Western Reserve Area Agency on Aging2011 Conference

Mental Health: Local resources that help

May 10, 2011Morning

Outline:

• Welcome/Introductions (5 mins)• High-level overview of MH and AOD services

(5 mins)• Each presenter (10 mins)– What services are available?– How do I refer?

• Q&A (25 mins)

Presenting Organizations:

• CareSource• Cleveland Clinic Home Care Services• Cuyahoga County ADAMHS & Benjamin Rose

When are opportunities for intervention?

• When behaviors, thoughts or feelings create ongoing pain, and/or impairment in functioning, ask for help!

• Lots of tools and resources available to identify specific behavioral health impairments- most require training and oversight- work with your team and leadership to determine means of problem identification and referral practices

CareSource ModelNon-profit, mission driven

Member focused• Enhanced benefits, no co-pays• Care Management continuum – member centric care• Community based care management, marketing, and

provider relations programs• Regional Consumer Councils

Provider focused• Physician enhanced reimbursement• Low hassle approach to medical management

Best practices

Administrative efficiencies

CareSource Focus

Quality provider network

Integrated Care-• Mental Health, Substance Use Disorders and

Physical Health

Medical Home-• Behavioral Health

Numerous Community Service Partnerships

Case Management Partnerships-• Access• Services-Evidenced Based Practices

CareSource’s Behavioral Health Department

• Integration of behavioral and physical healthcare• Care, Medical, and Disease Management• Medical Management• Initiatives with community partners• Special programs: Care4U, Bridge to Home,

Intensive Care Management,• BH community outreach

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CareSource’s Care Management Activities

• Care Coordination with key stakeholders, including inpatient settings, primary care providers, institutional settings (with health services),

• Education on the signs, symptoms, course and prevalence of illnesses and benefits of treatment.

• Resource identification for bolstering supports, decreasing isolation and ameliorating psychosocial problems

• Skill building to address the identified reason for referral and to improve access to health and community resources through addressing barriers

• Active participation of member in the interdisciplinary team, including plan development

CareSource 2424 (24-hour nurse advice line)

Our nurses can help you: • Decide when self-care, a doctor visit, or the emergency

room is appropriate • Understand a medical condition or recent diagnosis• Prepare questions for doctor visits • Find out more about prescriptions or over-the-counter

medicines • Learn about nutrition and wellness

1-866-206-0701 (TTY 1-800-750-0750 or 711)

CareSource

Jonas ThomDirector of Behavioral Healthjonas.thom@caresource.com937-531-2137

CareSource24:

Cleveland Clinic Home Care Services

• What are the opportunities for intervention? • What services are available? • How do I refer? • How do I contact you?

Cleveland Clinic Home Care Services

Wanda Bellbellw@ccf.org216-404-6630

Cyndi Bendercybend@ccf.org(216) 373-1772

Alcohol, Drug Addiction and Mental Health Services (ADAMHS) Board of Cuyahoga County

Esmat NasrAdult Programs Specialist

ADAMHSCC&

Bert RahlDirector of Mental Health

Eldercare Services Institute, LLC (Benjamin Rose Institute on Aging)

Alcohol, Drug Addiction and Mental Health Services (ADAMHS) Board of Cuyahoga County

• The Alcohol, Drug Addiction and Mental Health Services (ADAMHS) Board of Cuyahoga County is responsible for the planning, funding and monitoring of public mental health and alcohol and other drug addiction services delivered to the residents (adults ages 18 and over, and children) of Cuyahoga County.

• The ADAMHS Board does not provide services directly to consumers and clients, but contracts with provider agencies to deliver services that assist consumers and clients on the road to recovery.

• ADAMHSCC contracts with over 70 alcohol, drug addiction and mental health service providers in Cuyahoga County.

REFERRAL PROCESS FOR INDIVIDUALS WITH MEDICAID COVERAGE

• Individuals with Medicaid coverage seeking community mental health service(s) can:– Contact any of the contract service providers

directly (see ADAMHS Services Directory)– Contact MHS, Inc Information & Referral at:

(216) 623-6555

SCALE for UNINSURED ADULTS

What is SCALE?

SCALE (Screening, Centralized, Assessment, Level of Care Assignment and Engagement/Linkage to Treatment) program was developed to:

* Create a single point of entry into the community mental health system to better

serve uninsured adults with behavioral health needs;

* Improve the utilization of limited non- Medicaid funds.

SCALE:Opening Doors to Treatment

for the Uninsured

1-877-236-8676

Offering a single point of entry to Cuyahoga’s community behavioral healthcare system, expediting the enrollment process and reducing the waiting period

between assessment and treatment.

The SCALE Program

• The SCALE Program is for individuals seeking mental health services who are new to the community behavioral healthcare system and meet the following minimum qualifications:– SCALE is not intended for individuals who have

private health insurance, or for those who havealready been linked to treatment or an agency in thecommunity behavioral healthcare system within thepast six months, except for crisis services.

• Who does SCALE serve?- Cuyahoga County residents- 18 years of age or older- Uninsured- Requesting services

The SCALE Program

ELIGIBILITY• Unlinked & uninsured in addition to• Diagnosed with one of the following:

Schizophrenia Schizoaffective Bipolar I & II Major depression with psychosis

in addition to• Meet the levels of care

The SCALE Program

• The following providers of mental health servicers participate in the

SCALE program:1. Center for Families & Children2. Connections3. Far West Center4. Eldercare Services Institute (BRIA)5. Epilepsy Association6. Jewish Family Services7. MHS, Inc.8. Murtis Taylor Human Services Center9. Recovery Resources

SERVICES DIRECTORY

• You can access the ADAMHSCC Services Directory via the website at:

http://adamhscc.org

Eldercare Services Institute, LLC

• ESI is a contract agency of the ADAMHS Board• SCALE carve-out for the Elderly (55 and up)• ESI provides MH Assessment, CPST, MH

Counseling and Partial Hospitalization (Medicaid only)

• All services provided in the community• Referral Phone line 216-791-8000

Alcohol & Drug Addiction (AOD) ServicesCentralized Assessment

• Centralized Assessment was developed to reduce the Board’s waiting list for “community” assessment and to maintain a reasonable time period for obtaining an assessment within 3 days.

• Hitchcock Center for Women is providing AOD assessments for the network.

• When an AOD agency can’t complete an assessment within 3 days of receiving an inquiry for services, it refers the caller to Hitchcock Center for Women (216-421-0662).

Alcohol & Drug Addiction (AOD) ServicesCentralized Assessment

• The Centralized Assessment Overflow will :– Complete an assessment– Offer Case Management services to clients who are

waiting for a treatment slot. These services are limited to providing linkage to treatment by securing an appointment with treatment providers and providing clients with a point of contact if they are waiting for treatment. The case management services are intended to address linkage issues and not treatment needs.

ADAMHS Board of Cuyahoga CountyEsmat NasrAdult Programs Specialistnasr@adamhscc.org(216) 241-3400 Benjamin RoseBert RahlDirector of the Mental Health Program at Eldercare

Services Institute, LLC.brahl@benrose.org

Q & A