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BCM Annual Report

Corry Counseling Services

Blended Case Management Program 

FY 2019/20 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 224.  222 were white. 2 were black. There were 137 female clients and 87 male clients.  There was 1 client at age 5 or under, 8 clients from ages 6-13, 13 clients that were ages 14-17, 28 clients that were ages 18-25, 80 clients that were ages 26-45, 79 clients that were ages 46-64, and 15 clients that were over the age of 65.  There were 72 intakes.  There were 79 discharges.  Referrals are steady and average 7 a month.  There were 5963.5 hours of service.


Staff 

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 %.


Training

In the BCM program there were 6 Relias Trainings for staff to complete. They are listed as follows.


“Bloodborne Pathogens” was completed by 7 BCM.  

“Motivational Interviewing” was completed by 6 BCM.   

“What Does Becoming Trauma-Informed mean to Non-clinical staff” was completed by 6 BCM.

   “Behavioral health Issues in Older Adults for Para-professionals” was completed by 7 BCM.

“Crisis Management Basics” was completed by 7 BCM.

“Supporting Recovery for Individuals with Schizophrenia” was completed by 6 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 four other BCMs also completed these trainings as their two year completion date came due.

Seven BCMs completed the agency Corporate Compliance training, Collaborative/Concurrent Documentation training, Mental Health Procedures Act Training.  Six completed the Exposure Control training.  Seven BCMs completed the Child Abuse training.  


Productivity 

Productivity for the program as a whole averaged at 87%.  There was a range from 84% to a high of 91%.  The COVID-19 Pandemic had a very negative effect on the program’s productivity, as did having a staff off on maternity leave earlier in the year.  Prior to the pandemic and shut down in March, the productivity average was 98.29%


Client Satisfaction Survey Results 

The Blended Case Management program completed client satisfaction surveys in January, 2020.  At that time, the Blended Case Management program had 164 active clients.  35 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.”


Licensure visits/FWA/Quality Audits

The BCM Program had an OMSAS Desk Audit for program approval in April, 2020.  The BCM program was approved for another year.  No further suggestions were given.

 

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 65% of clients will have a CSAS score that is improved after a year of service with 50% of those individuals being over 10% higher.


For clients reaching one year of service from July 1, 2019 to June 30, 2020, there were 42 adults and 3 children.  For adults, there were 50% with scores that improved and 67% of those scores improving over 10%.  With the children, there were 67% with scores that improved and 100% of those scores improved over 10%.  21% (9/42) of adults and 0% of children’s scores stayed the same. 21% (9/42) of adults and 33% (1/3) of the children’s scores worsened.  


For those not reaching the target, we found 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 50% improvement in CSAS scores after a year of service, with 50%of those scores being 10% or 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 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.  This will last until 12-31-20 and at that point a new project will be introduced by CCBH.


Referrals to the BCM program continue to be steady and average 7 referrals a month.  This is expected to continue.


The largest challenge of this past year was the COVID-19 Pandemic and it will continue to be so in the upcoming year.

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