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Department News

Forensic Peer Mentor Program Expands to Help More Georgia Returning Citizens

forensicpeermentors
Cohort 3 convened at GDC’s State Offices South at Tift College in Forsyth, GA for the 40 hour Forensic Peer Mentor Training, facilitated by Jill Mays (DBHDD; 1st row, 3rd from the left), Jonathan “DJ” Rees (The Main Link, Pennsylvania; 1st row, 2nd from right), and Sharon Williams (GMHCN; 2nd row, far right).

In 2014, Georgia’s Department of Behavioral Health and Developmental Disabilities (DBHDD), Department of Corrections (GDC), and the Georgia Mental Health Consumer Network (GMHCN) embarked on a partnership to offer innovative peer support to Georgia’s returning citizens through the Forensic Peer Mentor Program. In 2015, the partnership expanded to include the newly formed Department of Community Supervision (DCS). Plans are underway for the program to expand into additional facilities in January 2017.

On November 28, 2016, the third cohort of 15 certified peer specialists (CPS) and certified addiction recovery empowerment specialists (CARES) began the weeklong training designed to help them use their own experience in the criminal justice system and their recovery from a behavioral health disorder to help the people that they will support.  As forensic peer mentors, they will help individuals leaving correctional facilities with transition/release planning; obtaining stable housing; employment; disability benefits; transportation coordination; linkage to community behavioral  health services and recovery supports; and learning new skills.

The training was facilitated by Jonathan “DJ” Rees, a subject matter expert on the forensic peer movement, as well as the Sequential Intercept Model, an emerging best practice that assists communities in identifying points of interception along the criminal justice system continuum where stakeholders can intervene to prevent individuals with mental illness from going to jail/prison due to offenses that may be related to their symptoms.

According to Rees, “when returning citizens are released from jail, they face challenges like discrimination in being hired for a job and finding housing in the community.  Despite these challenges, peer support can reduce the recidivism rate of people returning to jail.”

Upcoming program expansion will include placement of forensic peer mentors at four GDC state prison sites, two DCS day reporting centers, one mental health court, and one DBHDD regional hospital. This expansion brings the total number of the forensically trained CPS and CARES workforce across the state to 37, and increases the number of worksites from 11 to 17.

“Since enrolling our first returning citizen in April of 2015 into the Forensic Peer Mentor program, the program has really taken off,” said Jill Mays, assistant director of DBHDD’s Office of Adult Mental Health and coordinator of the Forensic Peer Mentor Program.  “Data shows that we have been able to greatly increase successful re-entry and reduce the recidivism rate for individuals with mental illness and/or co-occurring substance use disorders who are being released from prison or on probation/parole.  Our belief is that with support from the forensic peer mentors and other appropriate community resources, all returning citizens have the capacity to live and thrive in the community.”

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Department News

DBHDD’s bill passes through the Georgia General Assembly

The Georgia General Assembly concluded the legislative business on March 24. DBHDD’s bill (SB 271) passed both chambers and is awaiting the Governor Deal’s review and signature.  This bill makes changes to specific administrative procedures in designated emergency receiving facilities and psychiatric hospitals.  Senator Dean Burke and Representative Buddy Harden were crucial in ensuring the bill’s passage through the General Assembly.

The General Assembly also passed the annual budget which included DBHDD’s recommendations.  Below are some of the highlights of the budget:

  • $8,895,654 for salary adjustments for direct care staff to reduce turnover and improve recruitment.
  • $11,900,000 to reflect a provider rate increase for the Comprehensive Supports Waiver Program (COMP) for individuals with developmental disabilities.
  • $1,223,897 for 100 additional slots for the New Options Waiver (NOW).
  • $5,700,000 for one Behavioral Health Crisis Center to address emergency crisis needs for individuals with mental illnesses.
  • $5,065,000 in bonds for a 40-bed forensic unit at Georgia Regional Hospital: Atlanta.

Two other bills of interest include HB 768, which would establish the ABLE Program Corporation and ABLE Trust Fund.  The bill would also authorize the ABLE board to establish a program for tax-exempt savings for people with disabilities. 

HB 900 would give pharmacists the ability to delegate the retrieval and review of the Prescription Drug Monitoring Program information to technicians “for the purposes of determining misuse, abuse, or underutilization of prescribed medication.”

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Department News Staff

Furniture to be upgraded at state hospitals

At the five DBHDD regional hospitals, most of the furniture is more than 20 years old and in various states. DBHDD’s Office of Facilities Management plans to refresh the furniture in all consumer living units, including bedrooms, day rooms, and reception lobbies.

The upgrade project began last month with a hospital furniture expo hosted by Office Interiors in downtown Atlanta. Nearly 50 DBHDD subject matter experts, including doctors, nurses, administrators, and maintenance workers, reviewed furniture from the leading four manufacturers in the health field. They spoke with potential vendors and provided feedback using a scorecard which will be used to begin the selection and specification of the new products.

“Our main goal is to assure that the new assets provide a quality level of functionality, comfort and safety for our consumers,” said Richard Aghajanian, DBHDD’s maintenance director.

The project timeline is currently in the build phase with a goal of completion by next summer.

 

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Department News

DBHDD partners with American Red Cross to train disaster mental health volunteers

Even though Georgia has not experienced any major weather disasters since the ice storms of early 2014, DBHDD is always planning and preparing for the next time our employees, providers, and the people we serve will be affected by an incident.  As designated in Georgia’s Emergency Operations Plan, DBHDD is responsible for coordinating all disaster preparedness and response activities related to behavioral health and developmental disabilities.

