Implementation of the Statewide Hubs Project Texas Council

Implementation of the Statewide Hubs Project Texas Council Conference June 23, 2016 - San Antonio, TX Panel Members: Veronica Longoria, LBSW – ATCIC Kelsey Morgan, BCBA - Metrocare Lacey Eaton, LPC-I - MHMR Tarrant Beth Duncan, BCBA - Texana Center Dr. Kathleen Williamson, BCBA-D - Texana Center

Purpose of the Hubs � Provide Medical, Behavioral, and Psychiatric Support to ◦ Local Intellectual and Developmental Disability Authorities (LIDDAs) ◦ Home and Community-based Services (HCS) program providers ◦ Texas Home Living (Tx. Hm. L) program providers

Purpose of Hubs � Assist providers and LIDDAS serving individuals with IDD who are: ◦ At risk of being admitted to institutional setting or ◦ Transitioning from institutional setting back into the community * Institutional Setting = nursing facility (NF) or state supported living center (SSLC)

Responsibilities of Hubs � Quarterly educational activities � Technical assistance � Case-Specific peer review

Development of Hub Teams � DADS organized the creation of 8 Service Areas across Texas � Identified one Contracted Local Authority (CLA) to serve as the hub for each area.

Texana Center • Gulf Coast Center • Harris Center for Mental Health and IDD • Texana Center • Tri-County Services

Texana Center � Educational Activities ◦ Over 300 online training courses available to LIDDAs and Providers using Relias Learning ◦ Collaborating with PASRR to provide quarterly trainings ◦ Hosted Person Centered Thinking training for LIDDAs ◦ Presented a training on the prevention of challenging behaviors at the regional AAIDD conference in Houston ◦ Held an Autism and IDD Conference at Memorial Herman Hospital in Sugar Land. Presentations focused on prevention of problem behaviors, effective intervention strategies, and selecting and teaching new skills to increase independence.

Texana Center � Technical Assistance ◦ Trainings have included: �Evidence-based Practices and the National Standards Project �ABA Treatment for Children with Autism �Professional & Ethical Compliance �Suicide Prevention Training

Texana Center � Case Reviews ◦ We have received and participated in a total of 22 case referrals. ◦ The referral form was integrated into our website to provide easy access to providers and LIDDA staff. ◦ The majority have come from LIDDA employees, but we have recently received a few directly from providers. ◦ The response to each referral has varied, due to a wide range of presenting problems.

Texana Center � Upcoming Activities ◦ Attending several networking events and conferences to continue to spread information about the services we offer to providers ◦ Presenting trainings for 3 organizations in our hub area that have requested technical assistance. ◦ Attending and presenting at the AAIDD Texas Convention in San Antonio ◦ Hosting 2 Safe. Place trainings (trainer and community) for our hub area in August ◦ Presenting with the other hubs again at the PACSTX Conference in Galveston in September

Texana Center � Continued challenges… ◦ Connecting with Providers ◦ Determining what trainings are most needed and how to get providers to participate in the trainings ◦ Getting case referrals and technical assistance ◦ Establishing a Stakeholder Committee with PNAC members from our LIDDAs

Texana Center – Contact Info � Dr. Kathleen Williamson, BCBA-D Hub for Effective Local Providers (HELP) Texana Center 4706 Airport Avenue, Bldg. C. Rosenberg, TX 77471 281 -238 -6797 Texana. HELP@texanacenter. com

ATCIC • Austin Travis County Integral Care • Bluebonnet Trails Community Services • Central Counties Services • Heart of Texas Region MHMR Center • MHMR Authority of Brazos Valley

ATCIC � Educational Opportunities Monthly opportunities Based on Provider survey on educational requests Live/recorded Web. Ex videoconference Latitude Learning Management System (LMS) recently approved-Online Library development ◦ Internal and external collaborations such as Safeplace, START, and community agencies such as CPATH and Epilepsy Foundation etc. ◦ Fulfilling requests from other community partners who want to learn about how to support IDD ◦ ◦

ATCIC � Technical Assistance ◦ Currently taking requests ◦ Information and resource sharing on evidence based practices ◦ Content or training over specific diagnosis that can be used by community based IDD professionals

ATCIC � Case Consultation ◦ Clinical team ◦ Weekly meetings to review (2) challenging cases around discharge ◦ Other case consultations as needed ◦ Developing network of contract professionals ◦ Identifying systemic issues that can be education or technical assistance

ATCIC – Contact Info � Veronica Longoria, LBSW Team Lead, Hub Learning Community (HLC) Austin Travis County Integral Care 5225 N. Lamar Blvd Austin, TX 78751 512 -483 -5887 veronica. longoria@atcic. org

Tarrant County • Betty Hardwick Center • Center for Life Resources • Helen Farabee Centers • MHMR of Tarrant County • Pecan Valley Centers for Behavioral & Developmental Healthcare

Tarrant County � ◦ Developed Team Utilized existing framework from Healthcare transformation projects to build part of the team and others Including: � � � ◦ Licensed Psychologist Behavioral specialist LPC with trauma specialty background Medical specialist Neuropsychologist Psychiatrist Additional MBP Team Members: � Nurse (RN) � 2 Part-Time Occupational Therapists � Support Specialist

Assessing Needs ◦ Assessing Provider and LIDDA needs: �Survey Monkey has been sent out to each LIDDA to determine community needs �Will provide trainings as requested and will offer the opportunity to the region. �Use of survey at conferences and trainings

Tarrant County � Training ◦ Monthly online training series available and scheduled through May 2016 ◦ Live Webinar Training Opportunities Provided: �Genetic Disorders and Associated Behavioral Phenotypes �Effective Intercultural Communication Strategies in Outreach Efforts �Mental Health Diagnoses in IDD and the Biopsychosocial Approach �Fetal Alcohol Syndrome �HARP (Health Assessment Reporting and Prevention) �Anxiety Disorders �Integrating DIDs into Service Delivery �Positive Behavior Supports �Mental Health and IDD Conference February 2016 ◦ There has been a steady increase of attendance

Tarrant County � Technical Assistance ◦ Receiving local requests for consultation. ◦ Looking forward to receiving more requests as program is being introduced and clarified. ◦ Provided the opportunity for each LIDDA to have Lippincott to provide the most current evidencedbased material that is consistent with best practices.

