12/19/01 Draft -   for Discussion Only

Community Mental Health Affiliation of Mid-Michigan

Application for Participation

1.1.1.   document the involvement of primary consumers, family members, and advocates in the development and approval of the response to the AFP and:

1.1.1.1.provide a plan for ongoing involvement of primary consumers, family members, and advocates in the implementation of the resulting contract

 

Approach of Affiliation: The Affiliation employs a number of methods to insure the involvement of primary consumers, family members, advocates, contractual providers, and other community stakeholders in the development and approval of  the Affiliation’s AFP and in the on-going implementation of the work carried out under the contract with DCH.  This plan consists of the following components, each implemented in ways locally tailored to the needs and traditions of each Affiliate community:

 

a.   Consumer and family member representatives on the Affiliation’s Core Group – the group, made up of representatives from each of the Affiliates, which meets regularly to develop the Affiliation and the AFP and to  plan the day-to-day operations of the Affiliation. This group, by its very nature, will continue to meet, after the AFP submission, to oversee the on-going work of the Affiliation in fulfilling the contract with DCH.

b.     Stakeholder AFP Review Groups, in each of the four Affiliate communities will meet, on a regular basis,  to review, discuss,  and modify, the Affiliation’s AFP, its development and implementation. These groups will have a number of members who are also the consumer and family member representatives on the Affiliation’s Core Group.

c.     All four Affiliates have Boards of Directors, of which 1/3 are primary consumers or their family  members. These 16 people, 8 of whom are primary consumers, are a powerful  force on  these Boards,  which make the final decisions relative to the formation of the Affiliation, its direction relative to the development and  implementation of the AFP. 

d.   The review of the AFP, its development and implementation, by longstanding  advisory councils in each affiliate community. These councils are made up of consumers, family members, advocates, and other community stakeholders

d.   The mailing of the draft AFP, to a broad range of stakeholders, and the solicitation of their comments by mail or e-mail.

f.    The placement of the initial  draft of the AFP and all subsequent drafts on the Affiliation’s web site with an e-mail address dedicated to receiving stakeholder responses to each draft.

 

Evidence: Stakeholder involvement grid, list of consumers and other stakeholders involved in this effort, dates of AFP Review Group meetings, copies of written and listserve discussions and comments.

 

Approach  by Affiliate:

Gratiot:  Gratiot Co. CMHSP has had two primary consumers participating g in the series of telephone conferences with HCFA relative to the AFP development; has had consumer involvement at Core Group meetings; and on a continuous basis has had information sharing and feedback/input fro the Client Advisory Panel, Board, and Community groups relative to the AFP process.

 

Ionia:

Four Primary consumers have attended one meeting   and two others have volunteered to participate in  reviewing and advising on the AFP.  Two other consumers, one of whom is a Board Member, have attended several Core group meetings.  Per Diems are being paid.

List of names, meeting dates and minutes.

 

Comments will be documented and discussed.

Through QI Director an initiative to recruit consumers to serve on numerous committees is underway.

 

 

Advocacy community is sparse in Ionia Co.  An ARC was attempted by CMH but did not maintain a core group. 

Letters to consumers, bulletins to staff, public postings in building, “will also develop recruitment as part of ongoing marketing plan”.

 

 

Newaygo: Newaygo Mental Health will draw input and provide summary reports to consumers and family members, and advocates through existing committees, and groups, such as The Respite Advisory Committee, The Empowerment Group, the Board of Directors (of which there are at least 6 primary or secondary consumers), as well as the newly developed Consumer Advisory Group.  This latter group will be comprised of consumers and family members representing severely mentally ill persons, persons living in independent and dependent living arrangements.  Consumers will be asked to participate in review of the draft AFP response. 

 

The above mentioned groups of consumers, family members, and advocates will given updates to the AFP process.  There will be opportunities for consumers to give input, as well as receive progress reports on agency performance such as satisfaction data, MBPIS indicators, etc.  Additionally, per QISMC guidelines, consumer input will be sought regarding projects to be improved in the delivery of services, and other areas where improvement is needed.

 

CEI:  CEI used a number of methods to ensure that primary consumers, family members, advocates, and other community stakeholders, were involved in the development and approval of the AFP and the on-going implementation of the PHP and affiliation’s contract. These methods include:

1.   A set of community stakeholder meetings to discuss the AFP and the Affiliation

2.   Development of an Stakeholder AFP Review process:

a.   a series of regular face-to-face discussion sessions, by a Stakeholder AFP Review Group, focusing specifically on the AFP, its development and implementation, This Stakeholder Review Group discussed the AFP, several times prior to and during the AFP development. This group will continue to meet, after the submission of the AFP, to provide guidance to CEI and the affiliation in its fulfillment of the contract.

 

b.   the regular review of the AFP, its development and implementation by CEI’s longstanding four Advisory Councils. These Councils are made up of consumers, family members, advocates, and other community stakeholders

c.   a mailing group which receives AFP-related documents via the mail and responds via written comments

d.   an internet-based listserve group which receives AFP-related documents via the listserve and responds via the listserve.

 

These consumer and stakeholder involvement initiatives are but one component of CEI’s broader stakeholder involvement system.

Evidence: Stakeholder involvement grid, list of consumers and other stakeholders involved in this effort, dates of AFP Review Group meetings, copies of written and listserve discussions and comments.

 

1.1.2.      be legally established and operating as a Community Mental Health Services Program (CMHSP), in one of the forms described in statute (Act 258 of the Public Acts of 1974 as amended)

 

Approach of Affiliation: Each member of the Affiliation is duly established and operated as a CMHSP consistent with P.A. 258.

 

Evidence: Compliance with Mental Health Code

 

Approach by Affiliate:

a. Gratiot: Gratiot Co. CMHSP became a Community Mental Health Authority on September 23, 1997, consistent with the provisions of Section 330.1205 of Michigan’s Mental Health Code.

b. Ionia:

Ionia was the first CMHSP Authority  in Michigan.  Established in 1996

Documentation on Authority Status per Mental Health Code requirements 204 & 205

 

c. Newaygo: Newaygo County CMH operates as a community mental health authority as noted in Act 258, Section 330.1205.

 

d.CEI: CEI is an organization CMHSP as described in Act 258.

Evidence includes: Tri-county agreement, DCH certification.

 

1.1.3 comply with the Mental Health Code, Section 222(1) requirements on Board membership composition and a broad and diverse representation of the community

 

Approach of Affiliation: Each member of the Affiliation meets the requirements of Section 222(1) of the Mental Health Code, with their Boards of Directors consisting of primary consumers, family members, and community members who represent the broad cross section of the persons who make up the communities served by these CMHs.

Evidence: Chart outlining affiliation/identity of each Board member. Affidavits, signed by each Board member, indicating which constituency group each represents.

 

1.1.4. be certified per the Mental Health Code requirements

Approach of Affiliation: All members of the Affiliation are certified, as per Section 330.1232a of the Mental Health Code.

 

Evidence : DCH certification letter and records of certification on file at DCH.

 

1.1.5 – must have a certified rights system

Approach of  affiliation: All of the members of  the Affiliation have certified rights systems.

Approach   by Affiliate:

 

 

Status for CMH-CEI:

A.                   CMH-CEI has a certified recipient rights system

B.                   Evidence includes DCH-ORR review of December 10-13, 2001.  CMH-CEI was found to be in substantial compliance.

Status for Gratiot CMH

A.           Gratiot CMH has a certified recipient rights system.

B          Evidence includes DCH-ORR review dated October 24-26, 2000.  Gratiot                                     CMH was found to be in substantial compliance.

