[PDF] - Encourage collaboration among stakeholders to ensure individuals PDF Document

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DBHDS

Virginia Department of Behavioral Health and DevelopmentalServices

Training Center Community Integration Project

Review of New Training Center Moving Process

_________________ _ _ _ _ _ ___________________ Slide 2

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DBHDS

Virginia Department of Behavioral Health and Developmental Services

Purpose of this Forum

Encourage collaboration among

stakeholders to ensure individuals leaving the TCs are moving to safe homes in the community and better lives

– Individual’s vision of a good life in the community – Provider’s response to important to/for.

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DBHDS

Virginia Department of Behavioral Health and Developmental Services

Purpose of this Forum

– Providers should know their limitations. Don’t be afraid to ask for help. – DBHDS is available to provide training, technical assistance, information and

versight.

– Building of a better life continues in the community

(Continued)

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DBHDS

Virginia Department of Behavioral Health and Developmental Services

Overview of DBHDS players

System Support and Oversight

Created new position - Community Integration

Managers (CIM) located at each TC

Doubled number of Community Resource

Consultants (CRC)

Increased number of Licensing Specialists (OL)
Increased number of Human Rights

Advocates(OHR)

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DBHDS

Virginia Department of Behavioral Health and Developmental Services

Overview of DBHDS players

Added START (Systemic, Therapeutic, Assessment, Respite, and Treatment) Model of Community Crisis Stabilization Services

Services began in most regions by July 1, 2012
Designed to help individuals stay in their home

communities

Uses both mobile crisis teams and center-

based therapeutic respite

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DBHDS

Virginia Department of Behavioral Health and Developmental Services

Five positions, Central Office Employees

Community Integration Manager (CIM) Role Training Center Community Integration Project

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DBHDS

Virginia Department of Behavioral Health and Developmental Services

Community Integration Managers

Five positions, Central Office Employees
One located at each training center

Who we are…

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DBHDS

Virginia Department of Behavioral Health and Developmental Services

Responsible for coordinating and ensuring the internal discharge process within the training centers occurs in a timely manner.

Community Integration Managers

What we do…

CIMs

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DBHDS

Virginia Department of Behavioral Health and Developmental Services

Responsible for ensuring compliance with the Settlement Agreement as it relates to the internal discharge process.

Community Integration Managers

What we do…

CIMs

_________________ _ _ _ _ _ ___________________

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DBHDS

Virginia Department of Behavioral Health and Developmental Services

CRCs provide training and technical assistance to individuals/families, Community Services Boards and other providers of Virginia’s ID Community Services.

Community Resource Consultant (CRC) Role Training Center Community Integration Project

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DBHDS

Virginia Department of Behavioral Health and Developmental Services

Who we are… CRCs provide training and technical assistance to individuals/families, Community Services Boards and other providers of Virginia’s ID Community Services.

Community Resource Consultants

CRCs

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DBHDS

Virginia Department of Behavioral Health and Developmental Services

Two in each of 5 regions Assigned to Community Service Board areas

Ten located across Virginia
Two in each of 5 regions
Assigned to Community Service Board areas

Who we are…

Community Resource Consultants

CRCs

_________________ _ _ _ _ _ ___________________

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DBHDS

Virginia Department of Behavioral Health and Developmental Services

Complete Post Move Monitoring (PMM)
Communicate with CIMs, CSBs, OL and OHR regarding

individuals, providers and services to facilitate best matches

Attend pre-move meetings by request
Provide ID Waiver and Person-Centered Planning

consultation and on-site training What we do…

Community Resource Consultants

CRCs

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DBHDS

Virginia Department of Behavioral Health and Developmental Services

Office of Licensing (OL) Role Training Center Community Integration Project

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DBHDS

Virginia Department of Behavioral Health and Developmental Services

Who we are…

21 primary Licensing Specialists
7 ID Licensing Specialists

Office of Licensing Specialists (OLS)

OLS

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DBHDS

Virginia Department of Behavioral Health and Developmental Services

Office of Licensing Specialists (OLS)

