FY07 CBJ Grant Presentation
Mission Statement Juneau Alliance for Mental Health, Inc. is dedicated to the design and provision of efficient, effective, person-centered behavioral healthcare solutions and assisting individuals in maximizing recovery from mental health and co-occurring disorders.
Operational Chart BOARD Administration CONSUMER SUPPORT Finance RESIDENTIAL Services Services General Emergency Mental Crisis Services Health Long Term Respite Care; Services Salmon- berry House Psychiatric Services Case Independent Management Housing Drop-In Center at Transitional Group Home Housing
Services Provided JAMHI provides the following broad range of services and supports: � Emergency Services and Crisis Respite (24/7) � Case Management Services � Psychiatric and Nursing Services � General Mental Health Services � Enhanced Residential Services � Drop-In Center
Service Components � General Mental Health Services � General Mental Health Services include individual and group focused/brief therapy and counseling; through a grant from the City and Borough of Juneau. � JAMHI provides services to approximately 350 general mental health recipients. � JAMHI also contracts with Juneau Youth Services to provide general mental health services to children and youth.
Service Components � Juneau Youth Services pass thru funds � A portion of the CBJ Grant to JAMHI is passed thru to JYS to provide General Mental Health Services to children in the amount of $39,630.
Service Components � Drop-In Center JAMHI has historically � provided a Drop-In center environment. At this time the Drop-In center has been moved to our new Group Home. � The Drop-In center is open from 11:00am – 2:00pm ever day. The center provides a daily light � lunch to its participants. Current rehabilitation and � treatment/support groups include: Community living skills � Interpersonal communication � skills; � Personal living skills Nutrition and meal planning �
Service Components � Medical and Nursing Services Two contracted psychiatrists � provide psychiatric assessment, medication management, and case consultation. Psychiatrists are available on an on- � call basis to the nurse and clinicians for support consultations. An RN provides nursing services to � assess consumers’ psychiatric and side effect symptoms and to oversee medications provided to consumers in residential settings The nurse provides IM medications � to individuals, education and support, and can screen for other medical and dental needs as required. As part of the psychiatric services � contract, psychiatrists are part of the Emergency Services team providing 24/7 on-call services for psychiatric level input.
Service Components � Emergency Services � 24 hour Emergency Mental Health Services provide immediate screening and crisis intervention. Emergency Services are short- � term, intensive psychiatric services provided to a person during an acute mental health crisis episode. ES Clinicians provide services to � assess the mental status and risk of harm to self or others with referral recommendations. Masters level or doctorate level � mental health professional clinicians. Emergency response occurs on- � site at the Bartlett Regional Hospital, JAMHI offices and facilities, schools, Juneau Youth Services, Lemon Creek Correctional Center, and other local social service agencies.
Service Components � Case Management Services � A team of case managers and clinicians (8 FTE) provide community support for severely mentally ill clients. � All case management staff provide on-going outreach services. � JAMHI provides on-going support to family members. � Case management also provides training in life skills Pathways to a better life that encourage independent living. � Pre-vocational services is integrated, at times, into treatment. � Coordinating services throughout the community with other agencies.
Year End Service Totals MONTHLY TOTALS Dec-03 Dec-04 Dec-05 Rehabilitation Service - CMI Adult 103 102 92 Rehabilitation Service - SED Adult 21 21 10 Rehabilitation Service - SED Child 4 6 7 Clinical Services Only - CMI Adult 18 26 45 Clinical Services Only - SED Adult 63 71 88 Clinical Services Only - SED Child 25 28 23 Clinical Services Only - GMH 177 205 210 Consumers - Active Outreach 6 7 4 Consumers - Crisis Respite 10 9 5 427 475 483 TOTAL CONSUMERS
December 2005 Total Clients 77% GMH = 366 Rehab Svcs GMH Rehab = 108 23%
January 2006 Active Clients by Diagnosis 148 - Mood Disorder - Depressive 6% 3% 2% 101 - Schizophrenia / Psychotic Disrd 9% 37% 74 - Mood Disorder - Bipolar 38 - Anxiety Disorder 23 - Adjustment Disorder/PTSD 18% 12 - Other 25% 10 - Attention Def & Disruptive Behavior
Service Components � Enhanced Residential Services Lemon Creek Residential Facilities: Salmonberry House - supportive � residential program serving up to five individuals with severe mental illness. Crisis Respite /Transitional – a � 5-bed 24 hour supportive residential program serving individuals experiencing a crisis and providing temporary supportive services. � Supported Transitional Apartments - provides support and skill development to 10 consumers living in semi-independent transitional apartments.
Service Components � Enhanced Residential Services Salmon Creek Residential Facilities: � 8 – Plex for individuals with Co-occurring Disorders. Provides full consumer support for chronically mentally ill adults, with severe substance abuse issues. 8 – Plex for Seniors with � mental illness and /or co- occurring disorders. HUD – Salmon Creek � Housing, Inc. - a supportive residential program serving up to six individuals with mental illness who require more intensive 24/7 support.
Service Components � Independent Housing Services � HUD – JAMI Douglas Housing (Douglas Terrace) – independent housing for up to 15 residents. � JAMHI also operates over 30 rental units as independent dwellings for consumers.
FY07 Revenue Sources (budgeted) Total FY07 Estimated Revenues = $3,303,477 38% State Grant Medicaid Other Insureds CBJ Grant Rents 40% Other 4% 9% 7% 2%
FY07 Expense Categories (budgeted) Total FY07 Expenses = $3,303,477 69% Personal Svcs Facilities Contract Labor = 83% Other Costs Supplies Equipment 9% Travel 13% 4% 1% 4%
FY06 Medicaid by Reporting Unit (for 6 months ending 12/31/05) $400,000 $343.7 $350,000 $300,000 $250,000 $200,000 $150,000 $100,000 $77.4 $64.8 $47.5 $50,000 $24 $0 LC Res. Doc/Nurse SC Res Case Mngt GMH/ES
Medicaid Billings by Consumer (for 6 months ending 12/31/05) (highest 40 of 202 eligible clients) $60,000 $50,000 $40,000 $30,000 $20,000 $10,000 $0 By Individual Consumer
Financial Information Subsidized Services in 2005 $ 2,048,525 Total Services Provided in 2005 $ 992,687 Total Services $$ Received for 2005 $ 1,055,838 Total Services Subsidized for 2005
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