2015 Governor’s Conference - iowapha.org Behavioral Health... · Brendon Burchard. ... My agency...
Transcript of 2015 Governor’s Conference - iowapha.org Behavioral Health... · Brendon Burchard. ... My agency...
www.seasonscenter.org
2015 Governor’s ConferenceApril 15, 2015
www.seasonscenter.org
Behavioral Health:
Integration and
InnovationFrom a Rural Perspective
www.seasonscenter.org
Objectives
1. Raise awareness of specific evidence-based, trauma-informed,
and culturally responsive programs and services being
implemented in a rural behavioral health environment;
2. Increase understanding of how a behavioral health agency in a
rural setting is using innovative strategies to promote the
integration of programs and services across health systems;
3. Showcase how a rural behavioral health setting has undergone
an organizational restructuring process to more effectively
respond to integrated health care service delivery models;
and
4. Illustrate how technology and social media can enhance
program services, outreach, education, and advocacy.
www.seasonscenter.org
All progress comes
from small acts that
gather momentum.
So no matter how
small you start, start
something that
matters.
Brendon Burchard
www.seasonscenter.org
Kim Scorza
Executive Director
Christina Eggink-Postma
Director of Program Coordination and
Compliance
Jean Drey
Director of Program Development
Who We Are:
www.seasonscenter.org
Real Time Survey:
How many have heard of Seasons Center?
YES
NO
What is your profession or role with participation
in conference?
Health Care
Mental Health/Substance Abuse
Child Welfare
Juvenile Justice
Education
Family/Peer Advocate
Other
www.seasonscenter.org
Who We Are: Seasons
Behavioral Health Center (CMHC) in NW Iowa
Private not-for-profit organization with a
management contract with Avera
Serves both adults and children
Counties: Buena Vista, Clay, Dickinson,
Emmet, Lyon, O’Brien, Osceola, Palo Alto &
Sioux
Administrative office – Spencer, Iowa (Clay)
www.seasonscenter.org
Who We Are: Financial Overview
Patient Revenue $3,954,429 71.12%
Grant Revenue $760,783 13.68%
Donations/Pledges $263,622 4.74%
Other Revenue $581,764 10.46%
Total $5,560,598**
2014 Operating Revenue
**Some services are cost settled which is not
reflected in the figures above. Cost settlements are
typically received 12-18 months after the close of the
fiscal year.
www.seasonscenter.org
Who We Serve: 2014
5,033 individuals
Representing: 2,072
Children
Over 44,120+ patient
encounters
www.seasonscenter.org
What We Do: ServicesCore Services
Behavioral Health Integration
Case Management
Community Based Services
Consultation & Education
Domestic Abuse Intervention Program
Emergency Services
Inpatient Psychiatric
Outpatient Psychiatric
Outpatient Therapy
Peer Support
New Programs and Services – Since 2012
Functional Family Therapy
Integrated Health Home-Pediatric & Adult
Juvenile Court Specialty Care Coordination
Psychological Testing
Substance Abuse: Outpatient, Specialized
(Child Welfare), & Culturally Competent
Treatment Project (CCPT)
www.seasonscenter.org
Mission:
“Guiding individuals and families
towards a meaningful and
fulfilling life.”
Growth & Development:
www.seasonscenter.org
Vision:
“Best in the Midwest in
Behavioral Health.”
www.seasonscenter.org
Values:
Innovation
Impact
Influence
www.seasonscenter.org
Goals:
1. Expanding Funding Resources
2. Appropriate Space
3. Regional Children’s Center
4. IT Proactive
www.seasonscenter.org
Real Time Survey: How many have a strategic plan (agency)?
YES
NO
Don’t Know
My agency uses a strategic plan for planning and
decision making?
Strongly Agree
Agree
Disagree
Strongly Disagree
Don’t Know
www.seasonscenter.org
Growth & Development:
Individuals
3907
43944493
5033
2011 2012 2013 2014
Children
1141
1290 1398
2072
2011 2012 2013 2014
Services provided in 2014
Service/Program Number of Services in 2014 Percentage Change
from 2013
Case Management Services 1,905 (61%)
Community Based Services 5,457 21%
Domestic Abuse Intervention Program 2,475 4%
Emergency Services 371 50%
Integrated Health Home 2,230 NA
Inpatient Psychiatric Services 2,524 58%
Outpatient Psychiatric Services 7,905 (15%)
Outpatient Therapy 14,584 16%
Psychological Testing Services 1,135 76%
Substance Abuse Services 5,534 150%
TOTAL 44,120
Highlights of Growth & Development:
14% Growth in Number Served: from 4,493 to 5,033
24 New Jobs/Positions Created
26% Growth in Employees: from 73 to 92 employees
Partnerships:
Child Welfare
Juvenile Court Services
Primary Care: Clinics, Hospitals, & FQHC’s
Schools & AEA
Public Health
RIDES (Transportation)
Faith-Based
Law Enforcement
Community Action Agencies
www.seasonscenter.org
• Promise Community Health Center (FQHC) –
Sioux Center, IA
• United Community Health Center (FQHC) –
Storm Lake, IA
• Sanford Medical Clinic – Paullina, IA
• Lakes Regional Hospital – Spirit Lake, IA
• Mercy Hospital – Emmetsburg, IA – In Process
Co-Location of Services:
www.seasonscenter.org
• 2014 - Designated by Magellan as the IHH
provider for adults and children
• Focus on Triple AIM and integration with primary
care
• Team-based health care delivery model that
provides continuous, comprehensive care to
people with the goal of obtaining maximum
