1. Beaver County
Single Point of Accountability (SPA) Protocol for Supporting Transitions In Residential Programs

2. Objectives The purpose of this protocol is to provide guidelines to:
Highlight the importance of collaboration and communication
Clarify roles and expectations for SPA providers and residential providers
Provide a smooth transition for individuals moving to/from residential programs
Support individuals when they are experiencing a crisis at a residential facility

3. Collaboration
Critical to success when transitioning to a new residence.
When everyone is on the same page and wraps around the individual, an increased sense of security leads to confidence and better outcomes.
Errors due to lack of communication can lead to a relapse.
Collaboration decreases obstacles and barriers allowing the individual to focus on success.

4. Roles SPA Collaborates with residential provider and treatment team
Develops and shares crisis prevention plan
Eases transition & provides support
Residential
Collaborates with SPA
Receives and uses crisis prevention plan

5. SPA - Information Sharing
When an individual is admitted into a residential program, the SPA is the lead and will provide the following information prior to admission:
eSP
Treatment/Service Plan
Person-Centered Crisis Plan
SPA & on-call information
WRAP/Advanced Directives

6. SPA – More Information Sharing
The following information may be shared as additional support to the residential providers:
Behavior plans
Potential risk factors based on history
Respite options
Justice related background including probation/parole/pending litigation
Income verification
MA eligibility
Up-to-date list of ALL medications
Scheduled appointments for next 30 days

7. Residential Provider - Communication to SPA
Residential staff will maintain communication with the SPA regarding:
Program rules, visitation policy and curfew
Violations that could result in discharge
Room/board/rental costs
Treatment team meetings, routine reviews, crisis intervention, and discharge planning.
Concerns/issues as well as positive events

8. Transition & Planning
The individual, SPA, current residential provider, and future residential provider work together to:
Identify needs & person responsible
Coordinate supports such as food supports, a representative payee/bank account, social security, and peer support
Communicate a clear understanding of rules & expectations
Connect with community resources such as food banks, libraries, drop in centers, and transportation options
Outline crisis response expectations & numbers
Outline the role of the SPA and services they provide

9. During a Crisis
During a crisis or potential hospitalization, collaboration between the residential provider and SPA is especially critical.
Residential provider will:
contact the SPA for support in de-escalating the situation
contact the SPA immediately if police involvement or immediate hospitalization is necessary,
respond to the hospital, if an involuntary commitment petition is needed
SPA provider will
respond to the crisis, if it warrants support.
report to the hospital per SPA standards to support the individual
not be expected to file the petition.
An incident report should be completed by the person with the most knowledge of the event. Communicate to identify who will complete & submit the incident.

10. SPA - Transition
Once an individual is residing in placement that all needs are expected to be met, such as but not limited to an RTF, a nursing home or an LTSR, the SPA provider is expected to use
The SPA should not bill between this time.
The first 30 days in to transition the individual into placement
The last 30 days prior to discharge to transition the individual out of placement
If the individual’s needs are so complex that the  residential placement feels they need additional support, it is the responsibility of the SPA provider to:
request ongoing authorization of services from the payer

11. Successful Transition
SPA Provider
Residential Provider
INDIVIDUAL
The success of the individual we are working with is the focus of communication.
The individual should feel welcome, informed, and an important part of the team.
The SPA should know what the residential provider is doing.
The residential providers should know what the SPA is doing.
Seamless transition from one residence to
another is a priority.

12. Outcomes of a Successful Transition
The success of the individual we are working with is the focus of communication.
The individual should feel welcome, informed, and an important part of the team
The SPA should know what the residential provider is doing
The residential providers should know what the SPA is doing
Seamless transition from one residence to
another is a priority

13. THANK YOU You have completed the Residential Protocol.
Please take the test!
You will get a certificate once you have completed all the competencies
and passed with 90% or better.
The certificate will generate on its own.
Print it.
Give it to your supervisor