COSIG CONFERENCE BROCHURE.pdf - Drexel University College ...
COSIG CONFERENCE BROCHURE.pdf - Drexel University College ... COSIG CONFERENCE BROCHURE.pdf - Drexel University College ...
COSIG Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006 Providers MCBHC contracts out for the MISA treatment with • Sharon Region Health System • PHP, IOP and OP • Community Counseling Center • Outpatient • UPMC/Horizon (For approximately 1 year) • Outpatient (MCBHC also has 3 contracts with inpatient facilities) Mercer County Behavioral Health Commission, Inc. MISA Pilot Project Admission Criteria Consumer is at least 18 years old Any level and/or combination (i.e. quadrant) of dual disorders are present which interfere with the consumer’s ability to function Acknowledgement by the consumer that the disorders area related to one another The consumer is not currently active in either the MH or D&A systems (ensuring a random sample) Voluntary consent to participate in both MISA Treatment and MISA Case Management Services Must be a resident of Mercer County What has worked for Mercer County MISA Pilot Program 1. One area to complete intakes/ assessments 2. Case Management Services are mandatory (over past few months, MCBHC has not been as stringent in this area) 3. Case Management Summary/Lisa Marshall Comments 4. Engagement Meetings • Entry meeting to begin services • Required attendance: • Consumer • Therapist • Program Coordinator • Case Manager • MISA Assessor • Others that are welcome to attend: • Significant Other • Probation & Parole • Family, etc. What has worked (continued) 5. Actively coordinating MISA services with the criminal justice system since it was identified after year one that a large percentage of MISA consumers were forensic consumers 6. Re-engagement Meetings • Meetings held for consumers who aren’t compliant to reassess circumstances, resolve barriers, etc. 7. Consumers appear to benefit from all services in one central location 8. The MCBHC pilot has established a third system of care that provides all levels of care within that system. What has not worked for the Mercer County MISA Pilot Program 1. Transportation • It is offered but not for all consumers (i.e. outpatient level of care) 2. Support Group • After several attempts were made to start a dual support group, it has not succeeded. 3. Follow-up • It has been very difficult to contact consumers in the period of 6 months to 12 months after being discharged. 2
COSIG Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006 Introduction Sharon Regional Health System Behavioral Health Services MISA Program Levels of Treatment (PHP, IOP and OP) Staffing Types of Groups/Group Schedule Length of Stay Transportation Growing Pains • Dr. shortage • Staff changes • Different Philosophies • Need for rules and regulations to be revised Referall Source - January 2002 to March 2006 70% 61% 60% MISA Statistics 50% 40% 30% 20% 18 % 10% 4% 4% 4% 4% 5% 0% Courts BHC Internal (BHS) CYS Welfare Self Other Mental Health Symptons - January 2002 to March 2006 Substance Abuse Diagnosis - January 2002 to March 2006 50% 60% 45% 40% 43% 50% 49% 35% 40% 30% 25% 30% 26% 20% 15% 17% 17% 20% 14 % 10% 5% 4% 3% 7% 1% 6% 2% 10% 5% 7% 0% Bipolar Depression Major Depression PTSD ADHD Schrizophrenia Impulse Cont rol Anxiet y Ot her 0% Polysubstance Alcohol Marijuana Cocaine Opiates 3
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<strong>COSIG</strong> Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006<br />
Introduction<br />
Sharon Regional Health System<br />
Behavioral Health Services<br />
MISA Program<br />
Levels of Treatment (PHP, IOP and OP)<br />
Staffing<br />
Types of Groups/Group Schedule<br />
Length of Stay<br />
Transportation<br />
Growing Pains<br />
• Dr. shortage<br />
• Staff changes<br />
• Different Philosophies<br />
• Need for rules and regulations to be revised<br />
Referall Source - January 2002 to March 2006<br />
70%<br />
61%<br />
60%<br />
MISA Statistics<br />
50%<br />
40%<br />
30%<br />
20%<br />
18 %<br />
10%<br />
4%<br />
4% 4% 4% 5%<br />
0%<br />
Courts BHC Internal (BHS) CYS Welfare Self Other<br />
Mental Health Symptons - January 2002 to March 2006<br />
Substance Abuse Diagnosis - January 2002 to March 2006<br />
50%<br />
60%<br />
45%<br />
40%<br />
43%<br />
50%<br />
49%<br />
35%<br />
40%<br />
30%<br />
25%<br />
30%<br />
26%<br />
20%<br />
15%<br />
17%<br />
17%<br />
20%<br />
14 %<br />
10%<br />
5%<br />
4%<br />
3%<br />
7%<br />
1%<br />
6%<br />
2%<br />
10%<br />
5%<br />
7%<br />
0%<br />
Bipolar Depression Major<br />
Depression<br />
PTSD ADHD Schrizophrenia Impulse Cont rol Anxiet y Ot her<br />
0%<br />
Polysubstance Alcohol Marijuana Cocaine Opiates<br />
3
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