Transcript Senior Empowerment for Life Fulfillment

Senior Empowerment for Life
Fulfillment
L E N A P E VA L L E Y F O U N D AT I O N
BUCKS COUNTY AREA AGENCY ON AGING
B U C K S C O U N T Y M E N TA L H E A LT H /
D E V E L O P M E N TA L P R O G R A M S
What is SELF
• The goal of the SELF program is to provide
therapeutic intervention that facilitates an
individual’s acceptance of traditional mental health
services and/or drug and alcohol treatment.
• The SELF program provides outreach, treatment,
peer support, and case management to individuals
60 yrs and older; that are experiencing mental health
and/or drug and alcohol problems; and are unable to
access needed BHS services.
Why SELF
 The “silo”-style ports of entry in the current behavioral
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health system can limit access to services for older adults.
Altering traditional ways of delivering behavioral health
needs.
Decrease stigma and increase acceptance among aging
adults of mental health treatment.
Attention to medical needs and physical capability to
receive recommended services.
An ever growing need to provide older adults with mental
health supports in their homes.
By 2030, there will be about 72.1 million older persons,
over twice their number in 2000. Department of Health & Human Services, 2012
Collaborative Beginning
 AAA and MH/DP began collaborating to meet this need in
2004.
 Deputies from Aging, Mental Health, and early on, a
representative from the County’s BHS contractor came
together to develop a means to engage those 60+ older
adults with unmet BHS needs and assisting them with
developing connections to appropriate providers.
 Collaborative cross-training of Aging & MH workers
including BSU staff, and later including D/A staff
 The AAA and MH/DP were pleased to bring Lenape Valley
Foundation (LVF) into the collaboration in July, 2009 for
the SELF program.
Staffing
 Clinical Executive
 AAA CM Supervisor
 Program Director
 AAA Deputy Director for
 Clinical Coordinator
 Psychiatry
 CRNP
 Case Manager
 Certified Peer Support
Long-Term Care
 Bucks County MH/DP
Deputy or representative
Program Services
 Referral & Intake
 Outreach
 Assessment and Goal Planning
 Psych Evaluation/Medication Management
 Nursing assessment
 Therapeutic Intervention
 Case Management
 Peer Support
 Discharge Planning
Clinical Charting
 Consent for Treatment
 Treatment Planning
 Clinical Documentation ( DAP Note)
 Release of Information
 Medication Management Documentation
 Case Management Activities
 Certified Peer Support Recovery Planning
 Certified Peer Support Activities
Collaboration
 LVF
Weekly / Bi-Weekly Clinical Team Meetings
 LVF, AAA, MH/DP
Bi-Monthly Administrative Meetings
 LVF, AAA, MD/DP
Quarterly Case Conference Review
 LVF, AAA, MD/DP
Yearly QA Audit
Monthly Reporting
 Tracking Forms
 Statistical Report/Quarterly/ YTD
 Case Notes
 Tracking List
Collaborative Funding
 Annual Budget of $150,000.00 from MH/DP (90%)
and Aging ( 10%)
 LVF Billable Services /Collection of Co-Pays
Program Challenges
 C0-Pays
 Caseload size- The impact of Severe and Persistent
Mental Illness (SPMI)
 Closure/ Discharge Planning
 Impact of Hoarding
Closing
 Program is continually evolving
 Benefits of cross-training
 Communication as a key element
 Collaborative attitude in providing the program and
addressing challenges.