September 13, 2017 Norristown State Hospital
COUNTY CURRENT CIVIL POPULATION AS OF 9/11/17 "CIVIL- CIVIL" Criminal Justice POPULATION AS POPULATION IN Current Civil Census OF 9/11/17 CIVIL Bucks 16 1 17 Chester 6 4 10 Delaware 6 9 15 Montgomery 18 5 23 Philadelphia 9 45 54 TOTAL 55 64 119
Clinical ical Risk Assessme ment t project ct 140 115 120 102 Total otal ass asses essments ass assign igned ed 100 80 Asses essments ents c com omplet leted 60 40 De Declin lined ed/Refused ed/Remo emoved ed fr from om assessment li as ent list 20 13 0
Assessment ment Reco commended mmended LOC 24/7 Structured Non Secure 9% 12% Residential Treatment 8% Secure 24/7 residential treatment Inpatient Hospital LOC 71% CRR or Supported Living
PHASE 1 PERIOD 8/1/17-12/1/17 PHASE 2 PERIOD 12/1/17 - 3/15/18 PHASE 3 PERIOD 3/15/18 - 12/31/18 PHASE 4 PERIOD 1/1/19 - post Civil Closure
TABLE #1 BED CLOSURES/ DISCHARGES CHART PHASE 4 Period - Post Civil Bed Closure - PHASE 1 PERIOD PHASE 2 PERIOD PHASE 3 PERIOD NEW SERFTC CURRENT CIVIL POPULATION AS OF 7/1/18 – 12/31/18 (FY COUNTY 8/1/17-12/1/17 12/1/17 - 3/15/18 3/15/18 – 6/30/18 9/11/17 18/19) 1/1/2019 "CIVIL- CIVIL" PROPOSED CJ POP IN 22 30 POPULATION DISCHARGES CIVIL AS OF 9/11/17 # dependant on how many persons in FTC NEW / EXPANDED PROGRAM TYPE E-RTFA E-CRR OTHER DEVELOPMENT NEW SE Forensic Treatment Center Bucks 16 1 4 3 0 1 (ID Waiver) 8 or 9 Chester 6 4 4 0 1 2 Delaware 6 9 4 1 6 or 8 Montgomery 18 5 4 2 12 Philadelphia 9 45 0 0 10 2 or 3 10 6 10 to 15 TOTAL 55 64 16 6 11 22
TABLE #2 PROGRAM DEVELOPMENT BY COUNTY / PROGRAM DESCRIPTION PHASE 4 Period - Post Civil Bed Closure - CHIPP Plan per County NEW SERFTC PHASE 1 PERIOD PHASE 2 PERIOD PHASE 3 PERIOD Program Type (new develoment, Enhanced existing prgm, existing prgm with expansion/Adding new beds in County) LTSR, increase capacity to Medically Enhanced -Residential Treatment Facility Enhanced LTSR BUCKS Enhanced services Adult (E-RTFA) , Enhanced CRR Each County is individually Trauma based ISLA, Increase Capacity to CHESTER medically enhanced services E-RTFA , Trauma based Intensive SLA enhancing &/or expanding capacity and/or working on New DELAWARE Development of services. In Supp. Housing(Medical)6-8 E-RTFA, ECRR addition, The Suburban Counties MONTGOMERY Enhanced LTSR E-RTFA , ECRR are collaboratively developing Regional Services (Enhanced RTFA and Enhanced CRR) PHILADELPHIA Recovery House (6), CRR expansion (4) Co-Occurring Sex.Off. (2/3) risk aggression (3-5), aging adults (10) Neuro-cog/TBI (6), DBT/Pers. Disorder (6), Sex Off Step-Down (4),
PHASE 1 NEW: Enhanced Residential Treatment Facility for Adult NEW: Enhanced CRR PHASE 2/3 Increase capacity to medically fragile services Possible expansion to other regional programs or step down models
NEW: Enhanced RTFA – Regional (4) NEW: Enhanced CRR – Regional (3+2) Phase 2/3 (based on braided anticipated funding): ◦ New Enhanced LTSR to support 16 individuals ◦ Increase Psychiatric Rehabilitation capacity to provide Mobile PRS in Central/Lower Bucks County to support up to 95 additional individuals ◦ Increased Peer Support capacity to support an additional 45 individuals with county funding
NEW: Enhance RTFA (Regional) (4) NEW: Trauma-Based Intensive Supported Living (1) Phase 2 Increase capacity to Medically fragile services Forensic Peer Support
NEW: Enhance RTFA (Regional) – (4) NEW: Enhanced CRR (Regional) – (1) Phase 2 & 3 Proposed new development – for 6-8 persons for “Aging in Place” medically supported residential.
NEW: Enhance RTFA (Regional) (4) NEW: Enhanced CRR (Regional) (2) Phase 2 & 3- Enhanced LTSR to serve individuals from NSH civil and provide for future state hospital diversion Enhancement to Regional NOVA II program Develop support services to enhance flow in existing residential programs
Existing “new” Services already in place ◦ Residential Treatment Facility-Adults ◦ Girard Recovery Center ◦ 33 Supported Housing slots per year – next 3 years PHASE 2&3 -New services in Development ◦ Dialectical Behavioral Therapy Program ◦ Traumatic Brain Injury /Neuro-Cognitive Program ◦ “STAR” Step -down ◦ Other Community Services to support Diversion of the Forensic Population PHASE 4 • Risk-Aggressive program
Clinical needs of population Timeframe is very abbreviated Benefits and Entitlements are not guaranteed Payer Mix (Medicaid HealthChoices and Medicare) and CHIPPs funding must be braided to support development Willingness of individuals/families Community Readiness
Program/Service/Resource development Community Support Planning (CSP) Meetings ◦ Community Inclusion Activities ◦ Individual transition Activities “Progress is impossible without change”
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