South Carolina Department of Mental Health

Transcription

1 South Carolina Department of Mental Health Aiken-Barnwell Mental Health Center Annual Report Fiscal Year Gregg Highway Aiken, South Carolina

2 Board of Directors Aiken Barnwell Mental Health Center has an advisory board consisting of twelve residents of Aiken and Barnwell Counties selected by the Aiken and Barnwell County Legislative Delegation to serve as the voice of the community. Member Name County Served Appointed Expiration Date Seat Number Vacant Board Chair Aiken 9 Race/Sex John C. Young Barnwell 02/ / W/M Vacant Barnwell 2 Vacant Barnwell 3 Polly Goldston Aiken 01/ / W/F Cheryl Long Barnwell 04/ / W/F Dr. John Bradley Aiken 02/ / W/M Frances Williams Aiken 11/ / B/F Dr. Wayne Entrekin Aiken 9/ / WM Mary Head Aiken 04/ / W/F Rachel Ryan Aiken 01/ / W/F Thomas Thome Aiken 07/ / W/M Charlotte Raidford Aiken 07/ / B/F Marion Gary Aiken 01/ / B/F Janie Key Aiken 01/ / B/F Mission Statement The Center aspires to be the premier provider of behavioral health services supporting the recovery of persons with mental illness in Aiken and Barnwell Counties. Core Values In order to best serve our clients and remain true to our employees, Aiken Barnwell Mental Health Center embraces the following core values: Respect Respecting the rights and dignity of persons served Recovery Creating an environment of recovery for our clients Quality Commitment to quality with a commitment to excellence and superior outcomes Public Awareness Dedication to improved public awareness and eliminating stigma Celebrating Diversity Teaching tolerance Value Our Employees Employees are our single greatest asset Page 2 of 14

3 Accomplishments Provided services to approximately 4500 individuals with an average active caseload of 2200 individuals. Maintained a balanced budget despite continued reductions in state appropriations. Began collaboration with Margaret J. Weston Community Health Center to begin integrated care as part of the Transformation Transfer Initiative Grant. Awarded Crisis Stabilization Funds by the SC Department of Mental Health to expand existing projects and enhance behavioral services. Expanded the Homeshare Program as a result of a financial award from the SC Department of Mental Health. The Blue Granite Program recognized three of our mental health professionals at Aiken Barnwell Mental Health. Rick Acton, Executive Director, Tamara Smith, and Jeff Waddell were honored in the SC Senate Chambers for their extraordinary service, selflessness, innovation, insight, initiative, and persistence toward exceptional outcomes. Provided Crisis Intervention training to Aiken Public Safety in conjunction with NAMI. Provided Crisis Intervention training to Margaret J. Weston Community Health Center as part of the Transformation Transfer Initiative Grant. Provided on-going training for the local Barnwell community including DSS, Law Enforcement, Probate Judge and EMT s via quarterly community forum. Held Center-Wide Community Forum to build support/create awareness of mental health issues. Provided for the transportation needs of mentally ill for Aiken-Barnwell residents through the contract with Access 2 Care and DHHS. Maintained partnerships with Aiken Center and SC Vocation Rehabilitation Department via Co-Occurring State Initiative Grant. Sponsored COSIG training for clinical staff. Sponsored HIV training for clinical staff. Coordinated HIV testing on site at ABMHC in conjunction with Georgia Health Sciences University. Expanded Board membership. Provided largest number of Peer Support Services in South Carolina/SCDMH system. Partnered with Augusta State University and USC-School of Social Work and provided internship opportunities at ABMHC. Enhanced community awareness of ABMHC via press releases and submission of articles to local newspapers. One of the lowest ER waiting lists in the State due to partnership and contract with local psychiatric inpatient unit in the catchment area. Establishment of Public Relations Committee and Public Relations Events to enhance presence in the community. Enhanced knowledge of mental health and services for community via Open House, Press Releases and submission of articles to local newspaper. Enhanced data collection and outcome measures (all staff trained to utilized GAIN-SS; CBCL) Establishment of ABMHC Grant s Committee June 2012 Strengths 33% of our Mental Health Professionals are licensed. 24% are in licensing process Staff has maintained a positive attitude and willingness to accept increased workloads. Page 3 of 14

