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Panel Members:Lacey Eaton - MHMR Tarrant
Veronica Longoria - ATCIC
Dr. Mary Chavez-Harrington - Hill Country
Dr. Kathleen Williamson - Texana Center
Susan LaGrone - BHCNC
Overview
The state proposed the development of 8 medical, psychiatric and behavioral support teams to serve all 254 counties of Texas, including all 39 LIDDAs and community waiver providers within a designated region.
Eight Region Configuration
• existing regional networks
• HCBS waiver provider contract service areas
• current infrastructure
• geography
Purpose of the Transition Support Teams
Provide Medical, Behavioral, and Psychiatric Support to
Local Intellectual and Developmental Disability Authorities (LIDDAs)
Home and Community-based Services (HCS) program providers
Texas Home Living (TxHmL) program providers
Purpose of Transition Support Teams
Assist providers and LIDDAS serving individuals with IDD who are:
At risk of being admitted to institutional setting
or
Transitioning from institutional setting back into the community
* Institutional Setting = nursing facility (NF) or state supported living center (SSLC)
GOAL
INSTITUTIONALIZATION
Responsibilities of Transition Support Teams
Quarterly educational activities
Technical assistance
Case-Specific peer review
Collaboration
We collaborate with the HUBs if a person is transitioning to an area that is outside of our own regions.
We are moving toward collaborating in training/educational opportunities
Hill Country• Alamo Area Council of
Governments
• Camino Real Community Services
• Gulf Bend Center
• Hill Country Mental Health & Developmental Disabilities Centers
Hill Country MHDD (Service Area 6)
Counties served (36)
Atascosa Bandera Bexar Blanco Calhoun Comal DeWitt Dimmit Edwards Frio Gillespie Goliad Hays Jackson Karnes Kendall Kerr Kimble Kinney La Salle Lavaca Llano Mason Maverick McMullen Medina Menard Real Refugio Schleicher Sutton Uvalde Val Verde Victoria Wilson Zavala
Hill Country
Educational Activities Supported Decision Making and Alternatives to Guardianship (LIDDAs) Positive Behavior Supports for Challenging Behaviors (San Marcos and Camino Real) Person Centered Thinking (LIDDAs and Providers throughout the region) The Fatal Five MH Needs in IDD ( Alamo and AAIDD Texas Chapter) Relias IDD library (RLS) Meeting the Needs of the Blind and Visually Impaired Safety Care Training the Trainer (2 trainers/LIDDA); Extension training for families (2
trainers in Gulf Bend, Camino Real and one in Alamo and Hill Country ) Safety Care Training for Families (2 in Gulf Bend and 1 in Alamo) Celebrating DSPs Scope of Practice in IDD Nursing Trauma Informed Care ID/DD Delegation Decisions in the IDD World Material on PCP, Side effects of psychotropic medication, alternative ways to communicate
with individuals with IDD on our webpage.
Hill Country
• Technical Assistance
*We do not provide direct services, we assist in finding resources in evidence based practices to enhance the supports already in place or to identify supports to enhance the continuity of services and/or transition of the individual.
Hill Country
Case Reviews-cases that involve medical problems, behavioral challenges and psychiatric treatment.
-scheduled case review sessions
-3 day response with acknowledgment of receipt and if required, request for more documentation
- Conclude with a written report and follow-up instructions provided within 2 work weeks.
Hill Country
Upcoming Activities-Development of annual calendar of training activities
-Identification of Resources available and development of a
Resource Manual
-Curriculum development (crisis staff, DSP, SC, etc.)
-Seek alternate venues for Relias Learning System trainings
Hill Country Communications
Webpage:http://www.hillcountry.org/services/IDD/hub.asp Survey Monkey (Needs, QOL, Satisfaction)
Survey links (Needs, QOL, Satisfaction)
Referral Forms
Referral Guidelines
Training links (training schedules, webinars, informational brochures, etc.)
