Broward Behavioral Health Coalition, Inc. Fort Lauderdale, Florida (954)

Transcription

1 Broward Behavioral Health Coalition, Inc S.E. 4 th Avenue Fort Lauderdale, Florida (954) Policy Title: OCP2 NATIONAL EVALUATION ENROLLMENT POLICY Policy Number: TBD Contract Section (s): Effective Date: 10/1/15 Revision Date: Responsible Department: Signature Block (all necessary Managing Entity (ME) signatures are placed in this section) Approved by: Signature: Date: Title: Approved by: Silvia Quintana, Chief Executive Officer Signature: Title: Date: Policy: It is the policy of the Broward Behavioral Health Coalition and the One Community Partnership 2 (OCP2) to engage transition-age youth who meet the established criteria for services to have the opportunity to participate in the OCP2 National Evaluation. Purpose: To ensure that BBHC subcontracted providers abide by System of Care principles and deliver age-appropriate evidence-based practices to youth/emerging adults and families engaged through OCP2 that support their recovery, wellness and resiliency. Procedure: OCP2 will engage and serve youth or emerging adults, with primary mental health disorders who may also have co-occurring substance use and complex issues as early as 14 years of age through 21 years of age, that represent the diverse population of Broward County. Through collaboration between providers, system partners, and key stakeholders, OCP2 will ensure that youth/emerging adults within Broward County, regardless of their ethnicity, primary language spoken or geographic location within the county, will have access to needed services. These services include recovery and peer supports for greater access to competitive jobs, continuing education, and independent housing, as well as access to needed behavioral health services. Enrollment in the National Evaluation is voluntary and should a youth/emerging adult or family not want to participate, they may still receive services. Youth/emerging adults and their families will receive a monetary stipend for participation in the National Evaluation. The following outlines the criteria and process for enrollment in the National Evaluation: I. POPULATION OF FOCUS I. The population of focus for One Community Partnership 2 (OCP2) is youth/emerging adults who experience mental health challenges; that may include co-occurring substance use disorders, trauma, and other needs. The youth/emerging adult must be a resident of Broward County. Page 1 of 6

2 II. ELIGIBILITY CRITERIA I. Youth/emerging adults will be identified by an enrollment form that includes documentation of eligibility criteria through the completion of the GAIN-SS and documentation indicating an Emotional Behavioral Disorder (EBD)/Severe Emotional Disturbance (SED). Additionally, youth/emerging adult and the parent/guardian of under-age youth must be willing to participate in an orientation of the National Evaluation. I. Age: II. Diagnosis: youth/emerging adults have or are suspected to have a serious mental illness and/or co-occurring substance use disorder, and can provide appropriate documentation that supports this under the DSM-V or its ICD-10 equivalent, and needs continued services. Applicable Primary Mental Health Diagnoses include: Anxiety Disorders Adult Attention Deficit/Hyperactivity Disorder (ADHD/ADD) Bipolar and Related Disorders Depressive Disorders Obsessive-Compulsive and Related Disorders Trauma- and Stressor-Related Disorders Schizophrenia Spectrum and Other Psychotic Disorders Eating Disorders Gender Dysphoria Disruptive, Impulse- Control, and Conduct Disorders o Conduct Disorder o Oppositional o Defiant Disorder Intermittent Explosive Disorder Attention Deficit/Hyperactivity Disorder (ADHD/ADD) III. Disability: In addition to their diagnoses, the youth/emerging adults have a level of disability rendering them unable to function independently in the community, school or home, without multi-agency intervention. Youth/emerging adult must be: 1. Involved in at least 2+ child or adult-serving systems and are receiving mental health, education, child welfare, juvenile justice, substance use or primary health related services. AND 2. Must be in or at risk of being placed in an out-of-home residential care center, an inpatient hospital or a correctional facility. a. At Risk is defined as any one of the following: i. History of 2 or more admissions that may include hospitalizations, incarceration, etc. ii. Discharged from an out of home treatment facility (defined above) iii. Have been in an out of home treatment facility in the past year Page 2 of 6

3 iv. A Level of Care assessment has indicated at risk status (LOCUS/CALOCUS) v. Aging out of foster care or family home within the next 12 months IV. Duration: The identified disability has been present at least one year, and/or expected to require involvement of the various serving agencies to last more than a year. III. IV. POINTS OF ACCESS I. Youth/emerging adults may obtain access to Transition to Independence Process (TIP) approach from any of the following: Broward County Public Schools Department of Juvenile Justice/Corrections The Juvenile Assessment Center (JAC) Child/Adult serving agencies such as: o Case Management (CM) Wraparound, Adult CM, other Providers o First Episode Psychosis Team o Florida Assertive Community Treatment (FACT) Team Hospitals/Crisis Stabilization Units (CSUs) Juvenile Addiction Receiving Facility (JARF), Atlantic Shores Hospital, Ft. Lauderdale Hospital, and the Center for Behavioral Health at University Pavilion Other: o Peer and Advocacy Organizations o Self-Referrals o Community Partners PROCEDURES I. Enrollment I. The community (I.e., clinicians, intake/discharge staff, case managers, etc.) is continuously trained in TIP and how to educate youth/emerging adults and their families about the TIP approach and recovery support services, along with social marketing efforts to promote access and reduce stigma. II. TIP interventions are offered by a TIP trained staff also referred to as Transition Facilitators, Wellness Coaches, or other provider-assigned job title. III. Youth/emerging adults are identified as benefiting from TIP interventions and meeting eligibility criteria. IV. Referral source (refer to Points of Access) initiates the enrollment process, which may vary based on scenarios illustrated below: 1. YOUTH IS ALREADY ENGAGED WITH BEHAVIORAL HEALTH TREATMENT SERVICES a. if service provider has their own TIP trained staff: i. TIP staff engages youth/emerging adult in the TIP approach ii. Complete enrollment form with copies of required documentation (GAIN SS) and send to OCP2 Clinical Integration Coordinator (CIC) with documented disability indicating eligibility criteria (i.e., biopsychosocial assessment, provider affidavit by, at a minimum, a Master s Level Clinician) Page 3 of 6

