Effective PATH Teams

State of Missouri

Brooke Dawson, LCSW, Missouri State Contact

Rural• Anthony Smith, M.S

Rehabilitation Admin.• Assertive Community

Outreach of Mental Health and Substance Abuse

• Kennett MO, and 32 Counties in Southeast MO.

Urban• Ron Hendee, LCSW• Assertive Community

Outreach of TMC BH• Since 1988• Kansas City

Parent Organization

32 County

Continuum of Care• Outpatient Mental Health Clinics

• Illness Management and Recovery Programs

• Integrated Co-occurring Disorders Services

• Integrated Primary Health Care

• Residential and Outpatient Substance Abuse Treatment Facilities

• Drug Court, Corrections and Specialized Offender Programs

• Permanent and Transitional Housing Programs

• 24 Hours Crisis Intervention

Clinical Statistics• Annually admit 3,700 clients and

handle 153,000 clinic visits annually

• Handle 1,000 crisis responses annually

• Provided $115,000 in uncompensated care in 2010

• Employ 260 staff forming multiple multidisciplinary teams

• Offer 76 residential beds, 47 permanent housing slots, 32 transitional housing beds, and 4 sub-acute mental health beds

Parent Organization:Truman Medical Centers

• Two acute care hospitals• Out-patient primary care

clinics• Comprehensive adult

mental health facility including three in-patient psychiatric units

• 1/3 of community’s uncompensated care provided by TMCs

• Primary teaching hospital for University of Missouri-Kansas City School of Health Sciences

• Together these facilities:• • Admit 17,000 patients and handle over

291,000 outpatient visits annually• • Treat approximately 81,000 emergency

room patients• • Provided $80 million in uncompensated

care at cost in 2007• • Deliver one-third of all babies born in

Jackson County• • Employ more than 3,000 full-time

employees• • Offer a combined capacity of 347 beds,

53 inpatient mental health beds and 212 long-term

• care beds• • Have 15 on-site language interpreters

and provides translation services for approximately

• 30 different languages

City/County/COC Environment

• Downtown redevelopment a priority• Lack of Municipal investment in homelessness• Existing services funded by state or federally

funded organizations• Continuum of Care received $4.4 million in the

last funding cycle• 2006 County Commission adopted fair housing

policies with a commitment to address homelessness thru community collaboration

City/County/COC Environment

• Downtown Redevelopment • Lack of Government Investment in

Homelessness• Existing services funded by faith-based, state or

federally funded organizations• Homeless Services Coalition/Continuum of Care

that received more than $8 million in the last funding cycle

• 2010 City government convened a metropolitan task force with a goal of endorsing a Ten Year plan

Components

• Outreach – Safe Haven community services, In-patient Unit referrals, Statewide Point-In Time Counts

• Consumer employment – Peer Support Specialist• Treatment (short vs. long term)• Health – Rural health clinics, FQHCs, Integrated

Primary Care Services• Housing – Safe haven, Supportive Permanent Housing,

811, and S+C • Vocational and Employment – Vending Services,

Janitorial Services, Vehicle Maintenance Services

Components

• Outreach: Drop-In Center, referrals, Evening Shelter Crisis

• Consumer employment: receptionists and peer support

• Treatment (short vs. long term): long-term support through state Medicaid program

• Health: TMC comprehensive health services, health care for the homeless, and a free health clinic

• Housing: respite, safe haven, supportive permanent housing,

and S+C • Vocational & Employment: pre-vocational groups

HUD RESOURCES

Below is a listing of our H.U.D. partnerships:• Year Awardee # Units/ Relationship• 1993 Dept. of Mental Health Users of S + C• 1995 Truman Medical Centers 10 beds/ A.C.O. Safe Haven• 1999 Swope Health Services Contact of Crisis Services• 1999 Heartland Housing 8 units/ A.C.O. is sole referral• 2003 Department of Mental Health 21 units/ A.C.O. is project sponsor (S + C)• 2004 Restart 19 units/ A.C.O. is sole referral• 2005 Housing Authority 14 units/ A.C.O. is project sponsor (S + C)• 2006 Housing Authority 14 units/ A.C.O. is one of two project

sponsors (S + C)• 2007 Department of Mental Heal 13 units/ A.C.O. clients were the intended

recipients (S + C)• 2008 Truman Medical Centers 4 units of “SRO” type housing attached to

the Safe Haven• 2008 Dept. of Mental Health 13 units of Shelter Plus Care

Treatment Initiatives - EBPs

• SOAR

• Patient Centered Care using CARF model

• Illness Management and Recovery (IMR)

• Motivational Interviewing (MI)

• Wellness Programs

• Integrated Co-Occurring Disorders Services (CoD)

Treatment Initiatives - EBPs

• Patient Centered Care

• IDDT

• Trauma Informed Services

• SOAR

Final Thoughts

• No two PATH programs look just alike

• Monitoring differences between rural and urban

• Use of Evidence Based Practices

• Community Differences

• Matching Program Practices to Intended Use Plans and Annual Data Reports

• Questions??