Mayview Regional Service Area Plan

Stakeholders’ Meeting September 19, 2008

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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

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

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

How are Individuals Doing?

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Do You Have Case Management or CTT?

CTT, Case Management, and Service Coordination Use for People Discharged, 2nd Quarter 2008

Community Treatment Team, 68%Enhanced clinical

case management, 2%

Administrative case management, 4%

Case management/service

coordination, 22%

Resource coordination, 3%

None, 1%

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Case Management Frequency

Frequency of Case Management (CM) and Service Coordination (SC) Contact with People Discharged, 4th Quarter

2007 - 2nd Quarter 2008

3%

23%

10%

4%

3%

0%

3%

12%

14%

4%

1%

0%

5%

9%

11%

3%

1%

0%

0% 5% 10% 15% 20% 25%

Monthly

Twice a Month

Weekly

2-3 Visits per Week

4-6 Visits per Week

Daily

Percent of people% on 12/31/07 % on 3/31/08 % on 6/30/08

43 people had CM/SC in 12/0742 people had CM/SC in 3/0845 people had CM/SC in 6/08

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Frequency of CTT

Frequency of Community Treatment Team Contact with People Discharged, 4th Quarter 2007 - 2nd Quarter 2008

0%

1%

7%

16%

10%

23%

1%

0%

5%

19%

11%

28%

0%

3%

3%

14%

19%

30%

0% 5% 10% 15% 20% 25% 30% 35%

Monthly

Twice a Month

Weekly

2-3 Visits per Week

4-6 Visits per Week

Daily

Percent of people% on 12/31/07 % on 3/31/08 % on 6/30/08

57 people had CTT in 12/0778 people had CTT in 3/08105 people had CTT in 6/08

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Where are People Living?

Housing for People Discharged as of June 30, 2008

3%17%

13%1%1%

7%9%

11%17%

4%2%

7%1%

8%

0% 2% 4% 6% 8% 10% 12% 14% 16% 18%

Criminal detentionCommunity residential rehab (CRR)

Comprehensive mental health personal care homeDomiciliary careD&A residential

Enhanced personal care homeFamily setting

IndependentLong term structured residence (LTSR)

Nursing homePermanent supportive housing

Specialized supportive housingState hospital outside PA

Supportive housing

Percent of people

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Is Life Better?

Is life better since you left Mayview?

Yes, 80%

No, 10%

Unsure, 10%

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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

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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

Services, Treatment and Support

Are there any services, treatment or supports you want that you are not currently getting?

No, 65%Unsure, 11%

Yes, 24%

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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

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Hope for Recovery

Does your case manager of CTT encourage hope for your recovery?

Yes, 82%

No response, 6%

No, 6%

Unsure, 6%

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How is the Place you Live?

How would you rate where you live?

Unsure, 5%

Average, 47%Excellent, 35%

Poor, 13%

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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

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Are you Working?

Are you working or volunteering?No response,

3%

No, 70%

Yes, 27%

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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

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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

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Do you Have Family Support?

Does your family support you as much as you want them to?

Yes, 60%

Mixed, 13%

No response, 3%

No, 24%

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Fun and Relaxation

How would you rate your ability to have fun and relax?

Poor, 15%

Unsure, 5%

Average, 59%

Excellent, 16%

No response, 5%

Crisis Services Discussion

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MRSAP Crisis Services

Questions and Answers with Panel of Crisis Service Providers

–Allegheny CountyRe:solve Crisis Network - Dr. Rodney Williams, Jewel Denne

–Beaver CountyHeritage Valley Health Systems, Staunton Clinic Crisis Services - Elisia McCary

–Greene CountyGreene County Human Services – Dean Virgili

–Lawrence CountyLawrence County Human Service Center – Scott Baldwin

–Washington CountySouthwest Behavioral Care (SBC) – Tracy Augman and Lisa LombardoWashington Communities – Scott Berry

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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

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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

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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

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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?

Transitions from Mayview

In Their Own Voices