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Prevention Alison Miley, MSW What Does it Mean to be in SASH? - - PowerPoint PPT Presentation
Prevention Alison Miley, MSW What Does it Mean to be in SASH? - - PowerPoint PPT Presentation
Integrated Health Care Strategies: Implementing a Clinical Pathway to Suicide Prevention Alison Miley, MSW What Does it Mean to be in SASH? Where is SASH? SASH is available in 140 Affordable Housing Sites across the state Participant
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Where is SASH?
SASH is available in 140 Affordable Housing Sites across the state
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2009
Pilot Start
59 participants ~ 5,000
participants
2018
Current Participant Profile:
- 68% women; 34% men
- Age range: 22 to 101
- Average age: 72
- 80% Medicare
- Every county in Vermont
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SASH Outcomes
Improved health and health management Health care savings Better medication management
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Elements of SASH Model
Person-centered
SASH staff based in the community, where people live
Formal partnerships
Information sharing
Prevention and wellness through Healthy Living Plans
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SASH Mental Health Pilot
SASH & Howard Center collaboration Funded by OneCare Vermont, November 2017 –
December 2018
Howard Center clinician as part of the on-site
SASH staff at two Cathedral Square residences:
- Cathedral Square Senior Living
(Independent & Assisted Living, Downtown Burlington)
- Thayer House (Independent Living, Burlington NNE)
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Pilot Goals
Access to Services Coordinated Team Reduce ED Visits High Level Satisfaction Mental Health Stability Primary Care Mental Health Knowledge
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SASH Clinician Interventions
Individual & Couples Therapy Crisis Response Psychosocial Support Psychoeducational & Process Groups Weekly Team Meetings Collaborate with Providers Brief consultation / “mental health tune ups”
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Group Topics
Coping through the holidays Beating the winter blues Dealing with grief and loss Suicide prevention Building resilience Interpersonal skills Anxiety
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Referrals
SASH staff Self Other Providers 4 / 11% 9 / 24% 24 / 65% Between November 1st 2017 and April 30th 2018: 37 referrals
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Response time
Number of Days
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Participants Involved
Between November 1st 2017 and April 30th 2018:
- 12 clients opened to Howard Center
- 35 participants seen for shorter-term therapy/psychosocial support
- 16 groups offered
- 114 residents participated in groups
- EMHC has met with 74 SASH participants
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Staff Surveys
- Residents gained increased access to needed services
as a result of the clinician services.
- Care Coordination improved for residents as a result
- f the clinician services.
- The clinician services made a positive difference for
residents.
- I have more time to focus on my key responsibilities in
the SASH program as a result of working with the clinician.
- As a professional, I have gained increased awareness
- f resources as a result of working with the clinician.
- As a professional, my comfort and knowledge base
around mental health needs and issues has increased as a result of working with the clinician.
- The pilot has had an impact on reducing stigma
around mental health in my panel.
8 out of 10 responses agree or strongly agree
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Suicide Prevention Interventions
U-Matter Suicide Prevention Community Awareness
Training
Mental Health Resource list and education Postvention Response
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Questions
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