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An Evidence Based Practices Grant from The Kentucky Department of Mental Health & Mental Retardation Services To Kentucky River Community Care Inc.
Overview
With the assistance of an evidence based practice training grant from the KDMHMRS, KRCC and ARH-PC have undertaken training and system transformation activities aimed at improving treatment and continuity for persons with Serious mental Illness and Substance Use Disorders.
October 26, 2005 2
KRCC seeks to promote public safety, boost economic wellbeing and improve community and individual quality of life.
October 26, 2005 3
About ARH-PC
Appalachian Regional Healthcare, Inc. (ARH), is a non-profit healthcare system serving more than 35,000 residents in Kentucky and West Virginia. ARH provides continuity of care through a system of hospitals, clinics, home health agencies, and home care stores. ARH celebrated 50 years of service this year.
October 26, 2005 4
About ARH-PC
ARH Psychiatric Center opened in the summer of 1993. It is a 100-bed distinct part unit of the ARH Regional Medical Center in Hazard, KY - the flagship facility of the organization. ARH-PC contracts with DMH to serve 21 counties, and works closely with the CMHCs in that service area. We have four units, with three distinct programs General, Dual Diagnosis, and Rehabilitation. Average length of stay on Dual Unit is 4.5 days
October 26, 2005 5
Why Collaboration?
Persons seeking treatment for co-occurring mental health and substance use disorders often find services through multiple routes such as the hospital emergency room or physical health care professionals. Collaboration means there is no wrong door to receive needed treatment
IV
More severe mental disorder - more severe disorder/more severe substance abuse substance abuse disorder disorder
I
Less severe mental disorder/less severe substance abuse disorder
II
More severe mental disorder/less severe substance abuse disorder
Low Severity
October 26, 2005
Mental Illness
High Severity
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Integrated Services
Low Severity
October 26, 2005
Mental Illness
High Severity
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11
Tobacco Use
12
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Past Year Substance Dependence or Abuse among Adults Aged 18 or Older, by Serious Mental Illness: 2001
25 20
15 10 5 0
5.3
Goal 1
Increase continuity and treatment integration for persons receiving dual disorders treatment moving from hospital to community health and behavioral health.
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Goal 2
Increase competence of staff and programs in the provision of IDDT among the staffs of KRCC and ARH-PC
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Goal 3
Increase staff competence in planning and implementing evidence based process improvement strategies using well researched process improvement techniques such as team which include client involvement in quality improvement
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MISSION: To assist the addiction treatment community in making more efficient use of their treatment capacity and to create an infrastructure for ongoing improvements in treatment access and retention
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Change Teams
Group of persons led by change leader who identifies. Persons close to issue under study. Client involvement key Baseline & measurement One issue, one location, one level of care. Change cycle short for each change
October 26, 2005 21
Walk - Through as Method for Identifying Improvements Staff experience what client experiences No deception involved Pairs go through process to understand and analyze Notes taken by observer Barriers to client care identified
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31%
25% 20% 15% 10% 5% 0% Jan Feb 0% Mar Apr May Month
October 26, 2005 27
16%
15%
17%
15% 6%
5% June
5% July
Aug
Sep
28
29
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Training of Trainers
Final Training 12/11-14/06 Key staff at KRCC and ARH Perry outpatient and Dual unit Medical Staff at both facilities in special session
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P.A.R.K. Partnership for Advancing Recovery in Kentucky New Robert Wood Johnson Foundation Grant
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