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LENAPE VALLEY FOUNDATION
BUCKS COUNTY AREA AGENCY ON AGING
BUCKS COUNTY MENTAL HEALTH/ DEVELOPMENTAL PROGRAMS
Senior Empowerment for Life Fulfillment
What is SELF
• The goal of the SELF program is to provide therapeutic intervention that facilitates an individual’s acceptance of traditional mental health services and/or drug and alcohol treatment.
• The SELF program provides outreach, treatment, peer support, and case management to individuals 60 yrs and older; that are experiencing mental health and/or drug and alcohol problems; and are unable to access needed BHS services.
Why SELF
The “silo”-style ports of entry in the current behavioral health system can limit access to services for older adults.
Altering traditional ways of delivering behavioral health needs.
Decrease stigma and increase acceptance among aging adults of mental health treatment.
Attention to medical needs and physical capability to receive recommended services.
An ever growing need to provide older adults with mental health supports in their homes.
By 2030, there will be about 72.1 million older persons, over twice their number in 2000. Department of Health & Human Services, 2012
Collaborative Beginning
AAA and MH/DP began collaborating to meet this need in 2004.
Deputies from Aging, Mental Health, and early on, a representative from the County’s BHS contractor came together to develop a means to engage those 60+ older adults with unmet BHS needs and assisting them with developing connections to appropriate providers.
Collaborative cross-training of Aging & MH workers including BSU staff, and later including D/A staff
The AAA and MH/DP were pleased to bring Lenape Valley Foundation (LVF) into the collaboration in July, 2009 for the SELF program.
Staffing
Clinical Executive Program DirectorClinical CoordinatorPsychiatry CRNPCase ManagerCertified Peer
Support
AAA CM Supervisor AAA Deputy Director
for Long-Term Care Bucks County MH/DP
Deputy or representative
Program Services
Referral & Intake Outreach Assessment and Goal PlanningPsych Evaluation/Medication ManagementNursing assessment Therapeutic InterventionCase Management Peer SupportDischarge Planning
Clinical Charting
Consent for TreatmentTreatment Planning Clinical Documentation ( DAP Note)Release of Information Medication Management Documentation Case Management ActivitiesCertified Peer Support Recovery PlanningCertified Peer Support Activities
Collaboration
LVF Weekly / Bi-Weekly Clinical Team Meetings
LVF, AAA, MH/DP Bi-Monthly Administrative Meetings
LVF, AAA, MD/DP Quarterly Case Conference Review
LVF, AAA, MD/DP Yearly QA Audit
Monthly Reporting
Tracking Forms
Statistical Report/Quarterly/ YTD
Case Notes
Tracking List
Collaborative Funding
Annual Budget of $150,000.00 from MH/DP (90%) and Aging ( 10%)
LVF Billable Services /Collection of Co-Pays
Program Challenges
C0-Pays
Caseload size- The impact of Severe and Persistent Mental Illness (SPMI)
Closure/ Discharge Planning
Impact of Hoarding
Closing
Program is continually evolving
Benefits of cross-training
Communication as a key element
Collaborative attitude in providing the program and addressing challenges.