Community Care Behavioral Health

COMMUNITY CAREA Newsletter forCommunity Care Membersin the North Central Regionand Their FamiliesThe Voice of RecoveryFor Cynthia, Recovery means “getting well, not beingafraid to be myself, and being able to speak my mind.I also feel that saving money and keeping my livingspace clean is important for my wellness.” She hasbeen receiving psychiatric rehabilitation (Psych Rehab)services since 2009. Staff and friends in the rehabprogram listen to her when she isn’t feeling well, whichhelps to decrease Cynthia's anxiety and makes her feelbetter. Cynthia thinks that she is now good at speakingin public and has more self-esteem because of theconfidence she developed while in the program. “I ventmy soul to the people in the Psych Rehab program.Being able to do that for the past two years has keptme out of the hospital. Now, I can talk to people andmake friends. Psych Rehab is a safe place for me.”Cynthia is a person with a diagnosis of schizophreniaand type II diabetes. When she’s not feeling well,she either eats too little or too much. But when she’sfeeling well, she practices deep breathing exercisesand cardio boxing. To relax, she likes to walk, listen tomusic, and watch her favorite television shows: “LittleHouse on the Prairie,” “Jeopardy,” and “Wheel ofFortune.”Cynthia is going to graduate from the Psych Rehabprogram soon and is considering a work-skillsprogram. Her favorite Recovery saying is“perseverance pays off.”~ Interview and Article by Sarah Goldstein,Recovery Consultant, Community Care© 2012 Community Care Behavioral Health OrganizationnewsCALL COMMUNITY CARE.A Customer ServicesRepresentative isavailable to assist you24 hours a day/7 days a week.Bradford 1-866-878-6046Cameron 1-866-878-6046Centre 1-866-878-6046Clarion 1-866-878-6046Clearfield 1-866-878-6046Columbia 1-866-878-6046Elk 1-866-878-6046Forest 1-866-878-6046Huntingdon 1-866-878-6046Jefferson 1-866-878-6046Juniata 1-866-878-6046McKean 1-866-878-6046Mifflin 1-866-878-6046Montour 1-866-878-6046Northumberland 1-866-878-6046Potter 1-866-878-6046Schuylkill 1-866-878-6046Snyder 1-866-878-6046Sullivan 1-866-878-6046Tioga 1-866-878-6046Union 1-866-878-6046Warren 1-866-878-6046Wayne 1-866-878-6046TTY 1-877-877-3580En Español 1-866-229-3187Si Ud necesita la versión en Español,por favor solicite uno a este telefono1-866-229-3187.Visit www.ccbh.com.Page 1Fall/Winter 2012

Got your shot?Do your part to help stop the flu. Cover yourmouth when you sneeze, wash your hands often,and, most important, talk with your doctor aboutgetting a flu shot. There is also a vaccine toprevent pneumonia. Ask your doctor if you shouldreceive these vaccines.We believe that you should have timelyaccess to appointments. If you have anemergent or urgent need, our staff willmake sure that you see a provider asquickly as possible.In order to meet the high standardsset by Community Care, your providershould give you an appointment:• Right away if you have a lifethreatening emergency.• Within 1 hour for an emergency thatis not life threatening.• Within 24 hours for urgent needs.• Within 7 calendar days for routineneeds.Call Community Care if you have aproblem getting an appointment withinthese time frames. Talk with us aboutanything that might make it hard foryou to keep your appointment.Your Satisfaction isImportantFrom a survey sent to a sample of members andfamilies in 2012, we learned that most people feelthat their behavioral health treatment providers:• Give them quality care, respect what they haveto say, and spend enough time with them.• Make them feel safe.• Explain the benefits of medication.• Are also concerned about their physical health.Members reported being very pleased that theywere:• Involved in their own or their child’s treatment.• Given information about their patient rights.• Made aware of available services.Based on the survey, we are working to improve:• How quickly members with an urgent need geta behavioral health appointment.• The assistance provided by our customerservices representatives.The 2013 survey will be mailed in January. If youreceive one, please take a few moments to fill it outand send it back. Knowing how you feel about theservices you receive is very important to us. Weuse what you tell us to make improvements.Have fun getting fit!There are lots offun things, likeplaying at thepark, thatyour wholefamily can dotogether tostay healthyand happy.Page 2

