Medication Support Program Annual Report

Corry Counseling of LECOM Health

Medication Support Program

FY 2020/21 Annual Program Report

Program Description

The goal of the Medication Support Program is to assist individuals with a mental health diagnosis to achieve recovery through medication monitoring, education about medication and mental illness, and skill building to effectively manage medications. Participation in the Medication Support Program is voluntary and this service is available through other providers. Services are provided in a manner consistent with the principles of the Community Support Program (CSP).

Medication Support Program Services are available during evening hours and on the weekend as needed. Services primarily take place in the client home. A staff member is on-call at all times. Services are individualized and begin with an assessment of an individual’s needs. A medication monitoring plan is developed with specific goals and objectives related to the individual’s recovery plans.

Program staff meets with clients as frequently as needed to support medication compliance. This can range from home visits several times a day to reminder phone calls. As treatment progresses, the length and frequency of appointments decreases as the client becomes increasingly self-sufficient in independently managing their medications.

Over the course of services, staff works with clients to:

  • Identify prescribed medications and the dosages and times at which they are taken

  • Understand the purpose of medications

  • Learn possible medication side effects and how to respond

  • Safely store and dispose of medications

  • Effectively communicate with providers about needs and concerns

  • Anticipate the needs for prescription refills and contact the pharmacy

Program discharge occurs when an individual has completed their treatment goals and their medications are safely managed. Throughout the COVID-19 crisis, both program staff members met with MSP clients as needed to assist them in managing their medication.

Clients

The Medication Support Program served a total of 44 clients this fiscal year. All clients were white. There were 31 female clients and 13 male clients. The MSP program serves people ages 18 and over. There were 3 clients ages 18 to 25; 12 clients ages 26 to 45; 23 clients ages 46 to 64; and, 6 clients over the age of 65. There were 17 intakes and 13 discharges. The program has had growth since last year but continues to have room for more referrals. There were 950.25 hours of service this year.

Staff

There is one full time bachelor’s level MSP staff member and one part time MSP nurse. There were no staff losses and the rate of turnover was 0%.

Training

In the MSP program there were 8 Relias Trainings for staff to complete as well as 3 Agency trainings and 4 trainings from the CCBH website. They are listed as follows. The MSP nurse was only required to complete the Agency Trainings.

“Corporate Compliance” was completed by both staff members.

“Abuse, Neglect, and Exploitation of Older Adults” was completed by both staff members.

“Behavioral Health Services and the LGBTQ+ Community” was completed by the MSP worker.

“Employee Wellness-Side Effects of Care Giving” was completed by the MSP worker.

“Employee Wellness-Stress Management” was completed by the MSP worker.

6 other Employee Wellness trainings of their choice were also completed by the MSP worker.

From the CCBH website:

“Compassion and Mindful Self Care” was completed by the MSP worker.

“Social Connectedness” was completed by the MSP worker.

“Healthy Eating in Stressful Times” was completed by the MSP worker.

“A Good Night’s Sleep with Proper Sleep Hygiene” was completed by the MSP worker.

Productivity

Overall productivity for the MSP program for the year was 106%. Productivity ranged from 89% to 123%.

Client Satisfaction Survey Results

No client satisfaction surveys completed this year due to Covid-19.

Licensure visits/FWA/Quality Audits

The MSP program had its first FWA audit ever in late April, 2020. The audit resulted in a Corrective Action Plan. The electronic medical record, Credible, was re-programed to bill in 15 minute increments, as it had been inadvertently been billing at 8 minutes. There were a couple notes that had not included the location in the note, so staff was also re-educated on the need for consistent use of the location in the progress note. Both items were completed within a week of the Corrective Action Plan being created.

Outcomes

Beginning in FY 2021/22, MSP outcomes will measure client ability to describe the purpose of prescribed medication and client ability to communicate with their pharmacy; programs levels serve as the data source for both. The target for ability to describe the purpose of prescribed medication is that 75% of clients will have progressed to Level 2 after 6 months of service. The target for ability to communicate with the pharmacy is that 60% of clients will have progressed to Level 3 after 12 months of service. Outputs include number of clients seen, appointments attended, units of service provided and pill boxes and secure container for medications provided.

Expectations for the coming year

The expectation for the coming year is that the program will continue to grow by 20%, which is 5 clients. Referrals come at a slow pace, which is the potential challenge.