1. Community Support Program NIATx Change Project 2012

2.  State Focus: ◦ Reduce psychiatric inpatient readmission rates (30 days and 180 days)  Big Aim: ◦ Increase the involvement ACSS clients have regarding their discharge from a psychiatric hospital.  Small Aim: ◦ Adult Community Support Services (ACSS) social workers will speak with CSP clients, via telephone, during their hospitalization and attend a Discharge Care Conference at the psychiatric hospital (3 separate modes)

3.  Prior to implementation of the small aim: ◦ A process on how to educate psychiatric hospitals of the small aim ◦ A process on how to implement the small aim within ACSS and Behavioral Health ◦ A tool to measure of the effectiveness of the small aim  The small aim was implemented on 08.21.2012! ◦ From 08/21/12 - 10/15/12  10 CSP clients hospitalized via an Emergency Detention or voluntarily

5.  Next 2 to 4 months: ◦ Continue to collect data to determine if the small aim is successful ◦ Based on data; decide to adapt, adopt or abandon  4 months and beyond: ◦ Develop additional aims to impact recidivism rates

6.  Clients’ have reported favorably in regards to having an active voice in their own discharge care conference.  Clients’ who have been hospitalized in the past report that they have been more involved with their discharge planning than with previous hospitalizations.  Long term impact: financial gains for St. Croix County (hopefully)