1. Mayview Regional Service Area Plan Stakeholders’ Meeting September 19, 2008

2. 22 Today’s Agenda Welcome Update on the Mayview Closure Update on the Land Reuse Task Force Crisis Services in the Mayview Service Area – Questions and Answers with Panel of Crisis Service Providers Video Questions and Answers with Audience – Panel of Administrators and State Project Management MRSAP Resource Fair Continues Until 5 PM

3. 3 Update on the Closure Currently 93 people in hospital 148 people have been discharged since the announcement (August, 2007) 68 individuals were discharged through the CSP process prior to announcement Discharges by county (total pre and post announcement) – Allegheny 165 – Beaver 24 – Lawrence 6 – Washington 21

4. 4 Closure Update cont’d Currently three units – moving toward another unit closure by end of October Planning for State Operated Services continues – LTSR – 2 Specialized Supported Small Homes (3 people) Approximately 16-18 people will be transferred to Torrance – being handled through CSP process on a case by case basis

5. How are Individuals Doing?

6. 6 Do You Have Case Management or CTT?

7. 7 Case Management Frequency

8. 8 Frequency of CTT

9. 9 Where are People Living?

10. 10 Is Life Better?

11. 11 Is Life Better? Why or Why Not? This is home now I have my own key to my apartment I have a lot more freedom My depression won’t go away I am around my family more I am sick of the medicine I am more independent I was not comfortable in a large group setting

12. 12 What Would Make Your Life Better? Being around my children Getting an apartment Having a girlfriend Getting married If I had a job More spending money Being more independent To lose weight Just waking up and seeing the next day makes me better

13. 13 Services, Treatment and Support

14. 14 What Else Do you Need? A job, a car, a home A different doctor An apartment See someone from Voc Rehab Talking to my sister I would like to talk with someone one-to-one more often Parenting classes

15. 15 Hope for Recovery

16. 16 How is the Place you Live?

17. 17 Housing Satisfaction Issues Want my own place with my children I feel it is a stepping stone I just don’t like it I would rather live in the city I’d rather live in the country

18. 18 Are you Working?

19. 19 What Jobs do People Have? Car wash on Fridays Cleaning kitchen Volunteer at Kane Hospital Heinz Field as an event staff Volunteering on a farm Playing music

20. 20 Issues Related to Working or Volunteering I am not sure what I can do I need training and would like to get my GED I apply, they won’t hire me My doctor doesn’t think I should work I don’t have the strength to work now

21. 21 Do you Have Family Support?

22. 22 Fun and Relaxation

23. Crisis Services Discussion

24. 24 MRSAP Crisis Services Questions and Answers with Panel of Crisis Service Providers – Allegheny County Re:solve Crisis Network - Dr. Rodney Williams, Jewel Denne – Beaver County Heritage Valley Health Systems, Staunton Clinic Crisis Services - Elisia McCary – Greene County Greene County Human Services – Dean Virgili – Lawrence County Lawrence County Human Service Center – Scott Baldwin – Washington County Southwest Behavioral Care (SBC) – Tracy Augman and Lisa Lombardo Washington Communities – Scott Berry

25. 25 Purpose of a Crisis System Provide timely and accessible aid and support Provide access to a variety of options Help people stabilize as quickly as possible and return to their homes Help individuals increase their ability to recognize and deal with situations that might prompt a crisis Help individuals identify and use natural community supports in a crisis

26. 26 What Else Should a Crisis System Do? 24 hours/day, 7 days/week Employ appropriately trained, culturally competent staff Provide services that are adequate for people with multiple service needs Coordinate with primary health care provider Serve as a resource to the entire community Provide a range of services Have linkages with law enforcement to help keep people from entering criminal justice system

27. 27 Components of a Crisis System 24 hour crisis telephone lines Warm lines Walk-in crisis services Mobile crisis services Crisis residential/Crisis respite services Crisis stabilization units Crisis Aides for in-home support Peer run residential/respite services

28. 28 Questions for Panel? How can you employ peers in crisis services/ What is the difference between a warm line and a crisis or hot line? Should crisis residential programs take people on an involuntary commitment? What elements are strongest in your county system? What elements are missing in your county system?

29. Transitions from Mayview In Their Own Voices