Behavioral Health Department Radiant Scoggins LCSW Program StructureResources

Behavioral Health Department Radiant Scoggins, LCSW

Program Structure/Resources pre 2008 • Psychiatric Nurse • 1 Psychiatric Consultant (4 hours per month) • No outside Psychiatric Services; several inpatient Hospitalizations • No Trained Behavioral Health Teams • No Intake Process to evaluate appropriateness of new enrollees with Behavioral Health needs. 2

Program Structure (transition period) Dr. Alicia English founded CEI’s Behavioral Health Department 3 • Extensive training with teams to manage psychiatric emergencies • Behavioral Health Team to include Psychiatric Social Workers • Created assessment process for potential enrollees • Contract with Specialists in the community • Substance Abuse treatment • IOP (intensive outpatient program)

Current Structure/Resources • Behavioral health team : • 1 Psychiatric Social Worker at each site • Behavioral Health manager • Consulting Psychiatrist (20 hours per week) – float to cover each site • Psychology interns from the Wright Institute - 2 interns per site (8 total) ** Contracted Specialist including IOP, In-patient Substance Abuse Treatment, Psychotherapist (language specific) 4

Goals • Increase network of contracted service providers specifically broaden language capacity. • Expand training to extend to contracted care providers • 5 Residential Care Facilities and Skilled Nursing Facility staff.

Resources/tools 6 • Annual Cognitive screen – MOCA, SLUMS • Bi-Annual Depression screening – Geriatric Depression Screen (GDS) • Behavior Contract • Substance Use Treatment Protocol • Psychological Evaluation (assessment tool for enrollment)

Current Census • 710 Participants • 294 (41%) have a psychiatric diagnosis • 230 (32%) have dementia • 214 (30%) have a single diagnosis • 57 (0. 08%) have dementia only 7

CEI Participant’s are Diverse Participant Ethnicity 3. 00% 39. 00% African American 22. 00% Native American Caucasian Latino 11. 00% 6. 00% 19. 00% 8 Asian/Pacific Islander

Referral Mechanisms Referral s • Internal referrals for consulting Psychiatrist created by the Provider • Referrals for Outside Psychotherapy services facilitated by Psychiatric Social Worker • On Site psychotherapy offered by Psychiatric Social Worker and Psychology Interns. Referrals made by ALL disciplines 9

Benefits of Behavioral Health Program • “As our population gets older, behavioral issues are more prominent. Having a Behavioral Health specialist not only benefits the participant but the staff who can be trained on how to better serve a participant with behavioral issues”, CEI Nurse Practitioner • Increased participant stabilization with intensive case management services. • Decreased In-patient psychiatric hospitalizations • Increased staff awareness and training on behavior management interventions 10

Survey on Behavioral Health Department 11

Psychiatric Hospitalizations 12

Participant’s in the Hospital 13

Advice in Developing a BH Program • Incorporate regular on-going behavioral health training for all staff • Communication between Provider and Behavioral Health Social Worker is essential 14

Advice “Continued” • Determine specific needs of your population and provide training based on need i. e substance use, cognitive impairment, etc. • Standardize caseload for Psychiatric Social Workers to reflect smaller load for intensive case management obligations. 15

Questions/Discussion: Email: Rscoggins@cei. elders. org Phone: 510 -318 -7528 16