Assertive Community Treatment Webinar Week 5: Community Relationships

Today’s agenda Brief Check-In Update on progress Questions and Answers Concerns Building Community Relationships – Who and How Developing Referral Protocols

How are things going so far? Updates How are things going so far? Questions? Update on Service Area overlap

Connecting w/ the Community Gatekeepers Key Informants Stakeholders

Building Community Relationships Develop talking points for your organization’s executive team, leadership team, and service team Develop promotional materials Host a kick-off event to inform and engage community partners Encourage collaborative problem-solving with stakeholders Invite community stakeholders to call the ACT Team for proactive responses to clients

Format for Referrals Methods for referral Required documentation Review process to examine appropriateness Response from ACT

Directory of Network Services Refer to your Care Coordination Plans submitted with your RFA Include Specific services Contact info Location Hours of operation How to make a referral

Referral System Assessment and Monitoring (RSAM) Toolkit originally designed for use among HIV/AIDS service providers to improve referral systems Now being used for other community health networks The RSAM toolkit assists in deciding Which tools to use How to adapt the tools How to use the tools for data collection How to analyze, interpret, and use the information generated Referral System Assessment and Monitoring (RSAM)

RSAM: Two main components Referral System Assessment (RSA) Referral System Management (RSM) RSAM: Two main components

Component 1: Referral System Assessment “RSA”

Component 1: Referral System Assessment “RSA” Tools & Instructions for … Assesses current status of the referral system Evaluating the processes used to document referrals Identifying areas that require improvement Focuses on systems and processes for effectiveness of the referral system Can be modified to examine appropriateness of referrals Focuses on functioning at a single point in time

Component 2: Referral System Management “RSM” Monitoring system to track the performance of a referral system over time Whether or not referrals are being made and completed Whether counter-referring is occurring Level of client satisfaction with the referral process Allows for identification of problems and adjustment

Identify referral processes that work well and those that need improvement Establish RSM into a functioning referral system Examine the strength and functionality of a referral network Determine whether referrals are provided in an equitable fashion across gender, age groups, regions, or other categories of interest Evaluate the success of interventions aimed at improving referrals or service integration Guide decision makers on how to interpret referral data and make programmatic recommendations based on these data Develop evidence-based strategies and action plans to strengthen the referral systems How RSAM Can Be Used

Resources