Member and Family Advisory Committee MeetingsCommunity Care would like to know if you are satisfied with the services you are receiving and hear yourideas about improvements. Call and tell us your feedback or come to a Member Advisory Committee(MAC) or Family Advisory Committee (FAC) meeting. Upcoming MAC and FAC meetings are listed below.Call the toll-free phone number provided to register or for more information. Visit www.ccbh.com forinformation about MAC and FAC meetings or watch for details in the member newsletter.Centre, Huntingdon, Mifflin, and Juniata Counties RSVP: 1-866-483-3765Member Advisory Committee (MAC) MeetingSunshine Connection518 South Juniata Street, Lewistown, PA 17044Wednesday, February 27, 2013, 1:00 p.m.Family Advisory Committee (FAC) MeetingComPASS Center31 South Dorcas Street, Lewistown, PA 17044Wednesday, March 13, 2013, 2:00 p.m.Clarion, Jefferson, and Clearfield Counties RSVP: 1-866-484-1558Member Advisory Committee (MAC) MeetingDream Team Center501 East Market Street, Clearfield, PA 16830Tuesday, January 15, 2013, 2:00 p.m.Family Advisory Committee (FAC) MeetingDream Team Center501 East Market Street, Clearfield, PA 16830Tuesday, March 12, 2013, 2:00 p.m.Warren, McKean, Potter, Forest, Elk, and Cameron Counties RSVP: 1-866-484-1558Member Advisory Committee (MAC) MeetingBradford Area Public Library67 West Washington Street, Bradford, PA 16701Monday, March 11, 2013, 5:00 p.m.Family Advisory Committee (FAC) MeetingBradford Area Public Library67 West Washington Street, Bradford, PA 16701Monday, March 18, 2013, 5:00 p.m.Columbia, Montour, Snyder, Union, Northumberland, and Schuylkill Counties RSVP: 1-877-241-1459Member Advisory Committee (MAC) MeetingNORCO Drop In Center548-C North Market Street, Shamokin, PA 17872Tuesday, February 5, 2013, 4:00 p.m.Family Advisory Committee (FAC) MeetingWorkabilities Clubhouse300 North 5th Street, Sunbury, PA 17801Wednesday, February 6, 2013, 1:00 p.m.Tioga, Bradford, Sullivan, and Wayne Counties RSVP: 1-877-241-1459Member Advisory Committee (MAC) MeetingThe Main Link17 Pine Street, Towanda, PA 18848Wednesday, March 13, 2013, 10:30 a.m.Family Advisory Committee (FAC) MeetingSullivan Terrace135 N. German Street, Dushore, PA 18614Thursday, March 28, 2013, 10:00 a.mPage 3