Status for Ionia CMH

A.             Ionia CMH has a certified recipient rights system.       

B.         Evidence includes DCH-ORR review dated April 27-29, 2001.  Ionia                                     CMH was found to be in substantial compliance.

Status for Newaygo CMH

A.                    Newaygo CMH has a certified recipient rights program.

B.         Evidence includes DCH-ORR review dated September 26-28, 2000.                                   Newaygo CMH was found to be in substantial compliance

 

 

 

1.1.6          meet the minimum covered lives criterion:

1.1.6.1: Standalone applicants must have a minimum of 20,000 covered lives

1.1.6.2: Consolidated applicants must have a minimum of 20,000 covered lives within their combined geographic service area

Approach of Affiliation: The Affiliation has over 50,000 covered Medicaid lives in the counties served by its members.

Evidence : Most recent average monthly Medicaid eligible count (MSA/DCH) and DCH confirmation of review of survey of interest (DCH response as of 12/7/01)

1.1.6          Affiliate members must meet applicable contiguity standards in Public Act No. 60 or Public Acts 2001 unless otherwise stipulated by other acts of law.

Approach  of  Affiliation: The counties served by Affiliation’s members are within 45 miles of another Affiliate’s county, as per the definition of contiguity contained in PA 60 of 2001.

Evidence: DCH  confirmation of review of survey of interest (DCH response 12/7/012)

 

1.1.7.         Define the vision and values of the participating organizations that:

1.1.7.1.            describe how the affiliation arrangement will actualize this vision and build upon the existing strengths of member organizations

Approach of  Affiliation: The Affiliation’s vision and values are central to its formation and day-to-day operation. The Affiliation’s formation, in fact, was driven by the similarity of values, among the Affiliation members. The Affiliation exists to ensure and promote:

Consumer choice and empowerment

Sound service and support provision

Best value in  the services and supports that it provides, to consumers, as well as administrative and PHP services. Best value is defined as the highest quality services and supports at competitive costs.

Local community-driven, local control and responsiveness

Outcome and data based decision making

Fiscal soundness

Proven capacity to manage risk

Sound care management capabilities

Regulatory compliance

The public good, public equity, social justice

 

The Affiliation carries out this vision and adheres to these values through a number of means:

The use of the Affiliation Agreement and the Medicaid subcontract to guide the work of the Affiliation and the relationship between each spoke and the hub and among the spokes. The Affiliation agreement  reflects the Affiliation model developed by  the Affiliation members. It makes the vision real through the promotion of   the existing strengths of the Affiliates and through the identification and strengthening of weaknesses. In summary, the strengths of the affiliates which are bolstered through the agreement and the affiliation are:

 

Promoted by the use of federation-style affiliation: strong local presence, strong local participation and decision making,  strong consumer and community stakeholder involvement,  ability to rapidly respond to local community need and variations, alignment of interests of provider and care manager via its integration in each Affiliate

 

Promoted through the strategic use of centralization, standardization, and autonomy in the carrying out of PHP and provider functions: The Affiliation, through the operation of cross-Affiliate work groups, draws on the best of what each Affiliate has to offer and the development of one of three approaches:  centralization of function and responsibility; application of affiliation-wide best practices and standards to functions carried out locally, by each Affiliate ; or autonomous  functions, carried out locally, by each Affiliate. The decision, as to which approach to pursue is made on  the basis of effectiveness, cost (via economies of scale or economies of autonomous parties/small scale) , capacity for  synergy, nimbleness of action, value of uniform approach, existence of unique local characteristics.

 

The Core Group, made up of representatives of all of the Affiliate members, to guide the Affiliation.

These representatives consist of staff, consumers, advocates, and other stakeholders. This group is advisory to the PHP’s/hub’s Board of Directors, but, is charged with the day-to-day operations of the Affiliation.

Evidence : Guiding principles, Affiliation Agreement and Medicaid subcontract (attachment to Agreement),  Core Group minutes, mission of each Affiliate

1.1.7.2.            indicate how functional integration - to achieve economies of scale in administrative activities - will be accomplished.

 

Functional integration, among the Affiliates, is carried out via the use of function-specific work groups. These work groups:

Identify areas of potential integration, efficiency, or upgrading

Analyze the current practices of each affiliate

Determine the goal of integration. The goals can be any one or a combination of: reduced total cost/efficiency, increased effectiveness or sophistication to meet industry or contractual standards, improved ability of hub/PHP to ensure compliance with contractual requirements, improved or retained local responsiveness and/or uniqueness.

Determine the best course of action to achieve integration

 

Functional integration has occurred in a number of administrative areas:

Recipient rights: The Recipient Rights services for three of the Affiliates (Gratiot, Ionia, and CEI) have been integrated, at considerable savings and increased effectiveness from the previous methods of providing these services

Consumer, service, and encounter data: An integrated consumer and service data aggregation, integrity-assurance, and reporting system has been developed that will serve the needs of all four affiliates – at a savings over what such services would cost if provided or purchased, on the market, by each Affiliate

Information services: An integrated IS system is being developed for all four Affiliates. The system will initially, 2002 and 2003, integrate the IS systems of three of the affiliates (Gratiot, Ionia, CEI)  and will bring Newaygo into the system in 2003 and 2004. This integrated system achieves substantial efficiencies and substantial increases in quality and sophistication in the IS systems of each Affiliate

Contract/Network management: Development of a uniform provider application for use by all four affiliates. Development of increased standardization in contract/network management by all four affiliates

Quality Improvement: Integration of QI systems across all four affiliates, via: quarterly integration DCH mandated performance indicators, for all four affiliates, into a single set of graphs; formation of a QI Core Group, made up of representatives of all four affiliates, to review performance indicators; formation of cross-affiliate work groups around QI categories.

Financial Management: Development of a uniform administrative costing method for application across all four affiliates; joint review of proposed DCH contract.

Corporate Compliance/HIPAA: Development of a common corporate compliance/HIPAA approach, across all four affiliates.

 

Evidence: Purchase of service agreements between Affiliates, Core Group minutes, work plans of each work group, analysis of pre-affiliation and post-affiliation functions relative to integration goals cited above.

 

 

1.1.9.      Member boards must maintain local representation, stakeholder participation, accessibility, participation, accountability, collaboration, and fulfillment of public policy and public interest responsibilities

 

Approach  of the Affiliation: These qualities are maintained and promoted through a number of methods:

A.  The structure of the CMHAMM, in itself, works to ensure local representation and participation, accessibility, accountability, and collaboration in that it is an affiliation of locally-responsive CMHs tied together by functional integration and a number of legal documents (Affiliation Agreement, Medicaid subcontract, purchase of service agreements between Affiliates).  This structure, in contrast to a merger of the CMHs or a more centralized regional model, ensures that centralization and standardization, across the Affiliation, are balanced with the autonomy of each Affiliate. This autonomy is crucial for each Affiliate, within its own community, in carrying out its locally-responsive mission. The presence of the Affiliation is virtually transparent to consumers, families, advocates, elected officials, community organizations, and other community stakeholders in the local community of each CMH affiliate, in that the local CMH will still be locally-based and locally-driven. The Affiliation provides for integration, cost effectiveness (through the sharing or resources, economies of scale, and expertise), and increased effectiveness and sophistication, without losing local representation and stakeholder participation.

B.   The Core Group consists of  consumers and stakeholders from each local community.

C.  Each CMH continually communicates, and seeks guidance, about the work of itself and the Affiliation via a number of locally-based venues: its local Board of Directors (consisting of 1/3 consumers), local consumer advisory councils, and the on-going, day-to-day dialogue with local consumers,  collaborative partners, and stakeholders.

