Oklahoma Mental Health Outreach & Engagement (2023) PDF

OUTREACH & ENGAGEMENT in CCBHC Presenter Zona Whitewater, CCBHC TA TEAM 1 Did You Know… 21% of adults are experiencing a mental illness = over 50 million Americans. 55% Receive no treatment = over 28 million individuals. 70% of thos...

OUTREACH & ENGAGEMENT in CCBHC Presenter Zona Whitewater, CCBHC TA TEAM 1 Did You Know… 21% of adults are experiencing a mental illness = over 50 million Americans. 55% Receive no treatment = over 28 million individuals. 70% of those who drop out of treatment do so after their first or second visit. 2  Define O&E Identifying and developing community partners Goals Understanding O&E techniques and impact Clarify expectations 3  Could not afford the cost of care (43.9% adults with AMI, 51.8% adults with SMI)  Not knowing where to go for services (33.1% adults with Common AMI, 36.8% for adults with SMI) Reasons  Believed they could handle the for not problem without treatment (30.5% adults with AMI, 27.3% adults receiving with SMI) services  Concerned about being committed to a psychiatric hospital or having to take medication (23.4% of adults with SMI) 4 Outreach: Outreach is the activity of providing services to any population that might not otherwise have access to those services. A key component of outreach is that the group providing it is not stationary, but mobile. Outreach involves meeting someone in need of an outreach service at the location where they are. 5 Types of Outreach New intakes Between Outr Inter programs eac nal Up and down in levels of care h Hospitals Emergency Departments Urgent Care Primary care Outr Exte Homeless Shelters eac rnal Substance Use providers Private providers Judicial system h Communal living/meeting locations 6  Hospitals Emergency Departments Identifying Urgent Care & developing Primary care Homeless Shelters community Substance Use providers partners Private providers Schools Child welfare agencies Indian Health Services Other social and human services Criminal and juvenile justice, including law enforcement, courts, jails, prisons, and detention centers (including drug, mental health, veterans, and other specialty courts) 7 Engagement Engagement is the strengths-based process through which individuals with mental health conditions form a healing connection with people that support their recovery and wellness within the context of family, culture and community. Engagement expands on the concepts of person-centered care and therapeutic alliance. 8  Enhanced Outreach means outreach activities that Enhanced include, but are not limited to, Outreach disease prevention and defined: promoting wellness and are above and beyond routine activities. 9  Traditional versus Enhanced Outreach Traditional Enhanced Hand out informational materials. Engage in discussion of services and needs. Provide general information on services. Provide target population specific and appropriate referrals. Participate in community wide events and Organize events to reach target information tables. populations. Facilitate internal staffings. Facilitate and host staffings/case conferences that include community partners. Attend community coalitions. Create and collaborate with coalitions to best serve target populations. Provide general information and/or Provide information/referrals with warm referrals for health and social services. hand-offs and follow ups. 10  Outreach & Engagement Preparation Provider Review Expect Prepare Educate EBPs TEAM Language Review your Always expect Prepare Do not use Work to Incorporate TEAM based organization's to meet an Elevator Provider educate evidence- Outreach immediate Speech Language individual on based policies and need (i.e., (i.e., wrap- mental health practices procedures bring around and services such as using nonperishable services, titles available motivational snacks, water, like interviewing provide warm Case Manager, and case handoffs for explain the management additional difference and experience of resources) that means) assessing needs as well 11 Outreach & Engagement Goals  Introduce self. Convey genuine care and concern.  Build rapport and seek to develop relationships with individuals not involved in services, and or reengage with those that have not been in services recently  Speak about your program and services. Be realistic, under promise and over deliver. (Do not promise things such as employment or housing)  While outreaching consumers, you may be introduced to others that could benefit from services 12  ODMHSAS Service Codes Community Outreach & Engagement H0023 - Outreach services need Activities in a face-to-face or group setting directed to flexible and adapted to toward identifying potential customers or persons who the target population to are at risk; explaining possible symptoms and be effective. behaviors; and explaining available service options and other actions to aid recovery/rehabilitation. They are designed to Note: “meet people where they This service is to be used for individuals who are” and take place in the are not already admitted for services. Outreach takes place outside of behavioral health facilities, in community, such as in the community. This service can only be reported the streets or in shelters, with a generic Customer ID (999999992). homes, jails or hospitals. 