Accessing Substance Abuse and Mental Health Services in Washtenaw County Barrier Busters Presentation July 24, 2013

Integrated Health Provide limited mental health services (consultation, short term therapy, co-visits) and bridging to CSTS if necessary Full time MHP and.1FTE Psychiatrists – Packard Health – Neighborhood Family Health Clinic – Hope Clinic (.1 FTE MHP and Doc) – Corner Health Clinic (only MHP) – Ypsilanti Family Practice (only Doc)

SBIRT Screening, Brief, Intervention, Referral to Treatment Provides screening and short term substance abuse treatment, engagement and community outreach Full time MHP and Full time Peer Support Specialists – Packard Health – Neighborhood Family Health Clinic

Disease Management Provide disease management services- care coordination, health education, limited transportation, nutrition services, social support to CSTS clients with co-morbid health conditions – 5 Nurses – 3 Peer Support Specialists – 1 Registered Dietician – 1 Data Entry Clerk

Access Department (Triage, Assessment, Crisis Services) Central entry point for Medicaid recipients and uninsured individuals seeking mental health and substance abuse services in Washtenaw County Hours of operation- 24/7, 365 days per year Contact number Triage Team-Receives initial requests, provides information and referral to community resources, makes appointments for CSTS eligibility determination process, links to Crisis Team for urgent/emergent requests and links individuals seeking substance abuse services only with ROSC providers Assessment Team- Conducts eligibility determination process utilizing the MDCH and Michigan Mental Health Code Criteria to determine CSTS eligibility and links to treatment teams or a community resource that might better meet an individuals needs Crisis Team- A mobile crisis team that provides crisis stabilization services, information and linkage to individuals, friends and family members in crisis, assists with the navigation of the mental health system in Washtenaw County, pre-admission screening process for inpatient hospitalization admission, inpatient hospital diversion planning, and linkage to urgent substance abuse services in Washtenaw County.

Youth and Family Services CSTS 600 Families & Children aged 0 to 18 Family centered strength based approach to all treatment- meeting people where they are at Intensive Services: Home-Based, Wrap Around, SED Waiver, Infant Mental Health Prevention Family Therapy, CBT, DBT, Trauma Focused CBT, nursing services, case management, psychiatry services, co-occurring, Parenting Through Change, Mom Power Groups DD Services, ASD Benefits, Psychology, Child Waiver Services

Washtenaw County CSTS – Adult MI Services Levels Of Care: Level 5 – Residential Level 4 – ACT (Ann Arbor and Ypsilanti) Level 3 – Intensive Case Management Level 2 – Clinic Case Management Level 1 – Outpatient Medication Specialty Services – OBRA, Therapy, Jail Diversion, PATH, SOAR Treatment services are Integrated Dual Disorder and Trauma Informed Programs.

Services for Adults with Developmental Disabilities Three geographically based teams Services include: -Supports Coordination -Skill Building -Community Living Supports -Nursing -Behavioral Psychology - Psychiatric Services -Therapy (Individual and Group) -Nutrition -Occupational Therapy - Respite