Facilitating%20Organizational%20Change

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Facilitating Organizational Change

• Jennifer LaMade, Core Service Agency Director
• Doris Moxley, Addictions Director
• Tracy Tilghman, Mental Health Director

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Why do we need Integrated Care?
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What is Integrated Care in Worcester County?
Mental Health
Addictions
Somatic Care
Intellectual Disabilities
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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

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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

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Worcester County Co-occurring Safety Net
Project (2007)

• AGH Emergency Dept
• AGH Inpatient
• AGHS Physician Practice
• Worcester County Jail
• Law Enforcement
• WCHD Crisis Response
• WCHD Mental Health
• WCHD Substance Abuse
• WCHD Case Mgmt
• WC Social Services

• WC Juvenile Services
• WC Civil Criminal Justice Services
• WC Parole Probation
• Homelessness Providers
• MH Crisis Bed Providers
• WC Local Mgmt Board
• WC Core Service Agency
• EMS Personnel
• Other Crisis Related Services
• Patients / Families

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Worcester County Public Safety Net
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Four Quadrant Behavioral/Somatic Health
Integration Model
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 patients 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