Primary Specialists assure compliance with licensing regulations and support providers in providing appropriate services. ID Specialists assure effective person centered services and compliance with licensing

regulations. Their focus is on those individuals

who have been identified for enhanced support. What we do…

OLS

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DBHDS

Virginia Department of Behavioral Health and Developmental Services

21 advocates located across Virginia, broken up

into 6 regional teams

an advocate located at each facility
A team has been added to follow individuals

moving from the TC into the community

Office of Human Rights (OHR) Role Training Center Community Integration Project _________________ _ _ _ _ _ ___________________ Slide 18

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DBHDS

Virginia Department of Behavioral Health and Developmental Services

The role of the local advocate remains the same.

Office of Human Rights (OHR)

21 Advocates across Virginia, broken up into 6

regional teams

An advocate located at each facility
A team has been added to follow individuals

moving from the TC into the community Who we are…

OHR

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DBHDS

Virginia Department of Behavioral Health and Developmental Services

Monitor compliance with the human rights

regulations

Promote the basic precepts of human dignity
Advocate for the rights of persons with disabilities

in our service delivery systems

Manage the DBHDS Human Rights dispute

resolution program.

OHR

What we do…

Office of Human Rights (OHR)

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DBHDS

Virginia Department of Behavioral Health and Developmental Services

Office of Human Rights (OHR)

Role in moving process…

Local Advocate:

May conduct pre-move visit to a provider.
Participate in Provider Pre-Move meetings at the Training centers.

ID Advocate:

Complete a PMM visit for individuals who have left the TC.
Review compliance with Human Rights Regulations.
Notify appropriate parties – individual/AR, provider, CSB, OL,

OHR , CIM, CRC

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DBHDS

Virginia Department of Behavioral Health and Developmental Services

Discussion Documents for Forum

Training Center Community Integration Project

Pre and post move guidelines
Discharge plan and Discussion Record
Provider Information Request (OL)
PMM form for TC
Visitation form
The 12-week Process chart
Primary Tasks and Core Responsibilities – chart – CSB, CRC,

Provider, OL, OHR etc.

Contact Lists –

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DBHDS

Virginia Department of Behavioral Health and Developmental Services

Training Center Community Integration Project

Regional Maps

CSBs, State Hospitals and Training Centers

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31. Prince William County
32. Rappahannock Area
33. Rappahannock-Rapidan
34. Region Ten
35. Richmond
36. Rockbridge Area
37. Southside
38. Virginia Beach
39. Valley
40. Western Tidewater
21. Loudoun County
22. Mid Peninsula-Northern Neck
23. Mount Rogers
24. New River Valley
25. Norfolk
26. Northwestern
27. Planning District 1
28. Planning District 19
29. Piedmont Regional
30. Portsmouth
11. Danville-Pittsylvania
12. Dickenson County
13. Eastern Shore
14. Fairfax-Falls Church
15. Goochland-Powhatan
16. Hampton-Newport News
17. Hanover County
18. Harrisonburg-Rockingham
19. Henrico Area
20. Highlands
1. Alexandria
2. Allegheny-Highlands
3. Arlington County
4. Blue Ridge
5. Central Virginia
6. Chesapeake
7. Chesterfield
8. Colonial
9. Crossroads
10. Cumberland Mountain

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State Hospitals and Training Centers

2 15 4 7 1 13 5 9 6 11 3

14

8 12 10

Training Center State Hospital

State Facilities

Facility lity Location tion Facility lity Location tion

1 Catawba Hospital Catawba 9 Piedmont Geriatric Hospital Burkeville 2 Central State Hospital Petersburg 10 Southeastern VA Training Center Chesapeake 3 Central VA Training Center Madison Heights 11 Southern VA MH Institute Danville 4 CCCA Staunton 12 Southside VA Training Center Petersburg 5 Eastern State Hospital Williamsburg 13 Southwestern VA MH Institute Marion 6 Behavioral Rehabilitation Center Burkeville 14 Southwestern VA Training Center Hillsville 7 Northern VA MH Institute Falls Church 15 Western State Hospital Staunton 8 Northern VA Training Center Fairfax

