Allegheny county acute community support plan acsp process
1 / 11

Allegheny County Acute Community Support Plan (ACSP) Process - PowerPoint PPT Presentation

  • Uploaded on
  • Presentation posted in: General

Allegheny County Acute Community Support Plan (ACSP) Process. MRSAP Steering Committee August 21, 2009. Acute Community Support Plan (ACSP).

I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.

Download Presentation

Allegheny County Acute Community Support Plan (ACSP) Process

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.

- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript

Allegheny County Acute Community Support Plan (ACSP) Process

MRSAP Steering Committee

August 21, 2009

Acute Community Support Plan (ACSP)

  • Comprehensive support and resource planning process that is driven by a blending of the consumer’s, family’s, and treatment/service coordination team’s preferences, recommendations, and competencies.

  • Promotes higher levels of accountability

  • Uses external facilitator to encourage new thinking and provide objective review

  • Supported by web-based application to ensures all parties working with the same information

  • Modeled after the Mayview CSP discharge process

Key Characteristics of a CSP

  • Shared responsibility between County, MCO, IP team, community providers, consumer, and other supports

  • A disciplined and highly facilitated process using a non-affiliated facilitator and recorder

  • Consumers get to where they need to be rather than following a continuum of care

  • Avoid ‘one size fits all’ approach to discharge planning

  • An incremental approach to discharge planning

  • Recovery focused and person-centered

Why do an ACSP: Outcomes

  • Positive consumer outcomes

    • Understanding and respecting the client’s choices is critical for long-term success

    • Greater satisfaction

    • Improved quality of life

    • Greater ownership in discharge process

  • Positive system outcomes

    • Improved collaboration among key stakeholders

    • Higher level of accountability

    • Services/supports match consumer needs

    • Reduced inpatient recidivism

    • Initiated to improve consumer outcomes and not just to increase access to resources

  • Acute Inpatient Discharge Process: Overview





    Acute Inpatient


    Treatment Team

    Discharge Planning Facilitated

    by ACSP Coordinator

    Level 3

    Discharge Planning

    Facilitated by

    County Disposition Coordinator

    Level 2


    Treatment Team

    on Inpatient Unit

    Level 1

    ACSP Eligibility Criteria (Draft)

    To be eligible, consumer must meet one of the following criterion:

    • 4 inpatient admissions in last 12 months

    • 2 prior state hospitalizations or any continued state hospital stay greater than 2 years in duration

    • An acute inpatient hospitalization greater than 90 days in duration in past 12 months

    • EAC, RTFA, LTSR treatment in the last 12 months

    • Has had disposition meeting within the last 12 months

    • Consensus that the ACSP process is necessary to assure the development of a plan that promotes recovery, safety and community stability.

    Acute CSP Discharge Process

    • The County Disposition Coordinator and inpatient treatment team can refer to the ACSP process when ACSP criteria is met.

    • ACSP Facilitator introduces process to consumer

    • If consumer is not ready to participate in the ACSP process, the Facilitator works to the engage consumer

    • Assessments are completed

      • CART completes Peer and Family assessments

      • SW completes Clinical Assessment

    • Facilitated ACSP meetings are conducted according to phases

      • Information Gathering and Options

      • Resource Coordination and Transition

      • Final Plan

    ACSP Participants

    • Consumer and anyone the consumer invites

    • Family members of the consumer or representatives of the family

    • Members of the hospital treatment team and community provider (Service Coordinator or CTT is critical)

    • MHA Advocate

    • County ACSP Coordinator

    • MCO representative

    • Peer support

    • The facilitator and recorder

    Current Status

    • Piloted at the TRU in Fall 2008

    • A phased roll-out started in January 2009 that included seven training sessions which occurred from January through July 2009

    • All hospitals (11) and service coordination units (9) in Allegheny County have received training

    • Currently 14 consumers are in some part of ACSP process, 3 of which are transition age.

    • There have been 2 discharges from the ACSP process with an average of 4 meetings each.

    • Barriers

    What we’re working on…

    • Psychiatrist attendance in meetings

    • Providing community supports including service coordination and housing to insure desired match

    • Continuous education to providers about supports in the community

    • A conflict resolution process is in development

    ACSP: Other Supports and Activities

    • The ACSP Advisory Committee meets every other month. Participants include Allegheny County OBH, DRN, MHA, PSAN, St. Clair Hospital, Mercy Behavioral Health, WPIC, OMSHAS, CCBHO and AHCI.

    • Weekly meetings occur between Allegheny County OBH and AHCI to discuss referrals to the process.

    • Pamphlets have been developed to guide families and consumers through the process

  • Login