4 Active participation in Inter-Agency Team Meetings in Aiken, Barnwell and North Augusta (Quality of Life, North Augusta Community Services Network, Aiken Community Service Network and Barnwell Community Service Network). On-going networking with local Legislative Representatives (Senator Shane Massey, Rep. Jim Clyburn, Aiken County Business Administrator Clay Killian) Active participation in community events to include local open houses/health fairs. Weaknesses Lack of competitive salaries to recruit licensed staff, psychiatrists, nurses, mental health professionals. Long waiting list for housing Clinicians lacking licensure Increased demand for services yet on-going budget cuts limiting Mental Health resources. Lack of adequate compensation for existing staff. Many staff has assumed extra job duties due to budget cuts and inability to fill positions yet are not compensated. Inadequate Electronic Medical Record computer system. System is home-grown and often goes down. System is not compatible with other electronic health records. Lack of affordable housing options in Aiken and Barnwell Counties. Page 4 of 14

5 Adult Services The program provides outpatient treatment of varying levels of intensity for adults 18 years of age and older with problems of psychological instability that are diagnosed with a seriously and persistent mental illness or serious mood disorder. There are no exclusions based on socio-economic conditions, race or sex. Individuals who are an imminent danger to themselves or others are transferred to a safe environment until stabilized and discharged and then are returned to outpatient services if appropriate. See the attached Front Door Response as that further defines diagnoses appropriate for treatment. The focus is on treatment that is client driven with opportunities for a wide array of services from which to choose to provide effective recovery and stabilization of symptoms for the clients. Services are offered in all three locations: North Augusta, Barnwell, and Aiken. Priority is given to those experiencing severe distress. Appointments are available Monday through Friday from 8:00 a.m. to 5:30 p.m. In conjunction with the Crisis Intervention Program, Adult Outpatient offers emergency services twenty-four hours a day, seven days a week. During regular working hours of Monday through Friday, 8:00 a.m. to 5:00 p.m., services can be accessed by contacting or walking in to the ABMHC s Main Center (Aiken), Polly Best Center (Barnwell), or Hartzog Center (North Augusta). After-hours telephone services are provided by on-call MHPs in Aiken and Barnwell counties. Strengths Therapists are skilled Program recovery oriented Documentation is completed timely Challenges Short staffed High caseloads Limited training opportunities Accomplishments Therapist licensed or working towards licensure All new cases staffed with treatment team daily Implemented groups to move clients toward discharge Page 5 of 14

6 Goals Decrease caseloads Hire additional staff Increase community referral options Page 6 of 14

7 Child, Adolescent and Family Services The philosophy of Child, Adolescent, & Family Services is to provide an array of services in a variety of therapeutic environments which enhance the individual child s physical, psychological and social development. Treatment attends to the needs of the child with emotional problems or mental illness and his/her family. Integral to this mission is the full involvement of the care-givers along with appropriate intervention with the family as the primary psychological and social environment of the child, including the community in a culturally competent manner. Both Aiken and Barnwell counties have age appropriate community mental health services available for children, adolescents and their families through the Center s Main office in Aiken and its outlying offices in North Augusta and Barnwell. It is the goal of the Child, Adolescent, & Family Services Division to develop consumer driven goals and objectives that are clear, outcome oriented, and individualized which reflect the desired outcomes of symptom reduction. Outcomes measure improved functioning as indicated by the GAF; for access to mental health services to meet ABMHC criteria; and for our consumers to indicate to us that our services are beneficial to them through consumer satisfaction surveys. Strengths Positive relationships with other community agencies such as Department of Juvenile Justice, Department of Social Services, Continuum of Care, CAC, and the schools. Communicating with other community partners assists clinicians to better understand and help the children and families they serve. Clinicians offer extended hours Monday through Thursday to accommodate the needs of children and families. Clinicians use evidence practices such as TF-CBT and CBT in therapy. Use the CBCL as a measure of progress for the child. Use of MST to prevent out of home placements. Participate in MDT meetings. Address the needs of special populations and cultures. Challenges Stigma Transportation problems for families. Page 7 of 14