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DBHDS

Virginia Department of Behavioral Health and Developmental Services

Training Center Community Integration Project

Website http://www.dbhds.virginia.gov/

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DBHDS

Virginia Department of Behavioral Health and Developmental Services

Community Integration Data

Training Center Community Integration Project _________________ _ _ _ _ _ ___________________ Slide 27

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DBHDS

Virginia Department of Behavioral Health and Developmental Services

Census Reduction Goals

Fiscal Year SVTC SEVTC NVTC SWVTC CVTC Indiv. D/C** Waivers in SA 2012 40 n/a 06 20 60 60 2013 103 25 41 15 25 209 160 2014 105 52 20 25 202 160 2015 54 20 57 131 90 2016 40 56 96 85 2017 40 50 90 90 2018 38 50 88 90 2019 35 35 35 2020 26 26 26

**More individuals are anticipated to be discharged than waiver slots because some individuals choose MFP slots, some choose ICFs, and natural deaths occur over the period of the agreement.

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DBHDS

Virginia Department of Behavioral Health and Developmental Services

Name of TC Census Moves 7-1-12 through 6-30-13 Group Home Sponsored ICF NF Returned to TC Family/ Own Home Homes with 5 or more More than 1 Program on the same site

CVTC 327 13 4 4 5 2 NVTC 150 2 2 2 SEVTC 98 6 3 3 2 SVTC 180 16 14 2 1 9 SWVTC 174 1 1 Total 929 38 23 5 8 2 1 11 4

Moves July 1 2012-September 19 2012

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DBHDS

Virginia Department of Behavioral Health and Developmental Services

How is it determined when someone is moving?

Individuals express a desire or do not oppose moving to the

community.

Community options are available to meet the needs of

individuals and allow them to be near their natural supports, particularly family and friends.

Individuals have already begun the move to the community by

participating in a higher level of community integration activities, paid employment/day placements off grounds.

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DBHDS

Virginia Department of Behavioral Health and Developmental Services

How is it determined when someone is moving?

Continued

Individuals express interest in living together and there are

providers willing and able to serve them in one home

Providers are willing and able to develop specialized supports

to meet needs of individuals.

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DBHDS

Virginia Department of Behavioral Health and Developmental Services

Planning for a successful transition

Some individuals may request to move more quickly and some individuals may take longer due to unforeseen occurrences or other factors that must be addressed.

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DBHDS

Virginia Department of Behavioral Health and Developmental Services

Planning for a successful transition

DBHDS is committed to:

Continually trying to improve the process for

individuals, Providers, TCs and Community Services Boards (CSB)

Ensuring all essential support needs can be met before

the individual moves into the community;

Providing reasonable time to plan for and prepare the

individual and AR for the discharge;

Developing a discharge plan
Providing post-move monitoring

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DBHDS

Virginia Department of Behavioral Health and Developmental Services

Virginia’s Training Center Community Integration Process

The Process for Moving to the Community

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DBHDS

Virginia Department of Behavioral Health and Developmental Services

Provider Selection Process

Community Move Process

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DBHDS

Virginia Department of Behavioral Health and Developmental Services

Online Resources http://www.dbhds.virginia.gov/ODS-default.htm

Provider Selection Process

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DBHDS

Virginia Department of Behavioral Health and Developmental Services

submit Individual Profiles for posting on DBHDS

website at: https://www.surveymonkey.com/s/DTPM7TQ CSBs…

share Provider Profiles with individuals/families

Provider Selection Process

confirm and document choices

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DBHDS

Virginia Department of Behavioral Health and Developmental Services

Waiver Providers…

review Provider Search results containing

Individual Profile information

submit Provider Surveys detailing services at:

https://www.surveymonkey.com/s/YZKFJC8

contact CSBs to discuss specific individuals

Provider Selection Process

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DBHDS

Virginia Department of Behavioral Health and Developmental Services

Steps Overview

1) CSB Completes Individual Profiles 2) ODS populates Provider Search Listing weekly 4) Provider completes Provider Survey 5) CSB gives individual/family Provider Profiles 3) Provider reviews Provider Search Listing

