1 Hagedorn Closure Stakeholder Meeting September 21, 2011.
-
Upload
sara-bradley -
Category
Documents
-
view
212 -
download
0
Transcript of 1 Hagedorn Closure Stakeholder Meeting September 21, 2011.
![Page 1: 1 Hagedorn Closure Stakeholder Meeting September 21, 2011.](https://reader035.fdocuments.net/reader035/viewer/2022072004/56649b54550346318e8d0ed2/html5/thumbnails/1.jpg)
1
Hagedorn Closure Stakeholder Meeting
September 21, 2011
![Page 2: 1 Hagedorn Closure Stakeholder Meeting September 21, 2011.](https://reader035.fdocuments.net/reader035/viewer/2022072004/56649b54550346318e8d0ed2/html5/thumbnails/2.jpg)
2
Ongoing Stakeholder Meetings
Goals: Provide information and solicit community and stakeholder updates and feedback
2011 Meeting Dates October 19 November 16 December 21
All meetings from 3:00 to 5:00 PM held at 222 S. Warren Street, Trenton
DMHAS will be holding family meetings and hospital tours during the closure process. Dates and times to be announced.
![Page 3: 1 Hagedorn Closure Stakeholder Meeting September 21, 2011.](https://reader035.fdocuments.net/reader035/viewer/2022072004/56649b54550346318e8d0ed2/html5/thumbnails/3.jpg)
3
Wellness and Recovery Goals
Integration of Wellness and Recovery principles are central to all of DMHAS planning and activities Reduce reliance on institutional systems of
care Expand opportunities and supports for
community living, allowing individuals to live in the communities of their choice
![Page 4: 1 Hagedorn Closure Stakeholder Meeting September 21, 2011.](https://reader035.fdocuments.net/reader035/viewer/2022072004/56649b54550346318e8d0ed2/html5/thumbnails/4.jpg)
4
Expansion of the CommunityBased System Conditional Extension Pending Placement Status
(CEPP) - There are individuals residing in our psychiatric hospitals that the courts have determined no longer need care in an institution, but they remain in the hospital awaiting an appropriate community placement.
Since 2007, over $80 Million in new funding has been expended to expand community based services Expansion of affordable, permanent housing and
support services Expansion of the acute care system Local treatment Consumer driven options Evidence based practices
![Page 5: 1 Hagedorn Closure Stakeholder Meeting September 21, 2011.](https://reader035.fdocuments.net/reader035/viewer/2022072004/56649b54550346318e8d0ed2/html5/thumbnails/5.jpg)
5
Reduced Reliance on Institutions
The increased services have reduced census in NJ state hospital population From 2006 to 2011 state hospital census has
declined July 2006 census was 2173 of which 52.1% were
individuals on CEPP September 14, 2011 census was 1535 of which
36.1% were individuals on CEPP As of 9-14-11, there were 143 vacancies on open
units at APH, GPPH, TPH and 285 beds on units that had been closed.
![Page 6: 1 Hagedorn Closure Stakeholder Meeting September 21, 2011.](https://reader035.fdocuments.net/reader035/viewer/2022072004/56649b54550346318e8d0ed2/html5/thumbnails/6.jpg)
6
Hagedorn Closure
As a result of these changes, in March 2010, DHS recommended closure of (HPH)
The NJ Legislature created the State Mental Health Facilities Evaluation Task Force
The Task Force convened in November 2010 February 1, 2011 the Task Force delivered their
report to Governor Chris Christie The SFY 2012 Budget included closure of a state
psychiatric hospital The Department now has resumed efforts to prepare
for closure
![Page 7: 1 Hagedorn Closure Stakeholder Meeting September 21, 2011.](https://reader035.fdocuments.net/reader035/viewer/2022072004/56649b54550346318e8d0ed2/html5/thumbnails/7.jpg)
7
Hagedorn Closure Timeline
September 6, 2011 – HPH closed admissions to younger adult population
October 3, 2011 - HPH will close admissions to older adult population
June 30, 2012 – HPH will close
![Page 8: 1 Hagedorn Closure Stakeholder Meeting September 21, 2011.](https://reader035.fdocuments.net/reader035/viewer/2022072004/56649b54550346318e8d0ed2/html5/thumbnails/8.jpg)
8
Closure Process
Phase I – Assessment All hospitalized consumers have continuing clinical
assessments of their discharge readiness and service needs. Assessments include the Individual Needs for Discharge
Assessment (INDA) and the Housing Preference Interview (HPI)
Families are included in the assessment and planning whenever possible
Division Level Review is in place to further evaluate the appropriateness of clinical assessments and discharge plan
Hagedorn will use the regulated appeal process for any consumer who refuses or challenges a transfer or community placement
![Page 9: 1 Hagedorn Closure Stakeholder Meeting September 21, 2011.](https://reader035.fdocuments.net/reader035/viewer/2022072004/56649b54550346318e8d0ed2/html5/thumbnails/9.jpg)
99
Closure Process, cont.
