POSITIVE PRACTICES RESOURCE TEAM ALLOCATION PROCESS

1. POSITIVE PRACTICES RESOURCE TEAMALLOCATION PROCESS Purpose: To identify and develop system capacity and resources that will be dedicated to address issues pertaining to a person’s behavioral support needs.

2. STARTLING STATISTIC!! • 20-35% of all people with mental retardation have a psychiatric disorder - compared to 16-20% among the general population.

3. The National Institute of Mental Health (NIMH) • ……mental health disorders occur substantially more often in person with mental retardation than they do in population without mental retardation. • The full range of psychopathology that exists in the general population also exists in persons with mental retardation.

4. Why So Prevalent? • Negative social conditions throughout life • Rejection by others/stigmatization and the lack of acceptance in general • Limited coping skills associated with language difficulty • Inadequate social supports • High frequency of central nervous system impairment

5. IMPACT • Disrupts family and peer relationships • Interferes with educational/vocational progress • Jeopardizes residential placements • Bottom Line – greatly reduces a person’s quality of life Summation: It is imperative that people receive an accurate diagnosis and appropriate treatment/supports

6. Criteria For Referral • A person with a developmental disability who is demonstrating escalating at-risk behavioral challenges. • Person the support team determines may be at risk for needing enhanced levels of support that are not readily available or known to the team.

7. OMHSAS & OMR Collaboration

8. Positive Practices Guides for Support • Environment – Recognize that the person’s environment meets their needs and may influence their behavior. • Communication- Recognize that behavior is an attempt to communicate and promote assisting people to find ways to express themselves and be understood.

9. Guides to Support, cont’d. • Assessment - Recognize the need for prompt assessment, diagnosis, and treatment of a person’s physical and psychiatric needs. • Hanging in There – Service and support staff need to have the ability to hang in there and continually reevaluate the environment, communication factors, and reassess needs.

10. System Resources • Advocacy Staff (PP&A; ARC; etc.) • Consultant Staff • County Staff • Families/Friends • Health Care Quality Units (HCQU) • Office of Autism Affairs • OMR and OMHSAS Staff (Regional Offices; State Hospitals; State Centers) • Positive Practices Resource Team (PPRT)

11. POSITIVE PRACTICES RESOURCE TEAM • PPRT utilizes staff assigned to State Hospitals and State Centers demographically by region. • Skills and experience of PPRT cover a wide range in the positive approaches areas: Psychiatrist; Psychologist; Nurses; Pharmacist; Social Worker; Direct Support Service; Recreation Therapist; Educator/Trainer; Spiritual/Pastoral Support

12. Positive Practices Resources Team (PPRT) Allocation Process • The referral for assistance will be made from any source including: • Advocates • Counties/Administrative Entities • Families • OMHSAS Field Offices • OMR Customer Service Line • Self-Advocates • State Hospitals

13. PPRT Process Cont’d… • The Regional Program Office will forward the referral form (Resource Allocation Analysis Form) along with a summary of the person’s current situation to the PPRT Coordinators. OMR Area Directors will be copied on this referral.

14. PPRT Process Cont’d… • The PPRT Coordinators will review with OMHSAS & OMR Regional Office leads to determine next steps. • If a decision is made to meet with the person’s support team the PPRT Coordinators will identify PPRT members to be assigned. The assignment will be based on skill/experience strengths and availability. A team lead will be assigned.

15. PPRT Process Cont’d… • The PPRT Coordinators will contact the PPRT members to provide information ad discuss activities. The PPRT lead will coordinate actions with the Regional Office. • Information obtained will be shared with PPRT members and on site visits conducted after reviewing information and discussing ideas with the PPRT Coordinators.

16. PPRT Process, cont’d. • The PPRT members will explain their role and acknowledge the efforts of the support team. • The PPRT members will then ask the support team for an update and begin to collaboratively bring together suggestions to address the challenges. • The PPRT lead will begin to compile a work plan identifying actions to be taken, target dates, and responsible person. • A copy of the work plan will be shared with the provider, the PPRT Coordinators, and the Regional Office.

17. PPRT Process Cont’d… • The Regional Office Risk Management Committee will review the status of each work plan until a desired outcome is achieved.

18. PPRT Process Cont’d… • The PPRT Coordinators or involved Regional Office Staff will update the PPRT on outstanding issues during weekly PPRT update calls. • Information tracked by the PPRT Coordinators will be incorporated into reviews by the Statewide Positive Practices Committee and OMR and OMHSAS Program Offices.

19. PPRT – Regional Office Perspective • Number of referrals • Status of people referred • Focus from the Region perspective

20. PPRT Leads Gretchen Hathaway, OMHSAS ghathaway@state.pa.us 717-772-7526(office) / 717-649-6682(cell) Fred Lokuta, OMR flokuta@state.pa.us 570-443-4244(office) / 570-233-3520(cell) Ellen Wagner, OMR elewagner@state.pa.us 570-372-5659(office) / 570-809-3765(cell) PPRT PP –1/10/07