Steps

Provider Selection Process

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DBHDS

Virginia Department of Behavioral Health and Developmental Services

https://www.surveymonkey.com/s/DTPM7TQ 1) CSB Completes Individual Profiles

Provider Selection Process

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DBHDS

Virginia Department of Behavioral Health and Developmental Services

2) ODS populates Provider Search Listing weekly http://www.dbhds.virginia.gov/ODS-default.htm 3) Provider reviews Provider Search Listing

Provider Selection Process

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DBHDS

Virginia Department of Behavioral Health and Developmental Services

4) Provider completes Provider Survey https://www.surveymonkey.com/s/YZKFJC8

Provider Selection Process

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DBHDS

Virginia Department of Behavioral Health and Developmental Services

5) CSB gives individual/family Provider Profiles and documents choice

Provider Selection Process

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Week 1 Week 2

Pre-Tour Requests Provider Pre-Move Meeting Final Pre-Move Meeting Provider Tours Day Visits Evening Visit Provider Training and Overnight Visits Preparation for Moving Moving Post-Move Monitoring

Active Move Status

Weeks 3, 4 and 5 Week 6 Week 7 Week 8 Week 9 Week 10 Week 11 Week 12

Initial Pre-Move Meeting Individual/AR/CSB reviews providers OL Day 7 and monthly for 12 months TC Days 3, 10 and 17 CSB Day 7 and monthly for 12 months CRC Day 60 OHR w/in 1 mo. then as needed PMM Report to CIM, Provider, and CSB TA to provider; PMM Report to CIM and CSB (shares w/ provider) Notes (or PMM Report or On-site Visit Tool) to CIM and Provider PMM to provider and CIM and CSB (shares w/ provider)

PMM Reporting

END at 12 months

PMM Report to CIM, Provider, and CSB

Virginia’s Training Center to Community Move Process

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DBHDS

Virginia Department of Behavioral Health and Developmental Services

Initial Pre-Move Meeting

Virginia’s Training Center to Community Move Process

The meeting held that signifies the beginning

f the “active move” process. This meeting is

where the Personal Support Team (PST) develops or updates the Discharge Plan and Discussion Record

4

Week 1

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DBHDS

Virginia Department of Behavioral Health and Developmental Services

Virginia’s Training Center to Community Move Process

Week 2

Individual/AR/CSB reviews providers

Individual/family chooses to tour on their own,
Individual/family contacts the CSB and requests

to look at homes, or

Initial pre-move meeting has occurred and the

CSB has worked with the individual and AR to choose some homes to see

Tours occur if:

_________________ _ _ _ _ _ ___________________

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DBHDS

Virginia Department of Behavioral Health and Developmental Services

Virginia’s Training Center to Community Move Process

Week 2

Individual/AR/CSB reviews providers

Prior to the tour:

The CSB will have a release signed by

individual/AR to talk with providers and will have verbally shared basic, yet vital information with provider.

Provider should request additional

information from CSB, if needed.

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DBHDS

Virginia Department of Behavioral Health and Developmental Services

Virginia’s Training Center to Community Move Process

Pre-Tour Requests Provider Tours Weeks 3, 4 and 5

Prior to a Tour certain steps should be completed

Provider has created a profile in survey monkey
Provider has contacted CSB for a preliminary

discussion regarding their ability to support individual

Provider Profile has been reviewed by individual and/or AR
Provider has requested or received information from CSB about

needs of individual

4

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DBHDS

Virginia Department of Behavioral Health and Developmental Services

Virginia’s Training Center to Community Move Process

Pre-Tour Requests Provider Tours Weeks 3, 4 and 5

Purpose of a tour

An opportunity for the individual/AR to visit the home(s) or

program(s) and meet one or more key staff.