Contact information
Contact: [email protected]
Hill Country – Contact Info
Mary Chavez-Harrington, MD, MA, LPC
Hill Country MHDD Centers
1901 Dutton Drive Suite D
San Marcos, TX 78666
512-558-2004
Tarrant County• Betty Hardwick Center
• Center for Life Resources
• Helen Farabee Centers
• MHMR Tarrant
• Pecan Valley Centers for Behavioral & Developmental Healthcare
Tarrant County Educational Opportunities/Training
Live Webinar Training Opportunities Provided this last Fiscal year: Genetic Disorders and Associated Behavioral Phenotypes Effective Intercultural Communication Strategies in Outreach Efforts Mental Health Diagnoses in IDD and the Biopsychosocial Approach Fetal Alcohol Syndrome HARP (Health Assessment Reporting and Prevention) Anxiety Disorders and IDD Mental Health and IDD Conference February 2016 Integrating DIDs into Service Delivery Positive Behavior Supports Communicating through Behavior ASD and ID Trauma and IDD
New FY 17 Schedule is available and set
Tarrant County
Additional Trainings Provided Recently:
Continued Direct Support Professional Training
Sensory Room Consultation and Training
Meaningful Days Training with Dr. Reid
Training to local ICARE/MCOT Teams
Training at Abilene SSLC
Tarrant County Technical Assistance
Continuing to receive local requests for training and have seen an increase in referrals from other LIDDAs.
Provided the opportunity for each LIDDA to have Lippincott to provide the most current evidenced-based material that is consistent with best practices.
Tarrant County Case Review
CSCT (Cross-Systems Consultation Team)meetings held weekly for case reviews.
Referral forms have been provided for each LIDDA and the area providers.
Continued collaboration with START, Continuity of Care, Enhanced Service Coordination, and Diversion Coordinator.
Tarrant County
Current and Upcoming Projects Supported Decision Making Training on October 13,
2016
First Responders Training in Graham, TX
Providing Direct Support Professional Curriculum to assist providers in their training of new staff.
Developing Curriculum on Healthy Eating and Wellness
The Road to Recovery Training: Supporting Children with IDD who have experience trauma will be held In March of 2017.
Faith Based Symposium in April 2017 in Abilene, TX.
Tarrant County Challenges:
Development of Stakeholder committee.
Engagement with Stakeholders
Getting connected with providers in other regions
Tarrant County – Contact Info Lacey Eaton, MAPC, LPC-I
Project Manager, Medical, Behavioral, Psychiatric Support TeamMHMR Tarrant1300 Circle DriveFort Worth, Texas [email protected]
WEBSITE: www.mhmrtarrant.org/MBPMBP EMAIL: [email protected]
Texana Center• Gulf Coast Center
• Harris Center for Mental Health and IDD
• Texana Center
• Tri-County Services
Texana Center Educational Activities
Collaborating with PASRR to provide quarterly trainings
Hosted Person Centered Thinking training for LIDDAs
Presented trainings at the regional AAIDD conference, TNOYS conference, Texas Council Conference
Held an Autism and IDD Conference at Memorial Herman Hospital in Sugar Land
Hosted Road to Recovery Trainer Training
Texana Center
Technical Assistance
Over 300 online training courses available to LIDDAs and Providers using Relias Learning
Trainings have included: Evidence-based Practices and the National Standards Project
ABA Treatment for Children with Autism
Professional & Ethical Compliance
Suicide Prevention Training
MCOT Training
Texana Center
Case Reviews
We have received and participated in a total of 27 case referrals.
The referral form was integrated into our website to provide easy access to providers and LIDDA staff.
The majority have come from LIDDA employees, but we have recently received a few directly from providers.
The response to each referral has varied, due to a wide range of presenting problems.
Texana Center
Upcoming Activities
Continuing to respond to training requests – they are gradually increasing
Attending local meetings, provider groups, and other opportunities to share information about the program
Road to Recovery training for community members
Texana Center – Contact Info Dr. Kathleen Williamson, BCBA-D
Hub for Effective Local Providers (HELP) Texana Center
4706 Airport Avenue, Bldg. C.
Rosenberg, TX 77471
281-238-6797
ATCIC
• Austin Travis County Integral Care
• Bluebonnet Trails Community Services
• Central Counties Services
• Heart of Texas Region MHMR Center
• MHMR Authority of Brazos Valley
ATCIC Educational Opportunities
Monthly, live streaming opportunities
Internal and external collaborations
Behavioral Health Cross-Training
Community Provider Requests
City of Austin
Libraries
Hospitals
Fulfilling requests from other community partners who want to learn about how to support IDD
First Annual Conference
ATCIC
Technical Assistance Currently taking requests
Information and resource sharing on evidence based practices
Content or training over specific diagnosis that can be used by community based IDD professionals
ATCIC
Case Consultation Clinical team
Bi-Weekly Meetings to discuss Challenging cases
Other case consultations as needed
Developing network of contract professionals
Identifying systemic issues that can be education or technical assistance
ATCIC
Upcoming Activities/Events
Redistributing a new survey for educational info.
