Wasatch Mental Health Services Wasatch Mental Health Services C - - PowerPoint PPT Presentation
Wasatch Mental Health Services Wasatch Mental Health Services C Community Resources for it R f Adults, Youth, and Families Juergen E. Korbanka, Ph.D. Executive Director Wasatch Mental Health Core Faculty University of Phoenix, Utah
Wasatch Mental Health Services Wasatch Mental Health Services
C it R f Community Resources for
Adults, Youth, and Families
Juergen E. Korbanka, Ph.D.
Executive Director
Wasatch Mental Health
Core Faculty
University of Phoenix, Utah
Mental Health Services Awareness Night
October 21st, 2010 Provo, UT
Offering individuals with Offering individuals with mental illness the Opportunity to successfully achieve the outcomes they desire
Excellence in Mental Providing Excellent Health Care g Customer Service
Embracing Wellness
Economic Stability Employee Growth and D l t
Embracing Wellness
y Development
What Utah’s Behavioral Health System may look like
DSAMH For-profits UBHC M b hi 13 Local Authorities For-profits MCO UBHC Membership County Gov. County Department
Non-profits Special Services Distr.
Administrative/Business Office Westpark Building 750 North 200 West, Suite 300, Provo, UT 84601 Phone: 801-373-4760 Fax: 801-373-0639 Fax: 801-373-0639 Web site: www.wasatch.org
ABOUT THE CENTER Established in 1967 Wasatch Established in 1967, Wasatch Mental Health (WMH) is
a comprehensive mental health – a comprehensive mental health center – for Medicaid cardholders in Utah – for Medicaid cardholders in Utah County
We Offer We Offer
– an array of acute and chronic care services for children adolescents services for children, adolescents, adults, and families.
Locations Locations
Westpark (Provo) Westpark (Provo) Parkview Campus (consisting of 7 buildings) American Fork Family Clinic American Fork Family Clinic Spanish Fork Family Clinic School Based (approx 30 schools) School Based (approx. 30 schools) Giant Steps (Orem) Supported Residential Supported Residential
– Mapleview – Sunset/ Sunrise – Payson Supported & Independent
ABOUT THE STAFF Our Staff consists of: Our Staff consists of:
psychiatrists, clinical psychologists clinical psychologists clinical social workers Licensed Professional Counselors Licensed Marriage and Family Therapists Specialized adult and youth day treatment case managers residential services staff, prevention and education specialists education specialists administrative and business staff
Wasatch Mental Health Fast Facts Wasatch Mental Health – Fast Facts
We serve over 7,000 clients annually We have about 275 FTEs We have about 275 FTEs Our Annual Budget is about $25,000,000
How do I recognize a Mental Illness ?
People with M I often feel alone People with M. I. often feel alone
“D H “Dear Henry: Where were ? you? W it d d We waited and waited but fi ll d id d finally decided
What’s Abnormal ? What s Abnormal ?
2 Socially unacceptable or in violation of social
norms 3 Faulty perception or interpretation of reality
g
What you want to know What you want to know
Level of functioning ? Medications ? Medications ? History of Mental Illness (self/ family)? Li i Sit ti Living Situation Stressors/ Employment Status Financial Pressures Activities of Daily Living Activities of Daily Living
What you want to know What you want to know
Risky (self-destructive) behavior Sudden unexplained or erratic changes in Sudden unexplained or erratic changes in behavior Support system ? Support system ? Family Relationships ? Drug use ? Legal history ? g y
SPMI SPMI
Seriously and Persistently Mentally Ill:
required)
1. Medication 2. Diagnosis 3 Productivity 3. Productivity 4. Social Isolation 5. Public Assistance 6. Symptom Remission 7 Antisocial Behaviors 7. Antisocial Behaviors
1. Intensive outpatient for 2 or more years 2. Outpatient 3 or more years p y 3. Persistence to treatment
Serious Illnesses Serious Illnesses
Not tied to a specific diagnosis ! Not tied to a specific diagnosis ! A i t d ith Associated with
– Schizophrenia Bipolar Disorder – Bipolar Disorder – Severe Depression – Severe PTSD – Personality Disorders – Autism Spectrum Disorders
People with SPMI Need People with SPMI Need
Support Support Treatment
Th – Therapy – Medication Management Case Management – Case Management – Day Treatment Vocational Assistance and Training – Vocational Assistance and Training – Residential Services Housing – Housing – Inpatient Treatment
People with M I try to blend in People with M.I. try to blend in
When you are in deep trouble, say nothing, and try to look inconspicuous
People with SPMI Need People with SPMI Need
(just like the rest of us !!!)