4 iii. Interventions begin and TIP staff works side by side with service provider and is part of the treatment team iv. OCP2 Peer Evaluator contacts individual for participation in the National Evaluation b. if a service provider does not already have their own TIP trained staff: i. Provider staff completes a South Florida Wellness Network (SFWN) Referral Form for TIP ii. SFWN Wellness Network Coach meets with individual to offer interventions. If youth/emerging adult agrees, SFWN completes enrollment form with copies of required documentation and sends to the CIC iii. Interventions begin and Wellness Coach works side by side with service provider and is part of the treatment team iv. Peer Evaluator contacts individual for participation in the National Evaluation 2. YOUTH IS NOT YET ENGAGED IN TREATMENT, SELF-REFERRAL, DIRECTLY REFERRED BY ACCESS POINTS, OTHER: a. Youth/emerging adult and family will be directed to SFWN for engagement through Wellness Coaches b. SFWN completes enrollment form with copies of required documentation and sends to the CIC i. Wellness Coach makes referral to partner agency for a biopsychosocial, if necessary, to determine diagnosis for eligibility. c. Based on the initial assessment, if youth/emerging adult wants/needs behavioral health treatment, Wellness Coaches will work with partner agencies to link with services i. If agency has their own TIP trained staff, SFWN makes the referral and provider agency manages case. ii. If agency does not have their own TIP trained staff, SFWN remains engaged and supports youth throughout treatment (See 1.a. & 1.b. above) 3. YOUTH WANTS TIP INTERVENTIONS BUT DOES NOT WANT BEHAVIORAL HEALTH TREATMENT SERVICES COORDINATED BY AN AGENCY: a. Youth/emerging adult and family will be directed to SFWN for engagement through Wellness Coaches b. SFWN carries caseload and supports youth/emerging adults and coordinates treatment and services as needed V. DOCUMENTATION Youth/emerging adult has a documented disability indicating eligibility criteria this could be evidenced through documentation from within the past 2 years that may include a biopsychosocial assessment, a provider affidavit by at a minimum, a Master s Level Clinician, etc. Enrollment Form packet includes the GAIN-SS, Document supporting Diagnosis/Disability (i.e., biopsychosocial assessment, provider affidavit by at a Page 4 of 6

5 minimum a Master s Level Clinician), National Evaluation Form, and if necessary other documents supporting eligibility The GAIN SS must be completed by a TIP Transition Facilitator/Wellness Coach. Transition Facilitator begins Futures Planning and completes the Strength Discovery and Needs Assessment with youth. Documentation is integrated in the person s clinical chart as appropriate. VI. VII. TIME FRAMES Enrollment form is completed & documentation is collected by the referral source prior to sending the enrollment packet scanned in secure to the Clinical Integration Coordinator (CIC). File is sent to the CIC scanned via using HIPAA compliant encryption. The CIC validates that the youth/emerging adult has met the eligibility criteria for enrollment within 2-3 business days. If eligibility criteria has not been met, additional evidence of eligibility is needed or youth/emerging adult does not meet eligibility, a disposition form will be completed by the CIC and sent back to the referral source. Once all eligibility criteria have been met, an enrollment number will be issued and the CIC will send the enrollment number to the partnered provider, if applicable, and the Research Evaluator. EVALUATION STUDY I. Upon completion of the enrollment process the CIC will notify the Evaluator of the youth/emerging adult s enrollment in the OCP2 National Evaluation via secure e- mail. The Evaluator will complete the following activities for every youth/emerging adult and family receiving services and that is also participating in the evaluation study: I. Contact the youth/emerging adult and family, if applicable, to acquire informed consent to participate in the evaluation study. II. Contact the OCP2 provider to schedule a case record review (Enrollment and Demographic Information Form- EDIF). III. The Evaluator will complete a case record review (EDIF) within the first thirty (30) days of the youth/emerging adult s enrollment into OCP2 IV. Within 72 hours of completion of the Youth and Family Transition Facilitation Plan ( Strength Discovery and Needs Assessment ) the OCP2 provider must notify the CIC and the Evaluator. Within 30 days of the development of the Youth and Family Transition Facilitation Plan the Evaluator must complete an initial interview with the youth/emerging adult and family. V. After initial baseline interview, the Evaluator will re-contact and re-consent youth/emerging adult and caregiver to participate in a series of follow-up interviews. Follow-up interviews will be conducted every 6 months for up for 24 months. The Evaluation Team will also conduct a record review at each follow-up data collection point. REFERENCES: Transition to Independence Process (TIP): SAMHSA System of Care: GAIN-SS: Page 5 of 6

6 ATTACHMENTS: Enrollment Forms DEFINITIONS: REVISION REVISION LOG DATE The OCP2 Project Director and Chief Executive Officer are responsible for all content in this policy. Page 6 of 6