BCM Annual Report

Corry Counseling of LECOM Health

Blended Case Management Program

FY 2020/21 Annual Report

Program Description

The Blended Case Management (BCM) program offers support to clients living with a mental health diagnosis in obtaining needed services, benefits and community resources. 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 CCLH office, at home, or in the community. 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 233. 230 were white. 3 were black. There were 144 female clients and 89 male clients. There was 1 client age 5 or under, 7 clients from ages 6-13, 6 clients that were ages 14-17, 24 clients that were ages 18-25, 97 clients that were ages 26-45, 81 clients that were ages 46-64, and 17 clients that were over the age of 65. There were 87 intakes. There were 90 discharges. Referrals are steady and average 7 a month. There were 5651.75 hours of service this year.

Staff

There are currently 7 BCM positions and one Program Director position. There were two BCM staff loss and two hires to replace those positions. The rate of turnover was 28.5 %.

Training

BCM staff completed 8 Relias trainings as well as 3 Agency trainings and 4 trainings from the CCBH website. They are listed as follows:

“Corporate Compliance” was completed by 6 BCM.

“Abuse, Neglect, and Exploitation of Older Adults” was completed by 6 BCM.

“Behavioral Health Services and the LGBTQ+ Community” was completed by 4 BCM.

“Employee Wellness-Side Effects of Care Giving” was completed by 6 BCM.

“Employee Wellness-Stress Management” was completed by 6 BCM.

6 other Employee Wellness trainings of staff’s choice were all completed by 4 BCMs: 1 BCM completed 3; and, 1 BCM completed 2.

From the CCBH website:

“Compassion and Mindful Self Care” was completed by 6 BCM.

“Social Connectedness” was completed by 6 BCM.

“Healthy Eating in Stressful Times” was completed by 6 BCM.

“A Good Night’s Sleep with Proper Sleep Hygiene” 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. Three BCMs completed these trainings as their two year completion date came due.

Productivity

Productivity for the program as a whole averaged 84%. There was a range of 75% to a high of 91%. The COVID-19 Pandemic had a very negative effect on the program’s productivity, as did the loss of staff this year. Prior to the pandemic and shut down in March, 2020, the productivity average was 98.29%

Client Satisfaction Survey Results

There were no client satisfaction surveys completed this year due to Covid-19.

Licensure visits/FWA/Quality Audits

The BCM Program had an OMSAS Desk Audit for program approval in April, 2021. 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 50% 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 37 adults and 2 children. What we found was in the adults, there were 62% with scores that improved and 65% of those scores improving over 10%. With the children, there were 50% with scores that improved and 100% of scores for those individuals improving over 10%. There were only 2 children in the category. 24% (9/37) of adults and 50% of children’s scores stayed the same. 14% (9/437) of adults and 0% 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.

For FY 2021/22, the targets have been revised to a goal of 55% improvement in CSAS scores after a year of service, with 50% of those scores being over 10% higher. An additional target will be that 50% of clients who have been in service at least 6 months will have a CSAS Housing Domain score rated 3 or lower.

Expectations for the coming year

For the coming year, the BCM program will continue to be involved in the CCBH Value Based Payment project, now called the Inpatient Mental Health/Ambulatory CBO involving the following aspects: Outpatient appointment kept within 7 days of discharge from a psychiatric hospitalization, and with increased BCM contacts within 30 days after a psychiatric hospitalization discharge, as well as a reduction of readmissions within that timeframe.

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.