mental health data alliance, llc (mhdata) november 20, 2014 this webinar was funded by the mental...
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FSP Program Classification ProjectMental Health Data Alliance, LLC (MHData)November 20, 2014
This webinar was funded by the Mental Health Services Oversight and Accountability Commission (MHSOAC).Audio portion will begin shortly
Slides available at www.mhdata.org > Resources > FSP
Whatever it takes and What it takesMHData IntroductionsKate Cordell, PhD(c), MPHThomas WeitzelLaura Hosier
Whatever it takes and What it takesList ServeMHSOAC maintains a list serve with information relevant to countiesIf you would like to receive announcements, go to MHSOAC home page to sign up: http://www.mhsoac.ca.gov/default.aspxResources also at MHData Website www.mhdata.orgThis presentation available at: http://www.mhdata.org/Pages/Resources-FSP.aspx
Whatever it takes and What it takesPurpose of ProjectIncrease the ability to understand and improve upon the quality of services offered by Full Service Partnerships (FSPs)Assist counties/providers to describe their FSP programs Assist counties/providers to publically communicate program offeringsAssist state/counties/providers to assess FSP programsAssist counties/providers to share information about FSP programsAssist consumers and families to find appropriate FSP programsHow else can this project assist your goals?
Whatever it takes and What it takesProcess within ProjectIdentify ways this project can assist counties, providers, programs, consumers, stakeholder and familiesIdentify important features of FSP programsCreate a common language to describe the components within an FSPUtilize this common language to describe all FSP programs in the StateCreate a system to help easily gather and disseminate information regarding important features of FSP Programs
Whatever it takes and What it takesBackground FSP ProgramsFSPs evolved from Assembly Bill (AB) 34 and AB 2034 programs which provided comprehensive services for adults who had serious mental illness and were homeless, at risk of becoming homeless, recently released from a county jail or State prison, or others who were untreated, unstable, and at significant risk of incarceration or homelessness without treatment
The pilot and statewide implementation of AB 34 and AB 2034 focused on the Assertive Community Treatment (ACT) model:outreach,supportive housing and other housing assistance, employment, substance abuse, and mental and physical healthcareWhatever it takes and What it takesBackground FSP ProgramsFSPs are designed to provide comprehensive, recovery based services to the highest-need clients in the public mental health systemPartners served in FSPs are living with serious mental illness or a serious emotional disturbance in addition to often having a history of homelessness, incarceration, and/or institutionalizationFull Service Partnerships provide intensive case management on a 24/7 basis, doing whatever it takes for the client to promote progress on their road of recovery Services may also focus on crisis response and de-escalation, medication evaluation, establishment of benefits, and preparation for education and/or employmentWhatever it takes and What it takesBackground FSP ProgramsFSPs are required to provide both mental health and non mental health services, per the California Code of Regulations (CCR), Title 9 3620:
ISSP: Individual Services and Supports Plan means the plan developed by the client and, when appropriate the client's family, with the Personal Service Coordinator/Case Manager to identify the client's goals and describe the array of services and supports necessary to advance these goals based on the client's needs and preferences and, when appropriate, the needs and preferences of the client's family.Whatever it takes and What it takesBackground FSP ProgramsFSPs are required to provide both mental health and non mental health services, per the California Code of Regulations (CCR), Title 9 3620:
Whatever it takes and What it takesBackground FSP ProgramsSpecific components of the FSP programs may be developed through a stakeholder process.