Working with other Statewide Hubs to brainstorm cohesive efforts to distribute training
Looking to recruit more stakeholders to serve on committee
Outreach efforts to other hospitals and agencies who encounter individuals with IDD
Clinical efforts to grow the network of professionals
ATCIC Continued Challenges
Fluctuating Attendance at Events
Provider Buy-In
Contacting All levels of professionals
Record Keeping and continuity between providers
Stakeholder involvement
ATCIC – Contact Info Veronica Longoria, LBSW
Team Lead, Hub Learning Community (HLC)
Austin Travis County Integral Care
5225 N. Lamar Blvd
Austin, TX 78751
512-483-5887
Email: [email protected] or [email protected]
Referral Form: http://www.integralcare.org/content/hub-learning-community
1-800-906-7820
Nueces County
• Behavioral Health Center of Nueces County
• Border Region Behavioral Health Center
• Coastal Plains Community Center
• Tropical Texas Behavioral Health
Nueces County
Developed by Transition Support Team – We can bring these trainings to you!
Lifestyles of the Strong and Healthy Suicidality and IDD Fragile X Syndrome IDD & Schizophrenia Trauma Responses and Interventions Effective Communication IDD & The Criminal Justice System: Addressing the Need for
Appropriate Resources, Supports, and Legal Representation Supporting People Diagnosed with Intermittent Explosive
Disorder Crisis Intervention
Nueces CountyAvailable on Webinar Recordings
▶Verbal Judo and Behavioral Interventions
By Robert Cramer, Psy.D., L.P.C.-S., B.C.B.A.-D
Building Resilience and Emotional Resources
By Emilia O’Neill Baker, Ph.D., L.P.C.
Autism 101
By Steven Valdez, Center for Autism and Related Disorders
Supported Decision-Making & Guardianship Reforms
By attorney Kathryn Lewis, Disability Rights Texas
Nueces County
Upcoming Presentation
November 7, 2016 at 10 a.m. Live and Via Webinar
Addressing Domestic Violence and Sexual Assault with Those Who Have Disabilities presented by The Women’s Shelter of South Texas
Nueces County
The Transition Support Team will also develop trainings on specific topics you request – just contact us
Nueces County – Contact Info
Susan LaGrone, M.S., L.P.C.
Team Coordinator, Money Follows the Person Behavioral Health Center of Nueces County
1630 S. Brownlee Blvd.
Corpus Christi, TX 78404
361-886-1437
Emergence Health Network
• Emergence Health Network
• MHMR Services for the Concho Valley
• Permian Basin Community Centers for MHMR
• West Texas Centers
Emergence Health Network
Educational Opportunities
Provided monthly face-to-face trainings to multiple community providers, psychiatric hospitals, law enforcement, MCOTs, crisis teams, including:
Dual Diagnosis (MI/IDD)
Functional Communication
Strengths-Based Supports for Individuals with Autism Spectrum Disorder
Conflict Resolution and the IDD Population
Positive Behavioral Supports for the IDD Population
Managing Crisis Situations for Individuals with Autism Spectrum Disorder
Created a resource library for local authority and community providers
Emergence Health Network
Technical Assistance
Provided various trainings, including conflict resolution, effective communication strategies to utilize when communicating with individuals with IDD, and best practices for lifting clients safely
Case/Peer Reviews
In development
Emergence – Contact Info
Erica Thomas, LCSW, MSSW
MFP Team Lead
Emergence Health Network
8730 Boeing
El Paso, TX 79925
915-599-6645
Metrocare • Access MHMR
• Andrews Center
• Burke Center
• Community Healthcore
• Denton County MHMR Center
• Lakes Regional MHMR Center
• LifePath Systems
• Metrocare Services
• Spindletop Center
• Texoma Community Center
Metrocare – Contact Info
Luann Golden, LMSW
Metrocare Services
1353 N. Westmoreland Rd. Cottage 5
Dallas, TX 75211
214-333-7065
StarCare
• Central Plains Center
• StarCare Specialty Health System
• Texas Panhandle Centers
StarCare – Contact Info Karen M. Harris
IDD Local Authority Director
StarCare Specialty Health System
904 Avenue O
Lubbock, TX 79408
806-928-6976
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