Tarrant County � Case Review ◦ CSCT (Cross-Systems Consultation Team)meetings held weekly for case reviews. ◦ Referral forms have been provided for each LIDDA and the area providers. ◦ Continued collaboration with START, Continuity of Care, Enhanced Service Coordination, and Diversion Coordinator.

Current and Upcoming Projects Developing a Direct Support Professional Curriculum to assist providers in their training of new staff. � Training being established in October with Dr. Hinton with our County Hospital and their nurses. � Developing Curriculum on Healthy Eating and Wellness � Training established with MCOT/ICARE as well and numerous Behavioral Health Teams at MHMR Tarrant. We hope to expand this to our other LIDDAS. � Professional Learning Community � The Road to Recovery Training: Supporting Children with IDD who have experience trauma. � Meaningful Days Training: Interactive Training on how to implement more community Integration and inclusive practices to help align with CMS requirements of community integration. �

Tarrant County � Challenges: ◦ Development of Stakeholder committee. ◦ Engagement with Stakeholders ◦ Getting connected with providers in other regions

Tarrant County – Contact Info � Lacey Eaton, MAPC, LPC-I Project Manager, Medical, Behavioral, Psychiatric Support Team MHMR Tarrant 1300 Circle Drive Fort Worth, Texas 76119 817 -569 -5656 Lacey. Eaton@mhmrtc. org WEBSITE: www. mhmrtarrant. org/MBP EMAIL: MBPprogram@mhmrtc. org

Metrocare • Access MHMR • Andrews Center • Burke Center • Community Healthcore • Denton County MHMR Center • Lakes Regional MHMR Center • Life. Path Systems • Metrocare Services • Spindletop Center • Texoma Community Center

Metrocare � Educational Opportunities ◦ Live Webinars �Recorded and posted to Share. Point site �Previous Trainings include: �Stress and Caregiver Training �Functions of Behavior �ABA: the Basics �Trauma Informed Care �Obesity and IDD/MH ◦ Relias �Purchased IDD trainings on Relias for use by centers within Region #4

Technical Assistance � Online library of resources through sharepoint � Access/assistance with information on best practices/evidence based practices ◦ Currently providing individual assistance on a need basis �turnaround is generally within the week ◦ Sharepoint site has information/links on best practices

Case and Peer Review � Available to the centers, within the region, for review of intense, chronic, or extreme, behavior, psychiatric, and medical challenges ◦ Referral form is on the Share. Point site �Complete and return to the team �Currently scheduling the review within two weeks ◦ Meet via Lync/Skype ◦ Meeting takes about 30 minutes to provide information on the teams findings and answer any questions the team may have �Recently, we have been scheduling a follow up meeting, to touch base regarding any information that was left out or unknown at the time of the meeting

Upcoming Events � June 30 th 1 -3 pm Dallas, TX ◦ Guardianship Training �Guardianship: Supported Decision Making, Bill of Rights for IDD, Investigating Alternatives to Guardianship �Presented by: Kathryn Lewis, JD �Disability Rights Texas �Will be posted to Share. Point site if you cannot attend � November 3 rd & 4 th ◦ 2016 Conference for Intellectual & Developmental Disabilities: Innovating, Developing, and Defining the Future of Service Delivery �Richardson, TX

Metrocare – Contact Info � Luann Golden, LMSW Metrocare Services 1353 N. Westmoreland Rd. Cottage 5 Dallas, TX 75211 214 -333 -7065 moneyfollowstheperson@metrocareservices. org

Emergence Health Network • MHMR Services for the Concho Valley • Permian Basin Community Centers for MHMR • West Texas Centers

Emergence – Contact Info � Erica Thomas Emergence Health Network 8730 Boeing El Paso, TX 79925 915 -599 -6645 ethomas@ehnelpaso. org

Star. Care • Central Plains Center • Star. Care Specialty Health System • Texas Panhandle Centers

Star. Care – Contact Info � Karen M. Harris IDD Local Authority Director Star. Care Specialty Health System 904 Avenue O Lubbock, TX 79408 806 -928 -6976 kharris@starcarelubbock. org

Hill Country • Alamo Area Council of Governments • Camino Real Community Services • Gulf Bend Center • Hill Country Mental Health & Developmental Disabilities Centers

Hill Country – Contact Info � Mary Chavez-Harrington Hill Country MHDD Centers 1901 Dutton Drive Suite D San Marcos, TX 78666 512 -558 -2062 mchavez-harrington@hillcountry. org

Nueces County • Behavioral Health Center of Nueces County • Border Region Behavioral Health Center • Coastal Plains Community Center • Tropical Texas Behavioral Health

Nueces County – Contact Info � Susan La. Grone, M. S. , L. P. C. Team Coordinator, Money Follows the Person Behavioral Health Center of Nueces County 1630 S. Brownlee Blvd. Corpus Christi, TX 78404 361 -886 -1437 MFP-HUB@bhcnc. org

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