Referral to A2QC Behavioral Health Knox County

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Referral to A2QC Behavioral Health Knox County Patient contacts (CP) Patient doesn t qualify for CP Patient determined to need behavioral health services CP contacts collaborating agencies to determine if there is capacity for this patient to be seen by an intern Capacity: patient seen and tracked No capacity: patient referred to Knox Clinic Patient enrolled in Patient determined to need behavioral health services CP refers patient to Acadia, MBH or MAS Counseling program Capacity: patient seen and tracked No capacity: patient referred to Knox Clinic Grant collaborator (Free Clinic, Acadia, MBH or MAS) sends referral to Knox CP Patient enrolled in Patient doesn t qualify for CP CP refers patient to Acadia, MBH or MAS Counseling program Patient declines CP Referring agency tracks patient referral info for grant

MeHAF A2QC Knox/Waldo Behavioral Health Collaborators A2QC grant MaineHealth Carol Zechman 662-7960 Sarah Gerrish 662-7958 Janice Grant 662-7951 Knox County Clinic Meredith Batley Judith Hatch Orme 921-6993* Acadia Health Beth Mitchell 944-4069 MAS Kim Walker 322-7490 Maine Behavioral Health Michael Morse 701-4492 Blanca Gurrola 661-6559 Knox Joy Osterhout 921-3962 Julie Dorey 921-3967 Brian England Janet May Emily Carver Michael Morse is her supervisor Waldo Joy Osterhout Linda Weymouth 930-2644 Melissa Moody 930-2644 *Judith s days are Tue, Wed afternoon-evening, Thu (just a couple of hours) Jenny Roberts^ Kyle Reniche (701-4433) is her supervisor (Access Manager) ^Jenny is working in Belfast in the day treatment program, grant patients not being referred to her

Agency Roles/Personnel Overview MaineHealth will provide overall project direction, management and evaluation. Carol Zechman, MSW, LCSW (Project Co-Director), Director Access to Care, will provide oversight, complete grant reporting, communicate weekly with all collaborators, request data, facilitate meetings, troubleshoot barriers and organize activities. Sarah Gerrish, Assistant Program Director will work with project partners to implement the project; manage internal data; collect all weekly, and ad hoc data, develop for materials for distribution and generates reports in collaboration with project partners. Jennifer Maillet, Database Administrator, will modify ' existing data collection software system, and assist in the collection of data from internal sources (e.g., health assessments, provider and enrollee surveys). Janice Grant, Administrative Specialist 2 is responsible for scheduling meetings, coordinating group communication and assists with budget processing. Joy Osterhout (Project Co-Director), Regional Director, Community Health & Wellness and Access to Care Programs Pen Bay, is the Coordinator for Knox and Waldo counties. Joy provides direct program support, collaboration and marketing Knox and Waldo staff- manage referrals, triage agency referrals based on numbers and location, track data and work directly with all individuals referred as well as all collaborators. Maine Behavioral Healthcare (MBH) will provide 30+ hours of training for all interns, in Portland and/or Rockland, and via web conferencing. s will be trained in the use of comprehensive, evidence-based tools, and will participate in bi-monthly Peer Support sessions (in-person and via web conferencing) where they will review cases and - with guidance from an outside supervisor -- discuss potential solutions. MBH will also oversee a process of facilitator-led stakeholder discussions to identify expanded options for free/reduced cost behavioral health treatment. Maine Behavioral Healthcare will assess numbers of clients seen, demographics, health indicators, referral status, and hours of treatment provided using their electronic health record (EHR) system. MBH will also assess hours of intern training, peer support and supervision via attendance logs; and consumer satisfaction via enrollee surveys. Maine Behavioral Healthcare (Rockland) will provide supervision for 1 to 2 clinical interns, each serving 6 to 10 clients for 16 to 20 hours per week. Blanca Gurrola & Michael Morse will collaborate with project partners to develop the intern training and peer supervision; coordinate with academic institutions; and gather and use feedback to improve the program. Kyle Reniche, Access Manager, will coordinate intern training and is responsible for supervision of one of the interns. Fall 2016, interns are Emily Carver & Jenny Roberts. Acadia Healthcare, through a new clinic in Rockland, will provide training and supervision for 1 to 2 clinical interns, each serving 8 to 10 clients for 20 to 35 hours per week. Andrea M. Gray, MSW, LCSW, Program Manager, will collaborate on the design of the intern training; select, train and supervise trainees; and participate in project management and evaluation. Fall 2016 intern is Brian England.Acadia Healthcare will assess numbers of clients seen, demographics and health indicators using standard forms, and client needs using and Acadia data. Hours of treatment and intern supervision will be assessed using Acadia's systems; hours of intern training and peer support will be tallied via attendance logs; and consumer satisfaction assessed via supervisors.