An opportunity for provider staff to meet individual/AR

4

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DBHDS

Virginia Department of Behavioral Health and Developmental Services

Virginia’s Training Center to Community Move Process

Pre-Tour Requests Provider Tours Weeks 3, 4 and 5

Pre-tour review –(if needed) The purpose is to assure that the provider is currently providing good quality services to the individuals they serve and to assess and assure that they have the capacity to provide the services that were indicated on the provider survey they completed. This review is specific to the PROVIDER without regard to the specific individual.

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DBHDS

Virginia Department of Behavioral Health and Developmental Services

Virginia’s Training Center to Community Move Process

Meeting is lead by individual and responsibility is shared among provider, Training Center and CSB. Training Center Role

Personal Support team will share with provider information

about the individual’s support needs.

Provide complete discharge packet to provider and CSB
Provide updated Discharge Plan and Discussion Record within 72

hours after meeting to individual/AR, Provider and CSB Provider Pre-Move Meeting

Week 6

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DBHDS

Virginia Department of Behavioral Health and Developmental Services

Virginia’s Training Center to Community Move Process

Provider Pre-Move Meeting

Week 6

Provider Role (Before Meeting)

In order to be an active participant, the provider should have

reviewed all of the material provided by the CSB
visited with the individual at the TC
scheduled appropriate staff to attend the meeting

5 _________________ _ _ _ _ _ ___________________

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DBHDS

Virginia Department of Behavioral Health and Developmental Services

Virginia’s Training Center to Community Move Process

Provider Pre-Move Meeting

Week 6

Provider Role (at the Meeting)

Be prepared to describe the services available and describe the

location and any other information relevant to supporting the individual and making good decisions about how the essential supports will be met.

Ask questions
Be prepared to offer alternatives for supporting individual,

if appropriate

5 _________________ _ _ _ _ _ ___________________ Slide 53

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DBHDS

Virginia Department of Behavioral Health and Developmental Services

Virginia’s Training Center to Community Move Process

Provider Pre-Move Meeting

Week 6

CSB Role

Coordinate with TC to share requested information with provider prior

to meeting

Attend meeting and advocate for the individual
Ensure provider is offering viable options to meet individual’s support

needs

Discuss additional supports that will need to be requested through

IDOLS – skilled nursing, behavioral etc.

Assist provider with locating other supports/resources in the

community

Discuss with provider who will be responsible for ordering equipment

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DBHDS

Virginia Department of Behavioral Health and Developmental Services

Virginia’s Training Center to Community Move Process

Everyone’s Responsibility

Identify specific tasks and responsible party
Discuss training provider will need
Arrange shadowing for the provider (if it hasn’t occurred)
Schedule a series of trial visits to evaluate the individual’s

response to the new environment and

Review list of equipment individual needs
Review the Discharge Plan and Discussion Record (revised

within 72 hours after the meeting). Contact TC if there are concerns or questions.

5

Provider Pre-Move Meeting

Week 6

_________________ _ _ _ _ _ ___________________

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DBHDS

Virginia Department of Behavioral Health and Developmental Services

OLS

OLS role in moving process

Pre-visit review- Purpose is to determine that the provider can provide the services required by the specific individual.

Phone call to provider to assure they have obtained information

about individual prior to any visit by Licensing Specialist

Licensing Specialist conducts a visit to homes/day providers

and completes the Provider Information Request (PIR) sheet for each visit.

Licensing Specialist will review findings with provider
Written documentation will be shared with provider

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DBHDS

Virginia Department of Behavioral Health and Developmental Services

PST review of Pre-visit review

Pre-visit review- continued

Any concerns will be discussed by PST, which includes the
provider. PST will document agreement/disagreement with

responses.

For any areas of shared concerns, a plan will be developed to

address, and plans will be included in Discharge Plan and Discussion Record.

