5 C's
What is the new (5th) "C"?
Coordination of Care
*Bonus: Why is Coordination of Care important?
Who is considered the clinical lead of the team?
GLP/MT
*Bonus: What licenses must MTs possess in order to complete Written Orders?
Who is eligible for CSBBH?
Youth ages 5-20 who are enrolled in the designated, licensed school.
*Bonus: Can preschool students be enrolled in the CSBBH program?
What is a Core meeting and how often should it occur?
*Bonus: Who should attend a Core meeting?
Who qualifies for TSP (therapeutic summer program)?
All youth and their siblings (based on clinically judgment) are qualified and encouraged to participate in the team's TSP program.
*Bonus: What is the purpose of TSP?
What two services does CSBBH fall between in the continuum of care?
Family Base Mental Health and Outpatient
*Bonus: What umbrella did CSBBH use to fall under?
What is the name of the assessment completed when doing case management needs?
Social Determinants of Health
*Bonus: Name three common social determinants of health needs?
Who should lead the case management component of the program?
BHT
*Bonus: What is the 4:1 ratio pertain to?
Name three different CSBBH outcome measure.
-Strengths & Difficulties Questionnaire (SDQ)
-Child Outcomes Survey (COS)
-Bi-annual CSBBH Outcomes Reports
-Member and Family Satisfaction Measures
-School Satisfaction Surveys
-Performance on key metrics - Alternative Payment Arrangement
-Quality Reviews
*Bonus: What are three reasons for outcomes?
What are some early introductory opportunities for school engagement?
-Initial meetings with school district/ building administration (Beginning work of the alliance, Review of the school district attestation, Review of the provider attestation)
-Faculty overview
-Back-to-school night
-CSBBH “office open house”
*Bonus: What are some ongoing opportunities for school engagement?
That it be evidenced based. This could be a full preestablished curriculum or one created from parts of multiple evidenced based modalities.
*Bonus: Who is responsible for creating and/or organizing the TSP curriculum?
What does CBO stand for?
Community Based Organization
*Bonus: What is your county's assigned CBO?
What are the three types of therapy utilized in clinical interventions?
Individual, Family and Group
*Bonus: What types of strategies and approaches should teams use with clinical interventions? What are we trying to reduce?
Whose responsibility is to uphold the program integrity and maintain fidelity/records?
Administrative Directors
*Bonus: Who is responsible for applying and support the Core Four Clinical Model?
True or False: The school partners are in charge of the referral process.
False.
Where are other places referrals can come from?
*Bonus: Where are most referrals discussed?
What are three building level practices?
-Procedure for entering/leaving building (Access, sign-in, ID)
-Unwritten rules of space/behavior (Faculty work/lunchroom)
-Safety Protocols (School District policies and protocols, Agency policies and protocols, County safety protocol
-Current practices for social/emotional learning or behavioral expectations (Bully prevention, PBIS, Trauma-informed practices: mindfulness, restorative practice, etc. Other: social skills groups, lunch buddies, character education, etc.)
*Bonus: What is the name of the agreement the provider, school, CCBH and oversight go over and sign at the start of a program and reviewed periodically?
What are some examples of family engagement activities?
Examples include an open house, mid program family event, end of program graduation, community outings, family sessions through out the program, etc.
*Bonus: What is an example of a family engagement activity that your team has done during TSP?
What is the difference between a safety and crisis plan?
A safety plan is proactive and preventative in nature. A crisis plan is reactive and used to reduce harm of the youth and those around them.
*Bonus: When should safety and crisis plans be reviewed/updated?
What three components go into the crisis intervention cycle?
Safety and Crisis Planning, Crisis Support and Response, and Post-Crisis Intervention
*Bonus: What does CCBH Provider Alert #6 entail and why does it apply to crisis intervention?
Who is responsible for the clinical integrity of the program?
Clinical Director
*Bonus: Can the administrative director and clinical director be the same person?
How are CSBBH program funded?
APA or Alternative Payment Arrangement.
*Bonus: How often are APA's evaluated?
What are some items that should be discussed during Core?
