Pennsylvania Olmstead Plan. York & Adams Counties. Wernersville Service Area

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1 Pennsylvania Olmstead Plan York & Adams Counties Wernersville Service Area July 2012 I. Introduction Following the release of the Department of Public Welfare s Office of Mental Health and Substance Abuse Services Olmstead Plan for Pennsylvania s State Mental Health System in January 2011, the Wernersville Service Area Plan Steering Committee began to formulate a cooperative strategy to move forward with implementing an incremental process of addressing the needs outlined in developing a Service Area Integration Plan. Utilizing the Support Plans for all individuals residing and receiving treatment at Wernersville State Hospital, the Steering Committee began to develop a database inclusive of all individual components of CSP s. This database will serve as the primary resource for all the collective and individual needs for persons receiving this level of support. Every individual s CSP data is to be entered into the database upon completion and/or update of their plans. This database can encompass information selected for each county, or the entire Service Area. From the database, each County MH-MR Program can cull information that will identify what services, supports, and infrastructure will be needed for those individuals. This information can then be cross-referenced with the existing services and supports currently available in each County as outlined in those counties environmental scan. By cross-referencing both sets of information, each county will know exactly what areas of support are sufficient in meeting the needs of these individuals, and what areas of support need to be further enhanced, newly developed or accordingly altered. The outcome of maximizing resources can be addressed through this process by ensuring that if the demand is not sufficient to develop a service in a particular county, a plan can be set forth to develop a regional or Service Area support or service. This cooperative planning approach could be best suited in meeting the specialized needs of individuals who have a dual diagnosis of mental illness and an intellectual disability, individuals who have a dual diagnosis of mental illness and substance abuse, individuals who have a dual diagnosis of mental illness and physical disability, individuals who have a dual diagnosis of mental illness and acquired brain injury, consumers returning from incarceration, individuals that are deaf, individuals who are homeless, individuals who are elderly, individuals who are medically fragile, and individuals who do not speak English. 1

2 The database is intended to be a living document, subject to change based upon the dynamic needs of the persons we serve. Each County will have a fully encompassing, current representation of the community based support needs of each individual receiving treatment and support at Wernersville State Hospital. II. List of Services: Treatment services, supports, and infrastructure needed to support individuals in the community that currently are at the state hospital. Treatment Services: o Peer Support Services: Adams-Hanover Counseling Services; Service Access and Management, Inc. o Mobile Treatment Teams: Bell Socialization Services ACT; Adams-Hanover Counseling Services CORE Mobile Outpatient & Psychiatric Nursing; Wellspan Behavioral Health Mobile Psychiatric Nursing o Partial Hospitalization: Adams Hanover Counseling Services o Sexual Offender Treatment Services: T. W. Ponessa and Associates Outpatient o Non-Residential Structured Programming: Bell Socialization Services Oasis House o Outpatient Services: Adams-Hanover Counseling Services; Wellspan Behavioral Health; Catholic Charities; PA Counseling; Pennsylvania Comprehensive Behavioral Health; T. W. Ponessa, Pressley Ridge, Commonwealth Clinical Group o Highly structured supervised setting: Services Group LTSR; NHS Human Services Extended Acute Care Infrastructure Review of Services/Development: o Residential Rehabilitation Settings: Adams Hanover Counseling Services (16 beds); Bell Socialization Services (30 beds) o Specialized Personal Care s: Keystone Mental Health Services (2) o Crisis Intervention Services: Adams Hanover Counseling Services (Mobile, Walkin, Telephone); Wellspan Behavioral Health (Walk-in, Telephone); NHS Human Services (Crisis Diversion Residence) Support Services: 2

3 o Family Education: NAMI; Mental Health Association of York & Adams Counties o Work Opportunities: HART Center; Shadowfax; Bell Socialization Services Vocational Rehabilitation & Transitional Employment; Penn Employment (ARC of York County); Adams-Hanover Counseling Services Consumer Work Program o Transition Age Services: Bell Socialization Residential Services o Supported Housing: Bell Socialization Services; Adams-Hanover Counseling Services o Assisted s: Adams-Hanover Counseling Services (4); Bell Socialization Services (3); NHS Human Services (2) o Representative Payee Services: Mental Health Association of York & Adams Counties o Social Rehabilitation: Bell Socialization Services; Adams-Hanover Counseling Services o Consumer/Family Satisfaction Team: Mental Health Association of York & Adams Counties o Case Management: York/Adams MH-MR Program (ICM, RC & Administrative); Service Access and Management (ICM, RC, Blended) o Mental Health Court: York County o Memphis Model of Crisis Intervention for Police: York County; (Adams County under development) III. List housing requests from individuals at Wernersville State Hospital who have been at the state hospital 2 years or more, (who participated in the peer assessment process associated with the CSP). *Please note one individual did not indicate living preference. Own LTSR Family Structured Residence MR CLA Assisted Supported Apartment CRR WeSH

