DDES Memo Series 2005-21
ACTION MEMO
November 30, 2005
To:
Area Administrators/ Human Services Area Coordinators
Bureau Directors
County Departments of Community Programs Directors
County Departments of Developmental Disabilities
Services Directors
County Departments of Human Services Directors
County Departments of Social Services Directors
Licensing Chiefs/Section Chiefs
Tribal Chairpersons/Human Services Facilitators
From:
Sinikka Santala
Administrator
Document Summary
This memo describes an opportunity for counties and tribes to either
start up a CCS or CSP program or develop, in partnership with the state,
a quality improvement process that can be adapted for local quality
improvement programs in CCS and CSP statewide.
The Bureau of Mental Health and Substance Abuse Services
wants to foster local community programs that are recovery based, and
where meaningful consumer participation is an integral part of the
program development and on-going quality monitoring. There is total
funding available for start-up of $280,350 and a total of $177,334
available for quality improvement. Start-up funding will be provided for
either new Community Support Programs (CSP) or new Comprehensive
Community Services (CCS) programs. This funding is available for county
or tribal agencies without a certified program for the calendar year
2006. Up to $80,000 is available for section A or Section B. Agencies
may apply for both sections A and B for $160,000 if they are interested
in starting both a CSP and CCS program. Preference will be given to a
county applying for CSP start-up funding. Under Section C of this memo,
counties with either a certified CCS and/or a certified CSP may apply
for quality improvement funding of up to $59,000 to collaboratively
forge a quality improvement model process with the Department that will
then be used statewide as a model for CCS and CSP agencies for local
quality improvement. Section C will be allocated to up to three counties
or tribal agencies for a period of one year January 1, 2006 to December
31, 2006.
Submission of requests for funding need to be at the Bureau of
Mental Health and Substance Abuse Services by 5 pm January 4, 2006.
Announcement of successful candidates will be made by January 31, 2006.
Please provide a proposal for each section of no more than eight
pages:
Section A - Certified CSP Start- Up
1. Brief statement of need.
2. Description of how consumers will be involved in development of the
program.
3. Description of how service delivery development under HFS 63 will be
recovery, outcome, and evidence based. Some examples of service delivery
development would be: local systems change to provide for comprehensive
access; a fluid continuum of care; revision of assessment and care plan
processes and forms to assure they are recovery based; processes that
involve the consumer at all points in the process of creating a
treatment plan; staff training in outcomes, trauma informed treatment
and recovery based treatment; and, how outcomes for consumers and
general quality service delivery will be measured at the local level.
Narrative should indicate how the agency plans to use the mental health
and co-occurring AODA functional screen and the timeframe and work plan
for meeting certification standards.
4. The amount of money requested for this project.
5. The evaluation process the agency will use to measure project
outcomes.
These funds may be provided to counties or tribes without a
certified CSP.
1. Statement of
Need
15 points
- Indicate the projected annual number of individuals that will be
served by the certified program that are not currently being served,
or are being under served.
- Indicate how the agency will perform outreach to individuals not
identified at this time.
- Indicate how information and referral and intake will take place
at the agency, and who the projected referral sources are.
2. Consumer and Family
Involvement
30 points
- Indicate how consumers and families will be involved in program
planning and what supports will be provided to ensure consistent and
meaningful input.
- Describe the process whereby consumers and families will have
continued input into the development of program policies and quality
improvement.
- Describe the training, education and support that consumers will
have access to that will ensure continued meaningful input.
3. Program
Elements
60 points
- Describe how recovery principles will be incorporated into the HFS
63 required elements of assessment, care planning and on-going case
management.
- Indicate how the process will include the use of the mental health
and co-occurring functional screen.
- Describe the process of assessment or self assessment you will use
with all CSP staff to ensure that CSP staff are trained in recovery,
trauma, and the inclusion of consumers into their own recovery
plans.
- Describe the continuum of care you will be developing at the local
level to ensure that individuals in need of services will receive
the level of services they need when they need it.
- Describe how you will develop forms and processes that conform to
HFS 63 and also reflect recovery, hope and consumer inclusion.
- Describe how training and education will be delivered to both
staff and consumers to ensure a shared program philosophy. This
should include an on-going training plan.
- Include a work plan with a timeframe for reaching full
certification within 12 months.
4.
Budget
25 points
- Indicate the amount of money needed to implement the development
plan in a detailed budget.
- Indicate the amount of county or agency resources that will be
part of the budget.
5. Quality and Evaluation
Plan
15 points
- Describe the process that will be used to train staff,
stakeholders and consumers in quality principles.
- List the indicators and measurements that will be used by the
agency to ensure that the implementation of this CSP start-up
project has been achieved (such as benchmarks for process
development, forms, review by BQA, identification of population that
will be offered CSP).
Section B - Certified Comprehensive Community Services Start-Up
1. Brief statement of need.
2. Description of how consumers will be involved in development of the
program.
3. Description of how service delivery development under HFS 34 will
ensure program elements are recovery oriented, outcome based and use
evidence based practices where appropriate. Some examples of service
delivery development would be: local systems change to provide for
comprehensive access; a fluid continuum of care; revision of assessment
and care plan processes and forms to assure they are recovery based;
processes that involve the consumer at all points in the development of
a treatment plan; staff training in outcomes, trauma informed treatment
and recovery based treatment; and, how outcomes for consumers and
general quality service delivery will be measured at the local level.
Narrative should indicate how the agency plans to use the mental health
and co-occurring AODA functional screen and the timeframe and work plan
for meeting certification standards.
4. The amount of money requested for this project.
5. The evaluation process the agency will use to measure project
outcomes.
These funds may be provided to counties or tribes without a certified
CCS program.
