Behavioral Health Alliance of Rural Pennsylvania

Dual Diagnosis Treatment Team

Presenters

Sally Walker

Director

Behavioral Health Administrative Unit

Behavioral Health Alliance of Rural PA

Thomas J. McDermott, MBA

Administrator

Centre County MH/ID/EI and D&A

Anthony DeStefano, MA

Executive County Director

NHS Human Services

Northwestern & South Central Pennsylvania

Bob Fleming

Community Connections of Clearfield and Jefferson Counties

Behavioral Health Program Specialist 2

Dual Diagnosis Coordinator (BH/IDD)

Consortium CHIPP Coordinator

Dual Diagnosis Treatment TeamOperationalization & Program Data

Confidential - NHS Human Services - Not for Reproduction

Dual Diagnosis Treatment Team

(DDTT) Implementation:• RFP Awarded by Community Care Behavioral Health

early 2011, with scheduled program implementation date of July 2011

• DDTT operationalized August of 2011

• Interviews and conditional offers occurred August 2011—January 2012

• March 2012– DDTT enter accepted their first referral

Confidential - NHS Human Services - Not for Reproduction

DDTT Roadblocks and Obstacles:

Large Geographic Coverage Area

Employee Candidates Meeting Minimum Qualifications

Buy-in from Providers and Community Services

Confidential - NHS Human Services - Not for Reproduction

1st DDTT Referral

• CLA in Rural PA

• Severe and Persistent Behaviors with multiple Hospitalizations

• High Will – Low Skill Direct Care Staff

• DDTT and CLA on Different Pages

Buy-in From Providers & Community:

Confidential - NHS Human Services - Not for Reproduction

• Top-Down Approach with Expectation Setting / Buy-in

• DDTT is not an Ala-Carte Service

• Skill Transference is 50% of DDTT service implementation

• Continue to Adapt and Collaborate to Achieve Best Possible Outcomes for Individuals

Lessons Learned

Confidential - NHS Human Services - Not for Reproduction

PROGRAM DATA (See Handout)

• Bradford/Sullivan • Huntingdon/Mifflin/Juniata

• Cameron/Elk • McKean• Centre • Northumberland• Clarion • Schuylkill• Clearfield/Jefferson • Tioga• Columbia/Montour/Snyder/Union • Potter• Forest/Warren • Wayne

QUESTIONS

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