Western Reserve Area Agency on Aging 2011 Conference

1. Western Reserve Area Agency on Aging 2011 Conference Mental Health: Local resources that help May 10, 2011 Morning

2. Outline: • Welcome/Introductions (5 mins) • High-level overview of MH and AOD services (5 mins) • Each presenter (10 mins) • What services are available? • How do I refer? • Q&A (25 mins)

3. Presenting Organizations: • CareSource • Cleveland Clinic Home Care Services • Cuyahoga County ADAMHS & Benjamin Rose

4. When are opportunities for intervention? • When behaviors, thoughts or feelings create ongoing pain, and/or impairment in functioning, ask for help! • Lots of tools and resources available to identify specific behavioral health impairments- most require training and oversight- work with your team and leadership to determine means of problem identification and referral practices

5. CareSource Model Non-profit, mission driven Member focused Enhanced benefits, no co-pays Care Management continuum – member centric care Community based care management, marketing, and provider relations programs Regional Consumer Councils Provider focused Physician enhanced reimbursement Low hassle approach to medical management Best practices Administrative efficiencies

6. CareSource Focus Quality provider network Integrated Care- Mental Health, Substance Use Disorders and Physical Health Medical Home- Behavioral Health Numerous Community Service Partnerships Case Management Partnerships- Access Services-Evidenced Based Practices

7. CareSource’s Behavioral Health Department • Integration of behavioral and physical healthcare • Care, Medical, and Disease Management • Medical Management • Initiatives with community partners • Special programs: Care4U, Bridge to Home, Intensive Care Management, • BH community outreach

8. CareSource’s Care Management Activities Care Coordination with key stakeholders, including inpatient settings, primary care providers, institutional settings (with health services), Education on the signs, symptoms, course and prevalence of illnesses and benefits of treatment. Resource identification for bolstering supports, decreasing isolation and ameliorating psychosocial problems Skill building to address the identified reason for referral and to improve access to health and community resources through addressing barriers Active participation of member in the interdisciplinary team, including plan development

9. CareSource 24 24 (24-hour nurse advice line) Our nurses can help you: Decide when self-care, a doctor visit, or the emergency room is appropriate Understand a medical condition or recent diagnosis Prepare questions for doctor visits Find out more about prescriptions or over-the-counter medicines Learn about nutrition and wellness 1-866-206-0701 (TTY 1-800-750-0750 or 711)

10. CareSource Jonas Thom Director of Behavioral Health jonas.thom@caresource.com 937-531-2137 CareSource24:

11. Cleveland Clinic Home Care Services • What are the opportunities for intervention? • What services are available? • How do I refer? • How do I contact you?

12. Cleveland Clinic Home Care Services Wanda Bell bellw@ccf.org 216-404-6630 Cyndi Bender cybend@ccf.org (216) 373-1772

13. Alcohol, Drug Addiction and Mental Health Services (ADAMHS) Board of Cuyahoga County Esmat Nasr Adult Programs Specialist ADAMHSCC & Bert Rahl Director of Mental Health Eldercare Services Institute, LLC (Benjamin Rose Institute on Aging)

14. Alcohol, Drug Addiction and Mental Health Services (ADAMHS) Board of Cuyahoga County • The Alcohol, Drug Addiction and Mental Health Services (ADAMHS) Board of Cuyahoga County is responsible for the planning, funding and monitoring of public mental health and alcohol and other drug addiction services delivered to the residents (adults ages 18 and over, and children) of Cuyahoga County. • The ADAMHS Board does not provide services directly to consumers and clients, but contracts with provider agencies to deliver services that assist consumers and clients on the road to recovery. • ADAMHSCC contracts with over 70 alcohol, drug addiction and mental health service providers in Cuyahoga County.

15. REFERRAL PROCESS FOR INDIVIDUALS WITH MEDICAID COVERAGE • Individuals with Medicaid coverage seeking community mental health service(s) can: • Contact any of the contract service providers directly (see ADAMHS Services Directory) • Contact MHS, Inc Information & Referral at: (216) 623-6555

16. SCALE for UNINSURED ADULTS What is SCALE? SCALE (Screening, Centralized, Assessment, Level of Care Assignment and Engagement/Linkage to Treatment) program was developed to: * Create a single point of entry into the community mental health system to better serve uninsured adults with behavioral health needs; * Improve the utilization of limited non- Medicaid funds.

17. SCALE:Opening Doors to Treatmentfor the Uninsured1-877-236-8676 Offering a single point of entry to Cuyahoga’s community behavioral healthcare system, expediting the enrollment process and reducing the waiting period between assessment and treatment.

18. The SCALE Program • The SCALE Program is for individuals seeking mental health services who are new to the community behavioral healthcare system and meet the following minimum qualifications: • SCALE is not intended for individuals who have private health insurance, or for those who have already been linked to treatment or an agency in the community behavioral healthcare system within the past six months, except for crisis services. • Who does SCALE serve? - Cuyahoga County residents - 18 years of age or older - Uninsured - Requesting services

19. The SCALE Program ELIGIBILITY • Unlinked & uninsured in addition to • Diagnosed with one of the following: • Schizophrenia • Schizoaffective • Bipolar I & II • Major depression with psychosis in addition to • Meet the levels of care

20. The SCALE Program • The following providers of mental health servicers participate in the SCALE program: • Center for Families & Children • Connections • Far West Center • Eldercare Services Institute (BRIA) • Epilepsy Association • Jewish Family Services • MHS, Inc. • Murtis Taylor Human Services Center • Recovery Resources

21. SERVICES DIRECTORY • You can access the ADAMHSCC Services Directory via the website at: http://adamhscc.org

22. Eldercare Services Institute, LLC • ESI is a contract agency of the ADAMHS Board • SCALE carve-out for the Elderly (55 and up) • ESI provides MH Assessment, CPST, MH Counseling and Partial Hospitalization (Medicaid only) • All services provided in the community • Referral Phone line 216-791-8000

23. Alcohol & Drug Addiction (AOD) ServicesCentralized Assessment • Centralized Assessment was developed to reduce the Board’s waiting list for “community” assessment and to maintain a reasonable time period for obtaining an assessment within 3 days. • Hitchcock Center for Women is providing AOD assessments for the network. • When an AOD agency can’t complete an assessment within 3 days of receiving an inquiry for services, it refers the caller to Hitchcock Center for Women (216-421-0662).

24. Alcohol & Drug Addiction (AOD) ServicesCentralized Assessment • The Centralized Assessment Overflow will : • Complete an assessment • Offer Case Management services to clients who are waiting for a treatment slot. These services are limited to providing linkage to treatment by securing an appointment with treatment providers and providing clients with a point of contact if they are waiting for treatment. The case management services are intended to address linkage issues and not treatment needs.

25. ADAMHS Board of Cuyahoga County Esmat Nasr Adult Programs Specialist nasr@adamhscc.org (216) 241-3400 Benjamin Rose Bert Rahl Director of the Mental Health Program at Eldercare Services Institute, LLC. brahl@benrose.org

26. Q & A