health outcomes
• Enrolled >725 individuals from 15 counties:
Buena Vista, Clay, Cherokee, Dickinson, Emmet,
Kossuth, Ida, Lyon, O’Brien, Osceola, Palo Alto,
Plymouth, Pocahontas, Sac, and Sioux
Integrated Health Home (IHH):
www.seasonscenter.org
Inpatient Psychiatric Services:
• 15-bed mental health patient unit (adults)
• Rounding privileges for Seasons’ psychiatric staff
• Coordination and transition of care for patients
www.seasonscenter.org
• Effective on October 1, 2014 Seasons Center partnered with
Avera Health and Avera McKennan Hospital & University Health
Center in a Partners in Health Agreement
• Ability to utilize the experiences and expertise of the Avera
Health system to strengthen evidence based services and
strategically align services to best meet the needs of our
patients/clients
Partners in Health Agreement :
www.seasonscenter.org
Safety Net Community Care Coordination:
Iowa Primary Care Association grant:
$200,000 for 10 month project period
Clay County (Avera Medical Group – Spencer)
Sioux County (Promise CHC – Sioux Center)
Project Partners: Avera, Promise CHC, Mid-Sioux Opportunity,
Upper Des Moines Opportunity, Spencer Hospital
Developing Partnerships: RIDES, Prairie Lakes AEA, ATLAS, Sioux
County Public Health, Clay County Public Health, Northwest Iowa
Care Connections, University of North Iowa, CAASA, and Schools
Project Goals:
Community Care Coordination Teams
Behavioral Health Consultants
www.seasonscenter.org
Regional Partnership Grant:
Partners:
Seasons, DHS, JCS, Promise CHC, United CHC, Sheldon RTF, Courts
Target Population:
Children in or at-risk for child abuse as a result of parent/caretaker’s
substance use
Trauma-Informed Care-Evidence-Based Programs and Practices:
Parent Child Interactive Therapy (PCIT)
Trauma-Focused Cognitive Behavioral Therapy (TF-CBT)
Lifespan Integration
Psychological Testing
Substance Abuse Counseling: Living in Balance, Motivational
Interviewing, Recovery & Trauma
Outcomes:
Child Well-Being, Family Functioning/Stability, and Adult Recovery
www.seasonscenter.org
Trauma-Informed Care (TIC):
“Family Trauma results from an event, series
of events, or set of circumstances that are
experienced by families as physically or
emotionally harmful or threatening and that
has lasting adverse effects on the family’s
functioning and physical, social, emotional, or
spiritual well-being”.
SAMHSA
www.seasonscenter.org
Specialized Substance Abuse:
Child Welfare:
• Lakes DCAT: Clay, Dickinson, O’Brien, Osceola
• Sioux DCAT: Sioux
Key Components:
• Emergency Substance Abuse Evaluations
• Case Management/Care Coordination
• Weekly Groups-DHS Only & Gender Specific
• Drug Testing
• Individual Counseling
• Evidence-Based Programs: Living in Balance & Trauma
• Family Team Conferencing
• Frequent Communication Between Social Workers &
Counselors
• Linkage with Other SA Services: CCTP and RPG
www.seasonscenter.org
Culturally Competent Treatment Project (CCTP)
Service Area: Buena Vista and Sioux Counties
Goals:
Assess the “cultural landscape” and develop appropriate
substance abuse curriculum and services to meet the needs of
our diverse communities.
Build the organizational capacity to provide culturally
competent services to a diverse population.
Create a sustainable, comprehensive, culturally competent
service delivery model that is replicable to other areas.
Improve treatment outcomes by adding trauma-informed and
integrated care services to the culturally competent treatment
program.
www.seasonscenter.org
Press Conference on October
31st to announce the naming of
the Regional Children’s Center
Autumn’s Center
Named in honor and memory of three-year-
old Autumn Elgersma of Orange City, Iowa,
who died on October 31, 2013,
two days after being hospitalized
for injuries she received at daycare
www.seasonscenter.org
Restructuring Process:
• Multi-Disciplinary Teams
• Focus on Internal Integration of Care
• Staff Survey
www.seasonscenter.org
Innovative Marketing & Outreach:
Active Web Page
Social Media: Facebook
Resource Bags
Cookie Platters
Informational Cards
Information Baskets-Responsive to
Community Needs/Events
Kid’s Carnivals
Interactive Wellness &
Educational Exhibits
Lunch and Learns & Meet and
Greets
www.seasonscenter.org
Real Time Survey:
My agency has an updated website?
YES
NO
My agency has an active Facebook page?
YES
NO
My agency uses twitter, texting, or other social media?
YES
NO
www.seasonscenter.org
Key Take-Away Messages:
Embrace Strategic Planning and
Thinking
Restructure in Response to
Integrated Care & Health Care
Reform
Diversify Funding and Pilot New
Initiatives
Commit to Evidence-Based
Practices/Programs with Fidelity
www.seasonscenter.org
Looking to the Future:
Opening of Autumn’s Center
Expansion of Evidence-Based Practices: Play
Therapy, Sex Offender Treatment, Crisis
Stabilization Facility
Fund Development: Advisory Board, Donor Base
Expansion, & Capital Campaign
Continued Diversification of funding: Contracts,
Grants and Private Foundations
Moving from volume based to value based
www.seasonscenter.org
Contact Information:
Kim Scorza
Executive Director
Christina Eggink-Postma
Director of Program Coordination and Compliance
Jean Drey
Director of Program Development
1-800.242.5101