Initiatives

Beaver County System of Care Initiatives

Behavioral Health/Physical Health Integration
The Beaver County System of Care (SOC) has been working to increase integration between physical and behavioral health. Talks are underway with Value Behavioral Health to begin measuring medication (BH PH) reconciliation at a major outpatient providers.

For additional information contact: Nancy Jaquette @ 724-847-6225 or njaquette@bcbh.org

Comprehensive, Continuous, Integrated System of Care (CCISC)
For the past decade, Beaver County System of Care (SOC) has been implementing the CCISC model developed by Drs. Minkoff and Cline. The SOC has moved beyond a co-occurring disorder focus to an emphasis on the complex issues facing individuals and families.  The underlying aim is to organize services for individuals with co-occurring psychiatric and substance disorders in order to improve access to treatment, support services, and natural supports for these individuals in systems of any size and complexity.  In Beaver County, providers have identified change agents, developed internal quality improvement processes and incorporated a countywide quality improvement (QI) process throughout the system.

For more information contact: Holly Wald @ (412) 731-6200 or hwald@hpwassoc.com

Culturally and Linguistically Appropriate Services
Over the past several years SOC partner agencies have receive training on developing the cross cultural strategies necessary to serve a diverse population of clients from various cultural, socio-economic, race, gender, age and other identifiable areas. These efforts have spawned other activities including a county-wide Cultural Linguistic Competency Advisory Committee to provide counsel to the Beaver County Commissioners regarding improving employment opportunity for underrepresented groups in Beaver County. The countywide committee consists of representatives from businesses and corporations, basic and higher education, social services, community, and government. Ongoing CLC effort will seek to infuse a “cultural consciousness” within every agency and establishment in Beaver County to ensure a more “welcoming” climate for all people being served.

For additional information contact: Greg Hill @ (412-519-0001) or lowenhillconsultants@gmail.com

Employment Transformation
The November 2005 OMHSAS publication “A Call for Change: Toward a Recovery-Oriented Mental Health Service System for Adults” became the impetus for a January 2008 initiative at BCRC that would transform and enhance the employment services available to individuals with mental health diagnoses. An advisory council, which was established in March 2008 and includes representatives from various community agencies and staff members from BCRC/WIN Services, met on a quarterly basis and will be expanded to allow for an employment advisory board which will begin meeting in the fall of 2016.  The Mental Health Transformation (MHT) Program, as it is known, utilizes the SAMHSA framework for supported employment.  Since employment services started being offered to consumers in 2009, the program has received three formal reviews which assessed fidelity to the model with the outcome yielding a high level of consistency and an overall determination that services are meeting the fidelity measures.
From 2009 to 2016 the MHT program has provided employment supports to over two hundred eighty individuals, some returning numerous times to seek out assistance in making work be their main objective.  Sixty-four individuals obtained competitive employment, eleven individuals became actively involved in community based transitional employment, twenty decided to move forward with educational options, and thirty-three individuals obtained meaningful volunteer opportunities.  Approximately 46% of the individuals involved made a decision to move forward vocationally to a level that suited their personal needs in that moment.  An additional funding stream has been identified to allow for the open door policy and immediate service provisions to remain in place.  OVR is on board to accept referrals when employment supports are necessary, and BCBH has provided an avenue for psychiatric evaluations to be completed to determine eligibility for services under Value Behavioral Health.

Shelia Silbaugh @ 724-847-1306 or ssilbaugh@bcrc.net

Family Support Groups
The Beaver County System of Care has been working to identify family supports and bring them together to lean on each other as they work to support the families in Beaver County. Via several networking events, the groups became aware of each other and how they can work together to meet the complex needs of the families they support. They continue to meet and support each other’s efforts while raising awareness in the community.

For additional information or to become a part of this initiative contact: Karen Edwards at 724.847.6225 or kedwards@ahci.org

Hope and Wellness Classes
Illness Management and Recovery (IMR)
In January 2012, BCRC began providing Illness Management and Recovery (IMR) services, an evidence- based practice.   IMR or Hope and Wellness Classes primary objective is “…to empower consumers to manage their illnesses, find their own goals for recovery, and make informed decisions about their treatment by teaching them the necessary knowledge and skills.” For BCRC this means striving for a participant-centered program that empowers the individual to make informed positive decision regarding his or her own recovery.  Over the past years, the curriculum has become increasingly customized to mee the co-occurring needs of many of the participants.  Annual fidelity assessments have also been conducted, each affirming the program’s successful implementation.  Since its inception, the agency has served nearly 40 individuals.  For BCRC, IMR is traditionally provided on-site in both individucal and group settings.  However, moving forward, BCRC will provide these services in a mobile capacity, supporting individuals in their place of residence and in a more community integrated setting.

For additional information contact: Cindy Kirkpatrick @ 724-847-1306 or ckirkpatirick@bcrc.net

Housing
The Beaver County System of Care has within the last several years worked to increase community tenure for individuals with behavioral health diagnoses. In addition to full and partial care Community Residential Rehabilitation (CRR’s), there are supports available to assist an individual with locating, accessing and maintaining housing.

Beaver County’s Permanent Supportive Housing program is based on a Housing First Model that does not require services to access housing, but will work with individuals to develop the necessary supports to remain in safe, affordable permanent housing.

