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The Home to Stay Program Model. Kelsi Linville, MA. Program Overview. Two-year SOF-alternatives grant funded by DMHA Two-fold goal of program: Prevent inpatient hospitalizations Provide non-traditional supports to promote independent living and an enhanced quality of life. Peer Support.

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The Home to Stay Program Model


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Presentation Transcript
program overview
Program Overview
  • Two-year SOF-alternatives grant funded by DMHA
  • Two-fold goal of program:
    • Prevent inpatient hospitalizations
    • Provide non-traditional supports to promote independent living and an enhanced quality of life
peer support
Peer Support

HTS has two full-time and one part-time Certified Recovery Specialists (CRSs) employed in Hendricks county

HTS has one full-time CRS employed in Putnam county

More details to come in Session 2

game plan
Game Plan

Housing

Community Resources

Social Activities

Health

Employment

loan fund
Loan Fund

Loans for consumers (particularly those who have lost their entitlements) to pay rent deposits, the initial months’ rent, utility hook-up fees, and other necessities associated with accessing independent housing

Crisis funding for medications and emergency situations

transportation services
Transportation Services

Transportation for treatment

Transportation for community-based activities consistent with the individualized Game Plan

program goals
Program Goals

95% of individuals who are ready for community placement will be visited in the SOF or other hospital by a Recovery Coach for introductions, housing needs assessment, and initial Game Plan development.

program goals1
Program Goals

2. Reduce the number of SOF and/or psychiatric inpatient readmissions by 20% compared to FY 12

3. Establish baseline for initial hospital admissions.

program goals2
Program Goals

4. Financial assistance from the Home to Stay Fund will be available to 100% of qualified applicants.

5. The non-crisis Home to Stay Fund repayment rate will be 75%.

program goals3
Program Goals

6. 75% of consumers served will achieve involvement with Cummins’ Supported Employment services.

7. 25% of persons served through the program will obtain employment.

program goals4
Program Goals

8. In each county, promote consumer-managed social network and regular, structured, consumer-operated activities.

program goals5
Program Goals

9. Distribute written Home to Stay program model materials to all state providers and announce consultation and technical assistance availability.

10. Conduct one training event for statewide audiences on the Home to Stay model.

program goals6
Program Goals

11. Respond to 100% of phone or e-mail consultation requests within two business days.

12. Respond to 100% of on-site consultation requests within three weeks of request.

performance measures
Performance Measures
  • Percent reduction in psychiatric hospitalization as compared to 12 month period of prior to starting the program for persons served by the ITCD program:
  • July 2012 through September 2012: 26.5% reduction (Target 2%)
  • July 2012 through December 2012: 15.4% reduction (Target 10%)
  • July 2012 through March 2013: 25.2% reduction (Target 15%)
  • July 2012 through June 2013: 19.6% reduction (Target 20%)
performance measures1
Performance Measures
  • Percent reduction in psychiatric emergency contacts for persons served by the ITCD program:
  • July 2012 through September 2012: 35.1% reduction (Target 2%)
  • July 2012 through December 2012: 9.7% reduction (Target 5%)
  • July 2012 through March 2013: 35.4% reduction (Target 8%)
  • July 2012 through June 2013: 38.9% reduction (Target 10%)
performance measures2
Performance Measures

Percent increase in retention in treatment for persons served by the ITCD program:

July through September FY 2012: 104 out of 108 retained = 96.2%

July through September FY 2013: 145 out of 147 retained = 98.6%

July through December FY 2012: 105 out of 110 retained = 95.4%

July through December FY 2013: 155 out of 159 retained = 97.4%

July through March FY2012: 107 out of 115 retained = 93%

July through March FY2013: 186 out of 194 retained = 95.8%

July through June FY2012: 114 out of 118 retained = 96.6%

July through June FY2013: 202 out of 208 retained = 97.1%

challenges encountered
Challenges Encountered
  • Service mix
    • Role identification
    • Scheduling with multiple providers
  • Procedures surrounding loan fund
    • Determining eligibility
    • Developing internal processes for repayment tracking
    • Follow up of non-repayment
lessons learned
Lessons Learned

Importance of role definition among

service providers early and often

Necessity of clear communication

Power of peer recovery services