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Client Wellness & Recovery

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Presentation on theme: "Client Wellness & Recovery"— Presentation transcript:

1 Client Wellness & Recovery
Plan to Improve (QI Work Plan) Need / Demand Analysis Vision & Mission System Activity Design & Redesign Processes and Services Measurement & Feedback Outcomes: Sources: Core System Processes: Client Wellness & Recovery Community PREVENTION: Education in the Community Schools UNDERSTAND WHOLE PERSON: Put clients’ strengths, assets and goals into usable form Client Independence from PMH Juv. Justice, Corrections WELCOME: Provide accessible, appropriate and welcoming points of entry ENGAGE: Build clients’ hope and belief ASSESS: Discover clients’ strengths, assets, goals and other whole health needs PLAN & COORDINATE: Create or update clients’ tx plan with usable strengths, assets goals and other whole health needs and share it TRANSITION: Support clients’ discharge to new programs and from public mental health services Healthier Community IMDs & Acute Hosp TREAT & TEAM UP ON CARE: Provide tx in collaboration with others to support clients’ goal attainment and advance their recovery Primary Care Improved Public Support Other Programs & Agencies No Disparities System Supports: Contractual Relationships Development & Supervision Documentation & Reimbursement Auditing & Compliance External/Community Resources

2 Client Wellness & Recovery
System Activity Vision & Mission Outcomes: Sources: Core System Processes: Client Wellness & Recovery Community PREVENTION: Education in the Community Schools UNDERSTAND WHOLE PERSON: Put clients’ strengths, assets and goals into usable form Client Independence from PMH Juv. Justice, Corrections WELCOME: Provide accessible, appropriate and welcoming points of entry ENGAGE: Build clients’ hope and belief ASSESS: Discover clients’ strengths, assets, goals and other whole health needs PLAN & COORDINATE: Create or update clients’ tx plan with usable strengths, assets goals and other whole health needs and share it TRANSITION: Support clients’ discharge to new programs and from public mental health services Healthier Community IMDs & Acute Hosp TREAT & TEAM UP ON CARE: Provide tx in collaboration with others to support clients’ goal attainment and advance their recovery Primary Care Improved Public Support Other Programs & Agencies No Disparities System Supports: Contractual Relationships Development & Supervision Documentation & Reimbursement Auditing & Compliance External/Community Resources

3 Client Wellness & Recovery
Change to the System Vision & Mission TCP: Redesign processes to assess, understand and plan; develop person-centered skills Outcomes: Sources: Core System Processes: Client Wellness & Recovery Community PREVENTION: Education in the Community Schools UNDERSTAND WHOLE PERSON: Put clients’ strengths, assets and goals into usable form Client Independence from PMH Juv. Justice, Corrections WELCOME: Provide accessible, appropriate and welcoming points of entry ENGAGE: Build clients’ hope and belief ASSESS: Discover clients’ strengths, assets, goals and other whole health needs PLAN & COORDINATE: Create or update clients’ tx plan with usable strengths, assets goals and other whole health needs and share it TRANSITION: Support clients’ discharge to new programs and from public mental health services Healthier Community IMDs & Acute Hosp TREAT & TEAM UP ON CARE: Provide tx in collaboration with others to support clients’ goal attainment and advance their recovery Primary Care Improved Public Support Other Programs & Agencies No Disparities System Supports: Contractual Relationships Development & Supervision Documentation & Reimbursement Auditing & Compliance External/Community Resources

4 Client Wellness & Recovery
Change to the System Vision & Mission Access and Capacity Management: Improve flexibility of programs, contractual structure and referral processes (AB109, access points, LOCs) and customer services Outcomes: Sources: Core System Processes: Client Wellness & Recovery Community PREVENTION: Education in the Community Schools UNDERSTAND WHOLE PERSON: Put clients’ strengths, assets and goals into usable form Client Independence from PMH Juv. Justice, Corrections WELCOME: Provide accessible, appropriate and welcoming points of entry ENGAGE: Build clients’ hope and belief ASSESS: Discover clients’ strengths, assets, goals and other whole health needs PLAN & COORDINATE: Create or update clients’ tx plan with usable strengths, assets goals and other whole health needs and share it TRANSITION: Support clients’ discharge to new programs and from public mental health services Healthier Community IMDs & Acute Hosp TREAT & TEAM UP ON CARE: Provide tx in collaboration with others to support clients’ goal attainment and advance their recovery Primary Care Improved Public Support Other Programs & Agencies No Disparities System Supports: Contractual Relationships Development & Supervision Documentation & Reimbursement Auditing & Compliance External/Community Resources

