Program Evaluation ofMYPAC: Respite Division

Describe the Program

History- started July of 07 What is the program- MYpac is a

youth program where children can get mental health services in their home and communities instead of going to a psychiatric residential treatment program (PRTF).

Children in the MYPAC program

Children with emotions and behavior, drug use, and getting into trouble have been linked to mental health and this is the population for MYPAC.

Respite care

Two types In-Home based or community-based

(TFC, Group home. or relative placement)

In-home- short term out of home that involves support individuals (other family members, friends, etc). No limited amount out of home with this respite)

Criteria

Counselor will discuss that need with his or her supervisor

Counselor/supervisor will determine what time of in- home respite is needed(home based, TFC, Group home, relative)

Supervisor will discuss the need with the regional supervisor.

Supervisor/Regional supervisor will determine what type of respite is approved

Criteria

Counselor( and supervisor if needed) will contact the family to discuss the respite options and will put into place any safety plans needed and discuss expectations regarding the youth’s return home and continuation of treatment intensity

Regional supervisor will contact the MS placement department for current respite families that can accept the youth

Once a youth is placed at the respite location an established discharge date needs to be targeted

Length of Stay

– depends on needs of the child

Pro’s

It allows the parent a break from the child

Child are not being placed in PRTF Counselor can continue to work

with parents and respite parents

Con’s

Child is away from home Not very many homes available for

respite care No process that insures length of

stay be limited

Outcome

If child behaviors decrease Child returns home Child is not placed into Out –of-

home respite

Statistic of Respite

65% of MYPAC families utilize In home respite

How is it Funded?

It is funded through Medicaid.What happen to children without

Respite-

1) Detention center 2) Jail 3) Shelter

What types of problems does the kids have that are in Respite

aggressive behavior cursing runaway defiant unmanageable violent/destructive

Is it staffed properly?

Yes, counselor in the home and on call 24 hours

Out of Home

(institutional) respite –It is when a youth is placed in a RTC (PRTF) or acute setting for respite services fro no longer than 29 days. This type of respite is only used as a last resort and after every type of intervention and respite has been used.

Criteria of Out of Home Placement

Counselor will discuss that need with his or her supervisor

Clinical Supervisor will discuss reason for non-community respite with Regional Supervisor

Regional Manager will obtain approval from Assistant Director/Director

Regional Supervisor will send e-mail notification to Placement Services and include: date of admission, reason youth has been requested to receive non- community respite, intervention attempted, why the intervention have been non-successful

Criteria continued….

Once a youth is placed at the residential center an established discharge date needs to be targeted

The Counselor needs to obtain a release from the family to obtain and psychiatric documentation and treatment.

Length of Stay

29 day consecutively and 45 days per year

Pro’s??

It allows the Parent a break from the child

Counselors continues to focus on goals while in respite care

Counselor assist in transitioning the youth back to home as quickly as possible

Length of stay on 29 days

Con’s?

Child is away from home Respite care is out of state for this

organization No process that insures length of

stay be limited

Outcome?

Significant finding, summary of goals achieved, summary of goal not achieved, summary of current support system, Description of current needs/recommendations

Statistic of Respite

20% of MYPAC families utilize Out- of-home respite

How is it funded?o It is funded through Medicaid

What happen to children without Respite?

1) Detention center 2) Jail 3) Shelter 4) Out of home respite

What types of problems does the kids have that are in Respite?

aggressive behavior cursing runaway defiant unmanageable violent/destructive

Is it staffed properly?

Yes, counselor in the home is still on call 24 hours and facilities have adequate staff with 24 hours supervision