November 2016 Problem Gambling Treatment Providers Webinar

Problem Gambling Treatment ProvidersProblem Gambling Treatment ProvidersProblem Gambling Treatment ProvidersProblem Gambling Treatment Providers

Monthly Call/WebinarMonthly Call/WebinarMonthly Call/WebinarMonthly Call/Webinar

Facilitator:

Greta Coe, Problem Gambling Services Manager

November 2, 2016

AgendaTime Topic3:00pm-3:10pm Introductions/County Roll Call3:10pm-3:20pm PGS Update/Announcements

• National Conference Call for Presentations• All Provider Webinar• Family Therapy Quarterly Call• QIR Reports and Performance Based Contracting• Media Tracking Form• Ordering PGS Materials• 2017 Problem Gambling Awareness Calendar

3:20pm – 3:35pm • Tips on how to better comply with OAR- Making sure you have the proper pg documentation (i.e.: financial, suicide ideation, telephone counseling)

3:35 pm – 3:50pm • Statewide QIR Report Presentation3:50pm – 4:00pm PGS Treatment Provider Discussion-Updates from the field/sharing

Future agenda items: • Working with Cultural populations:

o African Americano Latinoo Asian

• MH clinicians not knowing how to refer and screen• Treating gambling addiction and co-occurring disorders• Ideas for increasing enrollments

National Conference on Problem Gambling

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� 31th National Conference on Problem Gambling� July 21-22, 2017� Preconference: July 19-20, 2017� DoubleTree by Hilton, Portland,

OR� National Council will be looking for

volunteers, and state office will be offering scholarships to assist providers with attending. More information to come in early 2017.

National Conference on Problem Gambling

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� Call for Presentations� Due Friday, November 18, 2016� For information on process and

criteria, visit: http://www.ncpgambling.org/training-certification/national-conference/call-for-presentations/

PGS General Updates

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� Next PGS All Provider Webinar/MeetingDecember 15 from 9-10:30am. To register: https://attendee.gotowebinar.com/register/1423239010760193028Agenda items being determined and will be sent late November.

� No Treatment Call next month (December). Next call is Wednesday, January 4, 2017 from 3-4. Email and agenda to be emailed mid-December.

� 2016-17 Training Calendar now available listing out the monthly prevention and treatment calls and all provider webinars and other upcoming trainings planned. Located at: http://www.oregonpgs.org/all-providers/workforce-development/

PGS General Updates• Family Therapy Call: Early next year we will be starting a family therapy

call that will occur quarterly. Still working on setting this up, more information coming later this month.

• Quality Improvement Reports and Letters: These will be going out to program managers in mid-November. New format allows you to see trends of your agency over the last 2 years. Make sure you review, particularly the number of open cases over 1 year that may require variances or discharge.

• Media Tracking Form: New form to collect data on large media campaigns that are occurring in communities in order for us to cross tabulate with enrollments and helpline calls. Quarterly reporting, first deadline is January for October – December, 2016. More to come.

• PGS Materials: If you have ordered PGS materials through the web page in the last month and have not received your order, please resubmit, as we had a change in staffing last month.

• 2017 PGS Awareness Calendars: Have been published and sent to your county pg prevention coordinators. Request copies through them.

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Quarterly Media Campaign Reporting Form

DRAFT - County Quartelry Media Campaign Reporting

Type of Media Date Range Frequency/Reach # of Impressions Market Website LinkFile or Hard Copy Sent to

HSD

Example KeyRadio PSA Date Range media is

displayed or airedFrequency in which the media will be aired

# of individuals that the media should reach

What is the geographic area that the media will cover

Website link if available to link to the media

Please note if you have provided HSD an electronic file or hard copy of the media

Social Media (Facebook, Pandora, etc.)

Television PSA

Movie Theatre Ad

Newspaper

Billboard

Transit

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This information will be submitted online through survey monkey, however the above form informs you of the content that will be collected.