Specific Techniques Specific Techniques
Breathing Putting things in perspective Putting things in perspective Prioritize Di ti i h f t f ti Distinguish facts from emotions Validate emotions Don’t hang on to feelings Outline a course of action Outline a course of action
Specific Techniques Specific Techniques
Focus on present Communicate that you are in their corner Communicate that you are in their corner Give feeling that you matter A k l d d bt Acknowledge doubt Introduce continuum (feelings vs. behavior)
Reflective Listening Reflective Listening
Facilitative body language Reflection of and response to feeling Reflection of and response to feeling Summarization and paraphrasing O d d t t t d ti Open-ended statements and questions Non-judgemental atitude
Mental Illness and Personality Disorders
Traits vs. States
State = The condition or circumstance of being at any given time (Short term) y g ( ) Trait = A distinguishing or peculiar feature with Trait = A distinguishing or peculiar feature with enduring patterns (Long term)
What is a personality disorder? What is a personality disorder?
Our personalities are enduring patterns of perceiving, relating to, and thinking about the p g, g , g environment and oneself. It is only when personality traits are inflexible and maladaptive p y p and cause significant functional impairment that they constitute a personality disorder. (DSM IV) y p y ( )
Feelings associated with PDs Feelings associated with PDs
Guilt You feel depleted of your energy You feel depleted of your energy Sense of not doing enough S f b i i ff ti Sense of being ineffective “I can’t let them down” Wanting to “rescue” individual Feeling blamed Feeling blamed Self Doubt
WMH Quick Facts WMH – Quick Facts
Number of Clients Served 6 005 6,455 7,064 7,000 8,000 4,728 4,844 4,901 5,532 5,396 5,819 5,655 5,593 5,814 5,898 6,005 6,111 , 5,000 6,000 3,055 3,731 3,000 4,000 1,000 2,000 1,000 FY'95 FY'96 FY'97 FY'98 FY'99 FY'00 FY'01 FY'02 FY'03 FY'04 FY'05 FY'06 FY'07 FY'08 FY'09 FY'10 WMH Quick Facts WMH – Quick Facts
New Client Admissions 4,344 4,231 4,182 4,329 4,500 5,000 3,438 3,274 3,179 3,531 3,221 3,439 3,382 3,716 3,311 4,182 3,500 4,000 1,735 2,617 2,714 2,000 2,500 3,000 1,735 1,000 1,500 500 FY'95 FY'96 FY'97 FY'98 FY'99 FY'00 FY'01 FY'02 FY'03 FY'04 FY'05 FY'06 FY'07 FY'08 FY'09 FY'10 WMH Quick Facts WMH – Quick Facts
Total Service Units Provided 414,718 400,000 450,000 296,502 322,822 324,836 327,056 331,608 354,184 334,619 333,693 362,072 353,435 336,937 300,000 350,000 246,689 237,316 227,400 238,442 200,000 250,000 100,000 150,000 50,000 FY'95 FY'96 FY'97 FY'98 FY'99 FY'00 FY'01 FY'02 FY'03 FY'04 FY'05 FY'06 FY'07 FY'08 FY'09 FY'10 Youth Services “Fast Facts” Youth Services – Fast Facts
YouthServices - Gender Distribution YouthServices - Gender Distribution
Male 44% 44% Female 56% 56%
Changes in Medicaid Eligibility Changes in Medicaid Eligibility
Currently: Currently:
Uninsured Americans = 50 million Uninsured Utahns = 450,000
By 2014:
Insured Americans = 32 Million (64% increase) Insured Utahns = 290 000 Insured Utahns = 290,000 About 50 % covered through Medicaid and 50% covered through Employer Subsidy
In Utah:
290,000 Utahns insured (Medicaid 120,000 + employers 170,000) Expands Medicaid Coverage from currently 220,000 to 340,000 (increase of120,000) Of 120,000 new Medicaid about 60,000 may need Behavioral Health Services in addition to Of 120,000 new Medicaid about 60,000 may need Behavioral Health Services in addition to Primary Health Care
Medicaid Eligible Clients in 2014 Medicaid Eligible Clients in 2014
70000 60000 60000 70000 37119 45000 40000 50000 18820 18197 17431 17519 20813 27501 29079 27197 20000 30000 10000 FY 1994 FY 1995 FY 1996 FY 1997 FY 1998 FY 1999 FY 2000 FY 2001 FY 2002 FY 2003 FY 2004 FY2005 FY2006 FY2007 FY2008 FY2009 FY2010 FY2011 FY 2012 FY 2013 FY 2014
Wasatch Mental Health Services
Programs For Programs For Adults, Children, Youth, and Families
Juergen E. Korbanka, Ph.D.
Executive Director
Wasatch Mental Health
Core Faculty
University of Phoenix, Utah
Mental Health Services Awareness Night e e Se v ces w e ess N g
October 21st, 2010 Provo, UT