Brafdord/Sullivan County Joinder

DPW PLANNED OTHER

ESTIMATED ALLOCATION EXPENDITURES COUNTY PLANNED

CLIENTS (STATE AND FEDERAL)(STATE AND FEDERAL) MATCH EXPENDITURES

MENTAL HEALTH SERVICES

ACT and CTT 0 0

Administrator's Office 0 153,599 153,599 17,067

Administrative Management 339 425,244 425,244 47,249

Adult Developmental Training 0 0

Children's Evidence Based Practices 2 0

Children's Psychosocial Rehab 50 39,856 39,856 2,391

Community Employment 70 49,609 49,609 5,512Community Residential Services 16 328,928 328,928 16,941

Community Services 500 0

Consumer Driven Services 671 492,535 492,535 28,951

Crisis Intervention 41 121,859 121,859 8,659

Emergency Services 13 9,162 9,162 1,018

Facility Based Vocational Rehab 0 0

Family Based Services 2 5,039 5,039 560

Family Support Services 10 16,364 16,364 982

Housing Support 110 267,999 267,999 7,672

Other-Children & adolescent Service System Program211 240,529 240,529 6,650

Forensics 940 0

Outpatient 11 23,822 23,822 1,160

Partial Hospitalization 0 3,816 3,816 424

Peer Support 241 0

Psychiatric Inpatient Hospitalization 0 3,816 3,816 424

Psychiatric Rehabilitation 1 3,298 3,298 170

Social Rehab Services 0 0

Targeted Case Management 132 0Transitional and Community Integration 32 14,660 14,660 755

TOTAL MH SERVICES 3,392 0 2,200,135 146,585 0

INTELLECTUAL DISABILITIES SERVICES

Admin Office 172 298,726 298,726 0

Case Management 172 323,973 323,973 5,824

Community Residential Services 10 267,500 267,500 29,283

Community Based Services 92 393,979 393,979 43,129

Other 35 16,202 16,202 0

TOTAL ID SERVICES 481 0 1,300,380 78,236 0

HOMELESS ASSISTANCE SERVICES

Bridge Housing 0

Case Management 120 6,000 6,000

Rental Assistance 150 33,524 33,524

Emergency Shelter 65 5,876 5,876

Other Housing Supports

Administration

TOTAL HAP SERVICES 335 0 45,400 0

CHILDREN & YOUTH SERVICES

Family Group Decision Making 140 273,600 273,600

Promising Practice

Alternatives to Truancy

Housing 70 29,750 29,750

TOTAL C & Y SERVICES 210 0 303,350 0

DRUG AND ALCOHOL SERVICES

Act 152 Inpatient Non-Hospital 30 103,731 103,731

Act 152 Administration

BHSI Administration

BHSI Inpatient Non-Hospital 10 34,640 34,640

BHSI Inpatient Hospital

BHSI Partial Hospitalization 8 10,410 10,410

BHSI Outpatient/IOP 6 5,552 5,552

BHSI Medication Assisted Therapy

BHSI Recovery Support Services

BHSI Other Intervention

BHSI Case/Care Management

TOTAL DRUG AND ALCOHOL SERVICES 54 0 154,333 0

HUMAN SERVICES DEVELOPMENT FUND

Adult Services 45 12,400 12,400

Aging Services 2,105 14,000 14,000

Generic Services

Specialized Services 110 31,955 31,955

Interagency Coordination N/A 2,000 2,000

Administration N/A 4,393 4,393

TOTAL HUMAN SERVICES DEVELOPMENT FUND2,260 0 64,748 0

GRAND TOTAL 6,732 0 4,068,346 224,821 0

County:

APPENDIX - NON-BLOCK GRANT COUNTIES

COUNTY HUMAN SERVICES PROPOSED BUDGET AND SERVICE RECIPIENTS

Bradford & Sullivan County Offices of Mental Health

Fiscal Year 2013 – 2014 Plan

Supplemental

February 5, 2014

Children Under 18

The County Offices of Mental Health (COMH) continues to ensure the provision of Student Assistance Program (SAP) services in the two counties. Services are provided by the Northwestern Human Service agency under contract with the COMH. The service would continue to assist in identifying the unmet behavioral health needs of the target population.

The Children & Adolescent Service System Program (CASSP) Coordinator would continue to participate in Interagency Service Planning activities for the population served. The CASSP Coordinator would continue to facilitate all mental health placement activities involving children and adolescents. The CASSP Coordinator would remain an advocate for the target population and their families. The CASSP Coordinator would continue to monitor the status of children and teens in Residential Treatment Facility (RTF) placements and Community Residential Rehabilitation Host Homes and advise the Administrator of any placement complications and the transition of these youth back into their communities. The CASSP Coordinator would continue to facilitate Respite Care arrangements for those families medically identified as being able to benefit from this brief intervention. The CASSP Coordinator would continue to coordinate the movement of Transition Age Youth into the mental health system of care for adults.

