IntegratedIntegrated Service ProgramsService ProgramsStart-Up and Implementation Start-Up and Implementation

oror“The Whatever it Takes Programs”“The Whatever it Takes Programs”

Adrian Carroll, MFT

Chief, Adult System of Care

Stanislaus County Behavioral Health and Recovery Services

Frances Freitas, LCSW

Mental Health Program Coordinator

Homeless and Housing Services

Sacramento County Division of Mental Health

INTEGRATED SERVICE INTEGRATED SERVICE PROGRAMPROGRAM

The Fundamentals(Start-Up)

GOAL 1GOAL 1 To understand the fundamentals of an To understand the fundamentals of an Integrated Service Program (ISP) Integrated Service Program (ISP)

Objectives

1. To define an ISP

2. To identify the values and principles of an ISP

3. To identify the basic program design of an ISP

4. To identify the core components of an ISP

DefinitionDefinition

An integrated services program is a value based, recovery focused, outcome oriented and community based program providing comprehensive support services to adults with psychiatric disabilities or children/youth with serious emotional disturbances. Minimal services are brokered and the expectation is to provide a “whatever-it-takes” approach to keep individuals/families housed and safe.

1.1. VALUES AND PRINCIPLESVALUES AND PRINCIPLES

Recovery focusedStrength basedConsumer drivenCulturally competentHarm reduction

2.2. Basic Program DesignBasic Program DesignSmall client:Staff ratio

- 1:10-15Multi-disciplinary staffingField based services24/7 responseSupported housingEmployment servicesIntegrated treatment: substance

use/abuse and mental health

3.3. Core ComponentsCore Components “Whatever-it-takes” Range of housing options Program and service flexibility No criteria – example: medication

adherence; clean and sober Individualized service planning Outcome data Collaborations On-going training/in-services

IMPLEMENTATIONIMPLEMENTATION

GOAL 2 GOAL 2 To understand what is needed to To understand what is needed to implement an ISPimplement an ISP

Objectives

1. To identify program philosophy

2. To identify staffing configuration

3. To identify housing types and acquisition

4. To identify realistic time frame for full enrollment

5. To identify data collection mechanism

6. To identify community/neighborhood issues

1.1. Program PhilosophyProgram Philosophy

Mission statement – what is the mission of your program

Train to principles of recovery, resiliency and wellness

Inclusion of consumers in training and decision making

Wellness focus No fail program

2.2. StaffingStaffing

Program Director Service Teams (Personal Service

Coordinator) Team Leads Housing Coordinator Employment/Benefits Coordinator Clinical Director Nurse Psychiatrist

3.3. HousingHousing Housing First Understand fair housing laws and practice

(Corporation for Supportive Housing: (www.csh.org)

Develop housing network – landlords property managers

Master leasing Program rental subsidies

Written rental Agreements Other rental subsidies

Shelter+Care

4.4. Admission ProcedureAdmission Procedure

Criteria– Clear Criteria for referral sources– How to access the program

Assessment Process– WHAT ARE THE CLIENTS

WISHESImmediate need housing

5.5. Data Collection/outcomesData Collection/outcomes

Identify how the data will be collected and evaluated – success of program dependent on outcomes

Why collect data Critical outcomes

• Housing stability• Employment/Education• Reduce recidivism in hospitalization/jail

How to verify accuracy of data

6.6. Community/neighborhood Community/neighborhood issuesissues

Good neighbor policyProtecting confidentialityLocal politics