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ValueAdded
This is the 199th issue of our VBH-PA information update. These updates will be
emailed to network providers monthly. Please feel free to share our newsletter
with others, and be sure your appropriate clinical and financial staffs receive
copies.
Inside this issue
Successful Transitions from Inpatient Care to Ambulatory Care ......................................... 2 Webinars for Substance Abuse Services Providers ......... 3
NW3 HealthChoices Behavioral Health Forum .......................... 4
Anti-LGBT Stigma ..................... 5
Nominations and Exhibitor Registrations for the 16th Annual Adult Recovery Forum ............ 6 1-800-QUIT-NOW .................... 7
Cambria County Santa Shop .... 9
2016 Quarterly BHRS Provider Summits ................... 9
Vol. 18 Issue 1 January 2016
Value Behavioral Health of Pennsylvania, Inc. (VBH-PA) and our county partners believe
that the treatment of trauma is fundamentally different from traditional psychotherapy in a
number of ways. Many members who seek traditional psychotherapy are not having their
needs met due to a significant history of trauma. Therefore, trauma providers must have the
specialized experience, training, and supervision beyond that of the traditional
psychotherapist. They must be able to demonstrate significant knowledge about:
Human behavior and development
Comprehensive mental health evaluations/clinical interview
Psychosocial assessment
Specific treatment techniques for specific age groups
Treatment protocols that include Cognitive Behavioral Therapy (CBT), skill building
for emotional regulation, and a trauma narrative component
In an effort to develop a preferred provider network, VBH-PA began a workgroup of
interested county representatives and cross-departmental representatives from VBH-PA
in 2013. This workgroup adopted criteria for acceptance as a preferred provider for the
treatment of trauma. The minimum standards for preferred providers treating trauma:
Credentialed with VBH-PA
Licensed and/or licensed eligible professional (LPC, LCSW, LSW, LMFT,
Psychologist, Psychiatrist)
Evidence Based Practices—utilizes Trauma Focused CBT—certification and/or
documentation supporting the completion of a SAMHSA approved training program
or course.
- For practitioners based in the NW3 and SW6 counties, it is preferred that
this certification be accomplished via the Trauma Focused Cognitive
Behavioral Therapy (TF-CBT) National Certification Program.
Article continued on page 2.
Individual Preferred Provider Criteria
for the Treatment of Trauma
2
ValueAdded—January 2016
Screening Tool—utilizes Trauma Symptom Checklist, Adult and Child
- VBH-PA welcomes the use of additional screening tools but is
requesting that the practitioner submit the tool to VBH-PA for prior
approval. The screening tools used should be culturally sensitive and
appropriate.
Clinical Supervision—minimum one (1) time per month, for a minimum of one hour, by
a trauma trained supervisor. VBH-PA prefers that the supervision is provided by a
trauma trained/certified supervisor but it is not required.
Practitioner must provide documentation of twelve (12) hours of trauma focused training
every two (2) years.
To become an individual preferred provider for the treatment of trauma, submit all of the
above to Andrea Poole, Provider Field Coordinator, at [email protected] or
you can call her at (724) 430-1377.
For additional resources please visit the following websites:
Trauma Focused Cognitive Behavioral Therapy (TF-CBT) National Certification Program:
https://tfcbt.org/
National Traumatic Stress Network: www.nctsn.org
SAMHSA: http://www.samhsa.gov/nctic
Child Welfare Information Gateway: www.childwelfare.gov
Chadwick Center on Children and Families: http://www.chadwickcenter.org
Individual Preferred Provider Criteria for the
Treatment of Trauma (continued)
Welcome!
Carole Gigliotti
started on October
19, 2015 as a Care
Manager in the
Clinical Department.
Laura Disantis started
on November 30,
2015 as a Care
Manager in the
Clinical Department.
Regina Stroud started
on December 7, 2015
as Manager of Data
Analytics in the
Reporting
Department.
Kevin McKinzie
started on December
21, 2015 as a Lan
Support Technician in
the IT Site Support
Department.
