MoD (Mentors on Discharge)

1. MoD (Mentors on Discharge) MHSA Innovations Grant Awarded to John George Psychiatric Hospital Based on an Alameda County

2. Grant Learning Question “Will introducing patients, while hospitalized, to peer Mentors on Discharge reduce the rate of re-hospitalization as measured by length of time between such hospitalizations?”

3. Final Results At the end of the 18 month grant period JGPH experienced the following results: • # of participants in program report (cohort): …….60 • # of hospitalizations 12 mos prior to MoD: ……..173 • # of hospitalizations 12 mos after MoD: ………….48 • Avg days between hospitalizations before MoD: ..62 • Avg days between hospitalizations after MoD: …159 Reduction of hospitalizations for “Participant Group”: 72.3%

4. (n=60)

5. Return On Investment (ROI) • Total Grant $ = $238,000 • Hospital admissions avoided: 125 • Avg hospital admission costs at JGPH: $8,500 • Total gross systems savings (Cost Avoidence): $1,062,500 • Less grant dollars: -$238,000 • Total return on investment: $824,500

6. H. Hospital process: -- Guy 1) JG Management & Coordination a. Patient Selection b. Process Mentor Request 2) Hospital Policy to accommodate mentors

7. Hospital Considerations • Patient Eligibility/Selection • John George Psychiatric Pavilion Staff Assignments • Communication Protocol between JGPP and Mentor Coordinator • Establish “Visitor” Policy • Release of Information to mentors

8. E. Mentor Process: 1) Recruit and train Mentors (mainly from POCC) -- Abu 2) Mentor Management & Coordination -- Abu 3) Mentor Perspective -- Tracey

9. 1) Mentors --- Abu Rahim a) Recruitment mainly from the POCC (Pool of Consumer Champions) a program of Alameda County Behavioral Health Care Services. Membership: 650+ b) Mentor Training – Art of Facilitating Self-Determination, by Well Beyond Recovery, Inc.

10. 2) Mentor Management & Coordination a) Relationship between the Mentor Coordinator and the Mentors b) Relationship between the Mentors and Participants based upon the training c) Relationship between the Coordinator and hospital staff and social workers.

11. 3) Mentor Perspective -- Tracey a. Value of the Training b. Relationship with Participants c. Challenges in the relationships d. Personal value gained as a mentor

12. 2. Where are we? -- Joe A. NAMI Alameda County South providing Mentors. B. KP Community Grant, allowing restart of the MoD program. C. Prototyping support of multiple psychiatric facilities. 1) JG - Experienced Facility 2) Telecare Heritage - new start up.

13. A. NAMI Alameda County South providing Mentors. • County not funding continuation of program past August 2012 grant period. • NAMI ACS (in 2013) decided to adopt the MoD model and seek funding for the MoD program. • Trained mentors agreed to become NAMI members with the prospect of continuing to mentor.

14. B. KP Community Grant • Kaiser Permanente Community Grant Program Award of $15,000 obtain in April 2013 •  This Grant allowed NAMI ACS to restart the MoD Program with existed trained and experienced mentors.

15. C. Prototyping support of multiple psychiatric facilities. 1) John George Psychatric Hospital is experienced in providing mentors to patients prior to discharge. Restarting program with JG this August 2013. 2) MOU Signed with Telecare-Heritage in Oakland, CA on August 13, 2013 to sart the program with them.

16. 3. Where do we want to go from here? --Joe A. Nationally using NAMI affiliate infrastructure? B. Start within California?

17. 3. Where do we want to go from here? (Q/A)-- ? C. Do you think your affiliate would be interested in providing mentors to your local psychiatric facilities? F. If so, what would be your challenges in doing so?