For additional information contact: Rebecca Snyder at Cornerstone Recovery and Supports @ 724-384-0419 or rsnyder@crscares.org

Mental Health First Aid
Mental Health First Aid is a 8-hour interactive course that presents an overview of mental illness and substance abuse disorders. It introduces participants to risk factors and warning signs of mental health problems, builds understanding of their impact, and provides an overview of common treatments. Those who take the course learn a 5-step action plan that encompasses the skills, resources, and knowledge to help an individual in crisis connect with appropriate professional, peer, social, and self-help. Individuals who complete the course become certified in Mental Health First Aid.

For additional information contact: Kim Hall @ (724) 493-2988 or kimberlyhall@etc-pa.com

System of Care and Justice Partnerships

The Beaver County System of care (SOC) works closely with the Beaver County Criminal Justice System to support individuals in their recovery and treatment who may also be justice-involved.  Collaborative strategic planning started in 2009, when the Beaver County Criminal Justice Advisory Board (CJAB) agreed to formal justice and mental health collaboration using the Sequential Intercept Model developed by Mark A. Munetz, M.D. and Patricia A. Griffin, PhD as its guiding framework. This framework involves using a systematic approach for reviewing behavioral health interventions as intercept points throughout the criminal justice system. Nonviolent individuals with behavioral health needs are identified as early as possible and connected to appropriate treatment with the intent of diverting them from greater criminal justice involvement.

The Beaver County SOC continues to use this framework to evaluate and expand its collaboration with the justice system. At this time, the county offers behavioral health supports at each of the five intercepts identified in this model. These supports include training for law enforcement, first responders and emergency services in Mental Health First Aid; screenings in the regional booking center; co-occurring mental health and substance use assessments in the courthouse; assessments, treatment and vocational services in the jail; re-entry services post-release; and specialized probation team programs that combine behavioral health treatment and peer services that support adult probation

In recognition of these ongoing collaborative efforts, Beaver County was asked to present a poster presentation at the 2016 National Council for Behavioral Health Conference, which highlighted shared program development and strategic planning. Please click here to view the poster.

For more information contact: Matt Koren @ (412) 325-1100 x 7774 or mkoren@ahci.org

Single Point of Accountability
(Case management/Assertive Community Treatment)
Beaver County Behavioral Health began a countywide Single Point of Accountability (SPA) initiative in 2009 with the goal of establishing consistent standards for blended case management and Assertive Community Treatment (ACT) in order to assure clients have access to the treatment and natural supports they need to achieve a quality and satisfying life in the community.
Accomplishments to date include:
• A mechanism to involve SPA in any call to crisis
• Trainings on Voluntary Commitments
• Work with residential providers to involve SPA prior to a crisis
• Development of countywide standards and competencies on engagement, crisis prevention, crisis diversion, crisis response, and transitioning
• Implementation of an electronic Service Plan (eSP)
• Increased collaboration with the other services, including  providing the local emergency rooms and probation officers access to the crisis plan on each eSP
• Partnering with Value Behavioral Health to establish and measure best practice standards
• Development of marketing materials to promote SPA services
• Regional Booking Center screen notifications
• Treatment team participation on inpatient units
• Fidelity review on SPA standards

Trauma-Informed Care
(Seeking Safety)
Since 2007, Beaver County has been working with Dr. Lisa Najavits to implement her evidence based practice (EBP) of Seeking Safety in order to move towards a trauma informed SOC of care. Seeking Safety was first offered to incarcerated women with a history of substance abuse and a diagnosis of Post Traumatic Stress Disorder. The EBP was then expanded to men and offered both in the local jail and in the community post release. Dr. Najavits and her team have provided multiple trainings in the county to expand the use of this intervention beyond the forensic population. Currently a proposal to study peer guided Seeking Safety groups, developed in conjunction with Dr. Najavits, is under consideration by the Institutional Review Board of Gateway Rehabilitation Center. Once approved, peer guided Seeking Safety groups would occur at both of the county’s Long Term Structured Residences and an inpatient rehabilitation program for adolescents.

For more information contact: Kim Hall @ (412) 244-1244 or kimberlyhall@etc-pa.com

Wellness Recovery Action (WRAP) Plans
The Wellness Recovery Action Plan®, also known as WRAP®, was designed by Mary Ellen Copeland, PhD. This evidence-based system can be used by anyone who is dealing with mental health and other kinds of health challenges in order to attain the highest possible level of wellness. The Certified WRAP® Facilitators who teach WRAP® Classes and Certified Peer Support Specialists in Beaver County are ready to work with individuals and groups as they develop or improve a personalized WRAP®. The Recovery Coordinator is available to meet with staff to introduce The Wellness Recovery Action Plan® and guide interested parties towards WRAP® services.

For more information contact: Bonnie Palmieri @ (724) 624-7203 or bpalmieri@ahci.org

Youth Voice
Beaver County recognizes the importance of having all stakeholder representation at the table. The Youth Voice has been under represented in Beaver County and efforts to include the youth are under way. A workgroup has formed to brainstorm ideas about how to reach the youth, decrease obstacles and celebrate their successes in the community.

For more information or to become a part of this initiative contact: Karen Edwards at 724.847.6225 or kedwards@ahci.org

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