Services for the UnderServed Supported Scatter-Site Housing Mobile Team I & II Wanda Cruz-Lopez, MSA, MSW Senior Vice President Behavioral Health
SUS Supported Scatter-Site Housing Mobile Teams The multi-disciplinary Supported Housing Mobile Teams support recovery through a highly individualized approach that provides tenants with the tools to secure and maintain their housing, employment, relationships and relief from negative symptoms. Mobile Team I - 252 tenants Developed in 2007 Mobile Team II -276 tenants Developed in 2014 Funding for the 528 units provided by the Office of Mental Health
Decision to Change Mobile Team I What We Had 10 distinct Housing Programs Staffing pattern consisted of a Program Director, Assistant Program Director and Case managers Staff had no particular specialty training We were limited in the services which we could provide to our tenants High number of grievances, incidents, hospitalizations What We Wanted Better coordination of services To Provide staff with an efficient and effective methods of intervention, particularly in times of crisis Quicker response to ongoing issues Reduction in incidents, hospitalizations and grievances
The Multi-Disciplinary Team Composition members of the team function as specialists in the areas of nursing, psychiatry, substance abuse, family education, vocational services, Peer support, but also function as generalists in service provision the entire team is responsible for developing relationships, meeting with, delivering and documenting services to each tenant. frequent team communication ensures that all team members are familiar with all recipients, that crises are rapidly addressed with input from multiple team members, that strategies for addressing recipient difficulties are integrated across the disciplines and treatment approaches and, that team resources are allocated most efficiently.
PROGRAM STRUCTURE Team Leader Assistant Team Leader/Community Liaison Psychiatrist Administrative Assistant Nurse Service Coordinator Service Coordinator Service Coordinator Service Coordinator Peer Specialist Maintenance Centralized Departments Maintenance Property Management-Real Estate Entitlements Intake Rent Collection Quality Assurance-Grievances/Incidents Service Coordinator Service Coordinator
PROGRAM ORGANIZATION OFFICES: Mobile Team I 1491 Broadway, Brooklyn Mobile Team II- 186 East123rd Street, Harlem OFFICE HOURS 9-7 PM 5 DAYS A WEEK CRISIS INTERVENTION The Mobile teams operate on a continuous after-hours on-call system and respond to emergencies, both in person and by telephone. Each team member has a cell phone and there is a rollover on-call phone number.
FREQUENT and DETAILED COMMUNICATION AND DOCUMENTATION
Team Meetings / Protocol Team Meetings / Protocol The Mobile team meets three times per week. The team meeting are critical for sharing information about the tenant s functioning and expressed needs. Team Meetings are short and include: A discussion of all tenants receiving Protocol III services Routine service review of 20-25 tenants at each meeting Updates and revisions to the staff schedule to meet tenant needs Support plan review and revision
LEVEL OF CARE PROTOCOL RISK MANAGEMENT The Mobile Team has the capacity to increase and decrease contacts based upon daily knowledge of the tenant s clinical needs PROTOCOL I- ONGOING SERVICES PROTOCOL II- CRISIS PREVENTION Tenants receive services from Service Coordinator. May need time limited services from other team members. Tenant receive services from Service Coordinator. Discussion indicates tenant s need for services from other team members, particularly the services of the, Nurse and Psychiatrist due to crisis and medical need. Apartment maintenance management-tenant s maintenance issues, concerns and repairs are discussed and a plan of action is immediately formulated Rent Collection-helping tenants to avoid court litigation/eviction PROTOCOL III-CRISIS INTERVENTION Discussion indicates tenant s need for extended services from several team members
TEAM COMMUNICATION Team maintains a weekly schedule of contacts and activities for each tenant. A daily team schedule containing a list of tenant s to be contacted and the interventions planned for each contact, scheduled paperwork time, supervision meetings and other rehabilitation and service activities scheduled to occur that day. A daily communication and significant event board to make the team aware of high risk situations or other safety issues which may need to be addressed in providing services. Significant tenant issues and observations made by staff between team meetings are recorded on the board prior to the end of the staff person s work day and discussed at the next team meeting. Use electronic messaging for communicating in real time regarding consumer updates
Incidents 2009-2015 Mobile Team 1 - Incidents 18 "2015 13 "2014 "2009 "2010 28 "2013 "2011 30 "2012 "2012 "2013 23 "2011 "2014 17 "2010 "2015 21 "2009 0 5 10 15 20 25 30
Grievances 2010-2014 Mobile Team 1 - Grievances "2010 "2011 "2012 "2013 19 19 59 31 52 "2014