Case Study: Rivers Integrated Care

The mission of ReDiscover is “to deliver mental health and substance use disorder services to help individuals and families achieve healthier and more productive lives”. Rediscover Common Ground provides strengths based case management support, CPRC transportation, medical services, therapy, and outpatient psychiatric services. There is currently one psychiatrist, one psychiatric nurse and three therapists working at ReDiscover Common Ground. There are a number of case managers and team leaders at this location, however, these staff often fluctuate throughout the different ReDiscover locations so a total number is difficult to identify.

There are many governmental agencies within the healthcare system. One of most interesting and heart-wrenching agencies is a local governmental agency called Terrell State Mental Hospital. This agency is well known in the state of Texas for its carefree healthcare. They have a longstanding relationship with the families of its patients and are a major contributor to the city of Terrell’s financial windfall. They produce over ten million a year for the city of Terrell, which allows this city to take care of its mental inpatients and make sure they have the best treatment possible.

The Michael R. Zent (MRZ) Integrated Healthcare Center was established in January 2006 to provide comprehensive and integrated healthcare services to individuals with mental health illness in Phoenix Arizona. The integration behavioral and physical health services across the continuum of care provide a seamless care delivery system that offers patients a holistic care based on their psychosocial needs and diagnoses. Achieving a sustainable efficient and effective integrated care program requires multiple evaluation and modification of operational and administrative processes using a Plan, Do, Study, Act (PDSA) methodology.

The need for water in all of society is of the upmost importance in order for humankind to survive. The United States Geological Survey (USGS) states that the Earth’s surface is made up of about 70% water and only 3.5% of the water is fresh water suitable to consume (Perlman, 2013). In order to have the resource of water that society needs, companies such as the Trinity River Authority (TRA) are formed in different communities around the globe. Water supply and reclamation companies range in size and structure from public to privately owned and run.

The social service agency chosen to profile in this essay is COPE Community Services. They are located in Tucson Arizona and have many locations around town to better service and provide convenience for members. They provide integrated care for members. COPE's services include behavioral health, opioid treatment, medical services, therapy, youth services, and community health services. COPE accepts a wide range of members seeking services from the general mental health to severely mentally ill population. An Intake is completed to identify services for members. COPE accepts insurances from AHCCCS, Medicare, Tricare, and other contracted private insurances.

An integrated screening is used for information gathering through interviews, testing, and overall assessment. It can be used to determine signs of intoxication and self-harm, as well as a client’s overall behavior and outward appearance. It is more of a surface-level examination and should not be used as the only assessment tool. In contrast, integrated assessment is more detailed and looks at cognitive functioning, readiness for change, and can be used to establish formal diagnoses and determine the appropriate level of care. It is client-centered, motivating, and should encourage the client to continue with treatment. There are typically 12 specific steps used in this assessment, which are used to obtain information on symptoms, strength, limitation, cultural barriers, and past history with mental health and substance abuse difficulties. In addition, the clinician can use this to obtain a reading of the client’s perception of the problem and how they would like to make a change. As described above in the summary of the previous reading, integrated treatment planning is a detailed look at the services that are expected to be provided to the client for each problem and how this will bring about change change for him or her. It is not a final document and will change over the course of time as the person continues to grow. Not one of these three options should be used alone, but rather all should be combined in the appropriate manner to best serve the

At a Bellin Health Clinic in Ashwaubenon, Wis., a counselor sits among the doctors, nurses and other staff members. Several times each day counselor Dan Gesell meets with patients to discuss issues related to depression and anxiety, or any other matter that arises during a routine visit to the family doctor. It seems that pairing primary

Integrated Health Care: this program provides integrated health services that address the physical, mental, and spiritual needs of consumers. Through this program, SCs are able to ensure that consumers receive a physician and a care team. SCs work with consumers’ care teams to throughout the recovery process.