 

Gratiot: Gratiot’s venues for local representation and stakeholder participation include: the Gratiot CMH Board of Directors, its Client Advisory Panel, the Gratiot County multi-purpose collaborative body, a wide range of community education activities.

Newaygo: The Newaygo Mental Health Board is comprised of at least 6 primary or secondary consumers.  The Program Committee is held on the same day as Board meetings, resulting in extremely good attendance over the 3 ½ to 4 hour monthly meeting.  This presents an opportunity to present to the Board information on current developments regarding DCH, education on new federal compliance legislation, QISMC guidelines and project nominations, QAPI, etc.  Consumer involvement, and consumer participation is addressed and integrated in frequent discussions.  The Program Committee features one or more programs, and frequently discussion generates suggestions, improvements, and recommendations regarding access to services, penetration of services, reaching to minorities, collaboration with schools, courts, etc.

Additionally, Board members are encouraged to participate in the State Board’s Association sponsored conference and trainings three times each year.  Routinely, at least half of the board members attend, and Board members are challenged to tell about what they have learned at the sessions they have attended.

 

Ionia:

All 12 Board Members are Ionia County Residents.  Board has committee structure to assure maximum participation. Increasing Consumer participation.  Partner in a very strong local MPCB initiative.

Rosters and  minutes from Board Mtgs., and  Consumer Advisory meetings. 

CEI: CEI’s board is representative of the community served by CEI and meets the requirements of the Mental Health Code. CEI  ensures local representation and participation via involvement in dozens of community collaboratives and dialogues in the tri-county area, including: multi-purpose collaborative bodies, homeless resolution networks, hospital advisory boards, neighborhood center boards, disaster response collaboratives, juvenile justice committees, and supported employment bodies.

 

Evidence includes: List of members of each of the local governance and guidance-providing bodies, meeting minutes, reports of accrediting bodies, list of community collaboratives of which each CMH is an active member.

 

1.1.10.  Affiliations formed under the Intergovernmental Contracts Between Municipal Corporations Act or Intergovernmental Transfer of Functions and Responsibilities Act that submit a consolidated application must identify or designate a single CMHSP within the affiliation to act as the applicant

 

CEI will act as the applicant for the Affiliation, under the ICA or ITFRA.

 

1.1.11.       Describe how it will execute administrative obligations of a specialty PHP

 

While CEI is the specialty PHP in the Affiliation, contracting, on behalf of the Affiliation’s members, directly with the Michigan Department of Community Health (DCH) for the provision and management of  Medicaid specialty services, each member of the Affiliation will carry out the administrative functions of the PHP, via contract with and under the supervision of CEI, the PHP. These functions are described in both the Affiliation Agreement and the Medicaid Subcontract (an attachment to the Affiliation Agreement) as is the method by which CEI will monitor the fulfillment of these functions.

 

1.1.12.       Describe other roles (e.g. service provider) that it intends to fulfill in the managed care program and how any apparent conflict of interest would be resolved

 

All of the members of the Affiliation will fulfill both care manager and service provider roles in the fulfillment of the contract with DCH. The care management model being used by this Affiliation is akin to a provider sponsored plans/organizations, in that the four CMH affiliates will:

·         Be responsible for managing a population-based rate (the population being the Medicaid eligibles within the community served by each Affiliate)

·         Employ a range of risk management methods in managing the benefit to the Medicaid recipients in their community

·         Make decisions as to whether to directly provide or purchase services, for the Medicaid eligibles within its community, based upon consumer choice, quality, and cost considerations.

·         Be able to capture and reinvest savings created by sound clinical, fiscal and risk management approaches

 

This model is a hybrid of the best of provider-sponsored plans, staff model HMOs/PHPs, and network model HMOs/PHPs and applies a growing body of research, by the Robert Wood Johnson Foundation and others, regarding the use of tight-knit provider systems to ensure the highest total quality care at the lowest total cost for persons suffering from chronic health conditions, such as serious mental illness and developmental disabilities. [1]

 

This model avoids the principal (payer/caremanager) – agent (provider) conflict found in traditional fee-for-service (FFS) or case rate managed care arrangements. This conflict is avoided in aligning the incentives of the provider with those of the care manager. Far fewer  resources and dollars are lost in this integrated approach than in the traditional FFS or case-rate system in which administrative and transaction costs skyrocket as a result of: fragmented, missing, duplicative, or conflicting care risk shifting between providers; authorization dispute and adjudication costs; and claim dispute and resolution efforts.

 

While this model does avoid the traditional conflict between the principal (payer/care manager) and the agent (provider), it has the same potential conflict between the interests of these two parties and the interests of the consumer. This conflict is addressed, in the Affiliation’s model through the use of the following mechanisms:

 

1. Concurrent and retrospective utilization review and quality assurance in the initial access stage: The on-going review of initial triage and access contacts with each Affiliate’s Access Center to ensure against the denial of access to assessment appointments.

 

2. Broad provider panel: The assurance that a provider panel of sufficient size is maintained to ensure adequate choice, by consumers, of their providers.

 

3. Safeguards against bias during the person-centered planning process: The on-going review of the person-centered planning process, via document review and direct observation, to ensure against “steering” of the consumer toward select providers in the Affiliation’s provider network. The availability of outside facilitators (those who are not on the staff of the Affiliate CMH) to facilitate the person-centered planning process works to ensure against bias in the planning and provider selection steps of the process.

 

4. Concurrent utilization review of care provision:  The continual review of the type of care provided to a consumer and its convergence with the consumer’s person-centered plan and the community’s standard of care.

 

5. Strong and user-friendly grievance and appeal processes: The widespread dissemination of information, to consumers and their families, relative to the grievance and appeal rights of consumers; and the process used to access those rights.

 

 

1.     Sections 1.1.13 thru 1.1.16   CMHSPs planning to subcontract or outsource any P.H.P. administrative responsibilities (e.g., authorizations, claims payment) must have a description of:

 

This section is not applicable to the CMHAMM members.  All CMHSPs in the affiliation will continue to perform their own administrative functions.

 

 

CMHSPs planning to be a provider of direct services must have:

1.1.17. an organizational configuration or structural arrangement that:

1.1.17.1.    preserves the integrity of beneficiary interests and public policy objectives in the event these conflict with provider interests of the agency

 

The integrity of beneficiary interests and public policy objectives (consumer choice, etc.) is ensured through a number of methods, including:

 

1. Concurrent and retrospective utilization review and quality assurance in the initial access stage: The on-going review of initial triage and access contacts with each Affiliate’s Access Center to ensure against the denial of access to assessment appointments.

 

2. Broad provider panel: The assurance that a provider panel of sufficient size is maintained to ensure adequate choice, by consumers, of their providers.

 

3. Safeguards against bias during the person-centered planning process: The on-going review of the person-centered planning process, via document review and direct observation, to ensure against “steering” of the consumer toward select providers in the Affiliation’s provider network. The availability of outside facilitators (those who are not on the staff of the Affiliate CMH) to facilitate the person-centered planning process works to ensure against bias in the planning and provider selection steps of the process.

 

4. Concurrent utilization review of care provision:  The continual review of the type of care provided to a consumer and its convergence with the consumer’s person-centered plan and the community’s standard of care.

 

5. Strong and user-friendly grievance and appeal processes: The widespread dissemination of information, to consumers and their families, relative to the grievance and appeal rights of consumers; and the process used to access those rights.

