Washington County: Overview of Services

Washington County: Overview of Services Washington County BHDS 100 West Beau Street, Suite 302 Washington, PA 15301 724-228-6832 Janice Taper, County BHDS Administrator

Washington County BHDSAdministration Office • History – Deinstitutionalization in 1960’s • Law - Mental Health procedures Act of 1966/76 amended • Established procedures for treatment of mentally ill persons • Also established and defined treatment, treatment facilities, MHRO and responsibility release of info, bill of rights, commitment procedures, voluntary and involuntary • Care of medical assistance clients and those non-insured • Contracts for mandated and unmandated services – administrative office and number of contracts • Number of contracts: 40 Base; 30 I/DD; 40 Waiver Providers • HealthChoices contract • Continued development of needed services • Flow Charts – administrative office departments, office personal oversight – 5 reporting/2 not fiscal clerical

Washington County BHDS Administrative Office Flow ChartEffective September 22, 2011

Base Service Unit (BSU) • The Base Service Unit is the initial entry point to all Mental Health, Intellectual/Developmental Disability, and Early Intervention services and a direct extension of the Washington County Office of Mental Health. • Washington Communities Human Services Inc. 378 West Chestnut Street, Suite 205 Washington, PA 15301 (724)225-6940 Contact: Dawn Houston • Southwestern Pennsylvania Human Services (SPHS) 568 Galiffa Drive Donora, PA 15300 (724)379-1420 Contact: Chris Garrett • Centerville Clinics, Inc. Old National Pike Road Fredericktown, PA 15333 (724)632-6801 Contact: Tina Boni

BSU Services • Administrative Management which is the initiator of all county funded services • Administrative Case Management (ACM) • Blended Case Management (BCM) Washington Communities Human Services Inc. 378 West Chestnut Street Suite 205 Washington, PA 15301 (724)225-6940 Contact: Leslie Pahler or Dawn Walls • Southwestern Pennsylvania Human Services (SPHS) 568 Galiffa Drive Donora, PA 15300 (724)379-1420 Contact: Tracy Osman • Centerville Clinics Old National Pike Road Fredericktown, PA 15333 (724)632-6801 Contact: Jeannie Holzapfel

BSU Services Continued • Telephone, Mobile, Crisis Stabilization Units, Walk-in Crisis and Emergency Services • Forensic Liaison and Forensic Case Manager • 2 specialty Courts (MH and Veterans) • 90 Day Diversionary Program • Hospital Liaison • Delegate Services

Inpatient Services • The Washington Hospital 155 Wilson Ave. Washington, PA 15301 (724)223-3198 • The Monongahela Valley Hospital 1363 Country Club Rd. Monongahela, PA 15063 (724)724-258-1200 • Southwood 2575 Boyce Plaza Road Pittsburgh, PA 15241

Outpatient Services • Outpatient Services are provided by • Washington Communities Human Services Inc., • Southwestern Pennsylvania Human Services (SPHS), • Centerville Clinics, • Wesley Spectrum • Outpatient Services provided include • Outpatient Therapy • Psychiatrist • Medication Maintenance • Co-Occurring services provided by SPHS and Wesley Spectrum • Anger Management Services provided by SPHS • Sexual Trauma and Assault Services provided by SPHS • Pharmacological Program (County Scripts)

Partial Hospitalization Programs (PHPs) • Provide a step down from an inpatient acute level of care. • Psychiatric care and therapy are integral parts of the programs. • Partial Programs are provided by • Centerville Clinics, Inc. (2 locations) • SPHS

Early Intervention Services

Definition of Early Intervention • Early Intervention Services are for children from birth through the “age of beginners”: • Services are designed to meet the developmental needs of each eligible child and the needs of the family related to enhancing the child’s development • Selected in collaboration with parents • Provided at no cost to the family • Provided under public supervision by qualified personnel in conformity with an individualized plan

Lead Agencies for Early Intervention in Washington County Infants & Toddlers - Birth through age 2: Washington County BHDS Preschoolers - Age 3 to Age of Beginners: Intermediate Unit 1

Washington County Early Intervention ProgramInfant/Toddler - Birth to Age 3 Washington County BHDS 100 West Beau Street, Suite 302 Washington, PA 15301 Phone: 724-228-6832 Fax: 724-223-4685 Vickie Amos, County Early Intervention Coordinator Washington Communities Early Intervention Service Coordination Department 378 W. Chestnut Street Washington, PA 15301 Phone: 724-229-2620 or 866-765-2888 Fax: 724-225-6944 Mona Gutierrez, Supervisor Choice of 2 Independent Assessment Agencies Crossroads Speech & Hearing, Inc. Early Intervention Specialists, Inc.

