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COMMUNITY STRATEGIES: New Hampshire

COMMUNITY STRATEGIES: New Hampshire. Comprehensive Program Review June 28, 2013. HIGHLIGHTS. 3 new programs in Active Life – Keene Day Program – (two 30 hour program [David J. and Jessica B.] and 1 new 20 hour program (Brian B.])

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COMMUNITY STRATEGIES: New Hampshire

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  1. COMMUNITY STRATEGIES:New Hampshire Comprehensive Program Review June 28, 2013

  2. HIGHLIGHTS • 3 new programs in Active Life – Keene Day Program – (two 30 hour program [David J. and Jessica B.] and 1 new 20 hour program (Brian B.]) • Charles Richwine, Program Coordinator, was chosen by the area agency and will become a certified Gentle Teaching Trainer by September. • Keene Day Program has become recognized by the Area Agency (MDS) as the best day program in the region.  • Demonstrated success teaching relaxation and mindfulness techniques

  3. HIGHLIGHTS BEST PRACTICE: • Actively engaged in system-level discussions on better integration of developmental, acquired brain injury, mental health, substance use and primary care services • Developing new process for review and revision of program rules and protocols involving all stakeholders CLIENT RELATED: • Selden, who is 58 years old, is learning to read for the first time in his life. He can now recognize 42 words and read them in sentences. • Corey went on vacation to Branson, MI alone with a group tour. Several other individuals also took vacation (to Florida, Michigan, and on a cruise) with minimum staff supervision.

  4. CHALLENGES • Reorganizing Unity House and changing the milieu • Finding staff to fill 2nd shifts and weekend • Closing of Newmarket • Our ability to address co-occurring disorders • Reducing the use of intrusive interventions like restraint, police involvement, and/or hospitalization • Maintaining equality of clinical and administrative support

  5. STAFFING Staff Turnover Rates Performance Evaluations Staff Training

  6. STAFF TURNOVER RATES • The current CSNH turnover rate is 33.8%; compared to the last CPR of 23.4% • Last CPR: Keene = 20%; Manchester = 17%; Unity = 0%; Individual Sites = 19% (May 2012 – October 2012) Data obtained from HR Reports

  7. STAFFING • OVERDUE PERFORMANCE EVALUATIONS • Total of 10 FTEs and 4 PTEs overdue performance evaluations; this is a 21% decrease in overdue evaluations • Last CPR, a total of 11 FTEs and 6 PTEs overdue performance evaluations from May 2012 – October 2012 • Data obtained from HR Department & HR Personnel Summary

  8. STAFF TRAINING HOURS • A total of 331 training hours completed (November 2012 – April 2013); an average of 7.4 training hours per staff/six months. This is a 2.7% decrease from the last CPR • Last CPR, a total of 261 training hours were completed May 2012 – October 2012 • Average of 7.6 training hours per staff/six months Data obtained from MMRs and HR Reports

  9. CLIENT RELATED • Clinical Hours • Elopements • Restraints • New Clients • Medication

  10. CLINICAL HOURSNovember 2012 – April 2013 • Average of .62 clinical hours per client/month; Total Clinical Hours = 180. This is a 22% decrease from the last CPR. • Last CPR, Average of 0.79 clinical hours per client/month; Total Clinical Hours = 39; (May 2012 – October 2012) • Data obtained from MMRs

  11. New Clients - CSNH Data obtained from MMRs

  12. MEDICATION INCIDENTS & OCCURRENCES • A total of 4 medication incidents and occurrences . This is an increase of 400% of medication incidents and occurrences from the last CPR. • Last CPR, a total of 0 medication incidents and occurrences (May 2012 – October 2012) Data obtained from MMRs

  13. KEY MMR RESULTS • 6 site visits by outside funders • Department success with individual's community involvement average of 92% over six months • “0” client incidents involving contraband

  14. CPR ACTION PLAN See Handout

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