1. Behavioral Health Department
Radiant Scoggins, LCSW

2. Program Structure/Resources pre 2008
Psychiatric Nurse
1 Psychiatric Consultant (4hours per month)
No outside Psychiatric Services; several inpatient Hospitalizations
No Trained Behavioral Health Teams
No Intake Process to evaluate appropriateness of new enrollees with Behavioral Health needs.

3. Program Structure (transition period)
Dr. Alicia English founded CEI’s Behavioral Health Department
Extensive training with teams to manage psychiatric emergencies
Behavioral Health Team to include Psychiatric Social Workers
Created assessment process for potential enrollees
Contract with Specialists in the community
Substance Abuse treatment
IOP (intensive outpatient program)

4. Current Structure/Resources
Behavioral health team :
1 Psychiatric Social Worker at each site
Behavioral Health manager
Consulting Psychiatrist (20 hours per week) – float to cover each site
Psychology interns from the Wright Institute - 2 interns per site (8 total)
** Contracted Specialist including IOP, In-patient Substance Abuse Treatment, Psychotherapist (language specific)

5. Goals
Increase network of contracted service providers specifically broaden language capacity.
Expand training to extend to contracted care providers
Residential Care Facilities and Skilled Nursing Facility staff.

6. Resources/tools Annual Cognitive screen – MOCA, SLUMS
Bi-Annual Depression screening – Geriatric Depression Screen (GDS)
Behavior Contract
Substance Use Treatment Protocol
Psychological Evaluation (assessment tool for enrollment)

7. Current Census 710 Participants 294 (41%) have a psychiatric diagnosis
230 (32%) have dementia
214 (30%) have a single diagnosis
57 (0.08%) have dementia only

8. CEI Participant’s are Diverse

9. Referrals Referral Mechanisms
Internal referrals for consulting Psychiatrist created by the Provider
Referrals for Outside Psychotherapy services facilitated by Psychiatric Social Worker
On Site psychotherapy offered by Psychiatric Social Worker and Psychology Interns. Referrals made by ALL disciplines
Referrals

10. Benefits of Behavioral Health Program
“As our population gets older, behavioral issues are more prominent. Having a Behavioral Health specialist not only benefits the participant but the staff who can be trained on how to better serve a participant with behavioral issues”, CEI Nurse Practitioner
Increased participant stabilization with intensive case management services.
Decreased In-patient psychiatric hospitalizations
Increased staff awareness and training on behavior management interventions

11. Survey on Behavioral Health Department

12. Psychiatric Hospitalizations

13. Participant’s in the Hospital

14. Advice in Developing a BH Program
Incorporate regular on-going behavioral health training for all staff
Communication between Provider and Behavioral Health Social Worker is essential

15. Advice “Continued”
Determine specific needs of your population and provide training based on need i.e substance use, cognitive impairment, etc.
Standardize caseload for Psychiatric Social Workers to reflect smaller load for intensive case management obligations.

16. Questions/Discussion:
Phone: