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3/9/2020 1 CCESJC CORE TREATMENT MODEL WORKGROUP MARCH 9, 2020 How can we provide the best and highest quality behavioral health care? 1 2

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Page 1: Á v Á } À ] Z v Z ] P Z µ o ] Ç Z À ] } o Z o Z M · 2020-06-23 · Title: Microsoft PowerPoint - 2020 Feb CCESJC - Final Author: RImperial Created Date: 3/9/2020 7:47:17 AM

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CCESJC CORE TREATMENT MODEL WORKGROUP MARCH 9, 2020

How can we provide the best and highest quality behavioral health care?

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Page 2: Á v Á } À ] Z v Z ] P Z µ o ] Ç Z À ] } o Z o Z M · 2020-06-23 · Title: Microsoft PowerPoint - 2020 Feb CCESJC - Final Author: RImperial Created Date: 3/9/2020 7:47:17 AM

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What is the Performance Measures?Performance measures simply gives BHRS the means to know how well we’re doing at providing services and improving lives (Better Off).

What works?What we propose to do to improve progress?Feasible, high-impact actions/strategies with specific timelines and deliverables.

Partners?Partners with roles to play in improving progress.

Performance MeasuresPopulation: Adults/Children with SMI/SED with functional impairmentBetter Off PM: Improved Functioning/Reduced Impairment

What Works: Treatment • Medication Services: Medication prescription,

administration, and monitoring. • Mental Health Clinical Services

Assessment*Crisis Prevention/Intervention1:1 & Group Clinical Intervention RehabilitationCare & Services Coordination

• Family, Peer and Community Support

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Page 3: Á v Á } À ] Z v Z ] P Z µ o ] Ç Z À ] } o Z o Z M · 2020-06-23 · Title: Microsoft PowerPoint - 2020 Feb CCESJC - Final Author: RImperial Created Date: 3/9/2020 7:47:17 AM

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Family, Peer and Community Support

Clinical Services • Assessment*• Crisis Prevention/Intervention• 1:1 & Group Clinical Intervention • Rehabilitation• Care & Services Coordination

Medication ServicesMedication prescription, administration, and monitoring.

Behavioral Health Specialist Behavioral Health AdvocateClinical Service TechnicianCommunity Clerical Aid

Mental Health Clinicians*Behavioral Health Specialist Clinical Service Technicians

PsychiatristRegistered NurseOther prescribers

Treatment Services Providers

TBD

TBD

TBD

Clinical Standards

Adults/Children with SMI/SED with functional impairment

Increase functioning / Decreased impairmentAs measured by the LOCUS/CANS/DCR/Perception Surveys

Population

Performance Measure“Better Off”

Core Treatment Model Strategies to Increase Functioning & Decrease Impairment

Performance Measures “How well we provide services”

Client & Provider Engagement / Access to Services / Medi-Cal Key Indicators / Provider Clinical Skill / Appropriate Level of Care Placement & Interventions

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Mental Health Treatment RBA Framework (DRAFT)

Assessment Observation Services (W/M only) Individual CounselingGroup CounselingCare/Service CoordinationRecovery Services

Medication Services*Physical Health ReviewMedical NecessityAssessment/DiagnosisWithdrawal Management

Physician/Extender*Mental Health Clinicians

Mental Health CliniciansBehavioral Health Specialist Clinical Service Technicians

Treatment Services Providers

TBD

TBD

Clinical Standards

Adults/Youth with Substance Use Disorders – Mild, Moderate, Severe

Increase functioning and Decreased impairmentAs measured by the ASAM/CalOMS/TPS/Discharge Codes/Alcohol and Drug Screening

Population

Performance Measure“Better Off”

Core Treatment Model Strategies to Increase Functioning & Decrease Impairment

Performance Measures “How well we provide services”

Alcohol and Drug screening / Client & Provider Engagement / Access to Services / Medi-Cal Key Indicators / Provider Clinical Skill / Appropriate Level of Care Placement & Interventions / Treatment Longevity

Substance Use AssistanceEngagement

Community Clerical Aid Volunteers TBD

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Substance Use Disorder Treatment RBA Framework (DRAFT)

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Page 4: Á v Á } À ] Z v Z ] P Z µ o ] Ç Z À ] } o Z o Z M · 2020-06-23 · Title: Microsoft PowerPoint - 2020 Feb CCESJC - Final Author: RImperial Created Date: 3/9/2020 7:47:17 AM

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PRINCIPLE STANDARDeffective, equitable, understandable, and respectful quality care and services

CLAS Standards

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Page 5: Á v Á } À ] Z v Z ] P Z µ o ] Ç Z À ] } o Z o Z M · 2020-06-23 · Title: Microsoft PowerPoint - 2020 Feb CCESJC - Final Author: RImperial Created Date: 3/9/2020 7:47:17 AM

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CLASStandard Action

Effective

Equitable

Understandable

Respectful Care

Principle Standard: Provide effective, equitable, understandable, and respectful quality care and services that are responsive to diverse cultural health beliefs and practices, preferred languages, health literacy, and other communication needs.

Responsive to…1. Diverse cultural health beliefs and practices

2. Preferred languages

3. Health literacy: the degree to which individuals have the capacity to obtain, process, and understand basic health information needed to make appropriate health decisions.

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Page 6: Á v Á } À ] Z v Z ] P Z µ o ] Ç Z À ] } o Z o Z M · 2020-06-23 · Title: Microsoft PowerPoint - 2020 Feb CCESJC - Final Author: RImperial Created Date: 3/9/2020 7:47:17 AM

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Behaviors Practices Policies

Attitudes Structures

National Center for Cultural Competence

Cultural competence requires that organizations have a clearly defined, congruent set of values and principles, and demonstrate behaviors, attitudes, policies, structures, and practices that enable them to work effectively cross-culturally.

CLAS: Emerging Draft Actions Standard Action

Equitable

Understandable Health Literacy Plan • Develop communication tools to explain the treatment process and how to

access services and supports • Develop health literacy training and staff capabilities (Healthcare model)

Respectful Care Respect and Dignity Plan• Develop behavior expectations and standards on how to treat clients and

families with dignity and respect • On-boarding and on-going learning sessions

Program Hospitality and Welcoming Plan• All BHRS programs have baseline look and welcoming process

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