MoD (Mentors on Discharge)

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MoD (Mentors on Discharge)
Based on an Alameda County

• MHSA Innovations Grant
• Awarded to
• John George Psychiatric Hospital

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Grant Learning Question

• Will introducing patients, while hospitalized,
  to peer Mentors on Discharge reduce the rate of
  re-hospitalization as measured by length of time
  between such hospitalizations?

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Final Results

• At the end of the 18 month grant period JGPH
  experienced the following results
• of participants in program report (cohort)
  .60
• of hospitalizations 12 mos prior to MoD
  ..173
• of hospitalizations 12 mos after MoD .48
• Avg days between hospitalizations before MoD
  ..62
• Avg days between hospitalizations after MoD 159

Reduction of hospitalizations for Participant
Group 72.3
4
(n60)
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Return On Investment (ROI)

• Total Grant 238,000
• Hospital admissions avoided 125
• Avg hospital admission costs at JGPH
  8,500
• Total gross systems savings
  (Cost Avoidence) 1,062,500
• Less grant dollars -238,000
• Total return on investment
• 824,500

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H. Hospital process -- Guy

• 1) JG Management Coordination
• a. Patient Selection
• b. Process Mentor Request
• 2) Hospital Policy to accommodate mentors

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Hospital Considerations

• Patient Eligibility/Selection
• John George Psychiatric Pavilion Staff
  Assignments
• Communication Protocol between JGPP and Mentor
  Coordinator
• Establish Visitor Policy
• Release of Information to mentors

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E. Mentor Process

• 1) Recruit and train Mentors
• (mainly from POCC) -- Abu
• 2) Mentor Management Coordination -- Abu
• 3) Mentor Perspective -- Tracey

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1) Mentors --- Abu Rahim

• a) Recruitment mainly from the POCC (Pool of
  Consumer Champions) a program of Alameda County
  Behavioral Health Care Services.
• Membership 650
• b) Mentor Training
• Art of Facilitating Self-Determination,
• by Well Beyond Recovery, Inc.

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2) Mentor Management Coordination

• a) Relationship between the Mentor Coordinator
  and the Mentors
• b) Relationship between the Mentors and
  Participants based upon the training
• c) Relationship between the Coordinator and
  hospital staff and social workers.

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3) Mentor Perspective -- Tracey

• a. Value of the Training
• b. Relationship with Participants
• c. Challenges in the relationships
• d. Personal value gained as a mentor

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2. Where are we? -- Joe

• A. NAMI Alameda County South providing Mentors.
  
• B. KP Community Grant, allowing restart of the
  MoD program.
• C. Prototyping support of multiple psychiatric
  facilities.
• 1) JG - Experienced Facility
• 2) Telecare Heritage - new start up.

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A. NAMI Alameda County South providing Mentors.

• County not funding continuation of program past
  August 2012 grant period.
• NAMI ACS (in 2013) decided to adopt the MoD model
  and seek funding for the MoD program.
• Trained mentors agreed to become NAMI members
  with the prospect of continuing to mentor.

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B. KP Community Grant

1. Kaiser Permanente Community Grant Program Award
   of 15,000 obtain in April 2013
2.  This Grant allowed NAMI ACS to restart the MoD
   Program with existed trained and experienced
   mentors.

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C. Prototyping support of multiple psychiatric
facilities.

• 1) John George Psychatric Hospital is
  experienced in providing mentors to patients
  prior to discharge. Restarting program with JG
  this August 2013.
• 2) MOU Signed with Telecare-Heritage in Oakland,
  CA on August 13, 2013 to sart the program with
  them.

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3. Where do we want to go from here? --Joe

• A. Nationally using NAMI affiliate
  infrastructure?
• B. Start within California?

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3. Where do we want to go from here? (Q/A)--

• C. Do you think your affiliate would be
  interested in providing mentors to your local
  psychiatric facilities?
• F. If so, what would be your challenges in
  doing so?

?