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DBHDS

Virginia Department of Behavioral Health and Developmental Services

Virginia’s Training Center to Community Move Process

Visits Week 7

Occur after

an individual/AR has toured homes or providers,
a provider pre-move meeting has been completed, and
individual and/or AR have determined that they would

like to proceed further with provider(s). Minimum trial visits should include

a day visit, an evening visit, and an overnight weekend visit.
written feedback

Additional Visits may be requested by any of the parties, including the provider

_________________ _ _ _ _ _ ___________________

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DBHDS

Virginia Department of Behavioral Health and Developmental Services

Virginia’s Training Center to Community Move Process

Purpose - orientation to the home, supported employment or day program; staff and fellow housemates, and coworkers

Individual is accompanied by a TC staff who

will provide transportation

Location may be the residential home, place of

employment, day support, or a combination thereof.

5

Day Visits Week 7

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Page 59

DBHDS

Virginia Department of Behavioral Health and Developmental Services

Virginia’s Training Center to Community Move Process

Training Center Role – Provide direct demonstrations, answer questions, observe, document any concerns expressed by provider, or requests for additional information, demonstration

r training by specialists.

Provider’s Role – observe, ask questions, feel comfortable with touching and doing, as long as the individual is amenable.

5

Day Visits Week 7

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DBHDS

Virginia Department of Behavioral Health and Developmental Services

Virginia’s Training Center to Community Move Process

Evening Visit

Week 8

Evening Visit

This visit should occur during the evening hours,
Prior to overnight visit, provider will receive individual

specific guidance and demonstration on implementation of protocols.

If providers have not visited and shadowed

individual by this point, they should schedule this before the overnight visit.

_________________ _ _ _ _ _ ___________________

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DBHDS

Virginia Department of Behavioral Health and Developmental Services

Virginia’s Training Center to Community Move Process

Provider Training and Overnight Visits

Week 9

Training Center

Involves the individual staying with the provider for one or

more nights

Designated TC staff will accompany the person to the provider

home (or perhaps initially to work/day program)

TC will provide necessary orders, supplies, medications,

equipment and emergency contact information

TC staff will be available, but will not stay at the home

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DBHDS

Virginia Department of Behavioral Health and Developmental Services

Virginia’s Training Center to Community Move Process

Provider Training and Overnight Visits

Week 9

Provider Responsibilities

CSB and TC have confirmed visit prior to date
Assure TC gives you all needed items prior to leaving and ask

questions before the TC staff leaves

Confirm date/time/location individual will return to TC
Do not agree to an overnight visit if not comfortable

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DBHDS

Virginia Department of Behavioral Health and Developmental Services

Virginia’s Training Center to Community Move Process

Provider Training and Overnight Visits

Week 9

Provider Responsibilities Continued

Support the individual in all areas of need
Assesses
Seek emergency service assistance if a medical emergency arises
When possible, drive the individual back to the TC

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DBHDS

Virginia Department of Behavioral Health and Developmental Services

Virginia’s Training Center to Community Move Process

Final Pre-Move Meeting

Week 10

Meeting is lead by individual and responsibility is shared among provider, Training Center and

CSB. Provider should take active role.

PST role

Discuss the visits and address concerns/questions
Review all equipment is in place (ordered, loaned, purchased)
Ensure all action items have been completed

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DBHDS

Virginia Department of Behavioral Health and Developmental Services

Virginia’s Training Center to Community Move Process

Final Pre-Move Meeting

Week 10

TC Role

TC PMM dates confirmed, copy of form given to provider.

Purpose of visits explained.

Give physician orders for medications and other needed

items to providers

Individual’s physical exam and final medical procedures are
completed. Copies given to provider, CSB and community

physician.

