Mayview Regional Area Service Plan Steering Committee
November 17, 2006
Burda, Kim Campbell, Tim Casey, Mary Jo
Dickson, Mary Fleming, Bob Harms,
I. Review of meeting summary from October 20, 2006
The minutes from October’s meeting were reviewed and revised.
II. Opening Remarks:
Mary Fleming introduced Ella Thomas
who will work part-time for AHCI to help coordinate activities at
Mary Fleming explained that funding
will be provided for Phase II of the CSP Project as a 30-bed CHIPP. It was recommended that each county prepare
and submit their budgets to the State by the end of December. The budgets should reflect general system
enhancements and implementation of the CSPs.
Brandi Phillips and
III. Provider Meetings in 2007
The Committee recommended holding community provider meetings early in 2007. These meetings would inform providers about service needs/wants of Mayview consumers from Phase I and Phase II with CSPs, report on the counties’ efforts to build new services and supports within the community and to elicit input from the providers regarding what is needed in the community to help deliver those services.
IV. Assessment and Discharge Subcommittee
Mary Fleming noted the role of the Assessment and Discharge subcommittee was to refine the assessment tools and develop the CSP process. She noted the subcommittee was primarily comprised of consumers. The Steering Committee recommended that even though their initial goals have been completed, the participants provide valuable input and recommended this subcommittee remain intact but function as a quality improvement group. Pat Valentine suggested providing members of the subcommittee receive training to help them learn how to review the data. The Steering Committee agreed with suggestion and further recommended that the subcommittee maintain its composition of at least 50% consumers and suggested family members continue to participate as well. The Steering Committee suggested that a member of the reconstituted subcommittee be named to participate on the Steering Committee.
V. Phase I Update
Lisa Tumolo provided the overall update concerning the 30 individuals who were discharged from Mayview by July 31. Each county described the process they use to follow-up on any in-patient admissions for these 30 individuals. Each county then provided the following service development update:
· The reinvestment plan concerning Beaver’s CTT team was approved. Contracting will be done in near future and Kim Patterson (AHCI) will serve as the consultant.
· The Housing Program will begin shortly after January 1, 2007.
· Short-term, jail-based treatment is now operational.
· A meeting was held with a prospective provider for mobile medication unit.
· The CTT project is on schedule.
· Reinvestment plan extension request has been completed.
· Plans for developing another enhanced personal care home are under way.
· Working with other counties as well as regional and local providers along with the managed care organization to assess the county’s level of need and for programs such as Community Treatment Teams, Peer Support, Mobile Medication Management, Supportive Housing Programs and Enhanced Personal Care Home.
· Investigating a possible conversion of Intensive Case Management and Resource Case to blended case management.
Submitted a reinvestment proposal to
· Preliminary discussions with the President Judge regarding possibility of developing a treatment court occurred.
· Agreed to fund an expansion of the consumer satisfaction survey.
County and PSAN have begun to implement the new
peer mentoring program at
· Applied for but was not awarded federal funding for cultural competency study. Other funding options are being explored.
· Allegheny is adding a new CTT team. Mercy Behavioral Health was recently awarded the contract and will staff and manage the new team.
· Currently exploring development and funding of a Fairweather Lodge
· Recently received two grants for a new forensic program.
· The “Pre-Booking Intervention Project” just began and will attempt to divert mentally ill individuals who have been arrested from a jail
VI. Service Area Plan Update and Phase II Update
Service Area Plan
Linda Zelch requested that the counties provide an update to their Service Area Plans. Mary Fleming suggested that each county compile a list of outcomes that have been attained since the submission of the Plan submit them to Lisa Tumolo before December 15 so it can be reviewed at the next Steering Committee meeting. The original Service Area Plan as well as the updated plan will be posted to the Mayview-SAP website.
Martha Hodge reported that she completed the first week of Community Support Plan (CSP) meetings at the hospital and was pleased with the progress to date. She noted that some of the meetings were too crowded and asked that counties be mindful of not overwhelming consumers with too many participants at initial CSP meetings. It is anticipated that 15 people will begin the CSP process by the end of 2006.
Rich Kuppleweiser and Kelly Burda from Mayview hospital reported that firewalls may be the root of the problem that staff has to internet access and an investigation is underway.
Mary Fleming recommended the front-door work group re-convene after
Mary Jo Dickson reported that
· Changing expectations of what the community can do to deliver services.
· Consumers and providers exploring all community options first.
· The further development of diversionary practices.
Deb Wasichak reported that Community Care Behavioral Health is present at discharge and diversion meetings and will intervene to divert consumers prior to admission.
VII. Community Response Team (CRT)
To date, a CRT has not been recommended by the Steering Committee for use by the five Mayview counties, but the Committee wanted to learn more about the CRT functions. Linda Zelch explained the functions of the Harrisburg CRT as follows:
· A coordinator of physical health, pharmacy and medical benefits;
· A centralized repository for individuals to access their benefit and other financial information (i.e. SSI and SSDI info, back account info, photo IDs, etc.);
· Created a form which contained all pertinent financial and demographic information for each person;
· Ensured that everyone who left the hospital had a photo identification;
· Provided assistance in selecting appropriate Medicare Part D plan;
· Instituted a “back-up pharmacy” for consumer who needed instant access;
· Instituted an intervention process for potential incarceration situations;
· Provide follow-up on CSP’s to ensure compliance with the written plan; and
· Held monthly meetings with counties to review activities and track progress.
The recent petition to the Governor was discussed by the Steering Committee. It was suggested AHCI continue to collect data related to individuals recently discharged from Mayview and continue to compile historical census data related to Mayview.
AHCI’s role is primarily that of facilitator. County-specific questions should be addressed to individual county administrators and will be referred in this manner. AHCI is a resource, not a reporter, of specific issues.
The Steering Committee recommended AHCI prepare a second newsletter and suggested it contain content related to individuals who have been discharged previously, offer comparisons to other states, highlight any community providers or other individuals who are recovery-focused, and describe services and supports currently being developed by each county.
IX. Steering Committee Membership
The Steering Committee recommended in addition to adding one member of the reconstituted Assessment and Discharge subcommittee, one or two members from the psychiatric community should be included on the Steering Committee. Candidates were suggested and their interest in participation will be investigated prior to the next meeting.