POSITIVE POSITIVE PRACTICES PRACTICES

RESOURCE TEAMRESOURCE TEAMALLOCATION ALLOCATION

PROCESSPROCESSPurpose:Purpose: To identify and develop To identify and develop system capacity and resources that system capacity and resources that will be dedicated to address issues will be dedicated to address issues pertaining to a person’s behavioral pertaining to a person’s behavioral support needs.support needs.

STARTLING STARTLING STATISTIC!!STATISTIC!!

20-35% of all people with mental 20-35% of all people with mental retardationretardation

have a psychiatric disorder - have a psychiatric disorder - compared to compared to

16-20% among the general 16-20% among the general population.population.

The National Institute of The National Institute of Mental Health (NIMH)Mental Health (NIMH)

…………mental health disorders occur mental health disorders occur substantially more often in person substantially more often in person with mental retardation than they do with mental retardation than they do in population without mental in population without mental retardation. retardation.

The full range of psychopathology The full range of psychopathology that exists in the general population that exists in the general population also exists in persons with mental also exists in persons with mental retardation.retardation.

Why So Prevalent?Why So Prevalent?

Negative social conditions Negative social conditions throughout lifethroughout life

Rejection by others/stigmatization Rejection by others/stigmatization and the lack of acceptance in generaland the lack of acceptance in general

Limited coping skills associated with Limited coping skills associated with language difficultylanguage difficulty

Inadequate social supportsInadequate social supports High frequency of central nervous High frequency of central nervous

system impairmentsystem impairment

IMPACTIMPACT Disrupts family and peer Disrupts family and peer

relationshipsrelationships Interferes with Interferes with

educational/vocational progresseducational/vocational progress Jeopardizes residential placementsJeopardizes residential placements Bottom Line – greatly reduces a Bottom Line – greatly reduces a

person’s quality of lifeperson’s quality of lifeSummation:Summation: It is imperative that It is imperative that

people receive an accurate diagnosis people receive an accurate diagnosis and appropriate treatment/supportsand appropriate treatment/supports

Criteria For ReferralCriteria For Referral A person with a developmental A person with a developmental

disability who is demonstrating disability who is demonstrating escalating at-risk behavioral escalating at-risk behavioral challenges.challenges.

Person the support team Person the support team determines may be at risk for determines may be at risk for needing enhanced levels of support needing enhanced levels of support that are not readily available or that are not readily available or known to the team.known to the team.

OMHSAS & OMR OMHSAS & OMR CollaborationCollaboration

Recovery PrincipleRecovery Principle Everyday Lives Everyday Lives PrinciplePrinciple

•Principle that Principle that guides all guides all interventions/interinterventions/interactionaction•Consumer Consumer centered and self centered and self determineddetermined•Driven by the Driven by the belief that people belief that people need to have hope, need to have hope, connectedness, connectedness, support, support, knowledge, value, knowledge, value, purpose, and purpose, and meaning in lifemeaning in life

Principle that Principle that guides all supports guides all supports and servicesand servicesPerson centered Person centered Driven by the Driven by the belief that people, belief that people, with or without a with or without a disability, want to disability, want to be treated with be treated with dignity, respect, dignity, respect, and have a life that and have a life that includes choice, includes choice, control, and control, and relationshipsrelationships

Positive Practices Guides Positive Practices Guides for Supportfor Support

Environment Environment – Recognize that the – Recognize that the person’s environment meets their person’s environment meets their needs and may influence their needs and may influence their behavior.behavior.

CommunicationCommunication- Recognize that - Recognize that behavior is an attempt to behavior is an attempt to communicate and promote assisting communicate and promote assisting people to find ways to express people to find ways to express themselves and be understood.themselves and be understood.

Guides to Support, Guides to Support, cont’d.cont’d.

AssessmentAssessment - Recognize the need for - Recognize the need for prompt assessment, diagnosis, and prompt assessment, diagnosis, and treatment of a person’s physical and treatment of a person’s physical and psychiatric needs.psychiatric needs.

Hanging in ThereHanging in There – Service and support – Service and support staff need to have the ability to hang in staff need to have the ability to hang in there and continually reevaluate the there and continually reevaluate the environment, communication factors, environment, communication factors, and reassess needs.and reassess needs.

System ResourcesSystem Resources Advocacy Staff (PP&A; ARC; etc.)Advocacy Staff (PP&A; ARC; etc.) Consultant StaffConsultant Staff County StaffCounty Staff Families/FriendsFamilies/Friends Health Care Quality Units (HCQU)Health Care Quality Units (HCQU) Office of Autism AffairsOffice of Autism Affairs OMR and OMHSAS Staff (Regional OMR and OMHSAS Staff (Regional

Offices; State Hospitals; State Offices; State Hospitals; State Centers)Centers)

Positive Practices Resource Team Positive Practices Resource Team (PPRT)(PPRT)

POSITIVE PRACTICES POSITIVE PRACTICES RESOURCE TEAMRESOURCE TEAM

PPRT utilizes staff assigned to State PPRT utilizes staff assigned to State Hospitals and State Centers Hospitals and State Centers demographically by region. demographically by region.

