How We’ve Reinvested

 

Our Reinvestment Projects

2008 Reinvestment Funds

 

D&A Case Management (Sub Oxone Coordinator)

Funds Spent: $76,766

 

Provider: WBDAAC Activities: Provider recruited 4 physicians in our bi-county area as prescribers for Sub Oxone and Vivitrol. Provider coordinated 2 county Medication Assisted Treatment (MAT) teams composed of prescribing physicians and representatives from SA providers to monitor clients’ compliance with the MAT program. Members Served: 45 adults. Outcomes: 100% of members in the MAT program for over one (1) year agreed the medication with outpatient treatment assisted with their recovery; 50% report that the medication assisted with day-to-day tasks; and a reduction in higher levels of care was also noted. 

 
 

Mobile Psychiatric Rehabilitation Services (MPR-S)

Funds Spent: $287,122 

 

Provider: Skills of Central PA.  Activities: implemented first mobile psychiatric service (with a supportive housing focus) in Lycoming and Clinton counties. Members Served: 192 adults. Outcomes: 97% of members sustained independent housing; members achieved 63% of treatment goals; and members experienced a 25% reduction in use of Crisis and MHIP. 

 

2009 Reinvestment Funds

 

Co-Occurring (MH/SA) Outpatient Services

Funds Spent: $74,174

 

Provider: Crossroads Counseling, Inc. Activities: Agency developed new polices, processes, and operations to establish self as co-occurring OP clinic; increased number of counselors; trained staff regarding co-occurring competency and therapeutic specialties. Members Served: 67 adults with co-occurring diagnoses. Outcomes: Expanded access to psychiatry, tele psychiatry, medication management, and MH OP services for Lycoming-Clinton members; and successfully scheduled clients within one week of referral. 

 

2010-2011 Reinvestment Funds

 

Mental Health Drop In Center

Funds Spent: $55,591 (2010) ; $211,675 (2011)

 

Provider: Skills of Central PA. Activities: implemented first mental health consumer drop-in program in Lycoming and Clinton counties; coordinated group trips, events, and community volunteering activities for members; provided transportation to program; supported consumers in planning and holding community awareness and educational events about MH. Members Served: 35-40 adult members participated each week. Aggregate Outcomes: Consumer engagement in daily operations of drop-in center increased 25% from Year 1 to Year 5; consumer engagement in positive community activities increased 60%; and consumer sense of mutual support and encouragement towards recovery increased 57%.

 
 

Decision Support Center (DSC)

Funds Spent: $20,463

 

Provider: Community Services Group. Activities: partnered with Community Care to implement the Shared Decision Making (SDM) model of patient centered care, which included support in using the DSC from Certified Peer Specialists. Members Served: 369 adult members. Outcomes: Members successfully developed and applied personal medicine and power statements with prescribers, completed Common Ground health reports, and utilized the Recovery Library.

 

Enhanced Mobile Psychiatric Rehabilitation Services (EMPR-S)

Funds Spent: $148,550 

 

Provider: Skills of Central PA. Activities: provider hired a Wellness Nurse and MPR staff were trained in wellness coaching, to support members in improving overall health, self-management of medications, and coordination of physical and behavioral healthcare. Members Served: 83 adult members. 

 

Dual Diagnosis MH/ID Treatment Team (DDTT)

Funds Spent: $25,000

 

Provider: Beacon Light Behavioral Services. Activities: a shared team was  implemented with Blair and HMJ Counties to serve Lycoming and Clinton members. Members Served: 5 adult members. Outcomes: Average length of stay for Lycoming Clinton members was longer than projected due to members having high no show and cancellation rates for appointments; no members  were admitted to higher levels of care. Overall satisfaction rate with Team as reported by members was 4.6 out of 5. 

 
 

Substance Abuse Recovery Resource Center (RRC)

Funds Spent: $23,811

 

Providers: WBDAAC, PATH, White Deer Run OP, and Genesis House. Activities: providers developed in-house resource centers for use by members that included computer with internet, DVDs, books, and other information to assist members in reaching goals. Aggregate Members Served: 3-18 members, family members, and supportive persons utilized the providers’ resources each week. Outcomes: Resources regarding relapse prevention and helping family members in recovery were the most popular topics of information sought by clients; members also utilized computer to apply for benefits, public housing, and employment. 

 

ASAM Network Wide Training

Funds Spent: $25,293 

 

Providers: All Lycoming and Clinton substance use disorder providers. Activities: provider staff were trained in the use of ASAM Criteria tool as part of statewide transition from PCPC tool. Three trainings were completed, and 90 local SUD staff were trained. Outcomes: 100% of staff required to attend ASAM training have completed training. 

 

2011-2012 Reinvestment Funds

 

Evidence Based OP Trauma Treatment 

Funds Spent: $99,536

 

Providers: Community Services Group, Crossroads Counseling, Inc., and Genesis House. Activities: evidence- based trauma informed treatment support group models for women were implemented in both counties by MH and SUD providers. Members Served: 86 adult members. Aggregate Outcomes: an 85-100% retention and completion rate was noted; 50% decrease in members’ MH symptoms and a 1-3% decrease in SA symptoms; 25% reduction in members’ trauma symptoms; and 75% of members reported improvement in overall functioning and coping skills.