The Adolescent Drop-in Centers of The Main Link would continue to provide adolescent consumers with the opportunity of social interaction with their peers, enhance their sense of self through guided activities, promote healthy habits, and provide youth with the opportunity to be contributing members of their community. The Main Link Support Services to Youth would continue to support adolescents through their involvement with the local Juvenile Accountability Court. The Suicide Prevention/Anti-Bullying program of

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The Main Link would continue to enlist the service of adolescent consumers in providing radio spots dealing with suicide prevention and anti-bullying themes. The Main Link would continue to coordinate educational activities with the Towanda School District to allow adolescent consumers to participate in the annual “Paint the Town Purple” anti-stigma and suicide prevention activities.

There is a need for the provision of child psychiatry to the population of children and youth and their families. The availability of telepsychiatry for the provision of this service is a positive asset for the mental health infrastructure. Still, having a child psychiatrist available in a local clinic would go far in filling the needs of this target group.

Persons Transitioning Out of State Hospitals

The availability of decent, affordable housing remains a pressing need for persons transitioning out of state hospitals. If a discharged patient qualifies for Medicaid insurance there is an interval of ca. four weeks and longer before the person may have an application appointment. If a patient is a Medicare recipient, there may be a wait of several months before the single provider agency can arrange an appointment; this phenomenon may result in the delay of a person’s discharge. If a person being discharged has no other residential plan, the Community Hospital Integration Projects Program (CHIPP) funded Community Residential Rehabilitation program would open a bed for the individual. If the individual would opt to live independently, the CHIPP staff would employ the services of a residential provider to search for an appropriate residence prior to the person’s discharge. Support services could follow the individual in such an arrangement.

CHIPP staff would continue to participate in the Service Area Plan (SAP) meetings for all Bradford and Sullivan County residents receiving state mental hospital services. CHIPP staff meets with state mental hospital patients several times a month when discharge planning is taking place. A Peer Support Worker from The Main Link meets with Bradford County residents at the Clarks Summit State Hospital (i.e., there currently are no Sullivan County residents receiving services at the facility) several times a month and based entirely on a person’s willingness to receive such visits. This peer-to-peer connection historically has served to facilitate a person’s transition from the hospital to

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the community. The Peer Support Worker would assist the consumer in accessing the services of The Main Link.

The CHIPP staff would arrange for the employment of Health Care Liaison Services for persons who need to coordinate their physical health care with their behavioral health care. The service would be individualized, mobile (go to where the person is), educational, a means to rehearse for medical/behavioral appointments, and the person’s eventual resumption of primary responsibility for this activity whenever possible.

The CHIPP staff would arrange for Supportive Living Services (SLS) for discharged patients who are either transitioning directly from the hospital into their own domicile or transitioning from a more structured setting such as CRR into their own home. The SLS would provide hands-on residential skills training to recipients in the latter’s domicile. CHIPP staff would assist consumers in getting to the latter’s psychiatric outpatient clinic appointments. CHIPP staff would facilitate the referral of discharged persons to a Psychiatric Rehabilitation Service (PRS) if the consumer consents to such a referral.

CHIPP staff would assure the coordination of all support services to the target population. Community mental health treatment and support services would work together to obviate the need for the person to return to a psychiatric inpatient setting.

Justice Involved Individuals

The provision of psychiatric time to the inmates of the Bradford County Correctional Facility (BCCF) remains a challenge and budgetary limitations constrain planning to address this need.

The COMH continues to provide the services of a Master’s level Psychologist at the BCCF on a full-time basis. The psychologist would continue to screen the majority of admissions/re-admissions to the facility for mental illness and or the presence of a suicidal crisis. The psychologist would continue to provide suicide prevention activities to the corrections staff of the facility. The psychologist would continue to coordinate his activities with the consulting medical staff and the BCCF administration. The psychologist would continue to coordinate activities with the staff of the Torrance State

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Hospital Forensic Program whenever a BCCF inmate required the services of that program.

The Main Link Forensic Peer Support Workers would continue to provide support to the mentally ill inmates incarcerated in the BCCF. The Main Link Forensic Peer Support Workers would continue to facilitate the return of forensic consumers to the community.

The Main Link would continue to provide the “Hearing Voices” to the corrections staff of the facility.

The COMH would assure the provision of community mental health treatment and support service to forensic consumers who are on probation or parole status.

The COMH and its provider network would continue to work with police and magisterial courts to divert persons away from the criminal-justice system whenever possible.

Lesbian/Gay/Bisexual/Transgender/Questioning/Intersex Consumers

The mental health treatment needs of the Lesbian/Gay/Bisexual/Transgender/Questioning/Intersex consumers are provided within the public mental health treatment system including psychiatric inpatient and psychiatric outpatient clinic care. There is a need for mental health treatment staff to be especially trained to address the treatment needs of this population.

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