Transcript Effective PATH Teams State of Missouri Brooke Dawson, LCSW, Missouri State Contact Rural • Anthony Smith, M.S Rehabilitation Admin. • Assertive Community Outreach of Mental Health and Substance Abuse •

Effective PATH Teams
State of Missouri
Brooke Dawson, LCSW,
Missouri State Contact
Rural
• Anthony Smith, M.S
Rehabilitation Admin.
• Assertive Community
Outreach of Mental
Health and
Substance Abuse
• Kennett MO, and 32
Counties in
Southeast MO.
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Urban
Ron Hendee, LCSW
Assertive Community
Outreach of TMC BH
Since 1988
Kansas City
Parent Organization
32 County
Continuum of Care
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Outpatient Mental Health Clinics
Illness Management and
Recovery Programs
Integrated Co-occurring Disorders
Services
Integrated Primary Health Care
Residential and Outpatient
Substance Abuse Treatment
Facilities
Drug Court, Corrections and
Specialized Offender Programs
Permanent and Transitional
Housing Programs
24 Hours Crisis Intervention
Clinical Statistics
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Annually admit 3,700 clients and
handle 153,000 clinic visits
annually
Handle 1,000 crisis responses
annually
Provided $115,000 in
uncompensated care in 2010
Employ 260 staff forming multiple
multidisciplinary teams
Offer 76 residential beds, 47
permanent housing slots, 32
transitional housing beds, and 4
sub-acute mental health beds
Parent Organization:
Truman Medical Centers
• Two acute care hospitals
• Out-patient primary care
clinics
• Comprehensive adult
mental health facility
including three in-patient
psychiatric units
• 1/3 of community’s
uncompensated care
provided by TMCs
• Primary teaching hospital
for University of MissouriKansas City School of
Health Sciences
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Together these facilities:
• Admit 17,000 patients and handle
over 291,000 outpatient visits annually
• Treat approximately 81,000
emergency room patients
• Provided $80 million in
uncompensated care at cost in 2007
• Deliver one-third of all babies born in
Jackson County
• Employ more than 3,000 full-time
employees
• Offer a combined capacity of 347
beds, 53 inpatient mental health beds
and 212 long-term
care beds
• Have 15 on-site language
interpreters and provides translation
services for approximately
30 different languages
City/County/COC
Environment
• Downtown redevelopment a priority
• Lack of Municipal investment in homelessness
• Existing services funded by state or federally
funded organizations
• Continuum of Care received $4.4 million in the
last funding cycle
• 2006 County Commission adopted fair housing
policies with a commitment to address
homelessness thru community collaboration
City/County/COC
Environment
• Downtown Redevelopment
• Lack of Government Investment in
Homelessness
• Existing services funded by faith-based, state or
federally funded organizations
• Homeless Services Coalition/Continuum of Care
that received more than $8 million in the last
funding cycle
• 2010 City government convened a metropolitan
task force with a goal of endorsing a Ten Year
plan
Components
• Outreach – Safe Haven community services, In-patient
Unit referrals, Statewide Point-In Time Counts
• Consumer employment – Peer Support Specialist
• Treatment (short vs. long term)
• Health – Rural health clinics, FQHCs, Integrated
Primary Care Services
• Housing – Safe haven, Supportive Permanent Housing,
811, and S+C
• Vocational and Employment – Vending Services,
Janitorial Services, Vehicle Maintenance Services
Components
• Outreach: Drop-In Center, referrals, Evening Shelter Crisis
• Consumer employment: receptionists and peer
support
• Treatment (short vs. long term): long-term
support through state Medicaid program
• Health: TMC comprehensive health services, health care for
the homeless, and a free health clinic
• Housing: respite, safe haven, supportive permanent housing,
and S+C
• Vocational & Employment: pre-vocational groups
HUD RESOURCES
Below is a listing of our H.U.D. partnerships:
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1993
Dept. of Mental Health
1995
Truman Medical Centers
1999
Swope Health Services
1999
Heartland Housing
2003
Department of Mental Health
2004
Restart
2005
Housing Authority
2006
Housing Authority
sponsors (S + C)
2007
Department of Mental Heal
recipients (S + C)
2008
Truman Medical Centers
the Safe Haven
2008
Dept. of Mental Health
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Awardee
# Units/ Relationship
Users of S + C
10 beds/ A.C.O. Safe Haven
Contact of Crisis Services
8 units/ A.C.O. is sole referral
21 units/ A.C.O. is project sponsor (S + C)
19 units/ A.C.O. is sole referral
14 units/ A.C.O. is project sponsor (S + C)
14 units/ A.C.O. is one of two project
13 units/ A.C.O. clients were the intended
4 units of “SRO” type housing attached to
13 units of Shelter Plus Care
Treatment Initiatives EBPs
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SOAR
Patient Centered Care using CARF model
Illness Management and Recovery (IMR)
Motivational Interviewing (MI)
Wellness Programs
Integrated Co-Occurring Disorders
Services (CoD)
Treatment Initiatives EBPs
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Patient Centered Care
IDDT
Trauma Informed Services
SOAR
Final Thoughts
• No two PATH programs look just alike
• Monitoring differences between rural and
urban
• Use of Evidence Based Practices
• Community Differences
• Matching Program Practices to Intended
Use Plans and Annual Data Reports
• Questions??