Young Adult Transition Pilot

1. Young Adult Transition Pilot Clinical and Recovery Services ADHS/DBHS Stacia Ortega

2. Pilot Guidelines • Utilizing funding from encounter relief, governed by CMHS block grant funding rules, the state’s four RBHAs submitted proposals to address the transition of young adults with serious mental illness ages 18-24. The purpose of the pilot was to demonstrate approaches to meet the needs of this population that result in a smooth and successful transition from childhood and/or successful engagement and retention of the young adult in needed services beyond the eighteenth birthday. The guidelines specified that each of the awardees focus on one or more service area: supported employment, community living/housing, recovery supports, independent/daily living skills, effective individual voice/autonomy, and socialization. • With very tight timeframes each RBHA was to expend its funding allocation by the 30th of September; at which time, a final debrief report was to be submitted outlining lessons learned, detailed documentation of the pilot expenditures, program successes, fulfillment of original their original hypothesis/intent, outcomes, and sustainability capacity.

3. Individual RBHA Pilot Overviews Cenpatico Transition Centers in each GSA assisting those raised in state custody make a smooth transition by having trained specialized staff in transition planning Hire consultant to train   Outcome data: zero contact with law enforcement, employment or school, and healthy leisure activities

4. COPE~GSA 5    Utilizing the ACT Model and Motivational interviewing to emphasize recovery, successful engagement and retention in services of 10-12 in the 18-24 populations.     Create Young Adult team with Psychiatrist time availability     Outcome data to look at successful employment or participation in educational/vocational program. Use pre-interview survey and post interview survey to record data. SEABHS~GSA 3 Expand vocational and educational programs to 4-6 young adults with SMI-work experience model, partial day of paid employment followed by support and rehab groups     Use Family Recovery teams   Outcome data to increase natural and informal community supports, develop and improve independent living skills for decreased frequency and duration of hospitalizations and reduce utilization of traditional behavioral health services. CPSA~COPE & SEABHS

5. NARBHA • Engage and retain young adults 18-24 GMH/SMI population by expanding services, provide supportive housing, focus on community and natural supports, increase independent living skills, and increase socialization and community involvement (Supported Living Model) • Contract with CFSS to provide services at the supported housing site • Staff with 6 FTE and provide peer support • NARBHA to add $250K to ADHS/DBHS award of $75K • Have 6 beds available

6. ValueOptions •   Improve engagement strategies utilizing community-based model, positive behavioral support and person centered planning, through technical assistance regarding CFT process with VO staff at the six priority sites. • Contract with CFSS to provide the training to VO staff and provide the flexible in home and community based direct supports. In addition CFSS will provide direct support for independent living skills, mentoring, social and life skills to participants. • Outcome data to increase number of VO staff trained in CFT process increase number of persons living in the community and decrease the number of crisis days and hospital days.

7. Final Pilot Reports & Outcomes

8. Cenpatico • At the start of the pilot, not a lot attention paid to transition. • Now there are “Power Teams” in Yuma • Transition groups in the Superstition Mountain area. • The continuation of this pilot has been included in the System of Care plan. • Transition training provided to staff by Casey Family Consultants.

9. CPSA~COPE • Best practices of motivational interviewing combined with Intensive Case Management (ICM) 1-Clinical Liaison and I Case Aid, staff 24/7, and individualized treatment plans. Outcome measure were met in the areas of increasing education participation and decreasing hospitalizations.: • Of the 12 participants: • 3 enrolled in higher education • 3 became involved with vocational rehabilitation • 3 received training in life skills • 3 secured employment. • The psychiatrist involved helped to create an environment of trust from participants and families alike.

10. CPSA~SEABHS • Utilized intensive teamwork with vocational rehabilitation work and pre-work utilizing some of the “World of Work” modules. • Focused on education, young adult social skills and recreation programs. • Opportunities for the team to assist the participants and their families become comfortable leaving the home environment. • All but one participant is employed or enrolled in a degree program. • Outcome measures were met in the areas of no hospitalizations, decrease in behavioral health services, decrease in crisis use and decrease in law enforcement contact.

11. NARBHA • Created a supportive shared living environment for youth leaving the foster care system, in place of Level I and/or Level II placement. • A six-bedroom house in Prescott Valley has been leased. • With a lot of local community support, the house has been furnished. • Two rooms have been leased with a third expected in November. • Each resident will individually lease their room. • The house will be staffed 24/7 but not as a facility. • Contract with CFSS.

12. ValueOptions • There were 22 VO staff that received training by the CFSS consultant. • The treatment team member referred 25 young adults from the priority clinic’s 18-24 year old team to CFSS for direct service, coaching, and support. • Support and service assistance included budgeting, housing applications, and advocacy. • Peer relationships were very beneficial along with family relationship building.

13. Transition services need to begin at age 14 Work on building relationships in the community Pilot was “People Driven not Paper Driven” Learned from the youth who participated, who were creative, excited, willing and ready to do Buy-in by family and youth is critical Access Vocational Rehabilitation at age 14 Adult and Children’s systems need to begin to partner early Youth are excited about having new opportunities Create a bridge between systems Training needed for Child Welfare systems on Strengths based model Need to work with system partners to help them broaden their vision and acceptance of new opportunities (CPS & CASA) Build curriculum that teaches families of young adults how to navigate systems and prepare for the youth turning 18 It is effective to provide services to people in the community and their home Lessons Learned

14. Demographics*

15. Sustainability

16. COPE With new IRT models, a team specifically for the 18-24 population has been created adding a RS, CA and CL at 1:10. SEABHS Recovery Support Specialist sustaining program-Good role model Sustain within Covered Services CPSA~COPE & SEABHS

17. NARBHA • Committed to funding thru June ’07 after utilization outcome.

18. Cenpatico • Continue with Casey Family Consultants • Utilize Covered Services and train providers on the many options thru covered services • Create more transition centers

19. ValueOptions • CFSS will continue with current 25 participants until they complete the program. • VO continuing discussions on sustainability

20. Successful Innovations • Learning Sessions to foster dialogue and create environments of cooperation amongst all participants. • Technical Assistance Calls being mindful of locations and time constraints to provide individualized support. • Focused efforts with tight timelines created unique approaches.