OMHSAS has selected this topic for a three-year statewide performance improvement project. The
core objectives of this project include:
Reducing behavioral health and substance abuse inpatient readmission rates
Increasing kept ambulatory follow-up appointments after an inpatient discharge
Improving medication adherence rates of individuals with schizophrenia post inpatient discharge
Improving discharge management planning
One key aspect of this performance project includes evaluating the documentation of discharge
planning via chart reviews that occurs at inpatient facilities and then measuring members’ attendance
of their scheduled follow-up appointments. The elements to be reviewed were established at the start
of this project by OMHSAS and are being measured consistently by all five BHMCOs. In April 2015,
VBH-PA conducted baseline chart reviews at our four selected inpatient providers (Sharon Regional,
Washington Health Systems Greene, Heritage Valley Beaver, and Excela Westmoreland). Table 1
shows the average of the chart reviews conducted at the four inpatient facilities (30 charts per
facility).
Partners for Performance Improvement
Update on Statewide Project —
“Successful Transitions from Inpatient Care to
Ambulatory Care”
Article continued on page 8.
3
ValueAdded—January 2016
January 2016 Webinar Schedule for
Substance Abuse Services Providers Authorization Requests through ProviderConnect
Throughout 2016, VBH-PA will continue to expand our e-Commerce initiatives to include requests for authorizations
through ProviderConnect. The feedback that VBH-PA has received from providers thus far is that the electronic process
overall is user friendly, authorizations are more efficient, and it assists with the overall streamlining of the authorization
process.
VBH-PA has modified the forms utilized to request authorizations for substance abuse services to reflect the most recent
PCPC 3. The form that VBH-PA is proposing is based off of the PCPC form so that providers will not need to do
duplicative work. This form will provide VBH-PA with all of the information that would be needed for authorization
purposes.
As ProviderConnect submissions will be new to many of the substance use treatment facilities, VBH-PA is requesting that
each substance abuse services provider register for one of the Webinar times listed below. By attending these
trainings, we can assist the providers in learning ProviderConnect and the updated authorization process.
Webinar Date Time Description
January 6, 2016 11:00 a.m. Medically Managed Inpatient Detoxification (4A)
January 7, 2016 11:00 a.m. Medically Managed Inpatient Residential (4B)
January 8, 2016 11:00 a.m. Medically Monitored Long Term Residential (3C)
January 12, 2016 1:00 p.m. Medically Monitored Inpatient Detoxification (3A)
January 14, 2016 2:00 p.m. Medically Monitored Short Term Residential (3B)
January 14, 2016 3:00 p.m. Medically Monitored Short Term Residential Dual (3B Dual)
January 20, 2016 11:00 a.m. Halfway House (2B)
January 20, 2016 1:00 p.m. Drug and Alcohol Partial Hospitalization Program (2A)
January 20, 2016 2:00 p.m. Drug and Alcohol Intensive Outpatient (1B)
January 22, 2016 11:00 a.m. Drug and Alcohol Outpatient (1A)
Please call Kimberly Keller at (724) 744-6570 to register for the Webinar(s) that pertain to
the authorization needs of your facility.
The proposed order of the roll-out for substance use levels of care would be:
IOP and PHP
Hospital Based Services
Non-Hospital Detox, Short and Long Term Residential Rehabilitation
Halfway House
4
ValueAdded—January 2016
The 8th Annual VBH-PA
“Acknowledging the Journey” NW3
Member Forum was held on November
12, 2015 at the Park Inn West Middlesex.
The event was attended by 203 individuals
including 72 adult members and 32 family
members. Nineteen exhibitors provided
promotional and educational information
related to behavioral health and substance
abuse recovery tools. A special thank you
to Rich Latsko, OMHSAS Western
Region, for attending this year for his first
NW3 forum experience giving the
OMHSAS updates. HealthChoices
members from Crawford, Mercer and
Venango counties joined together with
many county, provider, state, and VBH-
PA staff to create an awesome
representation of what it takes to support
recovery and resiliency in the great NW3!
