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BCM Annual Report

Corry Counseling Services

Blended Case Management Program

FY 2018/2019 Annual Report

 

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.

 

Clients

The number of clients serviced in the BCM program was 303.  300 were white. 3 were black. There were 171 female clients and 132 male clients.  There was 1 client at age 5 or under, 6 clients from ages 6-13, 23 clients ages 14-17, 50 clients ages 18-25, 73 clients ages 26-45, 115 clients ages 46-64, and 35 clients that were over the age of 65.  There were 102 intakes.  There were 131 discharges.  Referrals were steady and averaged 10 a month.  There were 6,888.25 hours of service.

 

Staff

There are currently 7 BCM positions and one Program Director position.  There was one BCM staff loss due to that individual accepting another position at the agency; and, there was one hire to replace that position.  The rate of turnover was 12.5 %.

 

Training

In the BCM program there were 7 Relias Trainings for staff to complete. They are listed as follows:

 

 “Fire Safety” was completed by 7 BCM. 

“Deescalating Hostile clients” was completed by 6 BCM.  

“HIPAA and Behavioral Health” was completed by 5 BCM. 

“Motivational Interviewing” was completed by 7 BCM.

“Motivational Interviewing in Clinical Practice” was completed by 5 BCM.

“Introduction to Trauma-Informed Care” was completed by 6 BCM.

“Safety in the Field” was completed by 5 BCM.

 

In addition, the required BCM online Basic Case Management and Children’s Case Management training is due six months from date of hire, and then every two years after.  The one BCM that was a new hire, completed both trainings.  In addition two other BCMs also completed these trainings as their two year completion date came due.

Seven BCMs completed the agency Corporate Compliance training.  Seven BCMs completed the Drug Facts training. 

 

Productivity

Productivity for the program as a whole averaged at 100.1%.  There was a range from 95% to a high of 102.5%.

 

Client Satisfaction Survey Results

Client satisfaction surveys were completed in January, 2019.  At that time, the Blended Case Management program had 188 active clients.  46 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.”  100% of respondents agreed or strongly agreed with the first statement and 98% of respondents agreed or strongly agreed with the second statement

 

Licensure visits/FWA/Quality Audits

The BCM Program had an OMSAS visit for program approval on April 2, 2019.  The BCM program was approved for another year.  Two suggestions were given, to add more quantitative words to the service plan, and add the time of supervision to the supervision notes.  Both were put into practice immediately.

 

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 75% of clients will have a CSAS score that is improved after a year of service with 50% of those individuals having increases of 10% or more.

 

For clients reaching one year of service from July 1, 2018 to June 30, 2019, there were 43 adults and 9 children.  What we found was in the adults, there were 58% with scores that improved and 84% of those scores improving over 10%.  With the children, there were 89% with scores that improved and 75% of scores for those individuals improving over 10%.  21% (9/43) of adults and 0% of children’s scores stayed the same. 21% (9/43) of adults and 11% (1/9) of the children’s scores worsened. 

 

For those not reaching the target, we found the issues related to impacting their scores were drug and alcohol related issues, housing/homeless issues, and medical issues worsening during this time frame.  Next year our outcome measurement will be a target of 65% improvement in CSAS scores after a year of service, with 50% of those scores being over 10% higher.

 

The final results of the CCBH Value Based Payment pilot project are not yet known. 

 

Expectations for the coming year

For the coming year, the BCM program will continue to be involved in the CCBH Value Based Payment pilot project, involving the following aspects:  Clients will have BCM contact the 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.

 

 


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