Washington Co. Contracted EI Providers Infant/Toddler Program Pathways of SW PA Inc. 289 North Avenue Washington, PA 15301 Phone: 724-223-7803 ext. 640 or 800-835-4140 Fax: 724-223-7804 Monica Brooks - EI Program Director – Washington County SPHS-Diversified Human Services, Inc.. 301 Chamber Plaza Charleroi, PA 15022 Phone: 724-489-8096 ext. 4258 Fax: 724-483-9373 Toni Tarquinio – Director The Integrated Care Corp. 371 Bethel Church Rd. Ligonier, Pa. 15658 Phone: 724-593-7447 or 888-645-5683 Fax: 724-593-7448 Lance Queer – President

Washington, Greene & Fayette Early Intervention System Preschool Age 3 through the Age of Beginners Intermediate Unit One One Intermediate Unit Drive Coal Center, PA 15423-9642 Telephone: 724-938-3241 or 800-328-6481 Fax: 724-938-8722 Contact Person: Barb Rothermel, Preschool Supervisor

Steps in the Early Intervention Process: • Referral • First Meeting • Assessment • Determine Eligibility • Develop Individualized Family Service Plan • Implement IFSP • Transition to Preschool • Individualized Education Program • Transition to School (Kindergarten)

Who is Eligible for EI Services? Infants/Toddlers: Age range - Birth through age 2 inclusive • Developmentally Delayed • Delay of 25% in months or • 1.5 Standard deviations below the mean on a standardized test or • Informed Clinical Opinion • Diagnosed Physical or Mental Condition which has a high probability of resulting in a Developmental Delay (e.g. Down Syndrome, Spina Bifida, Cerebral Palsy)

Who is Eligible for the EI Tracking Program? Infants/Toddlers: Age range - Birth through 2 inclusive • Birth weight under 1500 grams (3 ½ pounds) • Cared for in Neonatal Intensive Care Unit or NICU • Born to a chemically dependent mother • Seriously abused or neglected • Dangerous levels of lead poisoning

Where are services provided? Infants/Toddlers: Age range - Birth through 2 inclusive Natural Environments: • Services should be delivered in settings that meet the needs of the child and family • Services must be provided to the extent appropriate in the types of settings in which infants and toddlers without disabilities would participate OR where the child would be if he or she did not have a disability

EI Services for Infants & Toddlers While all children grow and change at their own rates, some children can experience delays in their development. Sometimes this can be cause for concern, but…Early Intervention is here to help! Your child will learn skills in these five primary developmental areas as he or she grows: • Physical Development - the ability to move, see & hear • Language and Speech Development - the ability to talk, express needs • Social and Emotional Development - the ability to relate to others • Self Help or Adaptive Development - the ability to eat, dress and take care of self • Cognitive Development - the ability to think and learn Early Interventionists assist parents, family members or other caregivers learn ways to support children within their daily routines and activities in their natural environment. If you have concerns about the rate your child is developing skills, you may want to talk to his or her pediatrician or physician. You may also refer your child to EI Services and ask for a free developmental screening. In Washington County: Washington Communities 724-229-2620 or 866-765-2888 Or to refer a child anywhere in PA, CONNECT Information & Referral at 800-692-7288

Children’s Mental Health Services • Student Assistance Program (SAP) • A collaborative service provided by Mental Health, Drug and Alcohol liaisons and Education in the educational environment. • Liaisons attend weekly meetings in the school to review students who are having difficulty academically that may be a result of outside influences (i.e. mental health instability, substance usage, family challenges). • Liaisons consult with the SAP team to help in designing a supportive plan for the student. • Will conduct a screening to determine if supportive services are appropriate and help the parent connect with the appropriate agency • SAP Liaison contacts attached • School-Based Therapy • is an outpatient treatment provided in the school setting • is provided in 13 out of the 14 school districts; excluding Peters Twp. • School based therapist contacts attached