MAS Community Health will provide training and supervision for 1 to 2 clinical interns (increasing to 3 to 4 after Year 1), each serving 6 to 12 clients for 15 to 30 hours per week. Kim Walker will collaborate on the design of the intern training; select, train and supervise trainees; and participate in project management and evaluation. Fall 2016 intern Janet May. MAS Community Health will assess numbers seen, demographics, health indicators, and client needs using their electronic health record (EHR) system, their Referral Coordinator, and Comp Assessments. The Referral Coordinator will monitor referral status and hours of treatment using their EHR. Hours of training, peer support and supervision of interns will be tracked by supervisors and logs. Consumer satisfaction will be assessed via agreed-upon surveys. All three agencies will provide mental health care for clients screened and referred by, using a "brief treatment" (10-12 session) model, over a 5 to 9 month period. Knox County Health Clinic (KCHC) - will continue to convene a community driven Steering Committee (described above), and, as a primary source of care for the uninsured, will continue to collaborate on the project, and actively refer clients to partner agencies. Meredith Batley, Executive Director of the Knox County Health Clinic (and Project Manager for the planning grant) has overseen volunteer medical, dental, prescription and mental health services for low income uninsured and underinsured patients in Knox County since 2009. She will continue convening the Steering Committee, and oversee KCHC's referrals. Judith Hatch-Orme provides direct behavioral health services at KCHC, makes referrals to CP for the grant and participates in project management and evaluation. Pen Bay Healthcare - Will financially support local Knox County program operations; engage in discussion with MBH about new financing strategies to serve uninsured individuals; and continue to have high level administrative staff serve on the Steering Committee. Waldo County Healthcare and LincolnHealth - Will financially support Waldo County and Lincoln County program operations, respectively. A2QC Grant: Referrals to Behavioral Health s Pathway Clients may seek out on their own or be referred by the Knox Clinic or other practice, provider or agency. If clients are assessed to need behavioral health services, refers them to the A2QC grant interns at Acadia, Maine Behavioral Health and MAS Community Health. These will be clients who qualify for. If a client does not qualify for but has a need for behavioral health services, the referral will be made. The organizations can decide whether the interns have capacity for these additional clients. If clients present themselves at one of the behavioral health organizations, they will be referred to to access eligibility. The behavioral health organizations may choose to start working with the clients before they can be accessed by as intern capacity allow.

MeHAF A2QC Behavioral Health Collaborators A2QC Grant MaineHealth Carol Zechman 662-7960 zechmc@mainehealth.org Karen Deshaies 662-7961 Kdeshaies@mainehealth.org Savannah Young 662-7951 syoung@mainehelath.org Joy Osterhout- Consultant joyosterhout@gmail.com Cumberland Michelle Adams Program Supervisor 662-2753 York Nate Brough Program Supervisor 490-7483 Waldo Mike Rich Program Supervisor 921-3961 Julie Dorey 921-3967 Knox County Clinic Meredith Batley Judith Hatch Orme 921-6993 SequelCare of Maine Merrilee Dahm Larsen 505-6637 Kay Henderson Supervisor 505-1470 Karen Hansen Waldo & Knox 450-0486 Maine Behavioral Health Michael Morse Supervisor 701-4492 Bianca Gurrola Training 661-6559 Gregory Jeffrey 701-4448 Health Affiliates Maine Mary Small Clinical Supervisor 333-3278 x243 Heather Moreau Clinical Supervisor 333-3278 x234 Cindy Mailhot Clinical Supervisor Karen Hardy Affiliate Field Supervisor 495-9096 Angela Ward emmilost@gmail.com Stephanie Thompson Knox Mike Rich Program Supervisor Melissa Moody and Linda Weymouth 930-2644

