Family Based Mental Health Annual Report

Corry Counseling of LECOM Health

Family Based Mental Health Services Program

FY 2020/21 Annual Report

Program Description

Family Based Mental Health (FBMH) 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’s 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, 65 unduplicated clients were served. 32 were female, and 33 male. In regards to race: 53 were Caucasian, 10 African American, and 2 Bi-Racial. In regards to age: <5 = 3, 6-13 = 37, and 14-18 = 25. There were 47 intakes and 45 were discharged. There were 3,153 hours of services provided.

Staff

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

No staff left and there were no new staff 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 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. The final staff member will complete their three year training this fall.

All FBMH staff attended training through the Philadelphia Child and Family Therapy Training Center. The supervisor attended 10 half days of supervisor training through Zoom, 5 “graduated staff” attended 10 half days of booster training through Zoom, and 1 staff attended 18 half days of clinical training and 7 half days of didactic trainings through Zoom.

The FBMH supervisor and teams completed 3 on-line (Relias) trainings:

Ø Abuse, Neglect, and Exploitation of Older Adults

Ø Cultural Competency & Sensitivity in the LGBTQ Community

Ø From Prescription Opioid Abuse to Heroine use in Youth and Young Adults

In addition, the FBMH supervisor and staff completed a series of webinars: A guide to high quality, intensive, in-home services during the Covid pandemic. Presented by: The Center for Family Based Treatment:

Ø Adapting to Technology-Assisted FBMH treatment

Ø Setting up and Conducting Telehealth sessions to increase Engagement

Ø Planning for safety & mitigating crises in Telehealth

Ø TA-ESFT with Families Challenged with ASD or ID

Ø Promoting Adherence to TA-ESFT

Productivity

The FBMH program productivity was 82% with a range of 63% - 102.5% for individual staff. This decrease in overall program productivity was directly related to the Covid-19 precautions.

Licensure visits, FWA and quality audits.

On June 11, 2021, the FBMH program had an audit from the state. A full license was granted. There has not been a FWA or quality audit in the past year.

Client Satisfaction Survey Results

There were no client satisfaction surveys completed in the last year due to Covid-19 precautions.

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 21 clients who completed surveys, all but one question, #9, met the target. In addition, 1 client was placed outside of the home at discharge.

Expectations for the Coming Year

The program has been at capacity for many months. However, due to Covid-19 precautions, there continues to be a decrease in family engagement which has resulted in 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.