1. Statement of
Need
15 points
- Indicate the number of individuals that will be served by the
certified program that are not currently being served, or are being
under served.
- Indicate how the agency will perform outreach to individuals not
identified at this time.
- Indicate how program requirements for serving individuals across
the lifespan will be accomplished.
- Indicate how information and referral and intake will take place
at the agency, and who the projected referral sources are.
2. Consumer and Family
Involvement
30 points
- Indicate how consumers and families will be involved in program
planning and what supports will be provided to ensure consistent and
meaningful input.
- Describe the process whereby consumers and families will have
continued input into the development of program policies and quality
improvement.
- Describe the training, education and support that consumers will
have access to that will ensure continued meaningful input.
3. Program
Elements
60 points
- Describe how recovery principles will be integrated into the
agency processes for the HFS 34 required elements of assessment,
care planning and on-going service facilitation.
- Indicate how the process will include the use of the mental health
and co-occurring functional screen.
- Describe the process of assessment or self assessment you will use
with all projected CCS staff and sub-contract individuals or
agencies to ensure that CCS staff and service providers are trained
in recovery, trauma, and the inclusion of consumers in planning
their own recovery plans.
- Describe the continuum of care you will be developing at the local
level to ensure that individuals in need of services will receive
the level of services they need when they need it.
- Describe how you will develop forms and processes that will
reflect recovery, hope and consumer inclusion.
- Describe how training and education will be delivered to both
staff and consumers to ensure a shared program philosophy. This
should include an on-going training plan.
- Describe the work plan and time frame for reaching full
certification.
4.
Budget
25 points
- Indicate the amount of money needed to implement the development
plan in a detailed budget.
- Indicate the amount of county or agency resources that will be
part of the budget.
5. Quality
Plan
15 points
- Describe the process that will be used to train staff,
stakeholders and consumers in quality principles.
- Indicate who will be part of the agency "quality team",
including identification of consumers.
- List the indicators and measurements that will be used by the
agency to ensure that the implementation of this CCS start-up
project has been achieved (such as benchmarks for process
development, forms, review by BQA, identification of population that
will be offered CCS).
Part C - Quality Improvement Development for Existing CSP and CCS
Programs
This section is a collaborative project with the Department to
develop a comprehensive quality improvement program for community
programs based on data driven measurement of quality indicators and
consumer outcomes to assure cost effective consumer based services at
the local level. Agencies will be required to:
1. Identify a quality team and a process to involve line staff in a
meaningful way in the agency quality plan.
2. Work with the Department to use the ROSA tool as a base line for
systems change to evaluate and change the outreach, intake, assessment
and recovery planning processes of the agency.
3. Collaborate with the department in an initial small scope quality
improvement project that focuses on use of measurable data that
indicates improvement in consumer outcomes.
4. Choose a fidelity tool that measures the baseline for at least one
evidence based practice in 2006.
5. Submit a detailed budget for the project.
These funds may be provided to counties or or tribes who are
certified CCS and CSP agencies.
1. Quality
Team
30 points
- Describe the composition of the quality team (at a minimum a data
person, consumer and clinical person).
- Describe the administrative support the team will receive.
- Describe how the agency will involve the line staff in the
project.
2. ROSA Front -end
Project
35 points
This project uses the questions on the ROSA tool as a review
mechanism for agencies to measure how well the forms and processes they
use for intake, assessment and treatment planning are consumer focused,
recovery oriented and outcome based. (see ROSA summary attachment).
- Describe current processes used for intake, assessment and
treatment planning, and how the agency will conduct the review.
- Describe how the agency will involve the service facilitators/case
managers in the process.
- Describe how the consumers will be involved in the identification
of needed changes and change implementation to ensure the changes
reflect recovery, consumer participation and consumer empowerment.
3. Evidence Based Practice
Implementation
45 points
For a description of Evidence Based Practices for both mental health
and substance abuse services, check the following web-sites - http://www.mentalhealthpractices.org/index.html
or http://www.nida.nih.gov/tb/clinical/clinicaltoolbox.html
- Describe the evidence based practice the agency will implement
(supported employment, medication management, assertive community
treatment, motivational interviewing, cognitive behavioral therapy
etc.).
- Describe the staff support for the project and the implementation
plan including how the line staff will be engaged in the
implementation.
- Describe how baseline will be established and process, frequency
and methodology for measuring results of the EBP.
4. Quality improvement Project (Linked to either #2 or #3
above) 25
points
- Describe the data the agency has readily available for a QI
project.
- Describe the availability of staff to participate in a project.
- Describe the way the agency will ensure the collaboration of line
staff and consumers in a project.
5.
Budget
20 points
- Submit a detailed budget for the project including in-kind staff
and resources.
Please send your applications to Alice Mirk at the Bureau of Mental
Health and Substance Abuse Services, PO Box 7851, Madison WI 53707-7851
by 5pm on January 10th 2006. E-mail applications will be accepted in a
Microsoft Word document attached to an email. Send to mirka@wisconsin.gov
.
For questions regarding this opportunity please call Alice Mirk at
608-261-8878 or email at the address listed above.
REGIONAL OFFICE CONTACT:
Area Admininistrators
CENTRAL OFFICE CONTACT:
Alice Mirk, Supervisor
Bureau of Mental Health and Substance Abuse Services
1 West Wilson Street, room 850
P.O. Box 7851
Madison, Wisconsin 53707-7851
(608) 261-8878 or FAX: (608) 267-9392
TTY: (608) 266-7376
e-mail: mirka@wisconsin.gov
MEMO WEB SITE:
http://www.dhs.wisconsin.gov/partners/local.htm
Attachments:
Appendix A (PDF,
24 KB)
Appendix B (PDF,
31 KB)
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