Provider UpdatesPractitioners/facilities added to the NorthCentral provider network:Mildred Baker, LCSW, LLC601 Wilson Ave., Roaring Spring, PA 16673Kari Bechdel, LCSWEmery Behavioral Health Services32 Whisper Creek Drive, Suite 7Lewisburg, PA 17837Habit Opco, Inc.118 Monahan Ave., Dunmore, PA 18512759 Susquehanna Trail, Watsontown, PA17777Alice Maczuga, LSWBloomsburg Psychological Center, LLC16 Sherwood Drive, Bloomsburg, PA 17815James Owens, LPC125 Main Street, Ste 507, Bradford, PA 16701Special Care Hospital128 W Washington St., Nanticoke, PA 18634Teresa Welch, MEd8 West Presqueisle St., Philipsburg, PA 16866965 Green Street, Bellefonte, PA 16823The following practitioners/facilities are nolonger part of our provider network:EIHAB Human Services, Inc.Fennis Geiger, PhDDarlene Nalesnik, PhDStonycreek Residential, Inc.Eileen Woods, LCSWTracey Zuiker, LPCChoosing Wisely ® :Spirometry Testing forAsthmaIf you have asthma, you should ask your doctor aboutdoing a spirometry (spuh-RAW-muh-tree) test.What is a spirometry test?This test is also called a pulmonary function test, lungtest, or breathing test. The test is simple: your doctorwill ask you to breathe out as hard as you can into aspecial machine with a sensor. The machine measureshow much air you are breathing out.How does a spirometry test work?Spirometry measures how well your lungs are working.It measures how much air you can breathe out and howfast you can do it. People with asthma breathe out lessair and at a slower speed.Why does my doctor need to do a spirometry test?For your doctor to diagnose your asthma properly, itis not enough to listen to your breathing and look atyour medical history. Your doctor should also do aspirometry test.Spirometry is the best way to test your lungs for asthma.It helps the doctor to see how severe your asthma is.After you start asthma treatment, your doctor can doanother spirometry test to see how well the treatment iscontrolling your asthma.Your doctor can not cure your asthma, but he or she canprescribe treatments that will help you breathe better.When your doctor orders a spirometry test, it is the firststep to gaining control of your asthma.Choosing Wisely® is an initiative of the American Board of InternalMedicine. It helps doctors and patients figure out which tests orprocedures they may not need. More information can be foundat:http://choosingwisely.org/.Page 4

Are you satisfied with yourbehavioral health services?Every county served by Community Care has a team of peoplethat works to make sure consumers and their family membersare satisfied with the behavioral health services they are getting.The satisfaction team in Allegheny County is called the ConsumerAction Response Team (CART). The teams in the other countiesare called Consumer/Family Satisfaction Teams (C/FST).The people on the satisfaction teams are in recovery themselvesor have a family member in recovery. Satisfaction teams helpconsumers and their family members with concerns andcomplaints about services they receive. Team members askconsumers and their families if they are satisfied with theirtreatment and for ideas about how services can be improved.Providers are told the ideas for improvement. Providers are nottold the name of the person suggesting the improvement, justthe suggestion. To talk to a satisfaction team member, call thetoll-free number for your county listed in the table to the right.There are others ways for you to tell us if you are satisfiedwith your behavioral health services. You can participate inCommunity Care’s advisory committee meetings for membersand families listed on page 3. You can file a complaint or let yourcare manager or customer services representative know that youhave something to share.Community Care also works with a company called The MyersGroup to conduct a satisfaction survey every year. Somemembers get a satisfaction survey in the mail or a phone callasking about their experiences. While the survey is voluntary andanonymous, we encourage you to share your thoughts to help usimprove your experience as a Community Care member.If you have a complaint about a service you arereceiving in the HealthChoices program, you havethe right to file a complaint or have a family memberfile a complaint for you. For more information, seeyour Member Handbook or call Community Care. CallCommunity Care if you need a Member Handbook.CONSUMER/FAMILYSATISFACTION TEAMSAdams 1-717-843-6973Allegheny 1-800-300-6026Berks 1-610-775-3000Bradford 1-570-265-0620Cameron 1-866-773-0302Carbon 1-610-377-3794Centre 1-877-270-1642Chester 1-610-363-6164Clarion 1-866-773-0302Clearfield 1-866-773-0302Columbia 1-570-416-0718Elk 1-866-773-0302Erie 1-814-452-4462Forest 1-866-773-0302Huntingdon 1-877-270-1642Jefferson 1-866-773-0302Juniata 1-877-270-1642McKean 1-866-773-0302Mifflin 1-877-270-1642Monroe 1-610-377-3794Montour 1-570-416-0718Northumberland 1-570-648-8545Pike 1-610-377-3794Potter 1-866-773-0302Schuylkill 1-570-628-0155Snyder 1-570-416-0718Sullivan 1-570-265-0620Tioga 1-877-315-6855Union 1-570-416-0718Warren 1-866-773-0302Wayne 1-877-315-6855York 1-717-843-6973Page 5