 
 

Children’s Respite Services

Funds Spent: $5,785 (2011); $205 (2012)

 

Provider: Diakon Child, Family, and Community Services. Activities: recruitment and certification of respite staff and respite homes, and provision of hourly, in-home, out-of-home, and emergency respite services. Members Served: 32 members served to date. Outcomes: no outcomes to date.

 

2012-2013 Reinvestment Funds

 

Certified Peer Support Services (CPS)

Funds Spent: $138,392

 

Providers: Skills of Central PA and Community Services Group. Activities:   expansion of existing CSG peer services and Skills’ implementation of stand-alone 2nd choice for CPS services; providers hired and certified 6 new CPS staff and 2 new CSP Supervisors, and all received Forensic Peer certification; one peer also participated in Wellness Recovery Action Plan (WRAP) training. Members Served: 48 adult members. Aggregate Outcomes: 15% reduction in utilization of crisis services; 31% decrease in admissions to MHIP; and members reported a 50% increase in self-esteem and social functioning.

 
 

Supportive Housing

Funds Spent: $31,195 (2011); $17,947 (2012); $81,133 (2013)

 

Provider: WBDAAC. Activities: Contingency Fund established and made available for members who are clients of WBDAAC and are seeking affordable, safe, and independent housing; funds may be applied to needs including rent, security deposit, and household necessities. Members Served: 376 adult members served to date. Outcomes: 100% of members maintained their housing; 92% of members did not access higher levels of care nor were incarcerated; 100% of members reported enhanced quality of life through having a safe environment in which they can recover.  

 

Community Based D&A Adolescent Treatment Services (CBDA)

Funds Spent: $159,985

 

Provider: Crossroads Counseling, Inc. Activities: Implementation of Community Care model for family based D&A service for teens; two teams were recruited and trained to establish one in each county. Members Served: 16 adolescents and their families. Outcomes: 70% of youth being served  maintained sobriety during participation in services; only one member was placed out of the home due to relapse; 100% of parents were willing to participate actively in treatment; and families reported 34% improved communication and better insight into the dynamics of addiction.

 

Healthy Homes

Funds Spent: $1,015

 

Provider: WBDAAC. Activities: This reinvestment plan revision intends to expand financial support available to help members maintain safe and healthy housing.Members in need of financial assistance to treat other home based health compromising conditions that prevent attendance at counseling, jobs, or school, may be considered for funds on a case by case basis. Outcomes: To date, 7 members have been assisted with funds and 100% have maintained their housing. 

 

Supportive Housing MD / ID (Continued Fund Use)

Funds Spent: $62,484

 

Activities: Reinvestment is utilized for Contingency Funds for members/clients of MH/ID in need of affordable, safe, and independent housing. Plan was extended one more year, until 2020. Outcomes: To date, MH/ID has served 11 members with supportive housing funds; 100% of members reported enhanced quality of life and that having stable housing is providing a safe environment.  

 

2017 Reinvestment Funds

 

Child Respite Services

Funds Spent: $72,226

 

Provider: Diakon. Activities: The Reinvestment Committee approved one additional year of reinvestment funding to continue this plan with Diakon as the provider. Considering the high and repeated utilization of this service by families with significant needs, a cap will be placed on services for the year. Outcomes: It is projected that 40 unique members will be served with Respite Services next year.

 
 

Methamphetamine OP Services 

Funds Available: $71,438

 

Methamphetamine treatment services are counseling, intervention, education, and support services for individuals who want help for methamphetamine use disorder. 

 

2018 Reinvestment Funds

 

Family Interaction Training (FIT) (Priority 1)

Funds Available: $20,000

 

Family Interaction Training (FIT) is a behavioral training program developed for use by professionals in a wide range of disciplines to teach parents of young children the parenting strategies commonly used in evidence -based practices and programs. The training will be offered to and is intended for professionals in the Lycoming-Clinton Behavioral HealthChoices network who work with children and families in a therapeutic, clinical, teaching, training, or related setting. The focus of FIT in practice with families is teaching families the methods for strengthening the parent-child relationship, structuring environments to prevent misbehavior, and in using effective strategies for addressing misbehavior.

 
 

Trauma-Informed Cognitive Behavioral Therapy (CBT) Training (Priority 2)

Funds Available: $21,550

 

Substance abuse in one way that survivors of trauma try to deal with their memories and feelings. This is a type of therapy that helps individuals overcome the negative effects of traumatic experieces, and learn to handle their feelings without using substance. Training for White Deer Run.

 

School Based Child/Adolescent Partial Hospitalization Program (PHP) or (IOP) (Priority 3)

Funds Available: $25,000

 

Child and Adolescent PHP or IOP offer services to children and teens who need more help than can be provided in outpatient therapy, and who are at risk for hospitalization, residential treatment, and other out of home placements. Target Population: Students ages 13-18.