13  ODMHSAS Service Codes Outreach services need Intensive Outreach H0023- Activities directed toward to flexible and adapted to potential customer or persons who are at risk, with the the target population to purpose of establishing trust and rapport, explaining be effective. services available, and dispelling likely or actual resistance on the part of the potential customer. They are designed to  Note: This service is to be used for individuals who are “meet people where they not already admitted for services, and can be provided are” and take place in the either face to face, or through telephone contact. Face community, such as in to face outreach takes place outside of behavioral health facilities, in the community. This service can be the streets or in shelters, reported with either a unique Customer ID or a generic homes, jails or hospitals. Customer ID (999999992). 14 Expectations…  Have staff dedicated to outreach and engagement, who do not carry a caseload.  Conduct outreach activities to engage those consumers who are difficult to find and engage, with an emphasis on the special population list also known as the “Most in Need” list  Have at least two contact phone numbers in the consumer’s record for unhoused persons who know how to reach the consumer and/or know a location most likely to find the consumer.  Have policies and procedures to describe how outreach and engagement activities will occur. 15  Actively focuses EXTERNALLY on outreach and engagement including direct work with local hospitals, jails, institutions, inpatient units, etc. Serves as a liaison, or works closely with liaison Outreach & if a separate role, to community partners. Engagement Case Manager Actively working “Most In Need” (MIN) list. Looks INTERNALLY to address disruptions in service such as missed appointments, changes in intensity of services, barriers to service engagement, etc. 16 Approaches to those not wanting services: Constructive Approaches: Common in recovery-oriented services, are client- directed, strengths based, empowering, field-based, and help with resource linkage and community reintegration. Monitoring Approaches: Less collaborative with clients and can involve intensive efforts to reach a client who is or may become avoidant (showing up at their home, frequent text) and use of key informants (ex. Family, friends, others) to gather information about the client. Restrictive Approaches: The last resort would be to involve relationship-building during involuntarily treatment and can involve visiting the client in a hospital or jail. *Not everyone will be ready to engage in services immediately but continue to outreach. 17 12 principles for advancing a culture of Outreach & Engagement: 1. Make successful outreach & engagement a priority at every level of the mental health care system. Train for it. Pay for it. Support it. Measure it. 2. Communicate hope. For those who feel hopeless, hold hope for them until they experience it themselves. 3. Share information and decision-making. Support individuals as active participants in their care. 4. Treat people with respect and dignity. Look beyond the person’s condition to see the whole person. 18 12 principles for advancing a culture of Outreach & Engagement: 5. Use a strengths-based approach to assessment and services. Recognize the strengths and inner resources of individuals and families. 6. Shape services and supports around life goals and interests. A person’s sense of wellness and connection may be more vital than reducing symptoms. 7. Take risks and be adaptable to meet individuals where they are. 8. Provide opportunities for individuals to include family and other close supporters as essential partners in their recovery. 19 12 principles for advancing a culture of Outreach & Engagement: 9. Recognize the roles of community, culture, faith, sexual orientation and gender identity, age, language and economic status in recovery. 10. Provide robust, meaningful peer and family involvement in system design, clinical care and provider education and training. 11. Add peer support services for individuals and families as an essential element of mental health care. 12. Promote collaboration among a wide range of systems and providers, including primary care, emergency services, law enforcement, housing providers and others. 20  Any Outreach successes? Any Engagement successes? Do you have identified Outreach worker(s)? Who works your MIN list? How are your community partner relationships? Things to Ponder Outreach next steps? Engagment next steps? 21 You don’t do outreach by staying in your office… if you want to do real outreach and engagement, it means getting out into the community and meeting people where they are. To be successful at that, you must cultivate relationships and maintain them over a period of time. 22  Thank You OUTREACH & For more information, contact: ENGAGEMENT Zona Whitewater: (405) 763-9617 Topher Balderas-Young: (405) 763-7159 in CCBHC Presenter Zona Whitewater, CCBHC TA TEAM 23