For Teens: Is Your Relationship Healthy?~ From the PA Department of Public Welfare (DPW)Texting and Facebook are common ways thatteens talk and share their lives. A teen may usetechnology to spy on, make fun of, embarrass orcontrol a dating partner. Use of technology to talksomeone into something they don’t want to do, saymean things, or act controlling is abusive behavior.71% of teens think that using texts, Facebook, orother types of technology to harm a dating partneris wrong. Harmful behaviors include:• Spreading rumors.• Putting someone down.• Calling someone names.• Embarrassing someone.• Telling others personal or intimate information.• Asking for or sending sexual texts or nudephotos.Technology may put teens at risk for datingabuse because it is instant. Also, an abuser canact without having to face the victim. Throughtechnology:• 1 in 4 teens reports having been a victim ofabuse.• 1 in 5 teens has been asked to take part insexual acts when they did not want to.• 1 in 11 teens between 13 and 16 years of agehas sent or posted sexual texts or nude photos.More than 50% of girls and 18% of boys reportposting or sending sexual photos because ofpressure from a dating partner. A teen mayfear that a dating partner will hit, make fun of,embarrass, or break up with them if a photo is notsent.Images and words cycle through the Internetand never go away. Use of technology to harass,abuse, or send nude photos can be reported topolice.For help with any kind of dating abuse, teens can:Call the National Dating Abuse Helplinewhere callers can ask questionsand talk to a teen or adult:1-866-331-9474[TTY 1-866-331-8453]See the websites:http://www.loveisrespect.org/http://www.loveisnotabuse.com/http://www.thatsnotcool.com/Ready to quit? Need help?Visit www.DeterminedToQuit.com for tips on how to quit smoking andstay tobacco-free. You can also talk with your doctor about quitting or calleither the National Free Quit Line: 1-800-QUIT-NOW (784-8669) or theGreat Start Pregnant Smokers Quit Line: 1-866-667-8278.Customer Services Representatives can give you information aboutCommunity Care's Steps of Hope program for quitting tobacco and otherprograms in your area. See page 1 for the number to call.Page 6

Community Care's website has important information for you. You can look at the informationthere and download anything that you wish. You will find information about:• Our Quality Improvement Program: you can learn what we do to make care and services better.• Information about Community Care’s Disease Management programs.• What we do to make sure that members get the care and services they need. We keep track of thingslike “how long it takes to be seen.”• The guidelines that Community Care follows. This can help you understand the choices you have.• The external appeals process for decisions Community Care makes about your treatment. If you arenot happy with them, you can ask someone outside the company to review them.• The phone numbers you need if you have questions about how decisions are made about your care.• Our policy that we do not pay extra money to staff that make those decisions.• Your member rights and responsibilities.• Preventive programs that can help you stay healthy.• Our Provider Directory: it lists providers you can use. It also tells how to get services.• The services we pay for and the services we don’t pay for.• Charges you might have to pay.• How we decide to pay for new treatments.• Our Notice of Privacy Practices, which explains:How we protect your information.How you can change your information.What a “routine consent” is.How Community Care uses this information.How to ask us to limit how we use the information we have about you.How to access your information.How you may ask us to limit the use of your personal health information not covered by “routineconsent,” for example, you can:Limit how it is revealed.Limit access to it.Approve what is revealed.Ask how your information has been revealed.The Member Handbook is also on our website. It has information about:• How to get care after normal business hours.• How to get emergency care and when to use emergency care or911 services.• Services you get outside the Community Care network.• What to do if you get a bill for service.• How to get care when you are outside our service area.• How to let us know if you are not happy with services ordon’t agree with a decision about your care.• What to do if you are not happy with a decisionCommunity Care made that affects your coverage,benefits, or relationship to Community Care.Call Customer Services (see page 1) for moreinformation, or a paper copy of information on the website.Please visitthe Community Carewebsite:www.ccbh.com.Page 7

COMMUNITY CAREOne Chatham Center, Suite 700112 Washington PlacePittsburgh, PA 15219NON PROFIT ORG.US POSTAGEPAIDPITTSBURGH PAPERMIT NO 293Important Health Information Inside!CC HC MNLNNC C201210 (MA)