8 Families that are challenged my many social-economic issues so do not make therapy for their child a priority. Empowering families by helping them understand what they can do in other systems that will benefit their child (i.e. the school). Accomplishments Goals Therapists either have their license or are working toward licensure. Involvement in Project Best-TF-CBT. Hired two therapists for the MST program and have hired one new therapist that is bi-lingual. Provide education in the community about CAF services and children s mental health whenever possible. Expand the CAF Program by hiring at least one more clinician. To continue to provide comprehensive services to children and their families. To support the recovery and stabilization of those served. Decrease stigma. Page 8 of 14

9 Community Integration & Rehabilitation Services Pathways to Recovery Pathways to Recovery is the name for the Community Integration & Rehabilitation Services offered at ABMHC. Recovery is a unique journey for each individual. Individuals are unique with distinct needs, strengths, preferences, goals, culture and backgrounds that affect and determine their pathways of recovery. Services include: Psychosocial Rehabilitation Services (RPS)-clinic and community based; Peer Support Services (PSS), Housing, Wellness Groups, & Case- Management Services. All services offered are designed to promote a recovery that includes: Health- Overcoming or managing one s Disease (s) as well as living in a physically & emotionally healthy way Home- Having a stable & safe place to live that support recovery Purpose- Having meaningful daily activities such as a job, school, volunteerism, family caretaking, or creative endeavors, and the independence, income, and resources to participate in society. Community-having relationships & social networks that provide support, friendship & love. Strengths Fosters hope Person driven Holistic approach Challenges Stigma and lack of public awareness Lack of availability of affordable and safe housing in the Community Limited public transportation Accomplishments Goals Expansion of Peer Support Services via hiring 2 additional staff Addition of Case-Management Program and Care Coordinator Addition of Health & Wellness Groups promoting integration Expand Case-Management Program Increase public understanding and awareness of mental illness (prevention, treatment and recovery) Expand housing network and housing opportunities Page 9 of 14

10 Summary of Client Data FY 2012 Total Persons Served: 4682 Total Number of Admissions: 2219 Total Number of Discharges: 2273 Total Number of Clinical Contacts Male 2020 Female 2331 Age Age Age Age Ethnicity White African American Hispanic More than one race Page 10 of 14

11 Primary Payor Type % % % % 02 Selp Pay 03 Private Ins 04 Medicaid 05 Medicare Income of Persons Served No Income Reported $0 $10,000 $10, $20,000 $20, $30,000 $30, $40,000 $40, $50,000 $50, $60,000 Over $60,000 Page 11 of 14

12 Client Demographics by Primary Diagnosis Category Male Female Top 6 Diagnosis Page 12 of 14

13 Billing Summary 7/1/11 6/30/12 $262, $1, $620, $375, Self Pay 03 Private Insurance 04 Medicaid $3,584, Medicare 06 Champus Hospital Bed Days for Selected Hospitals by County Bryan Morris Villiage Harris Aiken Barnwell Page 13 of 14

14 Aiken Barnwell Mental Health Center FY 12 Budget Financial Reports As of June 2012 Revenues FY 12 Budget YTD Actual Medicaid Reimbursement $2,097,526 $2,097,526 Other Fees/Institutional Revenue $367,393 $345,505 State Appropriations $1,829,728 $1,826,091 County Appropriations $1,000 $1,000 Block Grant $377,568 $178,900 Other Revenues $15,000 $20,537 TOTAL REVENUES $4,688,215 $4,469,558 Expenditures Projected YTD Actual Permanent Position Salaries $2,962,207 $2,962,207 Temporary Position Salaries $7,727 $94,725 Other Personal Services $214,961 $119,149 Employee Benefits $1,097,188 $1,093,485 Contract Personnel $333,302 $302,271 TOTAL PERSONNEL COST $4,615,385 $4,571,838 Contractual Services $130,604 $114,823 Supplies $154,000 $145,701 Fixed Charges $112,000 $88,830 Travel/Vehicle Expenses $125,000 $82,133 Utilities $100,000 $84,451 TOTAL OPERATING EXPENSE $621,610 $515,938 Case Services $195,553 $102,191 TOTAL EXPENDITURES $5,432,548 $5,189,967 Revenues Over (Under) Expenditures ($744,333) ($720,409) Over (Under) Including One-Time Funding ($23,924) Page 14 of 14