 

 

1.1.17.2.    requires separate reporting responsibilities and lines of authority for PHP functions and provider activities

 

The lines of authority for the PHP functions, of each Affiliate, are segregated from those of the provider activities of each Affiliate in the following ways:

 

 

Line of authority for PHP functions flow through

Line of authority for provider functions flow through

Gratiot

 

 

Ionia

 

 

Newaygo

 

 

CEI

The PHP functions  (utilization management, access center, inpatient pre-admission screening unit, customer services, grievance/appeal system, recipient rights, quality improvement, ISF management) report through the Deputy Executive Director or Access Supervisor or Customer Quality Improvement/ Recipient Rights Director , whom report to the executive director.

Each of four program directors; coordinated by the Program and Clinical Services Committee (PCS), which is chaired by the Medical Director and made up of two clinical leaders from each Program (one of whom is the program’s director, and the Nursing Administrator. This group reports to the executive director.

 

 

1.1.17.3.    requires special independent oversight structures (consumer, family, advocate organizations representation).

 

The Affiliation has a number of independent oversight structures, to further assure that payer/caremanager, provider, and consumer interests are integrated into an organized system of care that promotes consumer choice, independence, and inclusion; fiscal, clinical, and community system stability; and strong clinical practice. These structures include:

 

a. All four Affiliates have Boards of Directors, of which 1/3 are primary consumers or their family  members. These 16 people, 8 of whom are primary consumers, are a powerful  force on  these Boards,  which make the final decisions relative to the formation of the Affiliation, its direction relative to the development and  implementation of the AFP. 

 

b. All four Affiliates have strong consumer and advocate participation on their Recipient Rights Committees and Appeals Committees.

 

c. Consumer and family member representatives on the Affiliation’s Core Group – the group, made up of representatives from each of the Affiliates, which meets regularly to plan the day-to-day operations of the Affiliation. This group, by its very nature, will continue to meet, after the AFP submission, to oversee the on-going work of the Affiliation in fulfilling the contract with DCH.

 

 

d.   All four Affiliates have a number of longstanding  advisory councils in each affiliate community. These councils are made up of consumers, family members, advocates, and other community stakeholders. (Gratiot CMH is supporting the re-establishment of an Arc Chapter in Gratiot County)

 

1.2.1.   Opportunities for stakeholder and community input and their involvement in policy formulation and implementation must be available through:

1.2.1.1.                        existing advisory boards

 

A number of advisory boards exist throughout the Affiliation.  Examples of such boards/councils are provided below:

 

Gratiot:  A Gratiot County CMH Client Advisory Panel currently meets on a monthly basis.  Responsibilities of the panel include consumer satisfaction survey review, review of performance indicator data, consumer orientation to services, consumer recognition, suggestions for program development, affiliation updates, and other issues related to agency service delivery and policy development.

 

Secondary and primary consumers serve as members of the Recipient Rights Advisory Committee and Human Rights Committee.  Consumers have the opportunity to provide input into policy development related to service delivery.

Evidence of Compliance:  Meeting minutes are available for the Client Advisory Panel, the Recipient Rights Advisory Committee and the Human Rights Committee.

Ionia:

Ionia has a Customer Relations Committee and has a new consumer committee to provide input on the AFP.

CRC Roster and minutes, AFP Roster, minutes and input

Newaygo: Existing advisory committee - Respite Advisory Committee

CEI:   CEI has four  advisory councils, made up of consumers, family members, and advocacy organizations. These advisory councils are associated with  the four major populations served by CMH and its four major service\support programs: Community Support Service Advisory Council (services to adults with mental illness), Community Services to the Developmentally Disabled Advisory Council (services to persons with developmental disabilities), Children’s Services Advisory Council (services to children and adolescents  with emotional disturbances), Substance Abuse Advisory Council (services to persons with substance abuse disorders).

 

Evidence: Roster and minutes of Advisory Councils.

 

 

1.2.1.2.            scheduled community meetings

Gratiot: Gratiot County CMH has not held a community meeting to date for fiscal year 2001/2002.  A community meeting is planned to educate and inform stakeholders and the community about the AFP bid process and ongoing affiliation activities and benefits. This meeting will be scheduled as agreed upon by the CMHAMM core group.

Ionia: Not yet done.

d.     Newaygo: Newaygo CMHSP participates on many community committees and community benefit activities at which input is elicited from participants including stakeholders and community members.

e.     CEI holds several community meetings on a regular basis  to obtain community input on  the work of CMH. These include an annual stakeholder briefing (usually held in the summer of each year) on the  upcoming year’s budget and other large-scale developments; an annual report to the community, in which the past year’s events and accomplishments are reviewed with community stakeholders (in February of each year).

1.2.1.3.            local press coverage of services and activities

Gratiot: The local newspaper is contacted when an event is determined to be of benefit and/or interest to stakeholders and community members.  In addition, the agency submits a “Mental Health Corner” article bi-monthly.  These articles have been authored by consumers, staff, advocacy organizations and community members. 

Gratiot County CMH utilizes the public access television to advertise and announce upcoming events and other information.  The public access station has also aired, on occasion, our agency video.

Evidence of Compliance:  Copies of news articles, agency video, agency scrapbook. 

Ionia:

Just beginning to use local press and radio.  Limited opportunity.  Other organization newsletters regularly utilized.

Catalogue of newspaper articles and newsletters.

Newaygo:

NCMHSP submits articles to the local press at least on a monthly basis.  To date all articles are printed as written.

CEI: CEI works closely with the print and electronic media in  the greater Lansing area. This has  resulted in well-informed coverage of a wide range of CMH-related issues and events.

 

1.2.1.4.            self-disclosure by consumer members of CMHSP board and other advisory committees

Gratiot

Ionia:

One consumer on CMHSP Board has publicly disclosed.  We have 5 Board Members who claim to be or have been a primary consumer. 

Survey of CMHSP Board Members.

Newaygo

CEI: Signed affidavits, collected as part of CMH’s certification process, indicate, by self-disclosure the consumer status of board members.

1.2.1.5.            other opportunities

a.   Gratiot: Consumers have the opportunity to provide input and are involved in policy formulation and implementation through participation on the MDCH Consumer and Advocate Group, Client Advisory Panel, Affiliation Core Group meetings, local ARC, Board of Directors meetings, quality improvement projects, and the Recipient Rights Advisory Committee.

 

Consumers participated in a joint informational meeting of the affiliation board and core group to discuss affiliation activities and progress. 

Internal and external service providers, and consumers have a role in the quality improvement process (e.g., focus groups to determine QISMC project).   Results of quality improvement activities are shared with appropriate staff, contract providers, and other stakeholders as warranted. 

Any individual is welcome to address the Gratiot County CMH Board of Directors at their regular monthly meeting during the public comment portion of the agenda. 

Evidence of Compliance:  Community Needs Survey, Client Advisory Panel, AFP review, meeting minutes. Minutes from Affiliation, Board of Directors focus group meetings and TQM activities

b.Ionia

c.Newaygo:

Other opportunities to secure feedback have come in the development of a local group, Empowerment Inc.  This group consists of persons with mental illnesses and developmental disabilities living independently or in AFC.  They have met with management to give feedback, asked to participate in the AFP process and have offered to assist in the future.

The Board of Directors appointed board members to begin the process of developing a consumer advocacy sub committee to the board.  Several of those board members have disclosed in open session of the board their use of services as primary or secondary users. The group will begin recruiting consumer representatives (equal to or more than the number of board members) to work with and on this committee as it develops its mission, vision and scope. This committee will be ethnically and ability/disability diverse representing the community they will serve. 

Annually NCMHSP has published an annual report and numerous news articles regarding consumers of services including names, services, and pictures.

CEI: CEI publishes an annual report, outlining the past year’s accomplishments and challenges. CMH  actively participates in a number of community education efforts, including the installation and staffing of educational booths at health and community fairs and events, providing speakers at community events.