MEHAF ACCESS TO QUALITY CARE GRANT AGENCY ROLES/PERSONNEL OVERVIEW MaineHealth will provide overall project direction, management and evaluation. Carol Zechman, MSW, LCSW (Project Co-Director), Director Access to Care, will provide oversight, complete grant reporting, communicate weekly with all collaborators, request data, facilitate meetings, troubleshoot barriers and organize activities. Karen Deshaies, Program Coordinator, will work with project partners to implement the project; manage internal data; collect all weekly, and ad hoc data, develop materials for distribution and generates reports in collaboration with project partners. Savannah Young, Administrative Specialist 2, is responsible for scheduling meetings, coordinating group communication and assists with budget processing. Mike Rich, Regional Director of Community Health Services at Pen Bay Medical Center and Waldo County General Hospital, is the Coordinator for Knox and Waldo counties and oversees CarePartner staff at both sites. Knox and Waldo staff, Julie Dorey (K), Linda Weymouth (W), and Melissa Moody (W), manage referrals, track data and work directly with all individuals referred as well as all collaborators. Michelle Adams, Program Supervisors/Coordinator for Cumberland County Nathan Brough, Program Supervisor/ Coordinator York County Maine Behavioral Healthcare MBH will provide 30+ hours of training for all interns, in Portland and/or Rockland, and via web conferencing. s will be trained in the use of comprehensive, evidencebased tools, and will participate in bi-monthly Peer Support sessions (in-person and via web conferencing) where they will review cases and - with guidance from an outside supervisor -- discuss potential solutions. MBH will also assess hours of intern training, peer support and supervision via attendance logs; and consumer satisfaction via enrollee surveys. Maine Behavioral Healthcare (Rockland) will provide supervision for 1 to 2 clinical interns, each serving 6 to 10 clients for 16 to 20 hours per week. Blanca Gurrola & Michael Morse will collaborate with project partners to develop the intern training and peer supervision; coordinate with academic institutions; and gather and use feedback to improve the program. Michael Morse will provide supervision for MBH interns. Current intern is Gregory Jeffrey. SEQUELCARE OF MAINE SequelCare of Maine will provide supervision for 1 to 2 clinical interns, each serving between 1 or more clients each week. Kay Henderson will supervise an intern in Knox County at our Rockland office. Current intern,, Karen Hansen. Alexander Katopis will supervise potential intern(s) in our Yarmouth office. Merrilee Dahm Larsen will collaborate with project partners and provide oversight of clinical intern program.

Knox County Health Clinic KCHC will continue to convene a community driven Steering Committee (described above), and, as a primary source of care for the uninsured, will continue to collaborate on the project, and actively refer clients to partner agencies. Meredith Batley, Executive Director of the Knox County Health Clinic (and Project Manager for the planning grant) will continue convening the Steering Committee, and oversee KCHC's referrals. Judith Hatch-Orme provides direct behavioral health services at KCHC, makes referrals to CP for the grant and participates in project management and evaluation. Health Affiliates Maine Health Affiliates Maine (HAM) will provide supervision for 2 clinical interns serving clients under the grant in the Cumberland and Kennebec counties through our Agency Supervisors and Affiliated field supervisors. Mary Small, LCSW, Clinical ship Coordinator will coordinate the placements of the students and act as a liaison between the affiliates, supervisors, agency and grant partners. Current intern, Angela Ward. Cindy Mailhot, LCSW, CCS will provide group and individual supervision to a student interning in Cumberland county. Current intern, Stephanie Thompson. Heather Moreau will provide group supervision and support to affiliated clinician, Karen Hardy, hosting a student intern in Kennebec county. Karen will provide individual supervision and will host the student placement in Kennebec County. A2QC GRANT: REFERRALS TO BEHAVIORAL HEALTH INTERNS PATHWAY Clients may seek out on their own or be referred by the Knox Clinic or other practice, provider or agency. If clients are assessed to need behavioral health services, refers them to the A2QC grant interns at Maine Behavioral Health and Sequel Youth Services. These will be clients who qualify for. If a client does not qualify for but has a need for behavioral health services, the referral will be made. The organizations can decide whether the interns have capacity for these additional clients. If clients present themselves at one of the behavioral health organizations, they will be referred to to access eligibility. The behavioral health organizations may choose to start working with the clients before they can be accessed by as intern capacity allows however, Melissa Moody from should be consulted to review the waitlist for services and to be informed that a space has been taken. Behavioral Health agencies will provide mental health care for clients screened and referred by, using a "brief treatment" (10-12 session) model, over a 5 to 9 month period.