Family-Based Mental Health Services • Provides individual and structural family therapy up to 32 weeks • Must be recommended by a psychologist or a psychiatrist • Child/adolescent must be at risk for psychiatric hospitalization or out of home placement • Team delivered service Providers of Service: Southwood 412-206-0176 Pressley Ridge 724-225-4400 Centerville Clinics 724-228-8420 ext. 313

Behavioral Health Rehabilitation Services (BHRS) • Amedically necessary service recommended by a psychologist or psychiatrist within the past 60 days which includes: • Behavioral Specialist Consultant (BSC) – masters level clinician who develops a behavioral plan for the child • Mobile Therapy – masters level clinician who provides individual and family therapy typically provided in the home setting • Therapeutic Staff Support (TSS) – bachelors level position who provides one-on-one intervention and implements the behavioral plan Strength-Based Therapy • A Mobile Therapist in an expanded role that includes consultation and clinical case management for up to 36 weeks • Can do “booster” sessions 12 weeks after discharge from treatment

Behavioral Health Rehabilitation Services (BHRS), Cont. Interagency Service Plan Team (ISPT) meeting is required after the recommendation of the above services • Includes the parent/legal guardian adolescent of 14 years and older, and any other child serving agency including CYS, JPO, MR, EI, education, and the evaluator ISPT Team – reviews the recommendations made by the evaluator • Discuss strengths and current behavior/concerns • Determines if any other mental health services or natural supports are needed • The information presented at an ISPT meeting is used by VBH to determine if BHRS is the most appropriate service

Behavioral Health Rehabilitation Services (BHRS), Cont. Site- Based Social Skills Group • A medically necessary services provided to individuals that have an Autism Spectrum Disorder (ASD) diagnosis. Because of the difficulties children with this diagnosis have in social situations (i.e. social cuing, understanding speech, body proximity), this service provides the children with the opportunity to learn skills in a therapeutic environment with trained staff to make social situations more comfortable for them. This service is evaluated regularly to determined continued need Provider: Wesley Wonder Kids – 724-820-1590 NHS Stepping Stones – 724-924-4677

Behavioral Health Rehabilitation Services (BHRS), Cont. Summer Therapeutic Activities Program (STAP) aka Summer Camp • A medically necessary service provided to children/adolescents (typically school age) that need additional therapeutic support during the summer to enhance behavioral and social skills • Children attend up to 5 weeks Providers: Centerville Clinics 724-632-6801 ext. 2151 SPHS Behavioral Health – 724-684-6489 Camp Laugh-a-Lot – 724-745-3010

Community Residential Rehabilitation (CRR) Community Residential Rehabilitation (CRR) • Also known as Host Homes or Therapeutic Foster Care • The foster parents are trained in mental health therapeutic interventions, with support provided by licensed clinical staff • Must be recommended by a psychologist/psychiatrist within the past 60 days • Need to have an ISPT meeting • Provides services to the biological family for reunification Providers: Northwestern Human Services 724-942-4617 Pressley Ridge 724-430-6000

Residential Treatment Facility (RTF) Residential Treatment Facility (RTF) • Must be recommended by a psychiatrist within the past 60 days • Provides 24 hour therapeutic intervention for a child/adolescent • Family therapy and home visits to move towards reunification • Requires an ISPT and re-evaluation every 120 days and an ISPT meeting • Discharge planning from the RTF is crucial to the child transitioning back home or another placement option • RTF provider list is attached

Supportive Services Family Support Services • Money available to families so the child/adolescent can participate in community activities Respite • In or Out of the home • Available to give families a break • Can use licensed CRR providers • Family members must have clearance checks

Parent Advocate Program Parent Advocate Program – Mental Health Association • Provides help, information, and advocacy for parents of children with special needs, i.e.. attending ISPT meetings, IEP meetings, complaint/grievance hearings • Mary Ann Zeitler, 724-225-2061

Child and Adolescent Service System Program CASSP CASSP is an acronym for the Child and Adolescent Service System Program. This service is planned collaboratively with the child’s or adolescent’s family, the public service providers (Mental Health, Mental Retardation, Substance Abuse, Children and Youth, Juvenile Probation), the school and any other services providing support to the child/adolescent and family. Through the interagency process, CASSP convenes a team of the key players to develop a support plan built upon the strengths of the family, and addressing the issues targeted by the family and team. Attached are referral forms to request a CASSP meeting.