1.2.2.                              Interested parties should represent the scope and diversity of the community

The participants in all of the stakeholder and community input venues and methods, described above, represent the scope and diversity of the communities served by the Affiliation, by  gender, income, racial and ethnic group, age, disability, family status, sexual orientation, and geography.

Evidence: Breakdown, by these characteristics,  of  the participants in these venues.

1.2.3.   The names of key local individual advocates and advocacy groups must be available         

1.2.3.1.      and any arrangements for ongoing dialogue, meetings, consultation with these individuals and entities

Status for each Affiliation member:

Gratiot: Letters of agreement with local schools, local law enforcement agencies and the judicial system, human service agencies and QHPs. 

 

As part of our continued commitment to the community staff representatives actively participate in a variety of human service organizations and initiatives.

A designated agency representative meets regularly with local law enforcement agencies to educate and inform these entities about mental health issues and to discuss coordination of services for shared consumers.

Several agency employees participate monthly on the Gratiot County Multi-Collaborative Council.  The Gratiot County CMH Prevention Coordinator is responsible for the organization of this committee. 

Evidence of Compliance:  A list of community partnerships and commitments our staff are involved in is available. 

B.   Ionia: Alzheimer’s Association has a presence.

C.  Newaygo: Key individuals and advocates in Newaygo County to whom the mental health authority has active dialogue and meetings are:

 

·         Maria Kiss, president, Newaygo County Autism Society

·         Arc/Newaygo County

·         Homeless advisory forum

·         Agency consumer advisory group

·         School transition advisory group

·         Drug-free schools committee

·         Newaygo Health Care Council

·         Senior Council of Newaygo

 

These organization have agency liaisons who report on board recommendations/concerns/comments regarding agency services, which are then incorporated into the overall agency QI system.               

A.     ARC of Newaygo County remains the sole advocacy organization in Newaygo County.

B.      The NCMHSP Board of Directors appointed a consumer advocacy committee in the December 2001 meeting.  Three board members have been assigned with one staff person to begin the process of consumer and family recruitment in January 2002.  The full committee’s first task will be the development of mission, vision and scope. 

C.    This committee is expected to make reports and suggestions to the board and the agency ( QI, management team, service units, etc.). 

 

 

D.     CEI: CEI has on-going relationships with the following advocates and advocacy groups:

Alliance for the Mentally Ill (AMI)-Lansing:  Member of CMH’s CSS Advisory Council

Tri-County Community Advocates (local Arc affiliate): Member of CMH’s CSDD Advisory Council and Stakeholders AFP Review Group

Justice in Mental Health  Organization (JIMHO):  Member of CMH’s CSS Advisory Council, Stakeholders AFP Review Group; contract provider of a wide range of consumer operated services.

Association for Children’s Mental Health: Member of CMH’s Children’s Services Advisory Council and Stakeholders AFP Review Group.

Project VOX : Member of CMH’s Substance Abuse Advisory Council

United Cerebral Palsy, Michigan Protection and Advocacy, Michigan Association of Emotionally Impaired Children: Invitees to annual stakeholder briefing and annual report to the community, recipients of monthly CMH Executive Directors Report and Board packet,

 

 

Citation #: 1.2.4.

                             1.2.4.1.                            

                             1.2.4.2.

 

 

Assess how the CMHSP, and each affiliate member have:

Integrated person-centered planning into all organizational practices.

Supported its implementation.

 

 

Affiliation Agreement Status:

 

Ionia CMH Status:

 

There currently is no formal agreement between the affiliation partners related to integrated PCP practices. 

 

It is recommended that an agreement be established between the affiliation partners that integrates PCP into all organizational practices and ensures its implementation. 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Ionia has multiple clinical policies and procedures that are reflective of principles of PCP

 

Ionia has a full time Person Centered Planning Coordinator who monitors PCP compliance based on DCH and JCAHO standards.

 

The Person Centered Planning Conference is well attended by both staff and consumers

 

Support Coordination caseloads have been reduced

 

Paraprofessionals have been added to the Support Coordination Team to increase their ability to meet the needs of the consumers

 

Agency values incorporate PCP principles:  Community Inclusion, Best Practice, Family and Children, Quality, Accountability, and Partnerships

 

 

Evidence of Compliance: documentation, individual case records, agency values, policies, procedures, organizational structure, training records, PCP reviews

                              

 

 

Gratiot CMH Status:

 

 

The agency’s Person-Centered Planning Policy drives service delivery.  Person-centered planning training is mandatory for all staff at the time of orientation.  Annually the agency provides additional training in PCP to enhance skill development of the staff.   Information from PCP training attended outside of the agency is shared by clinical and administrative staff.  The required elements of person-centered planning are monitored through a chart review process and reported on through the TQM system.  Informational brochures are distributed to consumers at the time of intake.  Training is slated for consumers in what person-centered planning means to them.           

 

Implementation.  Clinical supervisors are responsible for reviewing all PCPs.  Staff receive ongoing training in PCP principles and facilitation.   Monthly monitoring of consumer charts is conducted to assure compliance with PCP requirements.  PCP is also targeted as a goal in the strategic plan. The seven questions cited as an example in this standard are addressed by the Supports Coordinator and others involved in the individual’s PCP meeting

 

Evidence of Compliance:  PCP documents, chart monitoring, training records, Strategic Plan goal, policy document, brochures, data through the TQM system, MDCH site review

 

 

 

 

Newaygo CMH Status:

 

Newaygo has adopted into policy the DCH PCP Guidelines.

The following policies are in place at Newaygo regarding PCP and its implementation:

 

All person-centered planning documents are reviewed by the team leaders of the clinical units for completion and compliance with PCP standards.

 

Evidence of Compliance: Person-Centered Planning Guidelines 09.06.00.00

Person-Centered Planning Guidelines Implementation Review 09.06.00.01

Person-Centered Planning Meeting Summary 0906.01.00

 

 

 

 

 

 

CEI CMH |Status:

 

 

CEI has modeled its PCP policies after the DCH policy guideline and fully implemented this policy.

 

All staff are trained in the basics of PCP at time of hire.  Other trainings are offered to staff throughout the year.  PCP brown-bag lunches are held quarterly.

 

The PCP training committee plans and evaluates the needs of the organization for education and skill training.

 

The process is monitored through a UM process by PCP committees.  Supervisors review plans and discuss plans are part of employee performance reviews.

 

Agency principles include person-centered statements.

 

 Evidence of compliance:  PCP policies and documents, chart monitoring, training curriculum and records, Strategic Plan, data through the UM system, MDCH site review and JCAHO review.

 

 

 

 

 

 

1.2.5   There must be a policy basis that insures consistency across the applicant’s area in the provision of supports coordination and case management options for consumers.

 

Approach of Affiliation:

 

Gratiot:

Ionia - staff are willing to meet with other affiliate partners to develop a policy that is reflective of consistency in the provision of supports coordination and case management options for consumers across the affiliation.

 

The concept of "provider of choice options" are reflective in various Ionia policies, including but not limited to the policy related to person-centered planning.

 

The Board of Directors program committee reviewed and recommended the adoption of the draft "provider of choice" policy to the full Board of Directors on December 10, 2001.

Newaygo

 CEI - insures consistency in the provision of supports coordination and case management options for consumers with mental illness and developmental disabilities through the use of the following:

                        1)         use of program descriptions and assessment of consumer’s needs at CEI Access Point,

                        2)         use of program decriptions and assessment of consumer’s  needs and desires  at  initial assessment and person centered planning process, as these needs or desires change, and at least annually thereafter,

                        3)         education of consumers and their advocates regarding available supports and case management options during Person Centered Planning.

