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BCM Annual Report

Corry Counseling Services

Blended Case Management Program Summary

FY 2017/18

 

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 278.  272 were white; 3 were black; 1 was Hispanic; 2 were Native American.  There were 163 female clients and 115 male clients.  There was 1 client age 5 or under; 26 clients ages 6-13; 18 clients ages 14-17; 46 clients ages 18-25; 79 clients ages 26-45; 91 clients ages 46-64; and, 17 clients that were over the age of 65.  There were 104 intakes.  There were 116 discharges.  Referrals are steady and average 10 a month.

 

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

BCM staff completed the following 8 Relias trainings:

 

            Blood Bourne pathogens (6 BCM)

Deescalating Hostile clients (6 BCM)

Fire Safety: The Basics (6 BCM)

HIPAA and Behavioral Health (5 BCM)

Working with Difficult People (5 BCM)

Client/Patient Rights (7 BCM)

Understanding Borderline Personality (5 BCM)

Safety in the Field (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 BCM hired this fiscal year completed both trainings.  Four other BCMs completed these trainings as their two-year completion date came due.

 

Six BCMs completed the agency Corporate Compliance training.  Seven BCMs completed the agency Legal Issues training.  Four BCMs completed the Strategies for Cluster and Personality Disorder webcast training.  All seven BCMs attended the BCM Documentation Training and the Social security Benefits training.

 

Productivity

Productivity for the program as a whole averaged at 102.5%.  There was a range from 72% (the new hire) to a high of 111%.

 

Client Satisfaction Survey Results

The Blended Case Management program completed client satisfaction surveys in March, 2018.  At that time, the Blended Case Management program had 200 active clients.  35 surveys were completed and returned.  In addition to the first five statements on the survey to which all agency clients were asked to respond, there were two specific statements for 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.”

 

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 70% of clients will have a CSAS score that is improved after a year of service with 50% being over 10 % higher.

 

For clients reaching one year of service from July 1, 2017 to June 30, 2018, there were 39 adults and 14 children.  For adults, there were 82% with scores that improved and 74% of scores improved over 10%.  With the children, there were 93% with scores that improved and 86% of scores improved over 10%.  5% of adults and 0% of children’s scores stayed the same. 13% of adults and 7% of the children’s scores worsened. 

 

For those not reaching the target, related issues that appeared to impact scores were drug and alcohol concerns, and medical issues worsening during this time frame.  Next year’s outcome measurement will be a target of 75% improvement in CSAS scores after a year of service, with 50% being over 10% higher.

 

The final results of the CCBH Value Based Payment pilot project are not yet known.  First through third quarter numbers show the BCM program is meeting all benchmarks.

 

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.

 

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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