BEHAVIORAL HEALTH OF CAMBRIA COUNTY Annual Report to

BEHAVIORAL HEALTH OF CAMBRIA COUNTY Annual Report to the Community Friday, December 14 th, 2018 PEN Drop-in Center 10: 30 am to 12: 00 pm

BHOCC STAFF Executive Director: Tanya Kvarta Clinical/Quality Director: Rebecca Wiseman Chief Fiscal Officer: Joe Crisi Executive Assistant: Rebecca Valle Board of Directors: Commissioners Thomas Chernisky Mark Wissinger B. J. Smith

BHo. CC is a private, non profit organization which is contracted with Cambria County to oversee the Behavioral Health. Choices program and the MCO (Magellan Behavioral Health of Pennsylvania).

FISCAL YEAR 2018 -2019 HEALTHCHOICES ENROLLMENT FOR CAMBRIA COUNTY As of 12/31/2014 -- 22, 231 Start of Enrollment in 2017: 30, 828. 97 expansion As of 09/21/2015 -- 27, 999 DHS projection by 12/31/2015 29, 042 As of September 2016: 30, 281 *DATA COURTESY OF MBH-PA Where are we now? Current enrollment: As of September 30, 2018 31, 167

SERVICES IN-NETWORK FOR CAMBRIA COUNTY Child/Adolescent: Adult: Outpatient Crisis Blended Case Management Summer Treatment Programs Peer Support After School Treatment Programs Partial Hospitalization Program BHRS Drug and Alcohol Partial Hospitalization Programs Inpatient Treatment Residential Treatment Methadone Drug and Alcohol Inpatient Treatment Family Based PCIT and FFT

Accessing Services Pennsylvania requires that all Health. Choices members have reasonable access to in-county options for many levels of care.

Access Standards Level of Care Mental Health / Substance Abuse Choice Requirement Time Standard Inpatient Psych Mental Health Choice of 2 1 Within 60 minutes Inpatient Psych - Child Adolescent Mental Health Crisis Intervention Services Mental Health Choice of 1 No Distance Requirement Family Based Services Mental Health Choice of 2 No Distance Requirement Mental Health Outpatient Mental Health Choice of 2 2 Within 60 Minutes Mental Health PHP - Child Adolescent Mental Health Choice of 2 1 Within 60 minutes BHRS Mental Health Choice of 2 No Distance Requirement Clozapine Support Mental Health Choice of 2 2 Within 60 Minutes Peer Support Mental Health Choice of 2 No Distance Requirement Residential Treatment Facility (RTF) Mental Health Choice of 2 1 Within 60 minutes Blended Case Management Mental Health Choice of 2 No Distance Requirement Inpatient Detox (4 A) Substance Abuse Choice of 2 1 Within 60 Minutes Inpatient Detox (4 A) Child Adolescent Substance Abuse Choice of 2 1 Within 60 Minutes Inpatient Rehab (4 B) Child Adolescent Substance Abuse Choice of 2 1 Within 60 Minutes D&A Outpatient Substance Abuse Choice of 2 2 Within 60 Minutes Methadone Maintenance Substance Abuse Choice of 2 2 Within 60 Minutes Substance Abuse Services

Exceptions D&A Inpatient Hospital Detox. (4 A) Adult D&A Inpatient Hospital Detox. (4 A) Adolescent D&A Inpatient Rehab - Adult D&A Inpatient Rehab - Adolescent Residential Treatment Facilities (RTF)

HEALTHCHOICES MEMBERS PER LEVEL OF CARE Q 1, 2, 3 DATA (JANUARY TO SEPT 2018) Children Adults 2, 904 received mental health treatment. Drug and Alcohol (includes Methadone)– 1, 786 (including BHRS, inpatient and out patient) Inpatient psych— 128 Outpatient— 4, 215 Partial-- 41 *DATA COURTESY OF MBH-PA

DOLLARS PER LEVEL OF CARE Dollars spent for highest levels of care All Children services- $1, 523, 387 BHRS: $894, 293. 43 Inpatient Psych: $158, 001. 45 Outpatient: $471, 093 Adults Drug and Alcohol- (includes Methadone)-$1, 486, 418 Inpatient Psych- $581, 611. 07 Outpatient Psych- $789, 720 COURTESY OF MBH-PA Partial Hospitalization: $82, 071 10