Phase II- Diversion of new hospital admissions
All consumers from HPH Catchment area will be served by GPPH
October 3, 2011 – Geriatric patients from Ocean County will go to APH
October 3, 2011 - Burlington residents of all ages will return to APH’s catchment area.
Legal patients with serious criminal charges from all catchment areas will continue to be admitted to AKFC Patients with lesser charges will continue to be admitted to TPH or APH depending
on the catchment area.
![Page 10: 1 Hagedorn Closure Stakeholder Meeting September 21, 2011.](https://reader035.fdocuments.net/reader035/viewer/2022072004/56649b54550346318e8d0ed2/html5/thumbnails/10.jpg)
10
Closure Process, cont.
Phase IIGeriatric consumers to GPPH based on: Current Census numbers and projections
indicate that GPPH would best accommodate the older adult transfers and future admissions
Ability to create fully enclosed living and treatment space in two shared GPPH units with properly trained staff
![Page 11: 1 Hagedorn Closure Stakeholder Meeting September 21, 2011.](https://reader035.fdocuments.net/reader035/viewer/2022072004/56649b54550346318e8d0ed2/html5/thumbnails/11.jpg)
11
Closure Process, cont
Phase III- Discharges and Transfers to Other State Hospitals
Discharging consumers into the least restrictive, clinically appropriate setting remains the priority.
Each Hagedorn consumers will have a Discharge/Transfer Plan completed before leaving Hagedorn. The plan will outline the consumers preferences and needs as identified by the consumer, guardian or family member. The plan will follow the consumer to the receiving facility and/or services to make the transition as smooth and therapeutic as possible. For consumer assessments which indicate a need for
hospitalization after 6/30/12, consumers will be transferred to the appropriate hospital
Transfers will be conducted in a planned manner with involvement from the consumer and family during planning process. DMHAS has begun transfers on a limited basis.
![Page 12: 1 Hagedorn Closure Stakeholder Meeting September 21, 2011.](https://reader035.fdocuments.net/reader035/viewer/2022072004/56649b54550346318e8d0ed2/html5/thumbnails/12.jpg)
12
Community Capacity Development
SFY 2011 Opportunities for consumers currently hospitalized
171 Supportive Housing beds Opportunities for consumers to be diverted from
hospitalization 82 Supportive Housing Beds
Development of three new Early Intervention Support Services programs (diversion from emergency screening)
![Page 13: 1 Hagedorn Closure Stakeholder Meeting September 21, 2011.](https://reader035.fdocuments.net/reader035/viewer/2022072004/56649b54550346318e8d0ed2/html5/thumbnails/13.jpg)
13
Community Capacity Development
Projections for SFY 2012 Opportunities for consumers currently hospitalized
110 Supportive Housing Beds
• Emphasis on serving individuals with: legal challenges including sexually problematic behaviors, co-morbid medical challenges, and developmental disabilities.
![Page 14: 1 Hagedorn Closure Stakeholder Meeting September 21, 2011.](https://reader035.fdocuments.net/reader035/viewer/2022072004/56649b54550346318e8d0ed2/html5/thumbnails/14.jpg)
14
Projections for SFY 2012 Opportunities for consumers to be diverted from
hospitalization 50 beds for individuals at risk of hospitalization Geriatric Statewide Consultation Service 3 Early Intervention Support Service Programs
• Monmouth Mercer Essex
Community Capacity Development
![Page 15: 1 Hagedorn Closure Stakeholder Meeting September 21, 2011.](https://reader035.fdocuments.net/reader035/viewer/2022072004/56649b54550346318e8d0ed2/html5/thumbnails/15.jpg)
15
Hospital Readiness
Hagedorn treatment team, inclusive of families, consumers, community providers, and Olmstead staff are working together in discharge planning efforts.
Hagedorn treatment teams are working with the treatment teams, inclusive of families and consumers, from the receiving hospitals in preparation for transfer of consumers who will not be discharged before the hospital’s closure
Hospitals have submitted their preliminary plans for accepting Hagedorn transfers The reorganization plans address staffing, space
planning and special needs of Hagedorn consumers Plans will be coordinated with central office and with
Hagedorn.
![Page 16: 1 Hagedorn Closure Stakeholder Meeting September 21, 2011.](https://reader035.fdocuments.net/reader035/viewer/2022072004/56649b54550346318e8d0ed2/html5/thumbnails/16.jpg)
16
HPH Staffing
A staff Placement Policy to relocate Hagedorn staff has been released.
An Employee Resource and Information Center (ERIC) has been established at Hagedorn.
![Page 17: 1 Hagedorn Closure Stakeholder Meeting September 21, 2011.](https://reader035.fdocuments.net/reader035/viewer/2022072004/56649b54550346318e8d0ed2/html5/thumbnails/17.jpg)
17
Questions and Comments