The presenters, Brenda Bacich, Helping
Your Child to Like Themselves Starts at Home,
Audrey Smith, Helping Children Recover from
Trauma, Clarence Jordan, Respecting the
Journey of a Person in Recovery From Substance
Abuse, and Kevin Berceli, Tension/Trauma
Releasing Exercise, received fabulous reviews
from the audience. People learned new
ideas and were inspired by the “heartfelt,”
“personable” and “hopeful” sessions (as
stated in the evaluations).
The following award winners’
stories were told and their successes
were shared. Congratulations to the 2015
forum award winners for excelling on their
journeys.
C R A W F O R D C O U N T Y
Lenny Beers, Exceptional Individual,
nominated by Amy Lauria, CHAPS.
Another Successful Year for the NW3 HealthChoices
Behavioral Health Forum by Shelley Thomas, PE&O Coordinator
Left to right: VBH-PA staff Shelley Thomas & Dr. Fuller;
nominees Melissa (Sis) Penfield, Maryann Baker, Betty
Jo Chapman, Chris Lumley, Clara Mook, Candy Wagner,
Harold Beazell III, Kim Hopkins (kneeling); and Rich
Latsko, OMHSAS.
A big THANK YOU to all providers
who nominated: Associates in Counseling
& Child Guidance, Bethesda Children’s
Home, Behavioral Health Commission,
Crawford County Human Services,
CHAPS, Challenge Center, Venango
County Human Services, Crawford County
Drug & Alcohol Executive Commission,
Regional Counseling Center Transitions
Team, Community Voices, Family Services
and Children’s Aid Society and Paoletta
Counseling.
The very dedicated NW3 workgroup
once again did an outstanding job of
compassionately “ACKNOWLEDGING
THE JOURNEY” of so many!
Christine Butler, Exceptional Parent,
nominated by Melissa Lewis, Associates in
Counseling & Child Guidance.
M E R C E R C O U N T Y
Bernadette Kozen, Exceptional Individual,
nominated by Anna Shears, Behavioral
Health Commission.
Jill & Andrew Bradley, Exceptional Parent,
nominated by Colleen Ghirardi, Paoletta
Counseling.
V E N A N G O C O U N T Y
Donna L. Shaw, Exceptional Individual,
nominated by Tina Borger, Challenge
Center.
And lastly a very special thank you to
Dr. Mark Fuller, VBH-PA CEO, for all of
his support and time commitment to
continue to be present at our member
forums.
Workgroup Members: Shelley Thomas, Lenore Collupy, David Gaines, Paulette Testani, David Giles, Andrea Wright and Eric Schweter.
And congratulations to all the nominees!
What an honor.
Debra Means, Exceptional Parent, nominated
by Billie Jo Hawkins, Regional Counseling
Center Transitions Program.
5
Many LGBT people experience anti-LGBT stigma in the form of discrimination, harassment and violence. Many
LGBT people internalize stigma, which can harm self-esteem and is linked to mental health problems and
substance abuse.
It seems that Americans are more accepting of LGBT people now than ever before. Yet stigma lasts, threatening the well-being of LGBT people in a number of ways. A 2013 national survey of LGBT adults found that because of their sexual orientation or gender identity:
4 in 10 have been rejected by family or a close friend
3 in 10 have been bodily attacked or threatened
3 in 10 have been made to feel not wanted in a place of worship
2 in 10 have been treated unfairly by a boss
6 in 10 have been the topic of slurs or jokes
“Stigma can be either subtle or not so subtle. But stigma in any form is very toxic and can really impact one’s health and sense of well-being,” says Dr. Kristin Hancock, Professor of Clinical Psychology at John F. Kennedy University. She notes that how LGBT people make sense of and react to stigma can help to buffer its results.
What is anti-LGBT stigma? It occurs when society does not approve of people whose sexual orientation or gender identity differs from cultural norms. These norms take a long time to change, even when they are based on misinformation. That is why stigma can last.
