September 13, 2017 Norristown State Hospital COUNTY CURRENT CIVIL - - PowerPoint PPT Presentation

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September 13, 2017 Norristown State Hospital COUNTY CURRENT CIVIL - - PowerPoint PPT Presentation

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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

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September 13, 2017 Norristown State Hospital

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COUNTY CURRENT CIVIL POPULATION AS OF 9/11/17 Current Civil Census "CIVIL- CIVIL" POPULATION AS OF 9/11/17 Criminal Justice POPULATION IN CIVIL Bucks 17 16 1 Chester 10 6 4 Delaware 15 6 9 Montgomery 23 18 5 Philadelphia 54 9 45 TOTAL 119 55 64

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115 102 13 20 40 60 80 100 120 140

Clinical ical Risk Assessme ment t project ct

Total

  • tal ass

asses essments ass assign igned ed Asses essments ents c com

  • mplet

leted De Declin lined ed/Refused ed/Remo emoved ed fr from

  • m

as assessment li ent list

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9%

71%

8% 12%

Assessment ment Reco commended mmended LOC

24/7 Structured Non Secure Residential Treatment Secure 24/7 residential treatment Inpatient Hospital LOC CRR or Supported Living

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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

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PHASE 2 PERIOD PHASE 4 Period - Post Civil Bed Closure - NEW SERFTC COUNTY

12/1/17 - 3/15/18 3/15/18 – 6/30/18 7/1/18 – 12/31/18 (FY 18/19)

1/1/2019

PROPOSED DISCHARGES "CIVIL- CIVIL" POPULATION AS OF 9/11/17 CJ POP IN CIVIL

30

# dependant on how many persons in FTC

PROGRAM TYPE E-RTFA E-CRR OTHER NEW / EXPANDED DEVELOPMENT

NEW SE Forensic Treatment Center

Bucks 16 1 4 3

1 (ID Waiver) 8 or 9

Chester 6 4 4 1 2 Delaware 6 9 4 1 6 or 8 Montgomery 18 5 4 2 12 Philadelphia 9 45 10 2 or 3

10 6

10 to 15

TOTAL 55 64 16 6 11 22

CURRENT CIVIL POPULATION AS OF 9/11/17 PHASE 1 PERIOD PHASE 3 PERIOD

TABLE #1 BED CLOSURES/ DISCHARGES CHART

8/1/17-12/1/17

22

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CHIPP Plan per County

PHASE 2 PERIOD PHASE 4 Period - Post Civil Bed Closure - NEW SERFTC

BUCKS

LTSR, increase capacity to Medically Enhanced services Enhanced LTSR

CHESTER

Trauma based ISLA, Increase Capacity to medically enhanced services

DELAWARE

  • Supp. Housing(Medical)6-8

MONTGOMERY

Enhanced LTSR

PHILADELPHIA

Co-Occurring Sex.Off. (2/3) Neuro-cog/TBI (6), DBT/Pers. Disorder (6), Sex Off Step-Down (4), risk aggression (3-5), aging adults (10)

TABLE #2 PROGRAM DEVELOPMENT BY COUNTY / PROGRAM DESCRIPTION

Enhanced -Residential Treatment Facility Adult (E-RTFA) , Enhanced CRR E-RTFA , Trauma based Intensive SLA

Program Type (new develoment, Enhanced existing prgm, existing prgm with expansion/Adding new beds in County)

Each County is individually enhancing &/or expanding capacity and/or working on New Development of services. In addition, The Suburban Counties are collaboratively developing Regional Services (Enhanced RTFA and Enhanced CRR)

PHASE 3 PERIOD PHASE 1 PERIOD E-RTFA, ECRR E-RTFA , ECRR Recovery House (6), CRR expansion (4)

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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

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 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

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 NEW: Enhance RTFA (Regional) (4)  NEW: Trauma-Based Intensive Supported

Living (1) Phase 2

 Increase capacity to Medically fragile services  Forensic Peer Support

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 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.

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 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

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 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
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 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

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 Program/Service/Resource development  Community Support Planning (CSP) Meetings

  • Community Inclusion Activities
  • Individual transition Activities

“Progress is impossible without change”