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S enior E mpowerment for L ife F ulfillment

S enior E mpowerment for L ife F ulfillment. Lenape Valley foundation Bucks county Area Agency on Aging Bucks County Mental health/ Developmental programs. What is SELF.

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S enior E mpowerment for L ife F ulfillment

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  1. Senior Empowerment for Life Fulfillment Lenape Valley foundation Bucks county Area Agency on Aging Bucks County Mental health/ Developmental programs

  2. What is SELF • The goal of the SELF program is to provide therapeutic intervention that facilitates an individual’s acceptance of traditional mental health services and/or drug and alcohol treatment. • The SELF program provides outreach, treatment, peer support, and case management to individuals 60 yrs and older; that are experiencing mental health and/or drug and alcohol problems; and are unable to access needed BHS services.

  3. Why SELF • The “silo”-style ports of entry in the current behavioral health system can limit access to services for older adults. • Altering traditional ways of delivering behavioral health needs. • Decrease stigma and increase acceptance among aging adults of mental health treatment. • Attention to medical needs and physical capability to receive recommended services. • An ever growing need to provide older adults with mental health supports in their homes. • By 2030, there will be about 72.1 million older persons, over twice their number in 2000.Department of Health & Human Services, 2012

  4. Collaborative Beginning • AAA and MH/DP began collaborating to meet this need in 2004. • Deputies from Aging, Mental Health, and early on, a representative from the County’s BHS contractor came together to develop a means to engage those 60+ older adults with unmet BHS needs and assisting them with developing connections to appropriate providers. • Collaborative cross-training of Aging & MH workers including BSU staff, and later including D/A staff • The AAA and MH/DP were pleased to bring Lenape Valley Foundation (LVF) into the collaboration in July, 2009 for the SELF program.

  5. Staffing • Clinical Executive • Program Director • Clinical Coordinator • Psychiatry • CRNP • Case Manager • Certified Peer Support • AAA CM Supervisor • AAA Deputy Director for Long-Term Care • Bucks County MH/DP Deputy or representative

  6. Program Services • Referral & Intake • Outreach • Assessment and Goal Planning • Psych Evaluation/Medication Management • Nursing assessment • Therapeutic Intervention • Case Management • Peer Support • Discharge Planning

  7. Clinical Charting • Consent for Treatment • Treatment Planning • Clinical Documentation ( DAP Note) • Release of Information • Medication Management Documentation • Case Management Activities • Certified Peer Support Recovery Planning • Certified Peer Support Activities

  8. Collaboration • LVF Weekly / Bi-Weekly Clinical Team Meetings • LVF, AAA, MH/DP Bi-Monthly Administrative Meetings • LVF, AAA, MD/DP Quarterly Case Conference Review • LVF, AAA, MD/DP Yearly QA Audit

  9. Monthly Reporting • Tracking Forms • Statistical Report/Quarterly/ YTD • Case Notes • Tracking List

  10. Collaborative Funding • Annual Budget of $150,000.00 from MH/DP (90%) and Aging ( 10%) • LVF Billable Services /Collection of Co-Pays

  11. Program Challenges • C0-Pays • Caseload size- The impact of Severe and Persistent Mental Illness (SPMI) • Closure/ Discharge Planning • Impact of Hoarding

  12. Closing • Program is continually evolving • Benefits of cross-training • Communication as a key element • Collaborative attitude in providing the program and addressing challenges.

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