Whatever it takes and What it takesCounty ProgramsCountiesFSP ProgramsNon-FSPProgramsProvidersCounties develop customized plans (Programs) for mental health services in accordance with State requirements, including providing for significant local stakeholder input and involvementProviders deliver Programs identified offerings to consumers and familiesWhatever it takes and What it takesFSP ProgramsProgram Differentiation - as a result of significant local stakeholder input and involvement and varying community needs, programs vary widely between counties This project will create a classification system to allow for the creation of FSP Program profiles based on program characteristics
Whatever it takes and What it takesFSP Program CharacteristicsSome examples of characteristics include:Target populationsService offeringsStaffingResourcesSupportTechnologyCommunication toolsOrganizationWorkflow processes and proceduresProgram fidelityEtcCharacteristics are attributesof Programs that describe similarity to or differences between other ProgramsWhatever it takes and What it takesMHSOAC Research QuestionsWhat are the most meaningful ways to classify FSP programs across the state that would be beneficial to clients, family members, providers, the State and other stakeholders?What characteristics/factors should the classification system be based upon? What data is needed to measure those characteristics/factors?What is the best method for various stakeholders throughout the state to view and utilize a classification system to improve quality and services provided by FSPs?Whatever it takes and What it takesFSP Classification Project AimsOver the next 2 years:Develop a schema to identify FSP Program Characteristics for classifying program componentsDevelop an online system to allow counties and their providers to create profiles for FSP Programs using the developed schemaThe online system is intended to be easy to use, require infrequent updates and support county, provider or program needs (for example, assist with the creation of a program logic models, program plans, or create useful reports, etc.)Develop an online system to allow county, provider, consumer and community member to better understand the features of FSP Programs statewideThe online system is intended to be easy for public users to query in order to locate programs, identify program offerings or compare components between programs
Whatever it takes and What it takesVolunteer InvolvementProject Advisors (volunteers)Provide guidance and feedback for this project:Help identify ways this project can benefit counties, providers, programs, stakeholders and consumers and their familiesHelp develop relevant questions to ask county, provider and program staff; consumers and families; and stakeholders, etc.Help identify areas of focus and areas overlookedProvide feedback on plans, presentations and reportsemail [email protected] with words Advisor Volunteer
3 Volunteer Counties:Help coordinate on-site meetings for MHData and county mental/behavioral health director, MHSA Coordinator, and other relevant county and FSP provider staffHelp identify whether inclusion by local clients, family members, and other stakeholders in these site visits would be advantageousHelp us understand and describe your countys FSP Programs features, workflow and characteristicsProvide feedback on the proposed schema as it applies to your countys programs, developed by MHData as a PowerPoint slide setemail [email protected] with words County VolunteerWhatever it takes and What it takesClassification SchemaWe are developing a structure to capture program classification dataLogic Model frameworkDefining Main CategoriesDefining each program characteristic or feature as Components and their Elements
Whatever it takes and What it takesW. K. Kellogg Foundation Logic ModelReference:http://www.wkkf.org/resource-directory/resource/2006/02/wk-kellogg-foundation-logic-model-development-guide A logic model is a systematic and visual way to present and share your understanding of the relationships among the resources you have to operate your program, the activities you plan, and the changes or results you hope to achieve.Whatever it takes and What it takesFSP Programs Preliminary Logic ModelProgram Categories:
Whatever it takes and What it takesCharacteristic CategoriesProviderOrganizationsWhatever it takes and What it takesWhatever it takes and What it takes3-Tiered Classification SchemaStarting with a 3-tier characteristic classification schemaCategoryComponentElement
ExampleA characteristic of some programs is that they focus on a target population who are referred by a jail to the program:
Targets (Category)Referral Source (Component)Jail (Element)
Flexible approachCounties will be able to participate and provide feedback on all Categories, Components, and ElementsWhatever it takes and What it takesProject StatusCharacteristic Tracking SystemCategoryComponent ElementsCommenced data discovery
Whatever it takes and What it takesData DiscoveryTo start, we have reviewed a number of publicly available county 3-year plans
