Mental Health Needs: Meeting the Challenge Marsha G. Ansel, LCSW-C

1. Mental Health Needs: Meeting the Challenge Marsha G. Ansel, LCSW-C Howard County Mental Health Authority

2. PSYCHOGERIATRIC COORDINATORHoward County Mental Health Authority Licensed social worker, LCSW-C provides: • consultation • education • technical assistance • promoting specialized services in aging and mental health to meet the needs of the geriatric population

3. PSYCHOGERIATRIC COORDINATORHoward County Mental Health Authority Consultation/Transition: • community discharge from state psychiatric hospitals • comprehensive individualized plan evaluation, aftercare assessment, and planning services • identification of community resources, assistance with linkage and access to service

4. PSYCHOGERIATRIC COORDINATORHoward County Mental Health Authority Consultation/Transitionregarding community settings and services: • nursing homes, assisted living, adult medical day care, hospitals • Residential Rehabilitation Programs and Psychiatric Rehabilitation Programs (mental health) • county, state, and private agencies/providers and the public

5. PSYCHOGERIATRIC COORDINATORHoward County Mental Health Authority Coordination and Collaborationto promote aging and mental health services: • planning and development of services • interagency coordination for individual planning as well as service delivery systems • networking, partnerships, and advocacy with local, state, and private agencies, statewide and national organizations

6. PSYCHOGERIATRIC COORDINATORHoward County Mental Health Authority Training and Educationregarding mental health and aging for direct caregivers, aging providers, mental health providers, other public agency staff and the community at large. Marsha G. Ansel, LCSW-C mansel@hcmha.org 410-313-5706Howard County Mental Health Authority

7. Howard County Office on Aging Mental Health Coordinator A professional staff position in the Health & Wealth Division of Howard County Office on Aging, who:  • administers the SPRING (Senior Peer Resources: Individuals, Networks & Groups) Program, a preventive mental health peer support program; • develops resources and oversee programs designed to meet the mental health needs of the senior population in Howard County;

8. Howard County Office on Aging Mental Health Coordinator • counsels and/or identifies the appropriate referral for individuals in distress/crisis;  • networks with community mental health providers and collaborates on related older adult projects; • provides mental health trainings in the community;

9. Howard County Office on Aging Mental Health Coordinator • serves as an advocate for older adult mental health issues in the community and at the interagency level;   • serves as an ex-officio Board member of the Howard County Mental Health Authority, the local core service agency.  Karen Hull Howard County Office on Aging khull@howardcountymd.gov 410-313-7466

10. HumanimSupported Living Program A Psychiatric Rehabilitation Program: • services in an individual’s home • medication and symptom management • budgeting • socialization • crisis intervention  • case management services • limited transportation

11. Humanim Supported Living Program The program’s basic requirements are: • psychiatric diagnosis must meet the Maryland’s Public Mental Health System, Priority Population, which is the cause of significant psychological, personal care, and social impairment • must have Medical Assistance and live in Howard County (program also functions in Baltimore City.)

12. Humanim Supported Living Program (Basic requirements - continued) • must have Medical Assistance, and must live in Howard County. They have a program in Baltimore City as well. Vanessa Conaway 410-381-7171, ext 2322 cell: 410-733-6581 vconaway@humanim.com

13. Way Station, Sheppard PrattMobile Treatment • provides services to adults with serious mental disorders • designed to meet the needs of individuals who are unable or unwilling to engage in traditional, facility-based outpatient psychiatric treatment and rehabilitation services.

14. Way Station, Sheppard Pratt - Mobile Treatment Mobile Treatment is provided as a comprehensive service. The team provides : • nursing services • psychiatric treatment • therapy, case management • resource coordination • advocacy • and many other services.

15. Way Station, Sheppard Pratt - Mobile Treatment Admission criteria: • The consumer has a Public Mental Health System specialty mental health DSM-IV diagnosis included in the Priority Population, which is the cause of significant psychological, personal care, and social impairment. • Inability to engage in traditional outpatient treatment

16. Way Station, Sheppard Pratt - Mobile Treatment (Admission criteria – continued) • Inability to form therapeutic relationships on an ongoing basis as evidenced by: frequent use of Emergency Room for psychiatric reasons, psychiatric hospitalizations, arrest for reasons associated with the individual’s mental illness.

17. Way Station, Sheppard Pratt - Mobile Treatment The goals of the program include: • Preventing or reducing incidents or hospitalization, incarceration, and homelessness. • Improving the functioning, quality of life, and community integration of the individuals served. • Kristin Ucciardo, Manager • 410-740-1901 x 7728 • kucciardo@waystationinc.org

18. The Mobile Crisis Team (MCT) • MCT consists of 2 licensed mental health professionals (LCSW-C or LCPC) and we work in collaboration with Howard County Police. • MCT goes to an individual's home or anywhere else in the community to assist an individual and/or family in crisis.

19. The Mobile Crisis Team (MCT) • Crisis can include psychiatric, behavioral, family, trauma (sudden death), community disaster (fire, etc). • The objective is to intervene in the crisis and alleviate stress and trauma in the least restrictive way.

20. The Mobile Crisis Team (MCT) • MCT also provides resources and referrals • follows up with clients to assess if they were able to connect to resources, follow safety plan • assesses if further support/resources are needed.

21. The Mobile Crisis Team (MCT) • The police call MCT but anyone in the community can request MCT response. • MCT always responds with police. • MCT does not typically respond to standard domestics between husband and wife.

22. The Mobile Crisis Team (MCT) • Hours of operation are M -F 9am to 11pm and Sat and Sun 12 pm to 11pm. Mobile Crisis Team Call Grassroots and request MCT 410-531-6677

23. Mental Health Providers Group Practices: • Clinic appointments • Multidisciplinary staff • In-home visits in designated settings Private Practitioners: • In home therapy • Office appointments for therapy and medication management

24. CONTACTS Marsha G. Ansel, LCSW-C Howard County Mental Health Authority 410-313-5706 mansel@hcmha.org • Kristin Ucciardo, Manager • Way Station, Sheppard Pratt - Mobile Treatment • 410-740-1901 x 7728 • kucciardo@waystationinc.org • Vanessa Conaway • 410-381-7171, ext 2322 • cell: 410-733-6581 • vconaway@humanim.com Karen Hull Howard County Office on Aging 410-313-7466 khull@howardcountymd.gov Mobile Crisis Team Call Grassroots and request MCT 410-531-6677