Oregon MH/AD Outpatient Rule

• OAR 309-019-0100• Complete rule can be found at

http://arcweb.sos.state.or.us/pages/rules/oars_300/oar_309/309_019.html

• 309-019-0170: Outpatient Problem Gambling Treatment Services� Telephone counseling� Financial component � Risk assessment for suicide ideation

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OAR 309-019-0170: Outpatient Problem Gambling Treatment Services

• (3) Telephone counseling: Providers may provide telephone counseling when person-to-person contact would involve an unwise delay, as follows:

• (a) Individual must be currently enrolled in the problem gambling treatment program;

• (b) Phone counseling must be provided by a qualified program staff within their scope of practice;

• (c) Service Notes for phone counseling must follow the same criteria as face-to-face counseling and identify the session was conducted by phone and the clinical rationale for the phone session;

• (d) Telephone counseling must meet HIPAA and 42 CFR standards for privacy; and

• (e) There must be an agreement of informed consent for phone counseling that is discussed with the individual and documented in the individual’s service record.

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309-019-0170: Outpatient Problem Gambling Treatment Services

• Need “agreement for informed consent” (as the rules state) to be formalized in some manner.

• Could be a separate informed consent form to provide telephone counseling for gambling treatment with client signature.

• Could be a few sentences added to your agencies informed consent regarding telephone counseling for gambling treatment, with signature for client.

• Informed consent for telephone treatment must specifically discuss telephone counseling for PGS.

• A statement needs to be somewhere in the service record/note saying that telephone counseling was discussed.

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Financial Component� Assessment: financial component of the assessment process does

not have to be completed by using a separate financial assessment. It can be incorporated into the larger assessment through a few additional questions.

� Potential question to ask and document:– Do you currently have any gambling debts?– What is the amount of your gambling debts?– How much do you gamble daily, weekly, monthly?– Could you tell me the financial consequences of your gambling?– Have you ever declared a personal bankruptcy?

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Financial component� Service plan: PGS clients should have a goal within their treatment

plan addressing their finances. – Examples:

• Initiate a financial plan, learn budget management and develop a payment plan

� Service notes: Service notes needs to address that the finances of the client were discussed at sessions and should be discussed during the majority of sessions. – Examples:

• Could be as simple as asking “How much money did you spent gambling this week?”

• Explain what barriers client is going to put into place to reduce gambling for the next week.

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• Suicide Risk Assessment• Potential question to ask and collect:

– Are you feeling hopeless about the present or future?– Have you had thoughts about taking your life or hurt yourself?– When did you have these thoughts and do you have a plan?– Have you ever had a suicide attempt?

• If potential to harm self is identified, refer for appropriate crisis services, and document referral within the assessment/ service note.

• If client has harmed themselves in then past, even if they are not currently at risk, clinician should address suicide risk at each individual session and document within service notes.

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Other general things to consider• Using “canned statements” and cutting and pasting information raise

red flags for reviewers

• Other suggestions/learnings from those providers that have had site reviews?

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Questions

Statewide Outcomes from Statewide Outcomes from Statewide Outcomes from Statewide Outcomes from

Quality Improvement ReportsQuality Improvement ReportsQuality Improvement ReportsQuality Improvement Reports

PresentationPresentationPresentationPresentation

Access Wait TimeAccess Wait TimeAccess Wait TimeAccess Wait Time

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RetentionRetentionRetentionRetention

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Successful CompletionSuccessful CompletionSuccessful CompletionSuccessful Completion

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Reporting Timelines Reporting Timelines Reporting Timelines Reporting Timelines

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Admits

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PenetrationPenetrationPenetrationPenetration

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Cases Open 1 Year Without WaiverCases Open 1 Year Without WaiverCases Open 1 Year Without WaiverCases Open 1 Year Without Waiver

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Client AuthorizationsClient AuthorizationsClient AuthorizationsClient Authorizations

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Enrollment SurveysEnrollment SurveysEnrollment SurveysEnrollment Surveys

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Client SatisfactionClient SatisfactionClient SatisfactionClient Satisfaction

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�PGS Treatment Provider Discussion-Updates from the field

Questions

Future Agenda Items• November Call- Tips on how to better comply with

OAR- Making sure you have the proper pgdocumentation.

• Working with Cultural populations:• African American- Michael Braxton• Latinos- Latino Advisory Committee members• Asian Americans- Asian Advisory Committee members

� MH clinicians not knowing how to refer and screen

� Treating gambling addiction and co-occurring disorders

� Ideas for increasing enrollments

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Government & Nonprofit

November 2016 Problem Gambling Treatment Providers Webinar