-Focus on any current children/youth on the team that require updates and collaboration between the school, team, and/or family
-Review the progress of active referrals and the status on the family contact and intake process
-Identify new referrals and discuss appropriateness for CSBBH
-Give updates (e.g., new procedures, staff transitions, new classroom strategies)
-Identify the strengths of the school and of the team that have been noted since the last meeting
-Discuss barriers/ areas of improvement (e.g., communication with teachers regarding scheduling, understanding of the program, how to come together during crisis situations)
-Report on dates that the team will not be in the building and identify which school staff could offer support for the children/youth if needed
*Bonus: When should Core meetings be scheduled?
What is community integration and what are some examples of it?
These can include going to places in the community while providing a therapeutic lesson or having community members come on sight to provide therapeutic lessons.
*Bonus: Give an example of a community integration activity your team has done and the therapeutic lesson tied to it.
Name one of the group activities we did today and how it relates to the work you are doing?
Activity with 3 students and how to deploy services, role play of core meeting, development of "typical day" handout for schools, practice of proactive communication strategies within the school.
*Bonus:
In regards to Consultation and Training, can teams do safety assessments on non-enrolled youth in the school?
No. The CSBBH team cannot provide therapeutic intervention/treatment to non-enrolled youth. They CAN provide support and resources to the school staff during a crisis though.
*Bonus: What is the most common topic schools ask teams to present during in-service or professional developments?
What are the work hours for the CSBBH team?
Staff should work a flexible schedule that meets the needs of the family and include nontraditional hours, weekends and holidays (as needed).
*Bonus: How can teams avoid working over 40hrs a week while meetings the needs of their families and doing home sessions?
What four items are required for a service request?
POC (Plan of Care), WO (Written Order), FFA (Full Formal Assessment), ITP (Individualized Treatment Plan).
*Bonus: How long are WOs good for? What four components should be included in the clinical formulation within the FFA?
What are some proactive communication and collaboration strategies to use with school partners?
-Establish communication styles: how do administrators and teachers like to communicate? (e.g., email, schedule time, at Core meeting, popping in)
-Find opportunities to talk with teachers and other staff about program services, and how you can work together to better support students and their needs
-Share pertinent clinical information that could help teachers collaborate with team on treatment
-Share information about different interventions the team will use throughout a typical day (e.g., use of breaks, de-escalation techniques, connect then redirect)
-Learn to appreciate the school's cognitive frame (world view) when selecting treatment strategies and collaborate regularly to determine impact
*Bonus: What are some ways teams can integrate themselves into the school culture?
True or False: TSP has to be group therapy the duration of the program.
False. TSP programs can include daily recreation activities too.
*Bonus: How does your team keep families engaged during the summer?
What types of documents should you be sending the CSBBH Team through the CCBH website email?
Documents such as end of year data and all TSP documents.
*Bonus: When do teams start using the new communication process with the CSBBH Team?
Who are the coordination of care plans sent to and how often should they be reviewed?
Care Managers and reviewed monthly with other service providers/treatment team members.
*Bonus: How often should teams do BH/PH coordination and how should it be documented?
Should team members be assigned specific clients to work with?
No. Each child and family should be introduced to all MTs and BHTs incase there are changes in staff and/or staff time off. BHT should continuously rotate between youth (this is a quality audit measure).
*Bonus: Who can run groups? (School groups, TSP, etc)
Who should lead a treatment team meeting (TTM) and per IBHS, whose participation is mandatory?
MT and school staff
*Bonus: How often should TTMs occur?
The school. The team should work with the school to create an "elevator" speech that describes the CSBBH program to families when they feel a youth would benefit from the program.
*Bonus: What does RtI and PBIS stand for and what are they?
What opportunities does TSP provide for youth?
-Build new skills and/or practice previously learned skills with the overall goal of generalizing those skills to the home, school, and community
-Learn and practice pro-social and coping skills in group sessions that are structured and supervised by CSBBH staff
-Have a more successful transition back into the school year due to the summertime structure and group learning opportunities
*Bonus: How long is your TSP program and why?
What things should be included in team's clinical records?
Written Orders, Assessments, ITPs, daily notes, direct and indirect services, Coordination of Care documentation, documentation of collaboration with school staff, case management activities, safety and crisis plans, etc
*Bonus: What does documentation need to comply with?