POSITIVE PRACTICES RESOURCE TEAM ALLOCATION PROCESS

1
POSITIVE PRACTICES RESOURCE TEAMALLOCATION
PROCESS

• Purpose To identify and develop system capacity
  and resources that will be dedicated to address
  issues pertaining to a persons behavioral
  support needs.

2
STARTLING STATISTIC!!

• 20-35 of all people with mental retardation
• have a psychiatric disorder - compared to
• 16-20 among the general population.

3
The National Institute of Mental Health (NIMH)

• mental health disorders occur substantially
  more often in person with mental retardation than
  they do in population without mental retardation.
  
• The full range of psychopathology that exists in
  the general population also exists in persons
  with mental retardation.

4
Why So Prevalent?

• Negative social conditions throughout life
• Rejection by others/stigmatization and the lack
  of acceptance in general
• Limited coping skills associated with language
  difficulty
• Inadequate social supports
• High frequency of central nervous system
  impairment

5
IMPACT

• Disrupts family and peer relationships
• Interferes with educational/vocational progress
• Jeopardizes residential placements
• Bottom Line greatly reduces a persons quality
  of life
• Summation It is imperative that people receive
  an accurate diagnosis and appropriate
  treatment/supports

6
Criteria For Referral

• A person with a developmental disability who is
  demonstrating escalating at-risk behavioral
  challenges.
• Person the support team determines may be at risk
  for needing enhanced levels of support that are
  not readily available or known to the team.

7
OMHSAS OMR Collaboration
Recovery Principle Everyday Lives Principle
Principle that guides all interventions/interaction Consumer centered and self determined Driven by the belief that people need to have hope, connectedness, support, knowledge, value, purpose, and meaning in life Principle that guides all supports and services Person centered Driven by the belief that people, with or without a disability, want to be treated with dignity, respect, and have a life that includes choice, control, and relationships
8
Positive Practices Guides for Support

• Environment Recognize that the persons
  environment meets their needs and may influence
  their behavior.
• Communication- Recognize that behavior is an
  attempt to communicate and promote assisting
  people to find ways to express themselves and be
  understood.

9
Guides to Support, contd.

• Assessment - Recognize the need for prompt
  assessment, diagnosis, and treatment of a
  persons physical and psychiatric needs.
• Hanging in There Service and support staff need
  to have the ability to hang in there and
  continually reevaluate the environment,
  communication factors, and reassess needs.

10
System Resources

• Advocacy Staff (PPA ARC etc.)
• Consultant Staff
• County Staff
• Families/Friends
• Health Care Quality Units (HCQU)
• Office of Autism Affairs
• OMR and OMHSAS Staff (Regional Offices State
  Hospitals State Centers)
• Positive Practices Resource Team (PPRT)

11
POSITIVE PRACTICES RESOURCE TEAM

• PPRT utilizes staff assigned to State Hospitals
  and State Centers demographically by region.
• Skills and experience of PPRT cover a wide range
  in the positive approaches areas
• Psychiatrist Psychologist Nurses
  Pharmacist Social Worker Direct Support
  Service Recreation Therapist Educator/Trainer
  Spiritual/Pastoral Support
  

12
Positive Practices Resources Team (PPRT)
Allocation Process

• The referral for assistance will be made from any
  source including
• Advocates
• Counties/Administrative Entities
• Families
• OMHSAS Field Offices
• OMR Customer Service Line
• Self-Advocates
• State Hospitals

13
PPRT Process Contd

• The Regional Program Office will forward the
  referral form (Resource Allocation Analysis Form)
  along with a summary of the persons current
  situation to the PPRT Coordinators. OMR Area
  Directors will be copied on this referral.

14
PPRT Process Contd

• The PPRT Coordinators will review with OMHSAS
  OMR Regional Office leads to determine next
  steps.
• If a decision is made to meet with the persons
  support team the PPRT Coordinators will identify
  PPRT members to be assigned. The assignment will
  be based on skill/experience strengths and
  availability. A team lead will be assigned.

15
PPRT Process Contd

• The PPRT Coordinators will contact the PPRT
  members to provide information ad discuss
  activities. The PPRT lead will coordinate
  actions with the Regional Office.
• Information obtained will be shared with PPRT
  members and on site visits conducted after
  reviewing information and discussing ideas with
  the PPRT Coordinators.

16
PPRT Process, contd.

• The PPRT members will explain their role and
  acknowledge the efforts of the support team.
• The PPRT members will then ask the support team
  for an update and begin to collaboratively bring
  together suggestions to address the challenges.
• The PPRT lead will begin to compile a work plan
  identifying actions to be taken, target dates,
  and responsible person.
• A copy of the work plan will be shared with the
  provider, the PPRT Coordinators, and the Regional
  Office.

17
PPRT Process Contd

• The Regional Office Risk Management Committee
  will review the status of each work plan until a
  desired outcome is achieved.

18
PPRT Process Contd

• The PPRT Coordinators or involved Regional
  Office Staff will update the PPRT on outstanding
  issues during weekly PPRT update calls.
• Information tracked by the PPRT Coordinators will
  be incorporated into reviews by the Statewide
  Positive Practices Committee and OMR and OMHSAS
  Program Offices.

19
PPRT Regional Office Perspective

• Number of referrals
• Status of people referred
• Focus from the Region perspective

20
PPRT Leads

• Gretchen Hathaway, OMHSAS
• ghathaway_at_state.pa.us
• 717-772-7526(office) / 717-649-6682(cell)
• Fred Lokuta, OMR flokuta_at_state.pa.us
• 570-443-4244(office) / 570-233-3520(cell)
• Ellen Wagner, OMR elewagner_at_state.pa.us
• 570-372-5659(office) / 570-809-3765(cell)
• PPRT PP 1/10/07