1 Mayview Regional Service Area Plan Stakeholder’s Meeting April 18, 2008

2 Today’s Agenda Welcome Service Plan Update from the Department of Public Welfare, Joan Erney, Deputy Secretary Mayview Closure Progress Report, Mary Fleming County Program Updates – Peer Services – Greene: Overview of Peer Services and other Programs, Dean Virgili – Beaver: Certified Peer Specialist Program, Marty Shafer and Paul Abayes from Aurora, Peer Mentoring Services - MHA – Lawrence: Fairweather Lodge – Allegheny: Stakeholder Review Process for RFPs, Audra Dudek and Meg Park SAMHSA Grant for Peer Specialist Training for Older Adults – Shirlee-Hopper-Scherch, Executive Director, PSAN Questions and Answers with Audience

3 Place holder for Joan’s slides

4 MSH Census from 2/06 to 3/ Announcement

5 Types of Case Management Services Type # Consumers % Administrative CM43% Blended/Targeted CM3024% CTT7662% Enhanced Clinical CM22% Intensive CM43% Resource Coordination43% None32% Total123100%

6 Residential Placement Type

7 Residential Program Development Residential ProgramCapacityCounties Involved Non-Hospital EAC16 bedsAllegheny only LTSR12-16 beds4 Suburban Counties Non-Hospital EAC12-16 beds4 Suburban Counties RTFA12-14 beds4 Suburban Counties LTSR2 facilities, 6-8 beds eachAllegheny only Enhanced PCH10 beds (might transition into 2 homes with 8 beds each) Allegheny only Enhanced PCH2 homes, 8 beds eachAllegheny only Specialized Support Homes2 homes with 3-4 beds eachAllegheny only Comprehensive MH PCH5-8 bedsAllegheny only Hospital-based EAC5-10 beds (# of beds to be finalized with provider) 4 Suburban Counties Regional Enhanced PCH12 beds4 Suburban Counties SOS LTSR14-16 bedsAll 5 MRSAP Counties SOS Small Group Homes2 homes with 3-4 beds eachAll 5 MRSAP Counties Programs above are in various stages of procurement and/or development, and as such are subject to change.

8 Quality Assurance and Oversight Initiatives Comprehensive Monthly CSP Tracking – Tracks 22 categories including benefits, housing, services, and social supports on a monthly basis for all CSP consumers Care Management Collaboration with CCBH – Follows identified high risk consumers – both HealthChoices and non-HealthChoices – Works closely with Allegheny County’s community integration team and the QMCC from the SOS Regional Reporting of Critical Incidents and Early Warning Indicators with Automated Notification Capability – Provides regional perspective of critical incidents – Integrates with other CSP tracking data – Offers ability to notify Counties and State immediately once entered into the system

9 Quality Assurance and Oversight Initiatives Quality Improvement and Outcomes (QIO) Sub-Committee – Includes consumers, family members, and professionals from the MRSAP Counties and State – Monitors and reviews data related to the MRSAP project, including but not limited to assessments, CSPs, satisfaction / quality of life surveys, and other evaluation components CSP Evaluation Study with the University of Pittsburgh – Will evaluate the CSP process for those discharged from Mayview and provide insight on effectiveness for service planning and community integration Quality Management and Clinical Consultation (QMCC) Team – Works collaboratively and in consultation with counties and providers to monitor the quality and effectiveness of services, the effective coordination of services, and development of staff expertise to meet the complex and changing clinical needs of consumers.

10 Quality Assurance and Oversight Initiatives Mayview Nursing Community Assessment Team – In collaboration with the Counties, provides medical assessments to consumers in the community who have been discharged from Mayview Acute CSP Process to Support State Hospital Diversions in Community Hospitals – Currently being piloted, this initiative transfers the Mayview CSP process to the acute community hospital setting to support diversions and community residential placements Failure Mode Effects Analysis (FMEA) – Proactively evaluates activities associated with the closure and works to develop contingencies to minimize risk to consumers, staff, and the community at large Root Cause Analysis (RCA) – Process that objectively and systematically reviews the contributing factors associated with certain critical incidents deemed “sentinel events” involving individuals within the Mayview Service Area

11 Greene County Greene County Human Services is focused on understanding the principles of recovery and their application in the area of current and new program development. Service Area Expansion and Development

12 Greene County’s target populations for service planning are: Individuals with multiple community hospitalizations. Individuals at risk for hospitalization in a community hospital.

13 Mental Health Outpatient Partial Hospitalization Drop In Center Social Rehabilitation Community Support Program (CSP) Housing Options Inpatient Hospitalization SOAR (Senior Outreach and Referral) Case Management Expansion of Current Services

14 Community Treatment Teams Peer Support Mobile Mental Health Outpatient Treatment Psychiatric Rehabilitation Crisis Services Enhanced Personal Care Home Promoting Recovery through Education Development of New Services

15 Greene County is working diligently with OMHSAS, MRSAP Steering Committee, Value Behavioral Health, provider agencies and other stakeholders in identifying County specific and regional needs for the expansion of current and the development of new services for our residents. Greene County

16 County Updates – Continued (no slides) Beaver County – Peer Support Services, Joanne Koehler (video) Lawrence County – Fairweather Lodge Allegheny County – Stakeholder Review Process for RFPs, Audra Dudek and Meg Park

17 SAMHSA Grant for Peer Specialist Training for Older Adults (no slides) SAMHSA Grant for Peer Specialist Training for Older Adults – Shirlee-Hopper-Scherch, Executive Director, Peer Services Advocacy Network (PSAN)

18 Discussion