5 Client Wellness & Recovery
Change to the System Vision & Mission Client Measurement: Increase measurement of community and client needs, quality of life indicators and other outcome measures: Client Outcomes , CANS (F&C0, Demand analysis Outcomes: Sources: Core System Processes: Client Wellness & Recovery Community PREVENTION: Education in the Community Schools UNDERSTAND WHOLE PERSON: Put clients’ strengths, assets and goals into usable form Client Independence from PMH Juv. Justice, Corrections WELCOME: Provide accessible, appropriate and welcoming points of entry ENGAGE: Build clients’ hope and belief ASSESS: Discover clients’ strengths, assets, goals and other whole health needs PLAN & COORDINATE: Create or update clients’ tx plan with usable strengths, assets goals and other whole health needs and share it TRANSITION: Support clients’ discharge to new programs and from public mental health services Healthier Community IMDs & Acute Hosp TREAT & TEAM UP ON CARE: Provide tx in collaboration with others to support clients’ goal attainment and advance their recovery Primary Care Improved Public Support Other Programs & Agencies No Disparities System Supports: Contractual Relationships Development & Supervision Documentation & Reimbursement Auditing & Compliance External/Community Resources

6 Client Wellness & Recovery
Change to the System Vision & Mission Outcomes: Sources: Core System Processes: Client Wellness & Recovery Community PREVENTION: Education in the Community Schools UNDERSTAND WHOLE PERSON: Put clients’ strengths, assets and goals into usable form Client Independence from PMH Juv. Justice, Corrections WELCOME: Provide accessible, appropriate and welcoming points of entry ENGAGE: Build clients’ hope and belief ASSESS: Discover clients’ strengths, assets, goals and other whole health needs PLAN & COORDINATE: Create or update clients’ tx plan with usable strengths, assets goals and other whole health needs and share it TRANSITION: Support clients’ discharge to new programs and from public mental health services Healthier Community IMDs & Acute Hosp TREAT & TEAM UP ON CARE: Provide tx in collaboration with others to support clients’ goal attainment and advance their recovery Primary Care Improved Public Support Supervision: Improve capacity to support staff in their work to advance client outcomes Other Programs & Agencies No Disparities System Supports: Contractual Relationships Development & Supervision Documentation & Reimbursement Auditing & Compliance External/Community Resources

7 Client Wellness & Recovery
Change to the System Vision & Mission Outcomes: Sources: Core System Processes: Client Wellness & Recovery Community PREVENTION: Education in the Community Schools UNDERSTAND WHOLE PERSON: Put clients’ strengths, assets and goals into usable form Client Independence from PMH Juv. Justice, Corrections WELCOME: Provide accessible, appropriate and welcoming points of entry ENGAGE: Build clients’ hope and belief ASSESS: Discover clients’ strengths, assets, goals and other whole health needs PLAN & COORDINATE: Create or update clients’ tx plan with usable strengths, assets goals and other whole health needs and share it TRANSITION: Support clients’ discharge to new programs and from public mental health services Healthier Community IMDs & Acute Hosp TREAT & TEAM UP ON CARE: Provide tx in collaboration with others to support clients’ goal attainment and advance their recovery Streamline Documentation: Streamline documentation requirements to reduce burden on staff, improve usefulness for clients Primary Care Improved Public Support Other Programs & Agencies No Disparities System Supports: Contractual Relationships Development & Supervision Documentation & Reimbursement Auditing & Compliance External/Community Resources

8 Client Wellness & Recovery
Change to the System Vision & Mission Clients Transitions: Improve transitioning to/from FQHCs, IMDs, etc. – and into the community Outcomes: Sources: Core System Processes: Client Wellness & Recovery Community PREVENTION: Education in the Community Schools UNDERSTAND WHOLE PERSON: Put clients’ strengths, assets and goals into usable form Client Independence from PMH Juv. Justice, Corrections WELCOME: Provide accessible, appropriate and welcoming points of entry ENGAGE: Build clients’ hope and belief ASSESS: Discover clients’ strengths, assets, goals and other whole health needs PLAN & COORDINATE: Create or update clients’ tx plan with usable strengths, assets goals and other whole health needs and share it TRANSITION: Support clients’ discharge to new programs and from public mental health services Healthier Community IMDs & Acute Hosp TREAT & TEAM UP ON CARE: Provide tx in collaboration with others to support clients’ goal attainment and advance their recovery Primary Care Improved Public Support Other Programs & Agencies No Disparities System Supports: Contractual Relationships Development & Supervision Documentation & Reimbursement Auditing & Compliance External/Community Resources

