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BCM Annual Report


Blended Case Management Program Summary

 FY 2016/17


Program Description

The Blended Case Management or BCM program offers support to clients living with a mental health diagnosis in obtaining other services and getting their needs met in the community.  BCM services are available to both adults and children.  Services are provided in a manner consistent with the principles of the Community Support Program (CSP) and the Child and Adolescent Service System Program (CASSP). The case management needs of individual clients are assessed and a service plan is developed and implemented between the client and case manager with specific goals and objectives related to those identified needs.  Blended Case Managers deliver services to clients at the Corry Counseling office, at home, or in the community as needed. Case managers work flexible hours during the week and on weekends in order to schedule appointments based on client availability.  Six core areas of service delivery to clients of the BCM program include assessment and service planning, informal support and network building, use of community resources, linking and accessing services, monitoring of service delivery, and problem resolution.



The number of clients serviced in the BCM program was 282.  272 were white. 6 were black. 2 were Hispanic.  2 were Native American.  There were 161 female clients and 121 male clients.  There were 5 clients age 5 or under, 21 clients ages 6-13, 16 clients ages 14-17, 45 clients ages 18-25, 87 clients ages 26-45, 92 clients ages 46-64, and 16 clients over the age of 65.  There were 109 intakes.  There were 125 discharges.  Referrals are steady and average 10 a month.



There are currently 7 BCM positions and one Program Director position.  There was one BCM staff loss and one hire to replace that position.  The rate of turnover was 12.5 %.



Productivity for the program as a whole averaged at 104%.  There was a range from 96% (the new hire) to a high of 108%.


Client Satisfaction Survey Results

The Blended Case Management program completed client satisfaction surveys in January, 2017.  At that time, the Blended Case Management program had 197 active clients.  30 surveys were completed and returned.  In addition to the first five questions on the survey which were asked of all agency clients, there were two additional questions asked of BCM clients, “I am getting connected with needed  services, and “The BCM program is helping me become more independent.”  All respondents answered most questions “agree or strongly agree.”  There was one response of neither agree nor disagree, and one respondent’s answer was strongly disagree to all questions. 




Outcome Results

The BCM Outcome measurement was Improved Functioning after one year.  The outputs were number of clients seen, hours of service provided, client intakes, and service linkages made for clients. The Data Source was the Combined Strengths Assessment Scale (CSAS).  The Indicator was a decrease in CSAS score. The Targets were that 85% of clients will have a CSAS score that is improved by at least 10%.


For clients reaching one year of service between July 1, 2016 to June 30, 2017, there were 49 adults and 8 children.  What we found was in the adults, there were 61% with scores that improved and 39% of scores improving over 10%.  With the children, there were 38% with scores that improved and 25% of scores improving over 10%.  24% of adults and 50% of children’s scores stayed the same. 14% of adults and 12% of the children’s scores worsened.  Even though the scores worsened, none of these clients were psychiatrically hospitalized. 


For those not reaching the target, we found the issues related for adults impacting their scores were housing instability, drug and alcohol related issues, medical issues worsening, jail, and death of a family member during this time frame.  For children, the issues impacting their scores were having an SMI parent, and housing instability.   None of the clients who’s scores worsened had to be psychiatrically hospitalized, though, reflecting the importance of their BCM’s support during their various stressors.  With this baseline information from this year, next year our outcome measurement will be a target of 70% improvement in CSAS scores after a year of service, with 50% being over 10% higher.


Expectations for the coming year

For the coming year, the BCM program will be involved in the CCBH Value Based Payment pilot project, involving the following aspects:  Clients will have BCM contact day of or day before a psychiatric hospitalization, BCM contact within 3 days of discharge, Outpatient appointment kept within 7 days of discharge from a psychiatric hospitalization, and at least 6 BCM contacts within 30 days after a psychiatric hospitalization discharge.


Referrals to the BCM program continue to be steady and average 10 referrals a month.  This is expected to continue.


Potential challenges could arise with the CCBH Value Based Payment pilot project if there are late notifications concerning psychiatric hospitalizations or discharges.