Panel Members: - MHMR Tarrant County

Panel Members:
Veronica Longoria, LBSW – ATCIC
Kelsey Morgan, BCBA - Metrocare
Lacey Eaton, LPC-I - MHMR Tarrant
Beth Duncan, BCBA - Texana Center
Dr. Kathleen Williamson, BCBA-D - Texana Center
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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
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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)
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Quarterly educational activities
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Technical assistance
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Case-Specific peer review
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DADS organized the creation of 8 Service
Areas across Texas
Identified one Contracted Local Authority
(CLA) to serve as the hub for each area.
• Gulf Coast Center
• Harris Center for Mental
Health and IDD
• Texana Center
• Tri-County Services
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Educational Activities
◦ Over 300 online training courses available to LIDDAs and
Providers using Relias Learning
◦ Collaborating with PASRR to provide quarterly trainings
◦ Hosted Person Centered Thinking training for LIDDAs
◦ Presented a training on the prevention of challenging
behaviors at the regional AAIDD conference in Houston
◦ Held an Autism and IDD Conference at Memorial Herman
Hospital in Sugar Land. Presentations focused on
prevention of problem behaviors, effective intervention
strategies, and selecting and teaching new skills to increase
independence.
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Technical Assistance
◦ Trainings have included:
 Evidence-based Practices and the National Standards
Project
 ABA Treatment for Children with Autism
 Professional & Ethical Compliance
 Suicide Prevention Training
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Case Reviews
◦ We have received and participated in a total of 22
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.
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Upcoming Activities
◦ Attending several networking events and conferences to
continue to spread information about the services we
offer to providers
◦ Presenting trainings for 3 organizations in our hub area
that have requested technical assistance.
◦ Attending and presenting at the AAIDD Texas
Convention in San Antonio
◦ Hosting 2 SafePlace trainings (trainer and community)
for our hub area in August
◦ Presenting with the other hubs again at the PACSTX
Conference in Galveston in September
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Continued challenges…
◦ Connecting with Providers
◦ Determining what trainings are most needed and
how to get providers to participate in the trainings
◦ Getting case referrals and technical assistance
◦ Establishing a Stakeholder Committee with PNAC
members from our LIDDAs
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Dr. Kathleen Williamson, BCBA-D
Hub for Effective Local Providers (HELP)
Texana Center
4706 Airport Avenue, Bldg. C.
Rosenberg, TX 77471
281-238-6797
Texana.HELP@texanacenter.com
• Austin Travis County
Integral Care
• Bluebonnet Trails
Community Services
• Central Counties Services
• Heart of Texas Region
MHMR Center
• MHMR Authority of Brazos
Valley
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Educational Opportunities
Monthly opportunities
Based on Provider survey on educational requests
Live/recorded WebEx videoconference
Latitude Learning Management System (LMS)
recently approved-Online Library development
◦ Internal and external collaborations such as
Safeplace, START, and community agencies such as
CPATH and Epilepsy Foundation etc.
◦ Fulfilling requests from other community partners
who want to learn about how to support IDD
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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
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Case Consultation
◦ Clinical team
◦ Weekly meetings to review (2) challenging cases
around discharge
◦ Other case consultations as needed
◦ Developing network of contract professionals
◦ Identifying systemic issues that can be education or
technical assistance
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Veronica Longoria, LBSW
Team Lead, Hub Learning Community (HLC)
Austin Travis County Integral Care
5225 N. Lamar Blvd
Austin, TX 78751
512-483-5887
veronica.longoria@atcic.org
• Betty Hardwick Center
• Center for Life Resources
• Helen Farabee Centers
• MHMR Tarrant
• Pecan Valley Centers for
Behavioral &
Developmental
Healthcare
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Developed Team
Utilized existing framework from Healthcare
transformation projects to build part of the team and
others Including:
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Licensed Psychologist
Behavioral specialist
LPC with trauma specialty background
Medical specialist
Neuropsychologist
Psychiatrist
Additional MBP Team Members:
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Nurse (RN)
2 Part-Time Occupational Therapists
Support Specialist
◦ Assessing Provider and LIDDA needs:
 Survey Monkey has been sent out to each LIDDA to
determine community needs
 Will provide trainings as requested and will offer the
opportunity to the region.
 Use of survey at conferences and trainings
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Training
◦ Monthly online training series available and scheduled through
August 2016
◦ Live Webinar Training Opportunities Provided:
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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
Therapeutic Interventions
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Technical Assistance
◦ Receiving local requests for consultation.
