1. BRIGHT Behavioral health Resources Integrated with Good Health care Techniques Prestera Center for Mental Health Services, Inc. Valley Health Systems, Inc. West Virginia Mental Health Consumers Association Cohort III Learning Community IV Glenn Ratliff Glenn.ratliff@prestera.org 304.525.7851, extension 1104

2. Background/Partnership History Prestera Center – Largest community mental health center in West Virginia.Prestera Center – Largest community mental health center in West Virginia. –Provide mental health and substance abuse treatment to over 19,000 children, families and adults each year. –Serve 8 counties in 50+ locations. Valley Health Systems, Inc.–Valley Health Systems, Inc.– –Provides primary and preventative care in 28 locations in 2 states. –Serves more than 68,000 patients yearly. West Virginia Mental Health Consumers Association –West Virginia Mental Health Consumers Association – 25 years experience. 25 years experience. –Operates 6 statewide Wellness and Recovery/ Drop-in centers, 18 offices. –Offers peer recovery network, peer support specialists, and community supports.

3. About our Program Integration model: IMPACT Evidence based depression careIntegration model: IMPACT Evidence based depression care –Collaborative care is the cornerstone –Care manager –Designated psychiatrist –Measurement of depressive and other symptoms with validated measurement tools –Stepped care goal of 50% reduction in symptoms within 10-12 weeks Strategy used to incorporate primary care:Strategy used to incorporate primary care: –Proven effective in Primary Care –Nurse care manager is the key (functions like a behavioral health case manager) –Consumers are comfortable and familiar with case management Enrollment target:Enrollment target: –Expanded services to Prestera’s clients who have Serious Mental Illness (SMI) –Wellness Recovery Action Plan (WRAP) –Health and wellness activities –500 SMI clients per year

4. About our Program Special populations served:Special populations served: –Behavioral health consumers with serious and persistent mental illness Program setting:Program setting: –Rural Appalachia Wellness services offered:Wellness services offered: –Smoking Cessation –Cooking Matters – Yoga –Chair Yoga –Zumba –WRAP –Walking

5. About our Program Peer Contributions:Peer Contributions: –Prestera partnered with The West Virginia Mental Health Consumers Association to provide WRAP –Two Steering Committee Members –Peer assistance with evaluation –Peer review of all program materials –Peer voice in choice of wellness activities EHR vendor:EHR vendor: –Care Logic by Qualifacts since July 2010 Any other unique information:Any other unique information: –On site lab –Construction of Integrated Primary/Behavioral Health Primary/Behavioral Health and Wellness clinic and Wellness clinic using state funds using state funds

6. Who We Are 2 Nurse Practitioners2 Nurse Practitioners Registered NurseRegistered Nurse Wellness CoachWellness Coach Office ManagerOffice Manager WRAP CoordinatorWRAP Coordinator ProgramProgram Coordinator Coordinator LicensedLicensed Psychologist Psychologist

7. HIT Prestera is collaborating with two other PBHCI grantees, Community Mental Health Affiliates, Inc. and Milestone Center.Prestera is collaborating with two other PBHCI grantees, Community Mental Health Affiliates, Inc. and Milestone Center. Progress to dateProgress to date –Joined West Virginia Regional Health Information Technology Exchange Center, WVRHITEC, with at least monthly contact. –In stage two of three of our EHR vendor, Care Logic, being certified by Quest. –Feature Spec document has been completed and final approved by the collaborators. –Overall Grantee Certification completed by end of July 2012.

8. Consumer Profile 53% between ages of 25-4453% between ages of 25-44 92% Caucasian Appalachians92% Caucasian Appalachians 38 % unemployed and disabled38 % unemployed and disabled 52 % own or rent residence52 % own or rent residence –However 47 consumers had a total of 1115 reported nights of homelessness 80% of consumers use tobacco80% of consumers use tobacco Other popular substances of choice are alcohol and prescription OpioidsOther popular substances of choice are alcohol and prescription Opioids

9. Plans for the Future SustainabilitySustainability –Third party billing –Community resources –State support –Foundation grant funding –Cost benefit savings demonstrated through evaluation Health Home ActivityHealth Home Activity –West Virginia is preparing a state plan amendment. –Target population include people with a severe and persistent mental illness. –Community mental health centers can be a medical home. –West Virginia plan to be officially submitted by July 1, 2012. What you hope to accomplish within the next six monthsWhat you hope to accomplish within the next six months –Analyze outcome data to determine additional services needed –Seek out partnerships with area organizations for additional wellness activities –Continue to identify and address possible barriers to program enrollment