This has provided us with some starting sample data to begin to formulate how data might be structured in the proposed classification system
Feedback and suggestions are welcomeWhatever it takes and What it takesInitial Model StructureInitial Categories and Components based on 3-Year Plans:ActivitiesCommunity ActivitiesInterventionsOutreachService LocationsServices
Target PopulationCultural/Ethnic FocusedGeographical FocusIncome LevelIssues/DisordersReferral SourceSpecial PopulationUnmet NeedsUnserved or UnderservedResourcesModelsOrganizationProcess and ProcedureService Provider OrganizationStaffSupport
GoalsAimsMeasured Objectives
Whatever it takes and What it takesInitial Model Structure (Component & Element Example)GoalsAimsReduce emergency room visitsDecrease exposure to alcohol, tobacco and other drugsDecrease isolationImprove communication skillsImprove conflict resolution skillsDecrease exposure to violenceReduce the subjective suffering from serious mental illnessTeach responsibilityReduce substance abuseReduce recidivismReduce long-term hospitalizationImprove peer relationship building skillsEnhance suicide prevention effortsReduce discriminationTeach group participationIncrease well-beingImprove life skillsAcademic FocusedPromote Consumer Self-SustainabilityReduce further de-compensationReduce the need for additional servicesImprove coping skillsIncrease quality of lifeProvide culturally sensitive mental health servicesDe-stigmatize mental health symptomsReduce psychiatric hospitalizationsWhatever it takes and What it takesProgram Classification ExampleActivitiesCommunity ActivitiesWorkshops/Group SessionsCommunity serviceYouth ActivitiesSpecial eventsServicesOutreachLinkage
GoalsAimsImprove peer relationship building skillsImprove conflict resolution skillsImprove communication skillsAcademic FocusedDecrease isolationIncrease well-beingDecrease exposure to alcohol, tobacco and other drugsDecrease exposure to violenceReduce discriminationDe-stigmatize mental health symptomsMeasured ObjectivesIncrease and maintain emotional healthIncrease and maintain mental healthParticipate in community groups/activitiesOne example county profile based on information obtained from the public countys 3-year plan for illustration purposes onlyWhatever it takes and What it takesOther Factors to ConsiderStaff ratioNumber of individual servedClient and staff turnoverRecidivismEvidence based practicesStaffingStaff training, tools and supportCostsTechnologyInformation workflowCommunication workflowOrganization hierarchy / workflowDesired vs. actual outcomesFidelityPhilosophiesFunding Client FeedbackQuality assuranceFeedback processesMeasures of successProgram improvement efforts
Whatever it takes and What it takesOther Factors to ConsiderPriority of Element in Program:Core feature Supplemental feature as neededetc.
Frequency of Elements Use in Program:Always, usually, sometimes, rarely, never
Whatever it takes and What it takesNext StepsIdentify project advisor volunteers (email [email protected] with words Advisor Volunteer)
Identify an appropriate list of guiding questions for county visits and focus groups
Identify at least 3 participating counties (email [email protected] with words County Volunteer)Coordinate with county lead to plan a visitSchedule on-site visits to meet with staff, providers, stakeholders, and families/consumers (as necessary)Review programs and program characteristics with broad staff participationPresent program profiles to each county program based on initially identified characteristics for feedbackDevelop Preliminary FSP Schema based on 3 counties
Whatever it takes and What it takesNext StepsHold a series of focus groupsCategory and Component Definition DiscussionElement Definition DiscussionIdentify ways this project can benefit counties, providers, programs, stakeholders, and consumers and their families
Present the Preliminary Statewide FSP Classification System as PowerPoint Presentation (February, 2015)
Whatever it takes and What it takesProject TimelineFebruary, 2015Preliminary Statewide FSP Classification System Presentation Based on Focus Groups, Advisors and 3 Volunteer CountiesMarch June, 2015Webinar Series to Gather Stakeholder Input and Present Schema Development / EvolutionJuly, 2015Report of Proposed Statewide FSP Classification System Based on Stakeholder InputJuly Aug, 2015Public Comment PeriodSeptember, 2015Final FSP Classification System ReportWhatever it takes and What it takesProject TimelineAugust November, 2015Develop Design Specification for Online Statewide FSP Classification SystemNovember, 2015Online Statewide FSP Classification System V1.0 Design Specification DocumentMay, 2016Online Statewide FSP Classification System V1.0 Beta Release 30-day Beta testing with set of volunteer countiesJuly - Aug, 2016Online Statewide FSP Classification System V1.0 ReleaseAdministrator TrainingUser Training
Whatever it takes and What it takesThe floor is open for questions and discussionNeed to have a more in depth conversation? Email [email protected] with 3 available times you can meet via phone conference.Q & AWhatever it takes and What it takesThank You!
Whatever it takes and What it takes