Contact Information Perri Greco, Mental Health Program Director, Children and Adolescent Services Ext. 5915 e-mail: grecop@co.washington.pa.us Sara Sichi, CASSP Coordinator Ext. 6669 e-mail: sichisar@co.washington.pa.us Direct referrals and questions regarding Family-Based Mental Health Services Referrals for CASSP meetings Amy Wildman, County Designee Ext. 4065 e-mail: wildman@co.washington.pa.us All requests for BHRS, RTF, and CRR are to be sent to either Amy or Kelly.

Mobile Medication Program The Mobile Medication Program provides psychoeducation, medication monitoring, and medication administration for consumers who are not engaged in their recovery and/or need additional assistance in this area.

Assertive Community Treatment Team (ACT) • ACT is an evidence based Mental Health program which provides a comprehensive approach to service delivery to consumers with severe mental illness. • ACT uses a trans-disciplinary team which typically includes: a psychiatrist, a nurse, mental health professional/therapist and case manager. Additionally specialty team members may be available, including substance abuse, vocational and peer.

Residential / Housing • Can accommodate Transition of Age population. • The admission criteria are that each consumer has to be homeless with a history of mental illness and substance abuse. Preferred that each consumer has been involved in treatment or currently in treatment and stable. Have to be between the ages of 18 – 22. Must have a Blended Case Manager. • The admission procedure is for each consumer to have an onsite interview and tour to assess if the program is appropriate and beneficial for that consumer. After acceptance into the program admission occurs within two days. • Teaching life skills is the key focus of the program. Staff is trained to assist consumers in achieving a higher level of independent living in the community. Specific areas of focus are money management and budgeting, meal preparation, meal planning, medication management, housekeeping skills, job preparation and interviewing skills. • Each consumer is encouraged to save money to be used for living expenses once discharged. These funds can be supplemented by agency funds so that the consumer is able to afford the first months rent, supply food, and obtain furnishings for the residence. • The ultimate goal is for each consumer to be able to transition into the community on their own.

Residential / Housing:Long Term Structured Residence (LTSR) • The LTSR is a residence where mentally ill consumers can reside for an undetermined period of time. They identify goals that they want to work on in preparation for returning to the community. • The LTSR is a committable facility which is either locked or has the ability to be locked. • The LTSR service is provided through the Mental Health Association.

Residential / Housing:Enhanced Personal Care Home (EPCH) • The EPCH provides standard personal care home services with the enhancements of mental health trained staff. • Services can be received both in the facility and in the community. • The EPCH service is provided by both the Mental Health Association and Community Transition Connections.

Residential / Housing:Community Residential Rehabilitation (CRR) • CRR’s provide both staff support and assistance to consumers in the achievement of their goals, including a variety of psychosocial areas. • The primary function is to assist individuals in transitioning to greater levels of independence in the community. • CRR’s can be provided in two levels of service: • Full Care • Partial Care • The CRR service is provided by Southwest Behavioral Care and Residential Recovery Services.

Residential / Housing: Mental Health Supportive Housing • Mental Health Supportive Housing offers housing case management as well as assistance in the following areas. • Housing Acquisition • Landlord Tenant Negotiations • Housing Counseling and Lease Interpretation • Moving Assistance • Life Skills Training • Housing Assistance Funds • Mental Health Supportive Housing is provided by Residential Recovery Services and Southwest Behavioral Care.

Residential / Housing: Shelters • Shelter Plus Care Program • HUD Funded Program for disabled individuals who meet the Federal definition of homeless. • Provides both a rental subsidy such that individuals pay only 30% of their adjusted net income towards monthly rental costs as well the "care" involved in ensuring that individuals are able to maintain safe housing with minimum standards of quality. • Provided through Residential Recovery Services. • Safe Haven Shelters • Provides shelter and in-house case management to individuals with serious mental illness. • Provided through Connect, Inc. a subsidiary of SPHS.