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Page 66

DBHDS

Virginia Department of Behavioral Health and Developmental Services

Virginia’s Training Center to Community Move Process

Final Pre-Move Meeting

Week 10

CSB role

Confirm provider and individual ‘s choice
Confirms all essential supports are in place and included on the

Plan for Supports

Confirms all requests for waiver services have been

submitted and approved in IDOLS

CSB to CSB Confirmation
Confirm provider’s 60-day assessment Plan for Support is

consistent with agreed upon Discharge Plan and Discussion Record

6 _________________ _ _ _ _ _ ___________________

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DBHDS

Virginia Department of Behavioral Health and Developmental Services

Virginia’s Training Center to Community Move Process

Post-Move Monitoring Post Move Monitoring is to ensure that essential supports are being provided. The monitoring will be based on the Discharge Plan and Discussion Record during the assessment period and subsequently on individual’s support plan as developed by the community support team

6

Moving

Week 12

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DBHDS

Virginia Department of Behavioral Health and Developmental Services

Virginia’s Training Center to Community Move Process

Post-Move Monitoring Post Move Monitoring is conducted by several departments within DBHDS as well as by the Community Service Boards

Training Center
Office of Licensing
Office of Human Rights
ODS (Community Resource Consultants)
Community Service Boards

6

Moving

Week 12

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Page 69

DBHDS

Virginia Department of Behavioral Health and Developmental Services

Virginia’s Training Center to Community Move Process

Training Center - Days 3, 10 and 17 PMM Report to CIM, Provider, and CSB

TC completes a PMM at days 3, 10 and 17

TC sends PMM reports to CIM, Provider, and CSB. Verbal report to individual/AR Assure individual/AR are satisfied with supports Assure essential supports are being provided Answer questions Provide additional training or consultation, if requested Contact CRC, OL, or OHR if provider requests or would benefit from additional support/technical assistance

6 _________________ _ _ _ _ _ ___________________

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DBHDS

Virginia Department of Behavioral Health and Developmental Services

Virginia’s Training Center to Community Move Process

Licensing - OL weekly

for 4 weeks and monthly for 12 months

PMM Report to CIM, Provider, and CSB

Licensing

Complete a PMM within 7 days of move from a TC
Post-move visits once per week for first month.
Post-move visits at least monthly for first year
Sends PMM report to CIM, CSB and Provider

Frequencies of visits will be adjusted based on findings of visit.

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DBHDS

Virginia Department of Behavioral Health and Developmental Services

Virginia’s Training Center to Community Move Process

CSB - Day 7 and monthly

Notes (or PMM Report or On-site Visit Tool) to CIM, Provider

7

CSB completes a PMM within 7 days of move from a TC

Visit may be announced or unannounced
Reviews for essential supports, satisfaction and person-

centered practices

Informs provider of concerns and refers to CRCs for waiver

technical assistance

Sends PMM results to CIM and Provider
Notifies CRCs, OL and OHR

_________________ _ _ _ _ _ ___________________ Slide 72

Page 72

DBHDS

Virginia Department of Behavioral Health and Developmental Services

Virginia’s Training Center to Community Move Process

CRC - Day 60

TA to provider; PMM Report to CIM and CSB

(who shares w/provider)

7

CRC completes a PMM within 60 days of move from a TC

Schedules with individual/provider
Reviews for essential supports, satisfaction and person-

centered practices

Informs provider of concerns and provides waiver technical

assistance

Sends PMM results to CIM and CSB SCs who will distribute

to providers

Notifies OL and OH of concerns

_________________ _ _ _ _ _ ___________________

SLIDE 25

25 Slide 73

Page 73

DBHDS

Virginia Department of Behavioral Health and Developmental Services

Virginia’s Training Center to Community Move Process

OHR - within 1 month, then as needed

PMM to CIM and CSB (who

shares w/provider)

END at 12 months OHR First visit within the first month of an individual’s discharge from the training center

Additional visits as needed that first year
Visits will be completed at the individual’s residence

as well as their day support site S

Sends PMM results to CIM and CSB SCs who will

distribute to providers

7 _________________ _ _ _ _ _ ___________________ Slide 74

Page 74

DBHDS

Virginia Department of Behavioral Health and Developmental Services

During these visits the areas reviewed will include:
Any concerns, comments, suggestions and/or

recommendations will be reported to the provider during the visit.

This does NOT change the role of the local advocate with the

individual/provider.