Skills and experience of PPRT cover a Skills and experience of PPRT cover a wide range in the positive approaches wide range in the positive approaches areas: areas:

Psychiatrist; Psychologist; Nurses; Psychiatrist; Psychologist; Nurses; Pharmacist; Social Worker; Direct Pharmacist; Social Worker; Direct Support Service; Recreation Therapist; Support Service; Recreation Therapist; Educator/Trainer; Spiritual/Pastoral Educator/Trainer; Spiritual/Pastoral SupportSupport

Positive Practices Positive Practices Resources Team (PPRT) Resources Team (PPRT)

Allocation ProcessAllocation Process The referral for assistance will be made The referral for assistance will be made

from any source including:from any source including: AdvocatesAdvocates Counties/Administrative Entities Counties/Administrative Entities Families Families OMHSAS Field OfficesOMHSAS Field Offices OMR Customer Service LineOMR Customer Service Line Self-AdvocatesSelf-Advocates State HospitalsState Hospitals

PPRTPPRT Process Cont’d… Process Cont’d…

The Regional Program Office will The Regional Program Office will forward the referral form forward the referral form ((Resource Allocation Analysis Resource Allocation Analysis FormForm) along with a summary of ) along with a summary of the person’s current situation to the person’s current situation to the PPRT Coordinators. OMR the PPRT Coordinators. OMR Area Directors will be copied on Area Directors will be copied on this referral. this referral.

PPRT Process Cont’d…PPRT Process Cont’d… The PPRT Coordinators will review The PPRT Coordinators will review

with OMHSAS & OMR Regional with OMHSAS & OMR Regional Office leads to determine next steps.Office leads to determine next steps.

If a decision is made to meet with If a decision is made to meet with the person’s support team the PPRT the person’s support team the PPRT Coordinators will identify PPRT Coordinators will identify PPRT members to be assigned. The members to be assigned. The assignment will be based on assignment will be based on skill/experience strengths and skill/experience strengths and availability. A team lead will be availability. A team lead will be assigned.assigned.

PPRT Process Cont’d…PPRT Process Cont’d… The PPRT Coordinators will contact The PPRT Coordinators will contact

the PPRT members to provide the PPRT members to provide information ad discuss activities. The information ad discuss activities. The PPRT lead will coordinate actions PPRT lead will coordinate actions with the Regional Office.with the Regional Office.

Information obtained will be shared Information obtained will be shared with PPRT members and on site visits with PPRT members and on site visits conducted after reviewing conducted after reviewing information and discussing ideas with information and discussing ideas with the PPRT Coordinatorsthe PPRT Coordinators..

PPRT Process, cont’d.PPRT Process, cont’d. The PPRT members will explain their role The PPRT members will explain their role

and acknowledge the efforts of the and acknowledge the efforts of the support team.support team.

The PPRT members will then ask the The PPRT members will then ask the support team for an update and begin to support team for an update and begin to collaboratively bring together collaboratively bring together suggestions to address the challenges.suggestions to address the challenges.

The PPRT lead will begin to compile a The PPRT lead will begin to compile a work plan identifying actions to be taken, work plan identifying actions to be taken, target dates, and responsible person.target dates, and responsible person.

A copy of the work plan will be shared A copy of the work plan will be shared with the provider, the PPRT with the provider, the PPRT Coordinators, and the Regional Office.Coordinators, and the Regional Office.

PPRT Process Cont’d…PPRT Process Cont’d…

The Regional Office Risk The Regional Office Risk Management Committee will Management Committee will review the status of each work review the status of each work plan until a desired outcome is plan until a desired outcome is achieved. achieved.

PPRT Process Cont’d…PPRT Process Cont’d… The PPRT Coordinators or involved The PPRT Coordinators or involved

Regional Office Staff will update the Regional Office Staff will update the PPRT on outstanding issues during PPRT on outstanding issues during weekly PPRT update calls.weekly PPRT update calls.

Information tracked by the PPRT Information tracked by the PPRT Coordinators will be incorporated Coordinators will be incorporated into reviews by the Statewide into reviews by the Statewide Positive Practices Committee and Positive Practices Committee and OMR and OMHSAS Program Offices.OMR and OMHSAS Program Offices.

PPRT – Regional Office PPRT – Regional Office PerspectivePerspective

Number of referralsNumber of referrals

Status of people referredStatus of people referred

Focus from the Region Focus from the Region perspectiveperspective

PPRT Leads PPRT Leads

Gretchen Hathaway, OMHSASGretchen Hathaway, OMHSAS ghathaway@state.pa.usghathaway@state.pa.us 717-772-7526(office) / 717-649-6682(cell)717-772-7526(office) / 717-649-6682(cell)

Fred Lokuta, OMR Fred Lokuta, OMR flokuta@state.pa.usflokuta@state.pa.us 570-443-4244(office) / 570-233-570-443-4244(office) / 570-233-

3520(cell)3520(cell)

Ellen Wagner, OMR Ellen Wagner, OMR elewagner@state.pa.uselewagner@state.pa.us 570-372-5659(office) / 570-809-3765(cell)570-372-5659(office) / 570-809-3765(cell)

PPRT PP –1/10/07PPRT PP –1/10/07