4) review of supports coordination and case management needs for consumers with mental illness through the Service Review Committee and for consumers with developmental disabilities through the Person Centered Planning Committee

 

Evidence includes:

1)         CEI -Access Level of Care Assessment Instrument, CSS Level of Care Assessment Instrument, CSS Program Descriptions, CSDD Program Descriptions, CSDD PCP Committee and CSS Service Review Committee descriptions

2)         Ionia - Draft policy, "Provider of Choice" Program committee meeting minutes from December 10, 2001.

 

 

 

 

Citation #:

1.2.6.1

 

Prepare an analysis of changes in service delivery system patterns over the past three years (October 1998-September 2001) across populations (MI, DD, SA, co-occurring, ages, cultural backgrounds):  Increased use of flexible options

 

 

Affiliation Agreement Status:

 

Ionia CMH Status:

 

 

The affiliation has no formal agreements relative to the increased use of flexible service delivery options.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Ionia CMH prides itself in being able to be responsive and flexible with our consumers.  Supports and services are determined through a person-centered planning process, which often lends itself to the use of increased creative options.

 

Since September 1998, Ionia CMH has terminated all contracts with traditional day treatment providers, offering instead a more personalized support-oriented, community-based option for those in need of additional supports in the community. 

 

Ionia CMH has assisted several people with developmental disabilities in moving from an institutional based setting (Mount Pleasant Center) into the community.  These individuals now live in homes they rent with one or two other individuals, with staffing support. 

 

Currently, Ionia CMH supports twenty individuals with developmental disabilities living in their own home, with varying levels of supports.

 

Ionia CMH employs paraprofessionals to provide additional support to individuals diagnosed with a severe and persistent mental illness, as well as those individuals with developmental disabilities, who have a case manager or support coordinator, to promote greater community involvement and achievements.  This flexibility has also allowed us to be more responsive to consumers in a timely manner. 

 

In an attempt to promote people staying in their community verses being psychiatrically hospitalized, Ionia CMH has utilized a significant number of safe alternatives, such as staffing support, motels, car repair, etc.

 

Ionia CMH was awarded funding to support an Elderly Outreach worker to promote greater penetration in this population.  This position is designed to not only promote services, but to provide flexible mental health related services to the elderly in the community.  This funding was applied for and granted during the timeframe noted; however implementation began after October 1, 2001. 

 

Evidence:   Board Meeting minutes, Community Support Services Team statistics; Individual case records; Listening Ear Contract(s); Pre-admission screening documentation; Elderly Outreach contract

 

 

 

 

 

 

Gratiot CMH Status:

 

A significant increase in the number of individuals with Developmental Disabilities residing in semi-independent and independent settings has occurred during the cited period.  Individuals that previously received day activity services in a segregated day program now access their community through the support of community living staff.  Environmental modifications have been made to several homes of children residing with their families.  Housing assistance dollars are available for consumers meeting eligibility for this benefit.  The agency has provided consumer and community education as well as family skills development training.  Departmental reorganization in DD Services has resulted in expansion and growth in family support and respite care services.

 

Evidence of Compliance:  List of Consumer and Community Education activities, MDCH Performance Indicators, Consumer Records, and Financial Records.

 

 

 

 

 

 

 

Newaygo CMH Status:

 

 

Newaygo CMHSP has diverted clinical staff to the development of new and flexible services to meet the changing needs of the populations served.

 

Evidence of Compliance:  Supported Employment 09.14.10.00 including coordination with MRS, ISD and other community work organizations.  Momentum 09.46.00.00 a community integration and linkage program.  Integrated Health Care 09.47.00.00 providing services directly through the primary physicians office.

 

 

 

 

 

 

CEI CMH Status:

 

 

CEI has continued to provide a range of living options for its consumers including a homeless outreach program, supported independence, group homes, home purchasing and residential treatment program in substance abuse.

 

Children’s services provide a range of options for families including home based services, wrap-around and early intervention and consultation services.

 

Day programs continue to reduce the use of segregated facilities and increase community options using the club house model and community drop-in centers.  DD programs make use of over 120 sites for community inclusion activities.

 

All of these are supported by the use of person-centered planning, consumer focus groups and consumer satisfaction surveys.

 

Evidence of Compliance:  Review of  program descriptions, consumer surveys and focus group reports.  Community inclusion site lists.  DCH reviews.

 

 

 

 

 

 

Citation #:

 

 1.2.6.2

 

 

Prepare an analysis of changes in service delivery system patterns over the last three years (October 1998-September 2001) across populations (MI, DD, SA, Co-occurring, ages, cultural backgrounds):  more consumer-operated services

 

 

Affiliation Agreement Status:

 

Ionia CMH Status:

 

 

Currently, the affiliation has no formalized agreements relative to the provision of more consumer-operated services.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Prior to October 1998, Ionia CMH did not have any formalized consumer-operated services.  In the Fall of 2000, Ionia CMH began the process of establishing a consumer run drop-in center.  The River’s Edge Drop-In Center officially opened in February of 2001.  The River’s Edge Drop-in Center embraces all populations. 

 

The Board of Directors of the River’s Edge continues to receive ongoing training from various sources (Ionia CMH, JIMHO, etc.) and continues to grow and develop.   The River’s Edge is incorporated, but still seeking their non-profit status. The Board of the River’s Edge vacillates between feeling they are ready, trained and organized enough to be given the responsibilities of a contractual relationship with CMH and needing continued CMH support.  Ionia CMH has committed .5 FTEs of CMH staffing support to assist the River’s Edge further growth and development. 

 

Ionia CMH committed a portion of their reinvestment monies for FY 00/01 to the support of the River’s Edge Drop-in Center.

 

Evidence:  Organizational Chart; Building lease contract; Independent provider contracts; Board Meeting minutes, Contract with MDCH, Reinvestment Funding approval for FY 00/01. 

 

 

 

 

Gratiot CMH Status:

 

 

One consumer with developmental disabilities owns and operates a beverage service micro-enterprise.  Several other consumers with developmental disabilities are in the preliminary stages of developing their micro-enterprises.  A Jobs Club for DD consumers has been organized to assist consumers in the development of a micro-enterprise. 

 

Evidence of Compliance:  Service descriptions, Jobs Club minutes

 

 

 

 

 

 

 

Newaygo CMH Status:

 

 

 

 

 

 

 

CEI CMH Status:

 

 

 

 

 

The Justice in Mental Health Organization (JIMHO) operates a number of support and training services in the 3 counties.  JIMHO has also expanded into other areas of the state.  Several parent groups have developed housing options for their children; including Rainbow homes, House of Ruth and Chosen Vision.  The directors of these groups are parents and interested others. 

 

Evidence of Compliance:  DCH and JCAHO site visits to JIMHO.  Board minutes supporting these organizations.

 

 

 

 

 

Citation #:

 

1.2.6.3

 

Prepare an analysis of changes in service delivery system patterns over the last three years (October 1998-September 2001) across populations (MI, DD, SA, co-occurring, ages, cultural backgrounds):  greater choice

 

 

 

Affiliation Agreement Status:

 

Ionia CMH Status:

 

 

The affiliation has no current formalized agreements relative to the promotion of greater choice in service delivery

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

From the point of initial contact with Ionia CMH, consumers are asked about their preferences related to when an appointment is scheduled; place of contact, clinician, etc. and the principles of self-direction are promoted though out the tenure of services received.

 

Since September of 1998, the variety of supports and services provided by Ionia County CMH has increased, including the River’s Edge Drop-in Center, Supported Employment, Community Supports Staffing assistance, and Assertive Community Treatment.  All of these supports and services, in addition to the greater flexibility provided in Medicaid Chapter III have broadened options for consumers to choose what would best meet their needs during the person centered planning process.

