worcester health facilitating organizational change jennifer lamade, core service agency director...
TRANSCRIPT
Worcester Health
Facilitating Organizational Change
Jennifer LaMade, Core Service Agency Director
Doris Moxley, Addictions Director
Tracy Tilghman, Mental Health Director
Worcester Health
Why do we need Integrated Care?
Worcester Health
What is Integrated Care in Worcester County?
Mental Health Addictions
Intellectual Disabilities
Somatic Care
Worcester Health
Worcester County Co-occurring History
Fall, 2001: Applied SAMHSA Grant Spring, 2002: Leadership attended national conference
Fall, 2002: SAMHSA Grant received
December, 2002: Charter signed
Change Agents Selected, Training begins
COMPASS administered for agency self-survey
Worcester Health
Worcester County Co-occurring History
Action Plans developed by each agency
Identified target areas for change: Welcoming, Accessibility and Integrated
Developed data measurement tools for prevalence of Co-occurring Disorders within the Health Department, Quadrant and Stage of Change
Worcester Health
Worcester County: Co-occurring Safety Net Project (2007) AGH Emergency DeptAGH InpatientAGHS Physician PracticeWorcester County JailLaw EnforcementWCHD Crisis ResponseWCHD Mental HealthWCHD Substance AbuseWCHD Case MgmtWC Social Services
WC Juvenile ServicesWC Civil & Criminal Justice ServicesWC Parole & ProbationHomelessness ProvidersMH Crisis Bed ProvidersWC Local Mgmt BoardWC Core Service AgencyEMS PersonnelOther Crisis Related ServicesPatients / Families
Worcester Health
Worcester County Public Safety Net
Worcester Health
Quadrant II↑ Behavioral Health ↓ Medical
Health
Served by specialty behavioral health system that coordinates with primary care physician. Primarily served by WCHD due to extensive needs of client.
Quadrant IV↑ Behavioral Health ↑ Medical
Health
Served in both the specialty behavioral health system and medical specialty system. Client shared through all services to include collaboration among providers ( PCP, AHC, WCHD).
Quadrant I↓ Behavioral Health ↓ Medical
Health
Served in any primary care setting. May require a psychiatric consultation, but returns to primary care physician. Primarily served by patient’s primary care physician (PCP).
Quadrant III↓ Behavioral Health ↑ Medical
Health
Served in primary care / medical setting with behavioral health staff on-site. Primarily served by the Atlantic Health Center (AHC). Adapted from the National Council for Community Behavioral Healthcare, 2002