Residential / Housing:Housing Contingency/Rental Subsidy Funds • Provided as needed to Mayview discharges, diversions and those consumers transitioning into the community from structured Residential Programs. • Housing Contingency Funds may be used for a variety of housing needs such as utility hook-ups, furnishing, household supplies, security deposits, etc. • Rental Subsidy Funds allow consumers to pay only 30% of adjusted net income towards monthly rental costs enabling them to obtain safe, affordable housing while awaiting Section 8 (Housing Choice) vouchers. • Provided by Southwest Behavioral Care and Residential Recovery Services.

Residential / Housing: Mobile Housing Support Service • Provides direct in-home assistance and skill building to consumers living in his/her own home within the community. • Assistance is provided in many areas including laundry, housekeeping, budgeting, meal planning and preparation and grocery shopping. • Provided by Southwest Behavioral Care.

Rehabilitative Services • Psychiatric Rehabilitation Services • Designed to assist consumers in the recovery process by addressing goals in the following life domains: Living, Learning, Working, Social, and Self Maintenance. • Can be provided in three modalities: • Site Based – Provided By AMI. • Mobile – Provided by Mental Health Association. • Clubhouse – Provided by AMI. • Psycho-Social Rehabilitation Services • Services for seriously mentally ill consumers that provide acclimation or re-acclimation to social roles as well as social integration. • This service is provided through AMI and SPHS.

Supported Employment • Supported Employment is an Evidence Based Practice which helps individuals with mental illness to find and keep meaningful jobs in their community. • Eligibility for supported Employment is based upon consumer choices. The ultimate goal is competitive employment, and as such, the job search begins soon after the individual expresses interest in working. Services are an integral part of mental health treatment • Consumer preference, personal benefits counseling, and continuous follow along supports are all important aspects of supported employment.

Peer Support Services: Peer Mentor Program • A peer mentor is a person in recovery from mental health issues and can assist others through their recovery journey by being a positive role model to that peer. • This service is available to any consumer 18 years of age or older with a serious mental illness who desires to have a peer mentor. • The referral is made through the Base Service Unit or a peer mentor can assist their peer through the referral process. • Some examples of things that a peer mentor can do is introduce their peers to community resources, help develop healthy social interactions, provide support, assist a peer in being able to advocate for themselves, and most importantly be a good friend which provides hope that recovery is possible. • At this time, AMI offers this service county wide and currently employs 7 peer mentors serving approximately 40 of their peers.

Peer Support Services:Certified Peer Specialist Program • A Certified Peer Specialist is a self identified consumer who has received specialized training. • The Consumer has to be 18 years of age or older and have been referred by a physician or another healing arts professional. • The consumer must also have a serious mental illness as defined by the OMHSAS Adult Priority Group. • Services are based on the individuals self identified goals within the five recovery domains of education, working, social, living, and self maintenance. • Services have no specific time length as long as the consumer meets required criteria. • Medicaid reimbursable service. • Certified Peer Specialist Services are available through AMI, SPHS, and Centerville Clinics.

Peer Support Services: Drop In Center • The Drop in Center offers a friendly atmosphere for socialization and fellowship between individuals coping with Mental Health issues. • Circle Center Drop in Center provided by the Mental Health Association. • Alliance Drop in Center provided by SPHS.

Peer Support Services: Warm Line • The Warm Line is a telephone line for mental health consumers and family members to call and receive non-emergency peer support and/or community resources • The Warm Line is staffed by consumers themselves and is provided by the Mental Health Association.

Representative Payee Program • Provides assistance to consumers with their financial affairs. • Abides by all procedures established by the Social Security Administration. • The Representative Payee receives Social Security payments on behalf of the consumer to pay for current needs such as housing, food, clothing, medical and dental care, etc. • This service is provided by the Mental Health Association.

Managed Care Ombudsman • Provides information to consumers about managed care and assists in the process of filing complaints and grievances. • Provided by the Mental Health Association.

Washington County: Overview of Services