4 IV. List the current recommended level of care for individuals receiving treatment at Wernersville State Hospital for 2 years or more. Own LTSR Family Structured Residence MR CLA Assisted Supported Apartment CRR WeSH V. Current and projected array of housing options: (Place an X in the columns of the listed services provided by county.) County / Jointer Independent Permanent Supported Housing Residential Rehab Long Term Structured Residences Specialized Residence Enhanced Personal Care Assisted s York/Adams X X X X X X X Housing First (models that do not require individuals to participate in services) Type of housing program to be Developed Number of individuals to be Served Timeline for Development of the Program Strategy to use to maximize resources to meet the housing needs of individuals: Emergency Rental Assistance Program Approximately 400 Individuals/Families Fiscal Years: Health Choices Reinvestment 4

5 VI. Specific Non-Residential Supports and Services for consideration to develop. Non-Residential Supports and Service to be Developed Number of Individuals to be Served Timeline for Development of the Program Recovery focused service (Y/N) Anticipated Funding Sources Expansion of CORE Mobile Psychiatric Outpatient and Psychiatric Nursing 60 FY Y Medical Assistance and County MH CHIPP and Base Funding (for MA ineligible individuals) VII. Congregate settings of more than 16 beds for persons with mental illness. Complete the information for your county. County / Jointer # of Individuals with serious mental illness living in a personal care home exceeding 16 individuals Total Number of PCH York/Adams 38 Adams-18 York-29 Number of s that have over sixteen beds Adams-6 York-21 Services Offered / Provided Eligible individuals can access any service listed above. Services which may be Needed Transportation Through the County s Personal Care Boarding Risk Management Committee, all PCH Administrators in York and Adams Counties are afforded the necessary information on accessing behavioral health supports in the community through York/Adams MH-MR Case Management, and subsequently Service Access and Management, Inc. Individuals that reside in PCH s, where the bed capacity exceeds 16, are provided with information regarding the availability of integrated housing options twice annually, in conjunction with Case Management Service Plan updates. Transportation does remain a barrier to the timely and effective access to behavioral health services in the community for some individuals residing in PCH s in areas that are more rural. VIII. 5 Comprehensive Funding Strategy to support the development of services: Prior to the conclusion of Fiscal Year , York/Adams MH-MR Program, York/Adams HealthChoices Management Unit, Adams-Hanover Counseling Services and Care Behavioral Health began the process of enrolling Adams-Hanover Counseling Services CORE Outpatient Psychiatric and Psychiatric Nursing Services as a Medical Assistance eligible

6 service. In conjunction with this process, the provider was afforded the opportunity to expand the service availability they provide by expanding their therapist full-time equivalency by one additional clinician. This service was formally fully program funded through Mental Health CHIPP funding. The cost savings realized by York/Adams MH-MR through this transition will now be applied to the annualized funding required to operate a second 8-bed Specialized Residence (enhanced PCBH). This second Specialized Residence in York/Adams County was developed through the and HealthChoices Reinvestment Plan. During the Fiscal Year Budget Planning Process, York/Adams MH-MR CHIPP had initially planned for service provision based upon the proposed 20% budget cut. Under the proposed 20% budget cut, a number of individuals who were receiving CHIPP supports in apartment programs were transitioned to other residences; many through the current HealthChoices Housing Reinvestment Program. When the final FY State Budget was signed into law including a 10% cut, funding restoration was realized. Through the restoration of these previously anticipated lost funds, the county has partnered with one of our primary CHIPP providers, Bell Socialization Servcies, in developing an additional Assisted. This home is slated to open in Fall 2012, and will support 3 individuals who require enhanced supports. 6

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