 

Evidence:  Organizational chart; RFS and PCP documentation; individual case files; Clinical policies, including but not limited to Person centered planning and draft Provider of Choice.

 

 

Gratiot CMH Status:

 

 

The agency provides a comprehensive array of services to allow consumers greater choice in the services they receive.  Through the PCP process service delivery is tailored to meet the individual’s desires and needs. 

 

Evidence of Compliance:  Individual PCPs, Service Eligibility Protocols, Informational Flyers, Agency Brochure, and Member Handbook. 

 

 

Newaygo CMH Status:

 

 

To meet the needs the children’s services have been increased and diversified to access funding streams from community organizations.  The agency has designated staff to become certified in Dialectical Behavioral Therapy to meet the treatment needs of those persons with Borderline Personality Disorder.  Finally, to reach the large geriatric population a grant was applied for and received from DCH for a geriatric outreach staff person to work 50% of the time out of the Commission on Aging.

 

Evidence of Compliance:

 

 

 

 

 

CEI CMH Status:

 

 

At Access consumers are given chose about times for initial appointments.  In Childrens’ services families are given choice of service providers for respite care and in-home care.  Consumers can also chose to change supports coordinators or case managers.  Ranges of living and work opportunities allow people to have a choice about where they live and work.  Choice is the basis of the PCP process.

 

Evidence of Compliance:  Consumer satisfaction surveys, Board Minutes, DCH indicators – timeliness, agency brochures, PCP plans.

 

 

 

 

 

 

 

Citation #:

 

1.2.6.4

Prepare an analysis of changes in service delivery system patterns over the last three years (October 1998-September 2001) across populations (MI, DD, SA, co-occurring, ages, cultural backgrounds):  Self-determination

 

 

Affiliation Agreement Status:

 

Ionia CMH Status:

 

Currently, the affiliation has no formal agreements related to utilizing the principles and practice of self-determination in the provision of services to consumers.

 

It is recommended that all affiliation partners adopt the principles of self-determination as a means of service delivery for individuals served by the CMHs.

 

CEI and Ionia have both completed the self-determination training process offered by MDCH.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Ionia currently has two individuals who are fully involved in the self-determination process.  There are several others that are in various stages of the process.  It is expected that a minimum of 10 individuals will be fully involved in the process by 9-30-01. 

 

It is difficult to discern the changes to the service system as a result of self-determination, in isolation.  The advances and progress of person centered planning and the movement to less traditional service models are entwined in changes made related to self-determination. 

It has certainly promoted a greater awareness of individual budgets by staff and those consumers and their support system involved in self-determination.

 

Those involved in Self-determination currently have elected to move away from more traditional providers of services.  

 

It appears to have promoted a greater collaboration of efforts between programmatic and fiscal staff.

 

Evidence of Compliance:  Policy; Self-determination team meeting minutes; organizational chart; newsletters; training calendars; training registrations; individual case files; etc.

 

 

 

 

 

 

 

 

 

 

 

 

Gratiot CMH Status:

 

 

Staff has received training in self-determination with additional training slated in the upcoming months.

 

Evidence of Compliance:  Training records

 

 

 

 

 

Newaygo CMH Status:

 

 

The agency has a commitment to self-determination and has developed a strategic plan and concept paper.  This information has been shared with the community at large.

 

Evidence of Compliance:  Strategic plan and concept paper.

 

 

 

 

 

CEI CMH Status:

 

 

CEI staff participated in the self-determination replication training offered by MDCH and the Michigan Association of CMH Boards.  The team has continued to plan for self-determination implementation.  Training and orientation has been done for staff, administrators and Board members.   Staff serving MI adults are now participating in the local team and in state level discussions on how to implement self-determination for the people they serve. A plan has been developed for implementation.  Two consumers are actively in self-determination planning.  CEI has also taken a position that self-determination policy guidelines and person-centered guidelines should be merged into a single policy position.  It is too early to show the impact on the system, but it is anticipated that more consumer choice and control will be the end result of the full implementation of self-determination.

 

Evidence of Compliance:  Training presentation, Board minutes, self-determination team minutes.

 

 

 

 

Citation #:

 

1.2.6.5

Prepare an analysis of changes in service delivery system patterns over the last three years (October 1998-September 2001) across populations (MI, DD, SA, co-occurring, ages, and cultural backgrounds):  Increase in independent living situations

 

 

Affiliation Agreement Status:

 

Ionia CMH Status:

 

Currently, the affiliation has no formalized agreement relative to increasing independent living situations in the provision of services.

 

It is recommended that the affiliation as a whole adopt philosophies and practices that are supportive of individuals living independently, with supports as needed. 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Ionia CMH currently supports 20 individuals with Developmental Disabilities living in their own homes, with various levels of supports. These numbers have remained relatively steady since October 1998.   Most of the people diagnosed with a severe and persistent mental illness are supported by casemanagement staff to live in their own home.

 

Ionia CMH has a clinical policy on housing that supports each consumer living where and with whom they chose.

 

Ionia CMH was the primary sponsor of a community-wide housing resource fair in August 2001.

 

Ionia CMH has had a “housing committee” to look at issues related to housing, in response to interest from the 2000 PCP conference.  This committee is currently reorganizing and reprioritizing issues related to housing.

 

Evidence:  Statistics related to # of individuals living in their own home; policy; housing committee meeting minutes; newspaper articles, etc.    

 

 

 

 

Gratiot CMH Status:

 

As cited above in 1.2.6.1 a significant increase in individuals residing independently has occurred over the past three years. Individual community living support services are provided to maintain consumers in the least restrictive living situation possible.

 

Evidence of Compliance:  MDCH Performance Indicators, Individual PCPs, Housing Minutes, Provider Contracts

 

 

 

 

Newaygo CMH Status:

 

 

 

 

 

 

 

Evidence of Compliance:  Supported Independent Living 09.48.00.00 and Supported Independent Living Discretionary Fund 09.48.01.00.

 

 

 

CEI CMH Status:

 

 

 

 

There are 135 people with developmental disabilities and      people with mental illness living independently.  Through the efforts of teams like the Homeless Outreach Program, Supported Independence Team and Assertive Community Treatment people are supported in living arrangements of their choice.  CEI makes use of subsidies and low interest loan programs to assist people to find affordable housing.  One staff person has been designated as a housing broker to assist consumers in locating suitable housing.

 

Evidence of Compliance: Individual plans, minutes from staff meetings of teams, indicator reports, residential placement minutes.

 

 

 

Citation #:

 

1.2.6.6

 

Prepare an analysis of changes in service delivery system patterns over the last three years (October 1998-September 2001) across populations (MI, DD, SA, co-occurring, ages, cultural backgrounds):  increase in employment opportunities

 

 

 

Affiliation Agreement Status:

 

Ionia CMH Status:

 

Currently, the affiliation has no formalized agreement related to increasing employment opportunities for consumers in the service delivery system.

 

It is recommended that all affiliate partners review the practices in place affiliate-wide to exam areas to promote best practices and possible efficiencies.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EmployAbilities was implemented in the Fall of 1998.  EmployAbilities refers to the supported employment activities at Ionia CMH.  EmployAbilities is open to all consumers that are in need of assistance finding employment, particularly those people who also have casemanagement or support coordination services, that are not able to utilize other community resources to obtain employment.

 

Since EmployAbilities inception, 145 people have been open to this service, with 73 of these individuals having successfully obtained at least one job. 

 

Ionia CMH does not support the use of deviated wages, thus all employment found through EmployAbilities is at minimum wage or higher. 

