Worcester Health

Facilitating Organizational Change

Jennifer LaMade, Core Service Agency Director

Doris Moxley, Addictions Director

Tracy Tilghman, Mental Health Director

Worcester Health

Why do we need Integrated Care?

Worcester Health

What is Integrated Care in Worcester County?

Mental Health Addictions

Intellectual Disabilities

Somatic Care

Worcester Health

Worcester County Co-occurring History

Fall, 2001: Applied SAMHSA Grant Spring, 2002: Leadership attended national conference

Fall, 2002: SAMHSA Grant received

December, 2002: Charter signed

Change Agents Selected, Training begins

COMPASS administered for agency self-survey

Worcester Health

Worcester County Co-occurring History

Action Plans developed by each agency

Identified target areas for change: Welcoming, Accessibility and Integrated

Developed data measurement tools for prevalence of Co-occurring Disorders within the Health Department, Quadrant and Stage of Change

Worcester Health

Worcester County: Co-occurring Safety Net Project (2007) AGH Emergency DeptAGH InpatientAGHS Physician PracticeWorcester County JailLaw EnforcementWCHD Crisis ResponseWCHD Mental HealthWCHD Substance AbuseWCHD Case MgmtWC Social Services

WC Juvenile ServicesWC Civil & Criminal Justice ServicesWC Parole & ProbationHomelessness ProvidersMH Crisis Bed ProvidersWC Local Mgmt BoardWC Core Service AgencyEMS PersonnelOther Crisis Related ServicesPatients / Families

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Worcester County Public Safety Net

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Quadrant II↑ Behavioral Health ↓ Medical

Health

Served by specialty behavioral health system that coordinates with primary care physician. Primarily served by WCHD due to extensive needs of client.

Quadrant IV↑ Behavioral Health ↑ Medical

Health

Served in both the specialty behavioral health system and medical specialty system. Client shared through all services to include collaboration among providers ( PCP, AHC, WCHD).

Quadrant I↓ Behavioral Health ↓ Medical

Health

Served in any primary care setting. May require a psychiatric consultation, but returns to primary care physician. Primarily served by patient’s primary care physician (PCP).

Quadrant III↓ Behavioral Health ↑ Medical

Health

Served in primary care / medical setting with behavioral health staff on-site. Primarily served by the Atlantic Health Center (AHC). Adapted from the National Council for Community Behavioral Healthcare, 2002