Mayview Regional Service Area Plan
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Mayview Regional Service Area Plan
Stakeholders’ Meeting September 19, 2008
22
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?
6
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%
7
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
8
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
9
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
10
Is Life Better?
Is life better since you left Mayview?
Yes, 80%
No, 10%
Unsure, 10%
11
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
12
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%
14
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
15
Hope for Recovery
Does your case manager of CTT encourage hope for your recovery?
Yes, 82%
No response, 6%
No, 6%
Unsure, 6%
16
How is the Place you Live?
How would you rate where you live?
Unsure, 5%
Average, 47%Excellent, 35%
Poor, 13%
17
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
18
Are you Working?
Are you working or volunteering?No response,
3%
No, 70%
Yes, 27%
19
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
20
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
21
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%
22
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
2424
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
25
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
26
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
27
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
28
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
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