cecil county core service agency role, functions & services july 21, 2011 gwen parrack, msw...
TRANSCRIPT
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Cecil CountyCore Service Agency
“Role, Functions & Services”July 21, 2011
Gwen Parrack, MSW
Director, Division of Special Populations Services
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Location
Cecil County Health Department
Special Populations/Core Service Agency
401 Bow St.
Elkton, MD
Phone #410-996-5112
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Mission
• ….to provide leadership and accountability in Cecil County for a diverse, comprehensive, and accessible array of quality public mental health services responsive to the needs and desires of citizens with mental illnesses, their families, and service providers.
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Vision
• …to promote and effectively manage a well-coordinated and integrated mental health system responsive to the needs of the citizens of Cecil County.
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The Core Service Agency exists under the authority of the Secretary of the Department of Health and Mental Hygiene.
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Roles & Functions of the CSA
• Plan, manage, and monitor a full array of public mental health services, including treatment and rehabilitation for persons with serious mental illness
• Handle consumer complaints, grievances, and appeals
• The CSA staff does not provide any direct mental health services. (staff includes a Director and 2 Clinical Managers)
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Who is eligible for public mental health services?
• Anyone receiving medical assistance (medicaid, MCHP, PAC, etc.)
• Uninsured consumers who meet specific criteria set forth by the Mental Hygiene Administration
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• Any consumer in need of mental health services that does not have medical assistance should contact the Core Service Agency for further information.
• 410-996-5112
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Values of the CSA
• People with mental illnesses have the same rights and responsibilities as other citizens.
• Consumer empowerment• Family and community support• Community education • Responsive to all populations
• Integrated, collaborative delivery system• Effective management and accountability• Services provided in the least restrictive, most
appropriate setting
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Current Projects(Designed to meet gaps in Medicaid Reimburseable Services)
• Jail Mental Health Services• Wellness and Recovery Center
(On Our Own of Cecil County)• Mini –Grant to support rotating shelter• Telepsychiatry (Medicaid service FY12)• Mental Health Awareness/Education• Consumer Support Services• Crisis Stabilization Services (New in FY12)• School-based mental health services
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Highlights: FY2010 Data
• 411 individuals received mental health services from Con Med while incarcerated in the Cecil County Detention Center
• 450 individuals visited the Wellness & Recovery Center, On Our Own of CC
• 14 individuals received 32 hours of psychiatric services from Univ. of MD while traveling no further than the Cecil County Health Department
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Highlights – Cont’d
• 35-40 attendees at 3 “Lunch & Learn” sessions as part of May is Mental Health Month Activities (in partnership with OOO)
• 15 individuals became certified in the provision of Mental Health First Aid (in partnership with Upper Bay)
• 101 individuals served by rotating shelter (in partnership with Meeting Ground & many others!)
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Highlights – Cont’d.
• Responded to 398 request for “help” in person, by phone or e-mail.
• As the “payor of last resort,” provided financial assistance with prescriptions and security deposits for those meeting diagnostic and other criteria (consumer support services)
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New Service: Crisis Stabilization
• Not anticipated to begin until September 2012
• Designed to fill gap left by Eastern Shore Mobile Crisis Service
• Licensed mental health professional will respond on-site.
• Targets Cecil County Public Schools
• Local law enforcement entities
• Union Hospital Emergency Room
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Services for Children and Adolescents
Available through Public Mental Health Providers
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Who are Cecil County’s Public Mental Health Providers?
See Handout- These are all providers who can see children and families with medical assistance.
Upper Bay Counseling & Support Services is currently the only Outpatient Mental Health Clinics (OMHC) in the county.
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What kinds of services are available to children?
• Traditional Outpatient Services (see list)• Intensive Outpatient Services (Upper Bay)• Psychiatric Rehabilitation Program (Upper Bay)• In-Home Respite (Villa Maria)• Inpatient Psychiatric Services (Rockford Center)• Partial Hospitalization Services (Rockford)• Hospital Emergency Room Services (Union)• Residential Treatment Services (out-of-county)
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What are these services and how are they accessed?
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Traditional Outpatient Services
• Commonly consists of weekly hour long appointment for individual or family therapy
• Monthly appointment with psychiatrist to assess or monitor medication needs
• To access, consumer calls provider to schedule an in-take appointment
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Intensive Outpatient Services
• Available through Upper Bay• Operates Mon-Thurs 9am-3pm, Fri 9-
12:30• Consists of academics in am, social skills
and group therapy in pm, individual & family therapy
• Often used as a step-down from inpatient hospitalization but not a requirement
• Usually referred by therapist or hospital
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Psychiatric Rehabilitation Program
• Available through Upper Bay• Tailored to address specific needs/goals of
child• Services may take place 1:1 or in group
setting and must occur at least 3x per month
• Requires referral from therapist
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In-Home Respite
• Provider is Villa Maria of Catholic Charities and is located in Baltimore, MD
• Provides child with a mentoring relationship while also providing a break
• Respite worker takes child on an outing• Usually occurs at least 2x per month for a
period of about 4 hours• Treating therapist must send referral to
Core Service Agency for approval
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Out of Home Respite
• Providers are The Chidlren’s Home and Catholic Charities, both in Baltimore.
• Referral must be made by a licensed therapist and sent to the CSA for approval.
• Child is matched with a family for overnight/weekend respite.
• Closest respite homes are in Harford County, so parents must be able transport.
• Diagnostic and medical necessity criteria must be met
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Inpatient Psychiatric Services
• Rockford Center Psychiatric Hospital in Newark, DE is the closest provider
• 24 hour psychiatric care in a locked facility• This is the most restrictive level of care
within the continuum of care. • Short-term• Provides the fully array of psychiatric
services
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Partial Hospitalization Services
• Rockford Center is the provider• Frequently used as a step-down from
inpatient services• Offers most of the same services as
inpatient except consumers are only there for the day
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Hospital Emergency Room Services
• Union Hospital is the provider• Sometimes the first stop for children
experiencing psychiatric emergencies (suicidal or homicidal ideation, psychosis, etc.)
• Usually sent to Rockford from there
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Residential Treatment Services
• Long-term, minimum stay is usually 6 months to a year
• No providers in Cecil County• Is considered an “out-of-home” placement• Stringent medical necessity criteria must be met
in addition to a source of payment for the educational component of the placement
• Used as a “last resort” treatment option after all appropriate services in less restrictive settings have failed
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Other Child & Adolescent Services
• Some do NOT require medical assistance• Available to children in Cecil County who meet
specific criteria
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Wraparound Services
• Provided by a regional Care Management Entity (CME): Wraparound Maryland
• May be accessed through the Medicaid RTC Waiver or by funding sources available through the Department of Social Services that do not require Maryland Medical Assistance.
• Must be at risk of out-of-home placement
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Family Preservation Services
• These are home-based case management services offered through the Department of Social Services on a voluntary basis.
• Parents may self-refer or healthcare providers and /or other community agencies can make the referral with the parent’s authorization.
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QUESTIONS?
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Good Luck!!!