Mayview Regional Service Area Planning (MRSAP)

Assessment and Discharge Committee-Meeting #4 Minutes


I.                   Attended: Emily Heberlein, Lisa Tumolo, Sara Leiber, Bob Weber, Joanne Lindsey, Karl Belamy, Mary C. Kennedy, Debbie Riggi, Cecilia Reinheimer, Dan Hawkins, Darryl Holts, John O’Connor, Jim Kuemmerle, Marilyn Huber, Laurel Reynolds, Carol Loy, Lu Popielarcheck, Meg Park, Mary Lou Lattner, Melissa Feragotti, Paul Freund, Jan Taper, Donna McCurdy, Mary Simon, Mayview Social Workers


Absent: Harriet Baum, Sandi Hause, Eva Bedner, Terrance McCarthy, Grace Cannon, Dale Adair, Marge Kearns, Shirlee Hopper, Laurie Brown, Mindy Orme


Resigned:  Sandra Knepp is no longer on the committee.


New Members:  Lisa Tumolo and Darryl Holts


II.                 The following updates were presented to Committee members:


a.      Stakeholders Meeting- The Stakeholder’s meeting will be held on March 17, 2006.  All those interested in attending should call their local Mental Health Administrator for information on who to contact to RSVP.

b.      Finance Committee-The Finance Committee is in the process of reviewing, in detail, completed Assessment data and analyzing the specific financial and insurance benefits available, and not available, to Mayview patients.  This information will be critical in planning for community services to support discharges.  A member of the Finance Committee will come to the next Assessment and Discharge Committee meeting to share information on it’s progress and future activities.


III.             The following updates regarding the Assessment and Community Support Planning process, for Wave 1 participants, was presented to Committee members:


a.       All Assessments were completed in 6 weeks: (30 from Allegheny; 4 from Beaver; 3 from Washington, 1 from Lawrence)


–38 clinical assessments

–35 consumer assessments (3 individuals refused to participate)

–18 family assessments  (3 individuals had 2 family members each participate)


b.      Facilitators/Recorders were nominated, chosen, and trained by February 9, 2006.                                      


-Four facilitators (2 –Beaver, 2 -Allegheny)

-Four recorders (2 -OMHSAS, 1-AHCI, 1-Community Care)


c.       The Community Support Plan Form being used is the same used at Harrisburg State Hospital to ensure consistency across State Hospital projects.


d.      The timeframe to complete Community Support Planning Meetings, for Wave 1 participants, is between February 17, 2006 and April 14, 2006.  It is anticipated that the majority of the meetings will include a follow-up meeting.  As of February 24, 2006 all but 3 meetings were scheduled with a facilitator and recorder assigned.


e.       The next wave, Wave 2, of Assessments will begin once the Mayview Regional Service Area Plan Steering Committee planning process for next year is finalized.


IV.              Paul Freund updated the Committee on the activities of the State Consumer and Family Satisfaction Team (CFST).  At some time in the near future, all County CFSTs will be responsible for the administration, data collection, and data analysis of State Hospital Patient Assessments.  Paul will keep the Committee informed as the State group’s plans progress.


V.                 Emily Heberlein presented some highlights of and difficulties with the Assessment data, and some anticipated changes in the Assessment Tools. Handouts were provided summarizing her presentation and are attached.


VI.              In order to improve the Assessment Tools and the Assessment Processes, AHCI solicited feedback from those involved.  The Mayview Social Workers and the Committee, which includes the CFST Directors and a sampling of the Assessment interviewers, responded to the following:



·        What were the positive aspects of the Consumer, Family and Clinical Assessment Tools and the Assessment process? 

·        What were the confusing or unconstructive aspects to the Consumer, Family, and Clinical Assessment Tools and the Assessment process?



Assessment Tools:


§         It was suggested that more historical assessment information is solicited via the Assessment Tools so that the Facilitator of the Community Support Plan is better prepared to lead the planning meeting.


§         Do not use the word ‘discharge’.


§         Include a question that allows the patient to describe the community residence and the type of supports desired.


§         Include more open-ended questions to get more individualized responses.


§         Include a question in all three Assessment Tools that asks whether the patient wants to be discharged, and if so, what will it take to feel comfortable with the discharge.


§         Review and consider revising questions that primarily solicit the answer ‘no help’ so as to determine relevance. There could be varying reasons why patient answer questions this way.


§         It was suggested that another group of Mayview patients review the revised questions once completed.


§         The section asking if the patient would like to be in walking or bus distance from various resources should be revised.  The question is soliciting confusing information because the question is not stated clearly.


§         Revisit how the questions in the Clinical Assessment are phrased and/or how the introduction to the Team is phrased so that the Treatment Team is clear that they are answering from their perspective NOT the patient’s perspective.


§         Add an explanation in the section, ‘Proximity to Resources and Amenities’ to assist in getting the responses being sought to reduce misinterpretation.


§         Define better ‘Permanent Group Setting’ and ‘Transitional Group Setting’ to assist in documenting accurate information.


Assessment Processes:


§         The CFSTs asked that families are aware that they can be contacted to complete a Family Assessment in the evenings and weekends as well as the daytime.


§         The Social Workers shared that because of the length of time it takes to complete the Clinical Assessment, it was difficult to schedule the Assessment during regular treatment team time and allow for enough time to finish regular business.


§         A CFST Director suggested that AHCI receive the family releases for tracking purposes and disseminate the releases to the appropriate CFST. Once the CFST receives the family release, the CFST will complete the family interview.


§         Do not use the word ‘discharge’.


§         What happens if a patient who is discharged needs to be readmitted to Mayview, will they have to stay longer than 2 years on the readmission?


VII.            The next meetings will be Friday, May 5, 2006 and June 30, 2006 from 10:00-1:00 @ the Mayview State Hospital Regional Conference Center.