PHMC Integrated Health Services Overview

PHMC Integrated Health Services Overview

Dinetta Armstrong Managing Director Health Services

Who is PHMC? Nonprofit public health institute Serving the city/region since 1972 Provides direct services, intermediary services, and research and evaluation Partners with city, state, federal government, foundations, businesses and community organizations Using best practices and evidence-based guidelines to improve community health

PHMC Service Areas

Jenn Lydic Mary Howard Social Work Supervisor Health Resiliency Program Manager

Our Integrated Team of Professionals Doctors (MDs) Nurse Practitioners (NPs) Physician Assistants (PAs) Psychiatric Nurse Practitioners (Psych NPs) Behavioral Health Consultants (LCSWs, Licensed Psychologists) Nurse Care Managers (RNs) Medical Assistants (MAs) Social Workers Nutritionists Specialty Providers Dentist, Podiatrist, Cardiologist

Primary Care Services Wellness visits Physical evaluations Immunizations Sick visits Chronic disease management Hospital follow-ups Family planning/basic gynecologic care

Social Services Health insurance eligibility assessment and application support (Medicaid, CHIP, Health Insurance Marketplace, Medicare) Assistance navigating healthcare system Public benefits and entitlements Specialized medical case management Referrals for housing, food access, utility assistance, employment, legal, child care, financial, education, and other services and programs

Health Resiliency Program (HRP) HRP helps medically complex patients at Mary Howard better respond to their health needs on-site and in the community

Health Resiliency Program (HRP) HRP supports resiliency by assisting patients in: Navigating health systems and coordinating appointments, on-site and in the community Escorting and supporting them through specialist appointments Strengthening understanding of their health conditions Connecting them to necessary social services

Health Resiliency Program (HRP) Goal-oriented, coordinated and collaborative Goal-driven approach to improvement Clear and consistent social services access Cross-systems collaboration

Kimberly Malayter, LCSW Behavioral Health Director Specialized Health Services

Behavioral Health Consultation (BHC) Team of Licensed Psychologists and LCSWs Goal is to create access to behavioral health Imbedded within the primary care clinic and available for on-demand consultations Population-based care Services: Screenings, Brief targeted behavioral health interventions (MI, CBT, ACT, SBIRT), Crisis Intervention, Health Behavior Coaching Groups Pain Academy, Mind Body, Smoking Cessation

Peer Recovery at Care Clinic Certified Recovery Specialists Target population is individuals with substance use disorders and a history of criminal justice system involvement Individual Recovery Coaching Weekly Recovery Groups Monday @ 10:00 am Wednesday @ 6:00 pm Community Outreach

MAT Program at the Care Vivitrol, Suboxone, and Narcan Interdisciplinary Team Approach Psychiatrist Primary Care Providers Nurses Behavioral Health Consultants Certified Recovery Specialists Center of Excellence Community Based Care Management

Adam Fussaro COE Supervisor

Opioid Epidemic: PHMC Response - National crisis - More than 28,000 overdose deaths per year - Philadelphia crisis - Nearly 900 drug overdose deaths in 2016-3xs the number of homicides - 80% involve opioids, including painkillers, heroin and fentanyl

Opioid Crisis: Philadelphia Overdose Fatalities (Total=907) 450 400 350 300 250 200 150 Fentanyl Heroin Oxycodone Benzo. 100 50 0 2011 2012 2013 2014 2015 2016

Center of Excellence A public health response to the opioid crisis teams of professionals that engage people with opioid use disorder in the community for the purpose of treatment engagement. PHMC contributions in the City of Philadelphia Opioid Task Force PHMC Physical health COE

PHMC Center of Excellence Patient-centered, holistic, and personalized Increases patients access to services and resources Facilitates linkage of patients to resources Strengthens and expands patients current support network Supports primary care and behavioral health integration; includes necessary service providers in coordination of care

Community Warm Handoff

Medication Assisted Treatment MAT pairs nondrug therapies, such as counseling and with an FDA-approved medication to treat OUD. These drugs buprenorphine and naltrexone Research shows that MAT significantly increases a patient s adherence to treatment and reduces illicit opioid use compared with nondrug approaches. By reducing risk behaviors such as injection of illicit drugs, it also decreases transmission of infectious diseases such as HIV and hepatitis C. 4 Cs of Recovery

Integrated and Community Health Care PHMC incorporates the COE into there integrated health care model. COE in your community Narcan access How community development corporations can partner in ending the opioid epidemic in Philadelphia Referral contact (Adam): 267-398-0247

David Kensler Program Director, Pathways to Recovery

Pathways to Recovery 1 st Dual Diagnosis Partial Hospitalization Program in the City of Philadelphia created in partnerships with Community Behavioral Health (CBH)

Pathways to Recovery 45 Clinical Days or up to 9 weeks Located at 2301 E. Allegheny Ave at the old Northeastern Hospital Focused on addressing the opioid epidemic In North Philadelphia and next to drug hotspots In between inpatient and outpatient care 20 hours a week of onsite treatment Provides Medication Assisted Treatment (MAT)

Pathways to Recovery Staffing MAT Certified Psychiatrist Licensed Clinical Therapists Registered Nurse Peer Recovery Specialists Case Managers

Pathways to Recovery Group, Individual and Family Therapy Peer Recovery Specialists for street and community outreach and engagement. Transportation Nursing assessments and supports with physical healthcare, including PHMC s FQHC s Psychiatric Assessments Suboxone and Vivitrol Induction and management 24/7 on call crisis support Onsite drug testing

Pathways to Recovery Partners Kensington Hospital Temple Episcopal CRC (Crisis Response Center) Einstein Medical Center CRC Penn Presbyterian Hospital Temple University Hospital Friends Hospital Prevention Point Recovery Houses

Pathways to Recovery Housing Limited funded Recovery Houses Need transitional and permanent housing

Kathy Wellbank Program Director

Interim House, Inc. A comprehensive, trauma informed, holistic treatment program for women in recovery from substance use.

Interim House, Inc. Founded in 1971 Continuum of care; residential & outpatient services Located in a former convent Embedded in West Mt. Airy neighborhood

Community Integration Signage of building Curb appeal Neighborhood Support Use of Community Volunteers Ongoing efforts to foster positive community relationships

Future Needs Supported housing model where women can sustain community supports they ve established. Identify employer partners to hire women from our Life Skills / Job Training Program programs. Explore ways to create a blended model of housing developers & employers

Jay Wussow Director of Regulatory and Financial Affairs, BH Services

Neighborhood Outreach Coalition Building Zoning Variances Local City Councilperson Support Examples: i. Interim House West ii. The Bridge

Interim House West 22-bed residential treatment program for women with children Children live with their mothers while in treatment Neighborhood Support: Parkside Coalition Ongoing participation in local community (churches, etc.)

The Bridge 38-bed residential substance use treatment program for adolescent boys and girls 2 local Neighborhood Associations Cooperative Agreement Councilperson support Local Business Support Zoning Approval

Discussion