1. Marge Hanna, MEd February 18, 2014
Community Care Behavioral Health - A ROSC Collaboration with PA Counties
Marge Hanna, MEd
February 18, 2014
© 2014 Community Care Behavioral Health Organization

2. Community Care Quick Facts
Recovery-oriented behavioral health managed care company
Provider owned (UPMC), Licensed as a Risk-Assuming PPO in PA
Incorporated in 1996 and headquartered in Pittsburgh, PA
Federally tax exempt non-profit 501(c)(3)
© 2014 Community Care Behavioral Health Organization

3. Mission and Vision
Improve the health and well-being of the community through the delivery of effective and accessible behavioral health (BH) services
Improve the quality of services through a stakeholder partnership focused on outcomes
Support high-quality service delivery through a nonprofit partnership with public agencies, experienced local providers, and involved members and families
© 2014 Community Care Behavioral Health Organization

4. Community Care County Partnerships
39 counties, 10 contracts: urban, suburban & rural
PA system county-based authorities for:
Mental health & developmental disabilities
Drug & alcohol services
Children & youth social services
Aging
Health (smaller counties serviced by regional health offices)
Criminal justice system
County-focused initiatives, collaborations, networks, member advisory groups, quality committees, etc.
ROSC focus
Individuals have choice of Physical Health MCO plans
© 2014 Community Care Behavioral Health Organization

5. Pennsylvania HealthChoices Contracts
© 2014 Community Care Behavioral Health Organization

6. Our Journey Recovery, Resilience & Whole Health Wellness
© 2014 Community Care Behavioral Health Organization

7. Serving Adults with SMI
Peer Voice in Recovery Transformation
Statewide Corporate Member Advisory Board
Active Involvement in operations and activities
Statewide Recovery Institute
Consultation with Pat Deegan & Associates on increasing consumer voice & shared decision making
Decision Support Centers (DSCs) - CommonGround
12 peer-delivered DSCs in medication clinics & other community settings
© 2014 Community Care Behavioral Health Organization

8. Serving Adults with SMI
Implementation of DSCs with recognition by American Psychiatric Association (APA)
Results include improved engagement in care & understanding of treatment
Recovery learning collaboratives
Over 50 agencies involved
Implementing Personal Medicine, Power Statement & Decision Support Toolkits
Integrating recovery concepts & culture change in BH services with physician outreach
Conferences, training, & technical assistance on recovery & transformation themes
Supporting CPS and community based recovery supports
© 2014 Community Care Behavioral Health Organization

9. Youth with Emotional Disturbances
Promotion of cross-system collaboration
Innovative service development with family & provider input (clinical homes in school & other settings)
Strong partnerships with providers & counties with input from agencies such as CYF & JPO
Focus on meaningful outcomes management, involving members & their families in the processes
Learning collaborative
Structural family therapy
School-wide positive behavioral supports
Trauma-informed care
Screening & referral for co-occurring disorders
© 2014 Community Care Behavioral Health Organization

10. Serving Members w/ Substance Abuse
Training to support co-occurring competency in the workforce
Promoting effective use of medication assisted treatment, including development of guidelines for use of buprenorphine and recovery –oriented methadone maintenance
Addressing safety concerns associated with use of methadone
Promoting evidence-based programs
SBIRT, MI, MAT, CBT, etc.
Strong efforts to build ROSC
Expansion & effective use of certified recovery specialists
Support county efforts to expand range of services and encourage effective use and expansion of non-clinical community support services
© 2014 Community Care Behavioral Health Organization

11. Physical Health/Behavioral Health
Multiple, nationally-recognized interventions
MCO & Provider Collaboration Model
Connected Care
Community Care Behavioral Health Home Plus
Serves individuals with behavioral health challenges and co-occurring physical health conditions
3-year PCORI grant
Medicare/Medicaid special needs plan led by BH settings
© 2014 Community Care Behavioral Health Organization

12. Allegheny County Some examples…
Assertive Community Treatment - 9 Teams
Two Learning Collaboratives on recovery tools plus one with ACT (ACHI Partnership) on Wellness Coaching
Children’s Clinical Home learning collaborative - whole health wellness focus (1 in Allegheny)
Three Allegheny OPMH operating peer run DSCs
CommonGround software with 2 ACT teams (mobile)
Several grassroots recovery support agencies
CPS/CRS support
© 2014 Community Care Behavioral Health Organization

13. Partners in Transforming Care
Recovery-Oriented Systems of Care
Partners in Transforming Care
© 2014 Community Care Behavioral Health Organization

14. Recovery, Resilience and Whole Health Wellness
Ensuring that our company is fully aligned with ROSC and Recovery Management principles
Internal surveys and focus groups
Integrated planning for mental health, SUD – adults as well as children and adolescents
Providing technical assistance to counties on ROSC and Recovery Management
Conferences, workshops, etc.
Most county efforts are SUD focused
Evidence based programming related
Best Practice Guidelines
Learning collaboratives
© 2014 Community Care Behavioral Health Organization

15. Pay for Performance Initiatives
ROSC Pay for Performance Initiatives
County specific
Includes cash incentives for implementing interventions that impact on continuing care…
Assertive Outreach and Initial Engagement
Screening, Assessment, Service Planning, and Delivery
Continuing Support and Early Re-intervention
Community Connection and Mobilization
Learning collaborative approach
© 2014 Community Care Behavioral Health Organization

16. ROSC Center of Excellence Initiative
Target larger SUD treatment agencies that provide services throughout the state and our member counties
Partnership with treatment providers, county funders and persons with lived experience in development of process and content
Advisory Committee
more than 51% persons with lived experience from throughout the ten contracts (CRS/CPS and others)
Includes HealthChoices and MH representation but primarily SUD
Pre meetings with large provider systems
© 2014 Community Care Behavioral Health Organization

17. Initiative Vision & Goals
Members will receive the treatment and recovery supports necessary to achieve long-term health and wellness with a meaningful life in the community
Recovery, resilience & whole health wellness
Increased rate of engagement in treatment for 90 continuous days from initiation of treatment
Increase the number of PIR engaged in community based recovery supports pre, during and post acute care
Reduce number of AMAs/AFAs
© 2014 Community Care Behavioral Health Organization

18. Participants in the Advisory Committee Will
Commit to the Core Values/Principles of a ROSC and Recovery Management
Support and model enhancements to treatment to become more fully aligned with elements of a ROSC and principles of Recovery Management
Support and model enhancements involving the use of peers pre, during and post acute care to support long term recovery
Support and model collaborations/partnerships that enhance recovery outcomes
© 2014 Community Care Behavioral Health Organization

19. Initiative Overview
Six months advisory committee work ending June 18, 2014
Statewide conference June 19 showcasing interventions in four domains
Assertive outreach & initial engagement
Screening, assessment, service planning & delivery
Continuing support and early re-intervention
Community connection & mobilization
Kick-off of ROSC learning collaborative months
ROSC COE Advisory Committee members as “early adopters”
© 2014 Community Care Behavioral Health Organization

20. Lessons Learned Planning/Laying the Foundation
Identifying early adopters
Language
Coaching
Right Incentives
Transparency
© 2014 Community Care Behavioral Health Organization

21. Contact Information
Marge Hanna, MEd Senior Director, Substance Use Disorder Initiatives, Community Care Community Care Behavioral Health Organization 1 East Uwchlan Avenue, Suite 300, Exton, PA