INITIATIVES CANS: 1. ) Implementation of assessments and data to manage utilization and improve prescribing practices for BHRS. 2. ) Quality assurance through the Microsoft power BI app to review Cambria CANS data. 3. ) Provider access to data 4. ) Discharge CANS D&A: Analyzing outcome data for Opioid dependence in high risk populations to identify risk factors, improve access to treatment and develop new treatment options in Cambria. Provide trainings to D&A providers. Suicide Education, Prevention and Training: Increase efforts to educate the community, network and members by providing various summits and trainings. My Life (Magellan Youth Leaders Inspiring Future Empowerment): Youth empowerment program for ages 13 -23 Peer Recovery and Resiliency: Increase in peer oriented programming Healing Arts Program with Mt. Aloysius College: Open art studio began at PEN on January 19, 2018. 11

CANS IMPACT ON BHRS 2, 396 CANS Submitted since the project began in Summer 2015. ~1, 100 CANS are filled out a year. 982 Unique members have been evaluated by the CANS since the project began. ~700 children a year. 106 children referred to Evidence Based Programs who would not have been referred otherwise. Cambria data is available for review by all at http: //www. communitydataroundtable. org/reports/outcomes-reports/bhocc-dashboard-community-report/ Coming in 2018 Parents will receive a report explaining their children’s progress, evidence-based options, and information that can help them compare providers on outcomes relevant to their child. CANS data will be used for many quality initiatives. 12

CANS NUMBERS CANS Numbers 1200 EBPs matched and prescribed 20 1095 1113 18 977 1000 16 14 800 655 666 621 600 12 10 8 6 400 200 184 180 4 2 0 FFT 0 CANS Completed 2015 2016 MST PCIT Children Assessed 2017 Data provided by CDR 2018(Q 1 -Q 3) 2015 2016 2017 2018 TF-CBT

BHRS OUTCOMES All children currently in treatment Data provided by CDR All BHRS Members with both an Initial and a Discharge 14

2018 -2019 INITIATIVES Advanced CANS Trainings Opioid abuse screening with CANS Advanced caregiver and risk assessments Manual for interpreting CANS reports Algorithms EBP supports BHRS outcomes Parent Report VBP Opportunities & CANS New services/Algorithms BTM School Outpatient Data provided by CDR 15

NEXT STEPS FOR CANS q. Parent Report q. Report Manual q. Outcomes monitoring (with discharges!) q. Needs analyses q. Improving & adding algorithms Data provided by CDR 16

GOALS FOR CAMBRIA COUNTY 2018 -19 ØIncrease access and quality of care for drug and alcohol services ØIncrease member responses for CF ST ØContinue expanding the CANS initiative to improve quality of care for children's services ØContinue promoting evidence based practices. ØContinue movement toward community based services ØContinue to promote programming dedicated to recovery and resiliency *Smart Screen Tool 17

Goals for Cambria County 2018 -19 Co Ø Go live with walk- in crisis by December 31, 2019 Ø Go live with Integrated Health for Development Care (IHDC) for children with complex physical and behavioral health needs by December 31, 2018. Ø Go Live with dual diagnosis treatment team for adults by December 31, 2019. Ø Increase Suicide Prevention, Education and Awareness Ø Increase member participation and collaboration with initiatives Ø Continue collaborating with providers in sponsoring trainings and speakers dedicated to Mental Health Awareness

What is CSP?

WHAT IS THE COMMUNITY SUPPORT PROGRAM (CSP)? The Community Support Program (CSP) is a coalition of mental health consumers, family members and professionals working to help adults with serious mental illnesses and co-occurring disorders live successfully in the community. CSP committees offer a forum in Pennsylvania where consumers, family members and professionals are united by a common set of beliefs and values and use their combined strengths to promote systems change. As a result, CSP Principles have helped to shape the way treatment services are delivered to consumers, improving the public's understanding that consumers and family members should be regarded as people first, and advocating for the implementation of quality evidence-based treatments that support and enhance the recovery of persons with serious mental illness.

Thank You for attending! Thank You To the Peer Empowerment Network for your hospitality and assistance!! Questions? 22