How does stigma affect the well-being of LGBT people? Dealing with discrimination, harassment or violence is stressful and can be traumatic. Even the threat of being victimized in some way can impact one’s well-being. “Living in a society that is hostile toward LGBT people is chronically stressful and can take a toll on a person’s self-esteem and affect their sense of safety in the world,” explains Dr. Hancock. Many LGBT people internalize stigma. This means that harmful attitudes and beliefs become part of the way a person feels about herself. This can make coming out as LGBT even harder. Some people are never able to do so, even to their closest friends or family. “Imagine having a secret that you fear you will lose your best friend over if discovered. Even if this doesn't actually happen, the perceived risk of rejection can create a lot of stress,” says Dr. Hancock. Internalized stigma is linked to anxiety, depression and drug abuse.
What can LGBT people do to buffer the impact of stigma on their lives? Dr. Hancock suggests taking part in a group that is supportive of LGBT people and issues. This could be a support or social group that centers on a common interest. Groups can offer LGBT people the chance to:
Get support from others who have had the same experiences
Learn new or untried ways of coping with stigma
Meet people who may keep up good feelings about themselves as LGBT people
Channel stress productively, such as working on LGBT rights
“Group participation helps to normalize a person’s identity as LGBT,” says Dr. Hancock, which is one of the best ways to fight internalized stigma. Supportive relationships also go a long way toward helping LGBT people feel safe and secure. They are very helpful during times of high stress, such as when LGBT issues are being hotly debated in the media or in political campaigns.
How can expert counseling help LGBT people cope with stigma? Dr. Hancock notes that LGBT people who are troubled by stigma in their lives have been helped by learning useful ways of thinking about and coping with it. “Therapy can help people identify and tackle dysfunctional thoughts that don't work or are toxic. When you reframe your thinking and replace it with more adaptive realistic thinking, you start to feel better.” Dr. Hancock notes, “Unresolved hurts can sometimes make it more challenging to develop positive coping mechanisms later in life.” Despite the effect of stigma, the LGBT community is resilient. It has continued to pursue equal rights and societal acceptance, and to empower its members to reach personal happiness.
ANTI-LGBT Stigma By Christine Martin, © 2014 Achieve Solutions
Resources
GLBT National Help Center Human Rights Campaign The Gay and Lesbian Self-Esteem Book
www.glnh.org www.hrc.org by Kimeron Hardin, New Harbinger Publications, 1999.
ValueAdded—January 2016
http://www.glnh.org/http://www.hrc.org/
6
Medicare
Training
*HealthChoices’ VBH-PA members living in Armstrong, Beaver, Butler, Cambria, Fayette, Greene, Indiana, Lawrence, Washington and
Westmoreland Counties are invited to attend. Crawford, Mercer and Venango County HealthChoices’ members will have the
opportunity to attend other regionally held VBH-PA forums in 2016.
ValueAdded—January 2016
Seeking Nominations and Exhibitor
Registrations!
Value Behavioral Health of Pennsylvania Presents the
16th Annual Adult
Recovery Forum
Friday, April 15, 2016
Pittsburgh Marriott North
Cranberry Township
Nominate a HealthChoices Member—Hurry! Deadline is February 19th
The purpose of the Leadership in Recovery Award is to acknowledge adult HealthChoices members who are
actively engaged in their recovery and to encourage other members in their recovery process. To acknowledge
their journeys, VBH-PA will publicly recognize HealthChoices adult members who have demonstrated courage,
creativity, and leadership along their journeys. This is not a cash reward, but an acknowledgement in the form of
a beautifully designed keepsake that will be customized and presented on April 15, 2016 during the 16th Annual
Adult Recovery Forum. Please nominate at least one HealthChoices member residing in your county* whom you
feel is deserving of this type of recognition. The deadline to nominate is Friday, February 19, 2016. Please view
the 2016 Leadership in Recovery Nomination Form for more information. Nominate an outstanding
individual today!
