-4% Provide complete follow-up on Response and Resolution calls Answer 90% of all crisis line calls within 6 rings Authorized services within hours

5 FY13 Performance Outcomes (to date) Denial rates for authorized services remain 2% Customer service abandoned call rate at 4% Response and Resolution calls followed 92% of the time Authorized services completed within hours Crisis line calls answered 82% of time within 6 rings

6 Program Title and Org. Code Mental Health Services and Supports (4800) Title and Org. Code Supported Housing (4815) (4805) Responsible Individual Name Alexis I. Haynes, LICSW Director, Adult Services LaRessa Poole, LPC-Interim Housing Director Estelle Richardson, LICSW Residential Services Responsible Individual Title Alexis Haynes, LICSW Director, Adult Services Number of FTEs 6 This program provides access to housing resources and Functions/Responsibilities housing which includes supported independent living (SIL) and Contracted Community Residential Facility (CRF), Transitional Housing services and housing subsidies for supported housing. Services within the Contract CRF-24 hour supervised housing, staffed with trained residential counselors. Able to provide emergency psychiatric services and provide clinical monitoring of individuals in care. Transitional Housing-short term 24 hour Community Residential Facility housing. Intended as transitional housing for individuals needing psychiatric stabilization and skills training in order to move into independent community living situations. Supported Independent Living-community based living arrangement for individuals not in need of 24 hour supervision. Program supports provided in the home as needed. Home First Subsidy Program-DMH bridge subsidy voucher program. FY12 Performance Measures Use the Critical Time Intervention model of support to reduce the number of individuals in congregate care residing in Contract CRFs. Increase the number of housing subsidies by 100 in FY12. FY12 Performance Outcomes Moved 21 consumers from Contract CRFs to independent housing. Awarded 118 housing subsidy vouchers FY13 Performance Measures Increase by 12 the number of consumers moving from from Contract CRF s to less restrictive housing. Increase the number of subsidy awards by 200.

7 FY13 Performance Outcomes (to date) Awarded 11 subsidy awards as of December 31, 2012.

8 Program Title and Org. Code Mental Health Services Division Adult Services/35 K Street NE Title and Org. Code Mental Health Services Division (4840) Responsible Individual Name Theresa Donaldson LICSW, CPM Steven Whitefield MD Responsible Individual Title Director Number of FTEs 72.6 Functions/Responsibilities MHSD is responsible for managing the government operated mental health services for adults and children to ensure accessibility and effectiveness of services and cost efficient use of resources. The MHSD provides specialized mental health services that are not otherwise readily available within community provider network. Services within the Same Day Service for walk-ins who need immediate assessment or medication. Interventions include triage, assessment, supportive counseling, crisis intervention, medication services and linkage to ongoing services. Individuals are seen for psychiatric services until they have connected with their community provider psychiatrist. The Physicians Practice Group provides psychiatric services to individuals seen for Same Day Service and consumers who need medication management only. It also provides psychiatric services to support the private provider network. Pharmacy services for consumers, primarily for uninsured consumers Multicultural services for the diverse, racial and cultural communities that are culturally and linguistically appropriate Services for the deaf or hard of hearing Integration of mental health treatment with primary health Pre-trial competency restoration FY12 Performance Measures Complete Same Day Service assessment within three hours Meet productivity standard of 60% and 65% for physicians 100% prescriptions filled same day or within business day Achieve score of 85% on Community Service Review FY12 Performance Outcomes Same Day assessment required on average four hours 100% Prescriptions were filled same day or within business day Productivity standard partially achieved; Performance Improvement Plans in place Community Service Review was not held

9 95% of consumers will have a primary health care provider: partially achieved FY13 Performance Measures FY13 Performance Outcomes (to date) Complete Same Day Service assessment within three hours Meet productivity standard of 60% and 65% for physicians 100% Prescriptions were filled same day or within business day Cross train Front Desk Staff and implement rotation Conduct consumer satisfaction surveys Not more than 1% of claims greater than 45 days old will be in suspense: 15% decrease in active consumers with no services provided in 90 days Complete at least 8 hours of approved training in cultural competency Treatment plans and requests for service authorization will be entered into the ecura system within 48 hours Performance Improvements plan have yielded improvements in productivity and additional staff are now meeting the target