◦ Looking forward to receiving more requests as
program is being introduced and clarified.
◦ Provided the opportunity for each LIDDA to have
Lippincott to provide the most current evidencedbased material that is consistent with best
practices.
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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.
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Developing a Direct Support Professional Curriculum to
assist providers in their training of new staff.
Training being established in October with Dr. Jill Hinton
of Center For START Services with our County Hospital and
their nurses.
Developing Curriculum on Healthy Eating and Wellness
Training established with MCOT/ICARE as well and
numerous Behavioral Health Teams at MHMR Tarrant. We
hope to expand this to our other LIDDAS.
Professional Learning Community
The Road to Recovery Training: Supporting Children with
IDD who have experience trauma.
Meaningful Days Training: Interactive Training on how to
implement more community Integration and inclusive
practices to help align with CMS requirements of
community integration.
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Challenges:
◦ Development of Stakeholder committee.
◦ Engagement with Stakeholders
◦ Getting connected with providers in other regions
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Lacey Eaton, MAPC, LPC-I
Project Manager, Medical, Behavioral, Psychiatric
Support Team
MHMR Tarrant
1300 Circle Drive
Fort Worth, Texas 76119
817-569-5656
Lacey.Eaton@mhmrtc.org
WEBSITE: www.mhmrtarrant.org/MBP
MBP EMAIL: MBPprogram@mhmrtc.org
• 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
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Educational Opportunities
◦ Live Webinars
 Recorded and posted to SharePoint site
 Previous Trainings include:
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Stress and Caregiver Training
Functions of Behavior
ABA: the Basics
Trauma Informed Care
Obesity and IDD/MH
◦ Relias
 Purchased IDD trainings on Relias for use by centers
within Region #4
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Online library of resources through
sharepoint
Access/assistance with information on best
practices/evidence based practices
◦ Currently providing individual assistance on a need
basis
 turnaround is generally within the week
◦ Sharepoint site has information/links on best
practices
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Available to the centers, within the region, for
review of intense, chronic, or extreme, behavior,
psychiatric, and medical challenges
◦ Referral form is on the SharePoint site
 Complete and return to the team
 Currently scheduling the review within two weeks
◦ Meet via Lync/Skype
◦ Meeting takes about 30 minutes to provide information
on the teams findings and answer any questions the
team may have
 Recently, we have been scheduling a follow up meeting, to
touch base regarding any information that was left out or
unknown at the time of the meeting
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June 30th
1-3 pm Dallas, TX
◦ Guardianship Training
 Guardianship: Supported Decision Making, Bill of
Rights for IDD, Investigating Alternatives to
Guardianship
 Presented by: Kathryn Lewis, JD
 Disability Rights Texas
 Will be posted to SharePoint site if you cannot attend
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November 3rd & 4th
◦ 2016 Conference for Intellectual & Developmental
Disabilities: Innovating, Developing, and Defining
the Future of Service Delivery
 Richardson, TX
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Luann Golden, LMSW
Metrocare Services
1353 N. Westmoreland Rd. Cottage 5
Dallas, TX 75211
214-333-7065
moneyfollowstheperson@metrocareservices.org
• Emergence Health
Network
• MHMR Services for the
Concho Valley
• Permian Basin
Community
Centers for MHMR
• West Texas Centers
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Erica Thomas
Emergence Health Network
8730 Boeing
El Paso, TX 79925
915-599-6645
ethomas@ehnelpaso.org
• Central Plains Center
• StarCare Specialty Health
System
• Texas Panhandle Centers
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Karen M. Harris
IDD Local Authority Director
StarCare Specialty Health System
904 Avenue O
Lubbock, TX 79408
806-928-6976
kharris@starcarelubbock.org
• Alamo Area Council of
Governments
• Camino Real Community
Services
• Gulf Bend Center
• Hill Country Mental Health &
Developmental
Disabilities Centers
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Mary Chavez-Harrington
Hill Country MHDD Centers
1901 Dutton Drive Suite D
San Marcos, TX 78666
512-558-2062
mchavez-harrington@hillcountry.org
• Behavioral Health Center of
Nueces County
• Border Region Behavioral
Health Center
• Coastal Plains Community
Center
• Tropical Texas Behavioral
Health
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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
MFP-HUB@bhcnc.org