Exhibitors
If you are interested in reserving exhibit space at this year’s forum, please complete the 2016 Exhibitor
Reservation Form. Two complimentary registrations are provided for exhibitors. In addition to all-day exhibit
space, complimentary registration includes speakers, Recovery Awards Ceremony, and lunch. Reserve your space
early as space is limited.
http://www.vbh-pa.com/spotlight/2016-Adult-Recovery-Nomination-Form.pdfhttp://www.vbh-pa.com/spotlight/2016-Adult-Recovery-Forum-Exhibitor-Registration.pdfhttp://www.vbh-pa.com/spotlight/2016-Adult-Recovery-Forum-Exhibitor-Registration.pdf
7
ValueAdded—January 2016
Frequently Asked Questions About 1-800-QUIT-NOW
What is a quitline?
A quitline is a tobacco cessation service available through a toll-free
telephone number. Quitlines are staffed by counselors trained specifically to
help smokers quit. Quitlines deliver information, advice, support, and referrals
to tobacco users—regardless of their geographic location, race/ethnicity, or
economic status—in all U.S. states.
Do quitlines really help smokers quit?
Yes! Quitline callers are more likely to succeed than those who try to quit
smoking on their own.
What support can I expect when I call?
When you call 1-800-QUIT-NOW, you will have access to many different types of cessation information
and services, including free support and advice from an experienced cessation counselor, a
personalized quit plan and self-help materials, social support and coping strategies to help you deal
with cravings, and the latest information about cessation medications.
What information do I have to provide when I call 1-800-QUIT-NOW?
A quit coach will work with you to develop a personalized plan and provide you with information that
will help you quit tobacco. During the call, your quit coach may ask you specific questions about your
quitting history, tobacco use, and/or motivations to quit, which will help them create a plan that will
work for you. Any information you provide or discuss with your quit coach during the call is completely
confidential.
Who are quit coaches?
Quit coaches are professionals in your state who are trained to help people stop using tobacco. They
are supportive and understand that quitting is difficult.
How much does this service cost?
1-800-QUIT-NOW is a free service to help people stop smoking or quit other forms of tobacco use.
Who sponsors the 1-800-QUIT-NOW program?
This program was developed in collaboration with and is sponsored by the states and the U.S.
Department of Health and Human Services to provide assistance to all U.S. tobacco users.
Is there a clinic in my neighborhood that can help if I want to stop smoking?
1-800-QUIT-NOW can connect you to cessation services and other resources offered in your area.
To learn more about 1-800-QUIT-NOW and the quitline experience, call today or visit http://
smokefree.gov/smokefreetxt where you can sign up for text messages, learn how to download a free
quickstart app for your phone or develop your own Quit Plan.
Source: smokefree.gov
Providers, please post in an area accessible to your patients.
http://smokefree.gov/smokefreetxthttp://smokefree.gov/smokefreetxt
8
ValueAdded—January 2016
Chart Review Results
Overall Average
Discharge Plan/Discharge Instruction Sheet (DMP) was present in the chart 99%
119/120
Copy of the DMP was given to the member 98%
117/120
Medication reconciliation was documented 25%
30/120
Follow-Up visit scheduled within 0-7 days of discharge 8%
10/120
Follow-Up visit scheduled within 0-14 days of discharge 13%
15/120
Scheduled follow-up visit kept 67%
10/15
Medication reconciliation was documented and follow-up visit scheduled within 0-7 days 3%
3/120
Medication reconciliation was documented and follow-up visit scheduled within 0-14 days 3%
3/120
Medication reconciliation was documented and follow-up visit kept within 0-14 days 20% 3/15
Throughout November 2015, VBH-PA again visited in person with the four facilities to discuss their final results of the chart
abstraction and conduct further education on the measurements. Some of the factors that lead to low results regarding follow-up
visits were:
Full address of the provider was not documented
The documentation of the follow-up appointment did not indicate if the
appointment was for behavioral health reasons, i.e. therapy, medication
Follow-up appointments were for intake purposes only
Below is a sample of a well-documented follow-up appointment:
Provider Name/Specialty or Degree Dr. Seuss, Psychiatrist Provider Organization Maple Counseling Services Full Address 100 Main St., Town, PA 15222
Medication reconciliation needed to include the medication the member was taking prior to admission, during the inpatient stay, and upon discharge in order to be considered as compliant. VBH-PA staff and the inpatient staff then discussed potential barriers each facility faced in order to meet those required elements. Some commonly identified barriers were:
Making modifications to electronic medical records can be difficult if the system is older and not adaptable. In addition, the
behavioral health unit often utilizes the same system as the physical health side of the hospital and because their scope is
smaller adjustments are not typically made for just the behavioral health side.
