CHAC Presentation - Cecil County Health Department

Cecil County
Core Service Agency
“Role, Functions & Services”
July 21, 2011
Gwen Parrack, MSW
Director, Division of Special Populations
Cecil County Health Department
Special Populations/Core Service Agency
401 Bow St.
Elkton, MD
Phone #410-996-5112
• ….to provide leadership and accountability in Cecil
County for a diverse, comprehensive, and accessible
array of quality public mental health services responsive
to the needs and desires of citizens with mental
illnesses, their families, and service providers.
• …to promote and
effectively manage a
well-coordinated and
integrated mental
health system
responsive to the
needs of the citizens
of Cecil County.
The Core Service Agency exists under the
authority of the Secretary of the
Department of Health and Mental Hygiene.
Roles & Functions of the CSA
• Plan, manage, and monitor a full array of
public mental health services, including
treatment and rehabilitation for persons
with serious mental illness
• Handle consumer complaints, grievances,
and appeals
• The CSA staff does not provide any direct
mental health services. (staff includes a
Director and 2 Clinical Managers)
Who is eligible for public mental
health services?
• Anyone receiving
medical assistance
(medicaid, MCHP,
PAC, etc.)
• Uninsured consumers
who meet specific
criteria set forth by
the Mental Hygiene
• Any consumer in
need of mental health
services that does not
have medical
assistance should
contact the Core
Service Agency for
further information.
• 410-996-5112
Values of the CSA
• People with mental
illnesses have the same
rights and responsibilities
as other citizens.
• Consumer empowerment
• Family and community
• Community education
• Responsive to all
• Integrated, collaborative
delivery system
• Effective management
and accountability
• Services provided in the
least restrictive, most
appropriate setting
Current Projects
(Designed to meet gaps in Medicaid Reimburseable Services)
• Jail Mental Health Services
• Wellness and Recovery Center
(On Our Own of Cecil County)
• Mini –Grant to support rotating shelter
• Telepsychiatry (Medicaid service FY12)
• Mental Health Awareness/Education
• Consumer Support Services
• Crisis Stabilization Services (New in FY12)
• School-based mental health services
Highlights: FY2010 Data
• 411 individuals received mental health
services from Con Med while incarcerated
in the Cecil County Detention Center
• 450 individuals visited the Wellness &
Recovery Center, On Our Own of CC
• 14 individuals received 32 hours of
psychiatric services from Univ. of MD
while traveling no further than the Cecil
County Health Department
Highlights – Cont’d
• 35-40 attendees at 3 “Lunch & Learn”
sessions as part of May is Mental Health
Month Activities (in partnership with OOO)
• 15 individuals became certified in the
provision of Mental Health First Aid (in
partnership with Upper Bay)
• 101 individuals served by rotating shelter
(in partnership with Meeting Ground &
many others!)
Highlights – Cont’d.
• Responded to 398 request for “help” in
person, by phone or e-mail.
• As the “payor of last resort,” provided
financial assistance with prescriptions and
security deposits for those meeting
diagnostic and other criteria (consumer
support services)
New Service: Crisis Stabilization
• Not anticipated to
begin until September
• Designed to fill gap
left by Eastern Shore
Mobile Crisis Service
• Licensed mental
health professional
will respond on-site.
• Targets Cecil County
Public Schools
• Local law
enforcement entities
• Union Hospital
Emergency Room
Services for Children and
Available through Public Mental Health Providers
Who are Cecil County’s Public
Mental Health Providers?
See Handout- These are all providers who can see
children and families with medical assistance.
Upper Bay Counseling & Support Services is currently
the only Outpatient Mental Health Clinics (OMHC) in
the county.
What kinds of services are
available to children?
Traditional Outpatient Services (see list)
Intensive Outpatient Services (Upper Bay)
Psychiatric Rehabilitation Program (Upper Bay)
In-Home Respite (Villa Maria)
Inpatient Psychiatric Services (Rockford Center)
Partial Hospitalization Services (Rockford)
Hospital Emergency Room Services (Union)
Residential Treatment Services (out-of-county)
What are these services and how
are they accessed?
Traditional Outpatient Services
• Commonly consists of weekly hour long
appointment for individual or family
• Monthly appointment with psychiatrist to
assess or monitor medication needs
• To access, consumer calls provider to
schedule an in-take appointment
Intensive Outpatient Services
• Available through Upper Bay
• Operates Mon-Thurs 9am-3pm, Fri 912:30
• Consists of academics in am, social skills
and group therapy in pm, individual &
family therapy
• Often used as a step-down from inpatient
hospitalization but not a requirement
• Usually referred by therapist or hospital
Psychiatric Rehabilitation Program
• Available through Upper Bay
• Tailored to address specific needs/goals of
• Services may take place 1:1 or in group
setting and must occur at least 3x per
• Requires referral from therapist
In-Home Respite
• Provider is Villa Maria of Catholic Charities
and is located in Baltimore, MD
• Provides child with a mentoring
relationship while also providing a break
• Respite worker takes child on an outing
• Usually occurs at least 2x per month for a
period of about 4 hours
• Treating therapist must send referral to
Core Service Agency for approval
Out of Home Respite
• Providers are The Chidlren’s Home and Catholic
Charities, both in Baltimore.
• Referral must be made by a licensed therapist
and sent to the CSA for approval.
• Child is matched with a family for
overnight/weekend respite.
• Closest respite homes are in Harford County, so
parents must be able transport.
• Diagnostic and medical necessity criteria must
be met
Inpatient Psychiatric Services
• Rockford Center Psychiatric Hospital in
Newark, DE is the closest provider
• 24 hour psychiatric care in a locked facility
• This is the most restrictive level of care
within the continuum of care.
• Short-term
• Provides the fully array of psychiatric
Partial Hospitalization Services
• Rockford Center is the provider
• Frequently used as a step-down from
inpatient services
• Offers most of the same services as
inpatient except consumers are only there
for the day
Hospital Emergency Room
• Union Hospital is the provider
• Sometimes the first stop for children
experiencing psychiatric emergencies (suicidal
or homicidal ideation, psychosis, etc.)
• Usually sent to Rockford from there
Residential Treatment Services
• Long-term, minimum stay is usually 6 months to
a year
• No providers in Cecil County
• Is considered an “out-of-home” placement
• Stringent medical necessity criteria must be met
in addition to a source of payment for the
educational component of the placement
• Used as a “last resort” treatment option after all
appropriate services in less restrictive settings
have failed
Other Child & Adolescent Services
• Some do NOT require medical assistance
• Available to children in Cecil County who meet
specific criteria
Wraparound Services
• Provided by a regional Care Management
Entity (CME): Wraparound Maryland
• May be accessed through the Medicaid
RTC Waiver or by funding sources
available through the Department of Social
Services that do not require Maryland
Medical Assistance.
• Must be at risk of out-of-home placement
Family Preservation Services
• These are home-based case management
services offered through the Department of
Social Services on a voluntary basis.
• Parents may self-refer or healthcare providers
and /or other community agencies can make the
referral with the parent’s authorization.
Good Luck!!!

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