9 Client Wellness & Recovery
Change to the System Vision & Mission Outcomes: Sources: Core System Processes: Client Wellness & Recovery Community PREVENTION: Education in the Community Schools UNDERSTAND WHOLE PERSON: Put clients’ strengths, assets and goals into usable form Client Independence from PMH Juv. Justice, Corrections WELCOME: Provide accessible, appropriate and welcoming points of entry ENGAGE: Build clients’ hope and belief ASSESS: Discover clients’ strengths, assets, goals and other whole health needs PLAN & COORDINATE: Create or update clients’ tx plan with usable strengths, assets goals and other whole health needs and share it TRANSITION: Support clients’ discharge to new programs and from public mental health services Healthier Community IMDs & Acute Hosp TREAT & TEAM UP ON CARE: Provide tx in collaboration with others to support clients’ goal attainment and advance their recovery Primary Care Linkages: Reduce preventable readmissions to acute/ED services, improve linkage to 24 hour care, create drop-in services Improved Public Support Other Programs & Agencies No Disparities System Supports: Contractual Relationships Development & Supervision Documentation & Reimbursement Auditing & Compliance External/Community Resources

10 Client Wellness & Recovery
Change to the System Vision & Mission Outcomes: Sources: Core System Processes: Client Wellness & Recovery Community PREVENTION: Education in the Community Schools UNDERSTAND WHOLE PERSON: Put clients’ strengths, assets and goals into usable form Client Independence from PMH Juv. Justice, Corrections WELCOME: Provide accessible, appropriate and welcoming points of entry ENGAGE: Build clients’ hope and belief ASSESS: Discover clients’ strengths, assets, goals and other whole health needs PLAN & COORDINATE: Create or update clients’ tx plan with usable strengths, assets goals and other whole health needs and share it TRANSITION: Support clients’ discharge to new programs and from public mental health services Healthier Community IMDs & Acute Hosp TREAT & TEAM UP ON CARE: Provide tx in collaboration with others to support clients’ goal attainment and advance their recovery Primary Care Improved Public Support EBPs: Increase therapeutic skills and capabilities of staff (expand range of EBPs) Other Programs & Agencies No Disparities System Supports: Contractual Relationships Development & Supervision Documentation & Reimbursement Auditing & Compliance External/Community Resources

11 Client Wellness & Recovery
Change to the System Vision & Mission Advance Recovery: Improve ability to keep treatment plan current, relevant and effective (MORS 5, Older Adult, ARP) Outcomes: Sources: Core System Processes: Client Wellness & Recovery Community PREVENTION: Education in the Community Schools UNDERSTAND WHOLE PERSON: Put clients’ strengths, assets and goals into usable form Client Independence from PMH Juv. Justice, Corrections WELCOME: Provide accessible, appropriate and welcoming points of entry ENGAGE: Build clients’ hope and belief ASSESS: Discover clients’ strengths, assets, goals and other whole health needs PLAN & COORDINATE: Create or update clients’ tx plan with usable strengths, assets goals and other whole health needs and share it TRANSITION: Support clients’ discharge to new programs and from public mental health services Healthier Community IMDs & Acute Hosp TREAT & TEAM UP ON CARE: Provide tx in collaboration with others to support clients’ goal attainment and advance their recovery Primary Care Improved Public Support Other Programs & Agencies No Disparities System Supports: Contractual Relationships Development & Supervision Documentation & Reimbursement Auditing & Compliance External/Community Resources

12 Client Wellness & Recovery
Plan to Improve (QI Work Plan) Need / Demand Analysis Vision & Mission System Activity Design & Redesign Processes and Services Measurement & Feedback System for Improvement Outcomes: Sources: Core System Processes: Client Wellness & Recovery Community PREVENTION: Education in the Community Schools UNDERSTAND WHOLE PERSON: Put clients’ strengths, assets and goals into usable form Client Independence from PMH Juv. Justice, Corrections WELCOME: Provide accessible, appropriate and welcoming points of entry ENGAGE: Build clients’ hope and belief ASSESS: Discover clients’ strengths, assets, goals and other whole health needs PLAN & COORDINATE: Create or update clients’ tx plan with usable strengths, assets goals and other whole health needs and share it TRANSITION: Support clients’ discharge to new programs and from public mental health services Healthier Community IMDs & Acute Hosp TREAT & TEAM UP ON CARE: Provide tx in collaboration with others to support clients’ goal attainment and advance their recovery Primary Care Improved Public Support Other Programs & Agencies No Disparities System Supports: Contractual Relationships Development & Supervision Documentation & Reimbursement Auditing & Compliance External/Community Resources

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