Inability to obtain outpatient appointments other than an intake for members who are not already in outpatient services.
Lack of psychiatric time to have members seen within 7-14 days.
Rural areas and lack of transportation for members.
Some providers had identified their own areas for improvement and had collaborated with their staff to implement a plan to modify
their documentation. VBH-PA will be conducting the next round of chart reviews with these same four providers in February/March
of 2016. VBH-PA would like to thank our partner providers for their work and collaboration on this project.
“Successful Transitions from Inpatient Care to Ambulatory Care” (continued)
Table 1
9
ValueAdded—January 2016
Suggestions or ideas for
articles that you would
like to see published in
ValueAdded can be
faxed to Kim Tzoulis, Val-
ueAdded Editor, at (724)
744-6363 or emailed to
kimberly.tzoulis@
valueoptions.com
Articles of general im-
portance to the provid-
er network will be con-
sidered for publication.
Value Behavioral Health
of PA, Inc.
520 Pleasant Valley Rd
Trafford, PA 15085
Phone: (877) 615-8503
Fax: (724) 744-6363
www.vbh-pa.com
Cambria County Santa Shop
What is the Santa Shop? Santa Shop is an annual
event held at the Johnstown Peer Empowerment Drop-In
Center. It is a safe and budget-friendly way for individuals in
recovery to shop for holiday gifts. This year’s Santa Shop was
held on December 11, 2015 and supported this year by over 20
volunteer “elves” and 160 shoppers.
Throughout the year, new and gently used items are donated
and collected by the drop-in center. In the days prior to the
Santa Shop, the center is transformed into a holiday shopping
extravaganza, which includes men’s and women’s items,
housewares, toys, gift baskets, jewelry, and much more!
Individuals register to shop for a small fee. With the
assistance of a volunteer “elf,” they browse and shop for an
Tanya Kvarta, BHoCC Executive Director; Jen Benford, VBH-PA PE&O Coordinator; and Rebecca Wiseman, BHoCC Director of Clinical Services and Quality Management.
allotted number of presents for their family and friends. They also receive raffle tickets for
“big ticket” item. This year a raffle item was a brand new, large indoor grill! Value
Behavioral Health of Pennsylvania sponsors lunch for the volunteer elves. Lunch this year
was an amazing Italian feast from the Nutrition Group in Johnstown, which was greatly
appreciated by the hard working Santa’s helpers.
2016 Quarterly BHRS Provider Summits Save the Date!
Your choice of two locations:
March 11, 2016
8:30 am – 12:00 pm
Hampton Inn & Suites Grove City
4 Holiday Boulevard
Mercer, PA 16137
March 18, 2016
8:30 am – 12:00 pm
Courtyard by Marriott Greensburg
700 Power Line Drive
Greensburg, PA 15601
June 3, 2016
8:30 am – 12:00 pm
Courtyard by Marriott Greensburg
700 Power Line Drive
Greensburg, PA 15601
June 10, 2016
8:30 am – 12:00 pm
Hampton Inn & Suites Grove City
4 Holiday Boulevard
Mercer, PA 16137
September 9, 2016
8:30 am – 12:00 pm
Hampton Inn & Suites Grove City
4 Holiday Boulevard
Mercer, PA 16137
September 16, 2016
8:30 am – 12:00 pm
Courtyard by Marriott Greensburg
700 Power Line Drive
Greensburg, PA 15601
December 2, 2016
8:30 am – 12:00 pm
Courtyard by Marriott Greensburg
700 Power Line Drive
Greensburg, PA 15601
December 9, 2016
8:30 am – 12:00 pm
Hampton Inn & Suites Grove City
4 Holiday Boulevard
Mercer, PA 16137