1. COMMUNITY STRATEGIES: New Hampshire
Comprehensive Program Review June 28, 2013

2. HIGHLIGHTS
3 new programs in Active Life – Keene Day Program – (two 30 hour program [David J. and Jessica B.] and 1 new 20 hour program (Brian B.])
Charles Richwine, Program Coordinator, was chosen by the area agency and will become a certified Gentle Teaching Trainer by September.
Keene Day Program has become recognized by the Area Agency (MDS) as the best day program in the region. 
Demonstrated success teaching relaxation and mindfulness techniques

3. HIGHLIGHTS BEST PRACTICE:
Actively engaged in system-level discussions on better integration of developmental, acquired brain injury, mental health, substance use and primary care services
Developing new process for review and revision of program rules and protocols involving all stakeholders
CLIENT RELATED:
Selden, who is 58 years old, is learning to read for the first time in his life. He can now recognize 42 words and read them in sentences.
Corey went on vacation to Branson, MI alone with a group tour. Several other individuals also took vacation (to Florida, Michigan, and on a cruise) with minimum staff supervision.

4. CHALLENGES Reorganizing Unity House and changing the milieu
Finding staff to fill 2nd shifts and weekend
Closing of Newmarket
Our ability to address co-occurring disorders
Reducing the use of intrusive interventions like restraint, police involvement, and/or hospitalization
Maintaining equality of clinical and administrative support

5. STAFFING
Staff Turnover Rates
Performance Evaluations
Staff Training

6. STAFF TURNOVER RATES
The current CSNH turnover rate is 33.8%; compared to the last CPR of 23.4%
Last CPR: Keene = 20%; Manchester = 17%; Unity = 0%; Individual Sites = 19% (May 2012 – October 2012)
Data obtained from HR Reports

7. OVERDUE PERFORMANCE EVALUATIONS
STAFFING
OVERDUE PERFORMANCE EVALUATIONS
November 2012 –
April 2013
Overdue Evaluations
As of April 30, 2013 FT PT
Keene 4 3
Manchester 2
Unity
Individual Sites 1
Totals 10
May 2012 –
October 2012
Overdue Evaluations
As of October 31, 2012 FT PT
Keene 4
Manchester
Unity 1
Individual Sites 6 2
Totals 11
Total of 10 FTEs and 4 PTEs overdue performance evaluations; this is a 21% decrease in overdue evaluations
Last CPR, a total of 11 FTEs and 6 PTEs overdue performance evaluations from May 2012 – October 2012
Data obtained from HR Department & HR Personnel Summary

8. (combined with Manchester
STAFF TRAINING HOURS
November April 2013
E Training Hours
MMR Training Hours
Total
Keene
104.75
Unity House
13.75
Newmarket Program
(combined with Manchester
N/A
Manchester
67.5
Totals
186
145
331
MMR Training Hours = combined and not sorted by individual programs
May October 2012
E Training Hours
MMR Training Hours
Total
Keene 91
Unity House 58
Newmarket Program
8.25
Manchester
18.75
Totals
176 85
261
MMR Training Hours = combined and not sorted by individual programs
A total of 331 training hours completed (November 2012 – April 2013); an average of 7.4 training hours per staff/six months. This is a 2.7% decrease from the last CPR
Last CPR, a total of 261 training hours were completed May 2012 – October 2012
Average of 7.6 training hours per staff/six months
Data obtained from MMRs and HR Reports

9. CLIENT RELATED Clinical Hours Elopements Restraints New Clients
Medication

10. CLINICAL HOURS November 2012 – April 2013
Average of .62 clinical hours per client/month; Total Clinical Hours = This is a 22% decrease from the last CPR.
Last CPR, Average of 0.79 clinical hours per client/month; Total Clinical Hours = 39; (May – October 2012)
Data obtained from MMRs

11. Client Elopements Client Restraints
New Clients - CSNH
Client Elopements
November 2012 – April 2013
May 2012 – August 2012
CSNH
Client Restraints
November 2012 – April 2013
May 2012 – August 2012
CSNH 8 1
Data obtained from MMRs

12. MEDICATION INCIDENTS & OCCURRENCES
A total of 4 medication incidents and occurrences . This is an increase of 400% of medication incidents and occurrences from the last CPR.
Last CPR, a total of 0 medication incidents and occurrences (May 2012 – October 2012)
Data obtained from MMRs

13. KEY MMR RESULTS 6 site visits by outside funders
Department success with individual's community involvement average of 92% over six months
“0” client incidents involving contraband

14. CPR ACTION PLAN
See Handout