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Family Based Mental Health Annual Report

Corry Counseling Services

FBMH Program Summary 

FY 2019/20 Annual Report


Program Description 

Family Based Mental Health is an intensive in-home program that provides structural family therapy to children and their families who are experiencing serious emotional and behavioral issues and are at risk for in-patient hospitalization or residential placement.  This program is voluntary and can be authorized for up to an eight month period.


FBMH teams are comprised of a Master level therapist (Mental Health Professional) and a Bachelor level therapist (Mental Health Worker).  FBMH services include: assessment of needs and their priority, resolution of immediate crisis needs through the development of a Safety and Crisis Plan, development and implementation of a Comprehensive Treatment Plan, linkage to informal supports and collateral services as needed, therapeutic support, guidance and skills building for the family as well as planning and support for discharge. The Family Based program also provides a 24 hours/7 days a week on-call support line.


Clients

During this fiscal year, 59 unduplicated clients were served.  Of the clients served: 29 were female, and 30 male.  In regards to race: 55 were Caucasian, 3 African American, and 1 Hispanic.  In regards to age:  <5 = 1, 6-13 = 31, and 14-18 = 27.  There were 52 intakes and 43 were discharged.  There were 3,223 hours of services provided.


Staff

There are seven full time positions in the FBMH program: one supervisor and three teams of 2.

No staff or was hired during the fiscal year.


Training

The Family Based teams undergo 3 years of training through the Philadelphia Child and Family Therapy Training Center, Inc. to further enhance their clinical skills and better serve the needs of families.  Therefore, the Family Based teams request that families consent to videotaping sessions on occasion.  This is for the purpose of supervision and on-going training. 


Of the seven staff members in the program, 6 have completed the three year training.


All FBMH staff attended training through the Philadelphia Child and Family Therapy Training Center.  The supervisor attended 5 supervisor training days, 5 “graduated staff” attended 5 booster training days, and 1 staff attended 17 clinical training days and completed 5 days of on-line didactic trainings. 


The FBMH supervisor and teams completed 6 on-line (Relias) trainings:  

Blood borne Pathogens

The Impact of Parental Substance Use D/0

Attachment D/O:  Attachment and Trauma

Best Practices in Trauma Specific Treatment

Psychotropic Medications

Barriers to Recovery

In addition, the FBMH supervisor and staff completed the Child Abuse Recognition and

Reporting training and a Webinar:  How to Motivate and Engage the Whole Family Virtually.


Productivity

The FBMH program productivity was 87% with a range of 82% - 94% for individual staff.  This decrease in overall program productivity was directly impacted by the Covid-19 precautions.  In calculating productivity before Covid-19 precautions, (July19-Feb20), program productivity was 102% with a range of 98% - 104% for individual staff.


Licensure visits, FWA and quality audits.

On July 29, 2020, the FBMH program had its annual licensure visit.  A full license was granted.  There was a quality audit on June 9, 2020; the results have not yet been received.  There has not been a FWA audit in the past year.


Client Satisfaction Survey Results

Client satisfaction surveys were completed in January.  There were 15 client surveys completed. In addition to the five statements to which all agency clients were asked to respond, the two specific statements for FBMH clients were:  “I feel safe to express my opinion and feel like I am being heard” and “The FBMH team is helping us work together better as a family”, 93% of the respondents answered agree or strongly agree.  For the question, “I am able to get an appointment in a timely manner,” 100% of the respondents answered agree or strongly agree.  For the questions, “I am treated with respect here” and “I felt included in the development of my treatment plan,” 93% of the respondents answered agree or strongly agree. For the question, “I would refer a family member or friend with similar concerns,” 87% answered agree or strongly agree. For the question, “My personal information is kept confidential,” 93% of the respondents answered agree or strongly agree.


Outcome Results

The defined outcomes were improved family functioning and goal achievement.  Outputs were number of clients seen, appointments attended, units of service delivered, and type of services provided.  The data source was the client satisfaction survey completed at the close of services.  The indicator was agreement or strong agreement to the questions 6, 7, 8, 9, 10 on the survey.  The target was at least 85% agreement.  Of the 22 clients who completed surveys, all met the target.  3 clients were placed outside of the home at discharge.    


. Strongly Disagree Disagree Unsure Agree Strongly Agree TOTAL % that agree or strongly agree # that agree or strongly agree

6 0 0 1 2 19 22 95% 21

7 0 1 2 6 13 22 86% 19

8 0 1 2 7 12 22 86% 19

9 0 1 2 8 11 22 86% 19

10 0 1 1 6 14 22 91% 20



Expectations for the Coming Year

The program has been at or near capacity for many months.  However, due to Covid-19 precautions, there has been a decrease in family engagement which has resulted in, more than average, an increase in early discharges.  It is anticipated that we will continue to receive referrals from different sources and remain at or close to capacity.  The program hopes to continue a collaborative working relationship with Millcreek Community Hospital in regards to in-patient admission and discharge of our clients.



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