OHR

_________________ _ _ _ _ _ ___________________ Slide 75

Page 75

DBHDS

Virginia Department of Behavioral Health and Developmental Services

ROLE OF INDIVIDUAL/AUTHORIZED REPRESENTATIVE (AR)

Gives feedback to provider, CSB and monitors

regarding their satisfaction with services

Communicates need for any additional supports

AR/Individual _________________ _ _ _ _ _ ___________________

SLIDE 26

26 Slide 76

Page 76

DBHDS

Virginia Department of Behavioral Health and Developmental Services

ROLE OF INDIVIDUAL/AUTHORIZED REPRESENTATIVE (AR)

Ask questions
Seek assistance
Report incidents to appropriate parties, per

regulations

Provider

_________________ _ _ _ _ _ ___________________ Slide 77

Page 77

DBHDS

Virginia Department of Behavioral Health and Developmental Services

Post Move Monitoring

~3 day ~7 day ~10 day ~17 day ~1 mo ~2 mo ~3 mo ~4 mo ~5 mo ~6 mo ~7 mo ~8 mo ~9 mo ~10 mo ~11 mo ~12 mo TC

x x x

OLS

x x x x x x x x x x x x x x

CSB

x x x x x x x x x x x x x

CRC

x

OH

X

Additional visits may occur based on needs of individual or provider

_________________ _ _ _ _ _ ___________________ Slide 78

Page 78

DBHDS

Virginia Department of Behavioral Health and Developmental Services

1 Slide 1

DBHDS

Training Center Community Integration Project

Review of New Training Center Moving Process

___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 2

Purpose of this Forum

stakeholders to ensure individuals leaving the TCs are moving to safe homes in the community and better lives

– Individual’s vision of a good life in the community – Provider’s response to important to/for.

___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 3

Purpose of this Forum

– Providers should know their limitations. Don’t be afraid to ask for help. – DBHDS is available to provide training, technical assistance, information and

– Building of a better life continues in the community

___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________

2 Slide 4

Overview of DBHDS players

System Support and Oversight

Managers (CIM) located at each TC

Consultants (CRC)

Advocates(OHR)

___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 5

Overview of DBHDS players

Added START (Systemic, Therapeutic, Assessment, Respite, and Treatment) Model of Community Crisis Stabilization Services

communities

based therapeutic respite

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Five positions, Central Office Employees

Community Integration Manager (CIM) Role Training Center Community Integration Project

___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________

3 Slide 7

Community Integration Managers

Who we are…

___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 8

Responsible for coordinating and ensuring the internal discharge process within the training centers occurs in a timely manner.

Community Integration Managers

What we do…

CIMs

___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 9

Responsible for ensuring compliance with the Settlement Agreement as it relates to the internal discharge process.

Community Integration Managers

What we do…

CIMs

___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________

4 Slide 10

CRCs provide training and technical assistance to individuals/families, Community Services Boards and other providers of Virginia’s ID Community Services.

Community Resource Consultant (CRC) Role Training Center Community Integration Project

___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 11

Who we are… CRCs provide training and technical assistance to individuals/families, Community Services Boards and other providers of Virginia’s ID Community Services.

Community Resource Consultants

CRCs

___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 12

Two in each of 5 regions Assigned to Community Service Board areas

Who we are…

Community Resource Consultants

CRCs

___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________

5 Slide 13

individuals, providers and services to facilitate best matches

consultation and on-site training What we do…

Community Resource Consultants

CRCs

___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 14

Office of Licensing (OL) Role Training Center Community Integration Project

___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 15

Who we are…

Office of Licensing Specialists (OLS)

OLS

___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________

6 Slide 16

Office of Licensing Specialists (OLS)

Primary Specialists assure compliance with licensing regulations and support providers in providing appropriate services. ID Specialists assure effective person centered services and compliance with licensing

who have been identified for enhanced support. What we do…

OLS

___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 17

Office of Human Rights (OHR)

regional teams

moving from the TC into the community Who we are…

OHR

___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________

7 Slide 19

regulations

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