Throughout this semester I completed an internship in psychology at Jefferson Center for Mental Health. Specifically I spent my time in a short term Hospital Alternative Facility (HAF). HAF is a residential facility that aids in transitioning home from the hospital, another Jefferson Center for Mental Health facility or a crisis situation. All of our clients have current mental health diagnoses, the most common of which are depression, anxiety, bipolar disorder, personality disorders, and schizophrenia. Clients stay for only a short time and the main objectives for their stay normally revolve around stabilizing meds and finalizing housing and living plans for the future. HAF provides services that are vital in that clients can have a stable residence so they can focus on managing symptoms and figuring out the best strategy to integrate themselves, with new goals back into their life. However, with all of HAF’s outstanding and vital qualities, there are also areas that I would suggest for improvement given what I have learned through my undergraduate education in psychology.

Since the plan is to have mental health services in the same building, it is also the responsibly of Teresa Mendenhall, Community Health Services Manager and Rachel Janbek, Environmental Health Services Manager (Pasadena Public Health Department, 2017). These three managers should be able to work in conjunction with each other to help formulate the blueprint on how integration to Level 4 can take place. Once the implementation process is agreed upon by all three managers the proposal should be brought to the Public Health Director, Michael Johnson (Pasadena Public Health Department, 2017) for final approval and to monitor the proposals implementation. While it is assumed that all three managers should be able to sufficiently handle the proposal’s implementation without the help of the Public Health Director, he needs to be included in the process to ensure that every piece of the implantation process is being handled correctly and

Tri-County Regional Hospital is becoming the cornerstone of the community as the hospital has shown growth and opportunity specifically as it relates to Behavioral Health. Pat has demonstrated great management skills and success by being promoted from manager of Tri-County Regional inpatient behavioral health unit to fill the role of Director of Behavioral Health Services as well as becoming the new Director in the Allied Health Services Division of the hospital within a year timeframe. More importantly, while Pat served as manager, he made several key improvements such as improved patient care, increased average utilizations, increased repeated referral rates and improved employee satisfaction and retention. Most recently, Pat was recognized for having a successful first quarter 2018 rollout of a treatment program in the Behavioral Health Intensive Outpatient Program. These are indeed great accomplishments and it appears that Pat is not done as he is interested in opening a local psychotherapy group practice which will provide a therapy option for current and former patients that received mental health treatment from the unit as well as referrals from the community.

Daniel Weintraub in the article River Restoration Project offers a Sprinkling of Hope, shows that by bringing the water back the river will flourish and the salmon will come back. Weintraub supports his point by explaining how the fish could return with all of the obstacles in the way. The author's purpose is to expose that we will have trouble getting the fish back, but it will help us in the long run.The author writes in an informative tone for the people that are interested on if the fish will return to the San Joaquin River.

While discussions of integrated care are not new in the United States, the research literature has largely been about blending mental and chemical health into physical health systems. Using a critical hermeneutic application of interpretive phenomenology, this study aims to address that gap by interviewing adults with serious mental illness about their experience receiving physical health services within a community mental health center. Nine individuals, five clients and four providers, interviewed for this study were selected using the critical case criterion in partnership with the community mental health center. Interviews were digitally recorded and transcribed. Data analysis was conducted within-case followed by cross-case analysis technique.

Please be reminded that OMH and DOHMH will host a meeting with the NYC Health Homes Serving Children “HH” and Legacy Care Management Agency “CMA” providers. The meeting will be held on Tuesday, March 21, from 11:00am until 2:00pm at the Office of Mental Health located at 330 5th Avenue, NY, NY. This meeting will serve as a forum for Health Homes and Care Management providers to gain greater familiarity with each other and with the established health home network represented within NYC. This meeting will also provide an opportunity for the group to discuss relevant health home implementation practice issues. If there are specific topics you would like addressed, please contact your assigned Program

An article by the name of “River Restoration Project Offers a Sprinkling of Hope” written by Daniel weintraub, brings up the question, whether or not california should spend money on restoring the river. Weintraub is an employee for the Sacramento Bee since 2000. Also, he writes for the LA Times and Orange County register. He wrote this article while working at the Sacramento Bee. The typical readers of the Sacramento Bee are big business workers and people who don’t know what it is like to be on a farm. Sacramento itself is the capital of California and has many big businesses surrounding it. Weintraub’s views might be different from someone who relies on the water to grow food since weintraub lives in the city and not a farm. I agree with