 

Evidence:  EmployAbilities data and information, EmployAbilities brochure.    

 

 

 

 

 

Gratiot CMH Status:

 

 

 

Gratiot CMH contracts with a vocational service provider for job development and job placement services. The agency has a tri-party W agreement funded by MRS, CMH and the RESD. This agreement allows for job development, job placement, job coaching, and job readiness training. Also, in the past 6 months the agency has developed a job placement service to increase the number of individuals that are competitively employed at minimum wage or higher. This service is available to adults with mental illness and/or developmental disability, and RESD students and has resulted in 21 individual job placements. The agency is also a member of the RESD School-to-Work Transition Council.

 

 

Evidence of Compliance:  Employment Services Contract, Tri-Party W-Agreement between MDCD-RS, GI-RESD and CMH, MDCH Performance Indicators, Job Placement Data

 

 

 

 

Newaygo CMH Status:

 

 

 

 

 

 

 

 

Evidence of Compliance: 

 

 

 

 

CEI CMH Status:

 

 

 

In 1998 there were XXX people with mental illness in supported employment compared to XXX in 2001.  During the same period there were XXX  and XXX people with developmental disabilities in supported employment.  It is mot practical to compare the change from 1998 to present because consumers do not stay involved in supported employment – they move on to simply being employed.  CEI is committed to job placement.  We have a Supported Employment Team made up of staff from MRS, CMH and Peckham Industries.  In addition, we work with local schools to assure placements as students transition from schools.

 

 Evidence of Compliance:  Indicator reports, employment data, MRS cash match agreements, Supported employment team minutes.

 

Citation:  1.2.7. Analyze the numbers and demographics of persons from the CMHSP (and the affiliate members) currently in state institutions:

1.2.7.1. Compare institutional usage over the last three years

1.2.7.2. Develop plans for providing community-based alternatives for the populations no longer needing institutional care

Affiliation:  No current formal agreements.

Approach

 

Ionia CMH

1.2.7. 

Have 2 males and 1 female at Mt. Pleasant Center.  We have 3 males under Forensic Order, 2 in the Forensic Center and 1 in Kalamazoo Regional Hospital. 

1.2.7.1.

See attached grid. 

1.2.7.2.

Reestablished ACT in July 2001; opened a consumer-run drop-in center in February 2001.  In 1999 formed the Community Support Team staff by para-professionals to offer an alternative to a structured traditional model day treatment.  Ionia began the institutional reduction process prior to 1998.

 

Gratiot CMH

1.2.7.

One Caucasian male consumer with developmental disabilities has resided at the Mt. Pleasant Center during the time period cited.  At this time his prognosis for community placement remains guarded.  (1.2.7.1.)  Over the past three years two Caucasian female consumers with mental illness have been admitted to a state psychiatric hospital. 

1.2.7.2.

 

Newaygo CMH

1.2.7.

Has no persons placed in any state institutions. 

1.2.7.1

Over the past three years there have been sporadic short-term placements only when community alternatives have been exhausted and consumer safety can be assured in no other way. 

1.2.7.2

 

CEI CMH

1.2.7.

There is currently one adolescent female (age 15) placed in the Hawthorne Psychiatric Center as of December 1,2001. Over the past three years there have been a total of 5 placements into the state institution ranging in age from 10-17.  Four of the admissions were male, one was female.  Four of the admissions were from Ingham County, and one was from Eaton County.

 

As of December 1, 2001, there are 14 people with developmental disabilities in Mt. Pleasant Center.  Thirteen are male.  Ages range between 23 and 67.  All are Caucasian.  Eight are from Ingham County, 4 from Eaton County, and 2 from Clinton County.

 

There are currently (December 11, 2001) five mentally ill adults in state facilities. They are all male, all from Ingham County and 4 are African American and 1 is Caucasian.  They range in age from 28-58.

 

  The type of admission and demographics for each is listed below:

 

 

Type of Admission

Gender

DOB

Race

County of Responsibility

Consumer #1

NGRI

Male

2/24/43

African American

Ingham

Consumer #2

Probated

Male

10/1/66

African American

Ingham

Consumer #3

Probated

Male

1/22/56

African American

Ingham

Consumer #4

Probated

Male

7/27/59

Caucasian

Ingham

Consumer #5

Probated

Male

6/1/73

African American

Ingham

 

1.2.7.1

Hawthorne Psychiatric Center is the state institution that is utilized by this Board.  The placement of children into Hawthorne over the last three years has been very infrequent.  The Center specializes in longer term care of children who present with severe emotional/behavioral instability that is both persistent and of high risk to themselves and/or others.  Our admissions have also been characterized by children who have severe cognitive limitations.  Over the past three years there have been 5 placements into the Hawthorne Center. There were two admissions in FY99, two admissions in FY 2000, and one admission in FY 2001.   The discharges of these children have been primarily to residential settings that offer 24 hour staffing, structured milieu, and specializing in children with intellectual limitations and behavioral disorders.  The utilization of the state institution has been consistently low for a number of years as a result of an array of available supportive community alternatives.

 

The admission of people with developmental disabilities to the Mt. Pleasant Center occurred 19 times in FY1999, 20 times in FY2000 and 14 times in FY 2001.

 

The three types of admissions for mentally ill adults to state facilities include Probated admissions, Not Guilty for Reason of Insanity (NGRI) admissions, and Incompetent to Stand Trial (IST) admissions.  CEI has no authority over IST admissions and shares authority with the Center for Forensic Psychiatry and state hospitals over NGRI admissions. Figures for each type of admission to state facilities for the past three years are listed in the table, below.

 

1.2.7.2

The community has in place alternatives to institutional care that have allowed for the treatment of children and their families to take place on a regular basis in the community. The strong home based programming through C.H. that includes an array of respite options including mentors, foster care, crisis residential care and prescribed social recreational opportunities supported by well developed psychiatric interventions allows for most children and their families to be supported in their own community.   The efforts of our agency also is supported by community collaborative efforts to share resources via the Single Door (multi agency community team committed to solutions for exceptionally high needs children), use of non-traditional creative alternatives via Wraparound and a strong community mental health belief in family centered processes has created an environment where the need for long term institutional care placements are infrequent and the exception.

 

Community Mental Health continues to work with the Mt. Pleasant Center to identify and develop plans to prepare consumers with developmental disabilities for placement.  Specialized housing has been developed in some cases and for others placements in specialized housing in other areas of the state is being considered.

 

CEI is in the process of building tow specialized care group homes for adults with mental illness.  These homes are designed to serve individuals requiring intensive services, including currently hospitalized in state faculties.  Staffing levels will be consistent with the needs of these residents.  Staff will also receive specialized training.  Both homes will offer an enriched environment with special activities and individualized treatment.  The target date for opening thee homes is April 30, 2002.

 

 

     

 

CMHB- CEI STATE FACILITY ADMISSIONS FOR ADULTS WITH MENTAL ILLNESS

TYPE OF ADMISSION

TOTAL ADMISSIONS

TOTAL DAYS

AVERAGE DAYS PER PERSON

FY 2001

Kalamazoo:

Probated

NGRI

IST

Totals

 

30

 3

 9

42

 

2,731

  513

1,104

4,348

 

 91

171

123

104

Mt. Pleasant:

IST

 

1

 

365

 

Caro:

Probated

 

1

 

8

 

FY 2000

Kalamazoo:

Probated

NGRI

IST

Totals

 

32

  5

10

47

 

2,400

   718

   587

3,705

 

  75

144

   59

  79

Mt. Pleasant:

IST

 

1

 

95

 

Northville:

NGRI

 

1

 

223

 

FY 1999

Kalamazoo:

Probated

NGRI

IST

Totals: