Case Study: Circumstance: Preservation Meeting To Secure Placement

Pursuant to its obligations under the ID/DD Act, Ridge Terrace formed a Community Support Team (“CST”), or Behavior Management Committee, composed of several Ridge Terrace employees and outside professionals, including pharmacists, the resident’s psychologist, a medical doctor and a career trainer. On a quarterly basis, the Committee would review the resident’s progress and treatment

Response: MHS explained the youth had several appointments with the foster care clinic, mental health and school. The youth’s medication was changed

QP asked Dontrell, if he is willing to participate in the IIH services. QP asked Dontrell, how comfortable he feels about talking about his feeling. QP asked Dontrell, if he feeling depress or worried about anything. QP asked mom, to list some of Dontrell’ s behavior she is concerned about. QP listened actively as mom express her concerns and fears. QP asked mom about Dontrell’ s court case. QP mom about Dontrell’ s school attendance, grades, and suspensions. QP asked mom, if Dontrell is engaging in substance abuse. QP asked mom, if Dontrell is being complaint with the rules of the house. QP asked mom about Dontrell interaction with his father, if any. QP asked mom about her disciplining strategies. QP answered questions mom asked about IIH services. QP attend Dontrell’ s court council meeting. QP explained to the court counselor, the services that will be provided to Dontrell. QP informed the court counselor of the goals Dontrell will be working towards. QP listened as the court consoler explained to mom and Dontrell, what he need to do in order to comply with court order. QP ended the session by scheduling the next

MSTT met with Christine and reviewed the discharge plan with her and addressed any concerns she had at the time. Christine main concerned was towards the placement of her son Jake. Christine continue to believe that Jake needs to be placed in an residential treatmetn facuilty instead of being placed in an independent living settiing. MSTT explained to Christine Jake behaviors does not warrant him being place in an RTF and a independent living setting main be good for him. MSTT explained all the benefits the independent living setting could provide Jake. Christine struggle to find value in placing him there but understand the final decision is going to be handled by CYS, and she can explain her postion to

Family is seeking long-term treatment for Jane in a preference veteran’s administration (VA) hospital for continuous psych-evaluation and drug abuse. Their objective is that she does not return to the family home at this time. And upon release Jane be place in a three-quarter way house for veterans.

There are some areas that can benefit from updating systems, procedures, and additional training. One main concern that had been brought to the attention to the administration is on space utilization, including the need for additional space. There are currently two quiet rooms on the cottage for the adolescents that are designed to allow a patient to enter the room to take a personal timeout or staff directed timeout. The issue at this time is that the quiet rooms is being utilized by patients that requires a low stimulation environments. Meaning that this particular patient is currently not at a stage that allows the patient to safely live with peers. This situation takes away from patients being able to utilize quiet rooms on an as-needed basis. The administration has approved construction, the construction is currently ongoing, to add additional square footage to the cottage that will provide additional rooms that will be the low stimulation environments for patients to live

Student has been referred to the District Coordination of Services Team. D-COST may ask for a new strategy or resource to be implemented and/or coordinate appropriate next step for student: SARB, SPED testing, 504 accommodation plan, counseling resources, change in educational

Contracted providers, health plan, behavioral health agencies, specialist, primary care physician (PCP), specialists, peer support agencies, hospitals, residential facilities are resources contributing to operating program. These programs provide a variety of service activities to meet member needs such as therapeutic interventions, inpatient stays, residential facility for medication stabilization, peer support, living skills, health promotion, coordination between clinical providers for ongoing care. Positive outcome results when member engages, receives appropriate support, services and resources. Health and wellness increase, decrease in hospitalizations, increase in lifespan, increase in services, increase in coordination of care between all providers involved in members treatment, and overall cost savings for health plan and integrated health plan

Plan: MHP will provide Liam and family support, and continue to ensure Liam’s well-being and safety.

I completed my participation observation on an outpatient behavioral health service agency called North Central Behavior Health Systems (NCBHS) that is located in LaSalle, Illinois. The reason why I chose the NCBHS agency center is because I have heard of the services provided to the local and neighboring communities. I currently work in an inpatient behavioral health unit. Our patients are discharged with a treatment plan that includes follow-up appointments with outpatient service centers such as NCBHS. Since many of my patients are discharged from my unit with follow-up at NCBHS, I decided to further my knowledge on this outpatient service agency.

Case management services were provided through a phone call while in the field. Present at the meeting were WYP Ngo and the youth's foster father. WYP Ngo informed the foster father that he is unable to make it on time to the one on one with the youth, due to traffic. The foster father agreed to reschedule, because the youth has a dental appointment at 5:30pm. The youth needs to get ready and leave soon. The next one on one will be on December 20th, 2016.

The task at hand is to convert the partial hospitalization program into a supported services program that will include an Assertive Community Treatment team, a Supportive Housing team and a Supported Employment team. After meeting with the Board of Directors, it has been agreed upon that the change will occur and initial changes will ensue within six months. This outline is being created for the director, and will include general information on organizational change, the importance of this change and problems that might arise. Additionally, a timeline is being included that will layout required changes expected to occur within the next six

Plan: MHP will schedule onsite assessment and notify Richard and Ms. Cordova of date and time.

CM conducted a face to face meeting at EMYL for Jason (youth). In attendance were Jasmine Alexander (CM) and Jason (youth). CM was informed that youth feels stressed and alone at EMYL; youth reports he wants to transition from the program. Youth has been witness numerous peers going into crisis and youth does not feel comfortable in the program. Youth explained to CM that he “tried to get high off of Benadryl and escape from reality”. Youth expressed that he did not try to hurt himself. However, youth attempted to take multiple pills of Benadryl. Youth expressed that his family and EMYL is not supportive. CM encouraged youth to remain positive and soon he will transition to Hunterdon Group Home. CM discussed youth’s insurance and explained

Action: CM will make a referral to Trinitas Adolescent Outpatient Department for therapeutic (i.e. individual, group and family therapy)