 

2018 Reinvestment Funds, Cont’d by Priority

 

Community Recovery Services: CRS services/Drop-in Center (Priority 4)

Funds Available: $100,000

 

Community Recovery Services combines Certified Recovery Support and Certified Peer Support services with a Drop-in Center to provide peer and family peer support services and advocacy (including transition support from hospitalization and incarceration), to individuals in recovery from substance use disorder and mental illness. It also provides education, information, support, and socialization for those in recovery and their family and friends. It provides a safe and nonjudgmental space for adults to support one another, and to share life experiences. Target Population: Adults and their families, friends, and loved ones.

 
 

Short-term Crisis Residential Program for Youth (Priority 5)

Funds Available: $427,522

 
 
 

2021 Reinvestment Funds:

Trauma Informed Mental Health Intensive Outpatient Program (MH IOP): $80,000

Provider: Crossroads Counseling, Inc.

 
 

Behavioral Health Provider Technology Enhancement: $171,727

Provider: Multiple Lycoming-Clinton Providers

 
 

Multisystemic Therapy for Problem Sexual Behaviors (MST-PSB) - $21,275

Provider: Community Solutions, Inc.

 

Drug Free Treatment for Opioid Withdrawal--$49,000

Provider: White Deer Run, Allenwood

 
 
 

IBHS ASD Afterschool Program--$49,000

Provider: Garner Behavioral Services, LLC

 

Hoarding Intervention and Treatment Services--$100,000

Provider: Skills of PA

 

Path to Licensure Workforce Development--$105,000

Provider: Keystone Counseling

 

IBHS with PCIT Interventions--$109,704

Provider: Diversified Treatment Alternative Centers

 
 

Behavioral Health Workforce Development--$58,725

Provider: Multiple Lycoming-Clinton providers

 
 

2022 Reinvestment Funds:

Behavioral Health Workforce Development--$838,242

Provider: Multiple Lycoming-Clinton providers

 

A short-term crisis residential program is designed for youth who have a mental health diagnosis, and act in ways that make them and others unsafe in their homes, schools, and communities. The average length of stay in a short-term residential program for this age group is typically 4-6 months. Target Population: Youth ages 12-18

Targeted adults ages 18 and older with a mental health diagnosis who meet medical necessity criteria for intensive outpatient treatment, and are seeking primary treatment, step-down aftercare from inpatient treatment, or a trauma-informed community-based service with a greater treatment intensity than traditional individual and group outpatient treatment.

 

Activities: Targeted adults ages 18 and older with a mental health diagnosis who meet medical necessity criteria for intensive outpatient treatment, and are seeking primary treatment, step-down aftercare from inpatient treatment, or a trauma-informed community-based service with a greater treatment intensity than traditional individual and group outpatient treatment.

 

Activities: Allocated funding to Lycoming Clinton HC providers for the purchase of technology that would otherwise be financially unobtainable, including Electronic Health Record systems, telehealth platforms, and related costs. Incorporation of this technology into practice will enhance provider efficiency, and improve members’ service access, retention, and outcomes.

 

Activities: MST-PSB is an intensive home-based treatment model for youth exhibiting problem sexual behavior and other high-risk behaviors, at home, at school, and in the community. The program addresses the multiple systems and factors that affect the youth’s behavior.

 

Activities: Targets individuals 18 and older with an opioid use disorder who meet medical necessity criteria for admission to Level 3.7 medically monitored inpatient withdrawal management treatment and are being served by White Deer Run in their Allenwood facility. The Masimo Bridge device will be provided to members experiencing opioid withdrawal symptoms during treatment for opioid use disorder: in the course of initiating treatment, transitioning to naltrexone, or tapering off medication-assisted treatment.

 

Activities: This reinvestment plan expanded community-based services for the notably underserved Lycoming-Clinton MA eligible child members diagnosed with autism ages 6 to 10 years old, and their families.

 

Activities: The plan will implement an in-home holistic model of treatment and support that will be provided to members in both counties. Hoarding intervention services will apply a coordinated plan of intervention that maximizes existing natural and community resources, using a team approach.

 

Activities: Pilot program with Keystone Counseling to provide an additional local pathway to licensure for unlicensed clinicians who hold a graduate degree in mental health, while simultaneously expanding access to services for individuals living in Clinton County.

 

Activities: PCIT is a type of play therapy provided to young children ages 2-7 and their parents. This plan would use PCIT techniques as part of IBHS to help adults learn and practice new skills for handling their children’s behavior. Families who meet medical necessity guidelines for IBHS and PCIT will be eligible for this in-home program being piloted in our counties.

 

Activities: The intent of this plan is to not only increase the number of staff and services available through provider offices, but to also increase the to support professional certifications to offer specialized treatment, and to prevent burnout, poor job satisfaction, and turnover.

 
 
 

Activities: The intent of this plan is to not only increase the number of staff and services available through provider offices, but to also increase the to support professional certifications to offer specialized treatment, and to prevent burnout, poor job satisfaction, and turnover.