To support preparedness, DBHDD partners with the American Red Cross (ARC) of Georgia to create a one-day training for ARC disaster mental health volunteers.  This program has increased the number of trained ARC volunteers to more than 200, resulting in increased capacity for response throughout Georgia.  Most recently, DBHDD expanded our collaboration by delivering training for the Georgia Psychological Association on August 14, 2015.  Another class is scheduled for Grady Behavioral Health on October 30, 2015.

ARC disaster mental health volunteers with DBHDD’s Tier One providers to meet the needs of Georgians after a disaster.  Tier One providers are responsible for delivering continuity of care to individuals who receive DBHDD services and for providing emotional support to disaster survivors and responder personnel.  In addition to ARC disaster mental health classes, DBHDD offers classes in disaster mental health field response training four times a year.

Other preparedness activities carried out by DBHDD include:

  • Participation in disaster exercises
  • Assisting DBHDD providers with their disaster plans
  • Developing policy related to disaster preparedness and response
  • Collaboration with other emergency response agencies to ensure that they consider the needs of people served by DBHDD in their plans
  • Cooperation with federal partners regarding disaster planning
  • Implementation of DBHDD All-Hazards Disaster Response Plan during times of disaster
  • Administration of the Federal Emergency Management Agency’s Crisis Counseling Assistance and Training Program when warranted

DBHDD’s disaster preparedness and response program is housed under the Division of Behavioral Health’s Office of Adult Mental Health.  If you have questions or need assistance related to disaster planning and response, please contact Disaster Mental Health Services Coordinator Jeannette David at jeannette.david@dbhdd.ga.gov or (404) 657-2354.

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Department News Staff

Representing DBHDD in the community

MLinkDBHDD’s Statewide Community Relations Office was established earlier this year to represent the department in the community. Director Michael Link travels across the state to inform organizations of department news and gather feedback on how DBHDD is fulfilling its vision of easy access to high-quality care for the people we serve.

We interviewed Mike to learn more about the Statewide Community Relations Office.

Why was there a need for this new office?
This is the first time we have had someone consistently in the community representing the department and all the disability groups. Commissioner Berry is the primary spokesperson, and he speaks on policy issues and has a relationship with stakeholders around the state to help formulate policy. Once that’s been developed, I go out and explain to people what that policy is and how it works.

So there’s an educational component to your role?
A lot what I’m doing is educational. I tell the story of the department, especially now with the reorganization. [In my presentations], I lead off with our vision and mission statements, how important that is, and how that sets the tone for the work that we do.

Can you describe your responsibilities?
I see my role as a vehicle to tell our story to the greater community and to raise the profile of the department, both as a storyteller and a brand manager. I promote the department as a key resource to community leaders, develop strong working relationship with community groups, and help coordinate communications with external groups.

What types of groups are you visiting?
I meet with community groups wherever they may be; often times to listen, and sometimes to present. I speak to all kinds of groups: community stakeholder groups that have been coordinated by NAMI, Kiwanis groups, community groups that have come together to deal with mobile crisis issues, provider meetings, local advisory council meetings, and other coalitions around the state. I attend standing meetings of the Georgia Behavioral Health Planning Advisory Council, Behavioral Health Services Coalition, and the Georgia Recovery Initiative. I also attend conferences.

How do you coordinate communications between providers and other stakeholders?
I want people to see me as a resource. Many providers are doing great, innovative work and we don’t often know about it. We want to highlight and showcase innovation. If other providers can see this work, we can connect with them and learn from them. I want providers to invite me out, to visit their programs, to see innovations that are producing good outcomes and to be able to share that with other folks.

Tell us about the community forums planned for next year.
The community education stakeholder forums will be held next year across the state. We will be educating the communities about the department and our services and programs. I think there’s a need to make sure we involve the communities in understanding and educating them about what we’re doing and how we’re doing it, and to gauge the issue of access and quality of services.

If you would like Mike to attend or present at your next community meeting, please email him at Michael.Link@dbhdd.ga.gov or call him at 404-353-6342.

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Department News Staff

DBHDD partners with Beck Center to provide cognitive therapy training

Graduates of the Beck Initiative from the Region 1 Field Office.

DBHDD providers in north Georgia recently welcomed 20 more graduates of the Beck Initiative, a clinical and educational program that focuses on cognitive therapy training and consultation for community mental health networks.

The training was conducted by faculty from the Aaron T. Beck Psychopathology Research Center at the University of Pennsylvania whose founder and namesake is widely recognized as the father of cognitive therapy and one of the world’s leading researchers in psychopathology. Participants engaged in workshops and hands-on training by working with people in recovery, including individuals with severe mental illness and substance use disorders, and people who experience chronic homelessness.

“The Beck Initiative has been transformative for our state,” said Monica Parker, director of DBHDD’s Division of Behavioral Health. “This evidence-based treatment model provides clinicians, case managers, and many others with tools they can use to not only effectively engage individuals in services, but also produce outcomes that lead to recovery.”

The department’s partnership with the Aaron Beck Center began three years ago with a pilot program in southwest Georgia. DBHDD provided funding to disseminate the Cognitive Training Recovery model across the state to community providers, as well as DBHDD hospital staff. Georgia State University’s Center of Excellence for Child and Adolescent Behavioral Health, a DBHDD partner whose goal is to develop and implement a sustainable System of Care that is individualized and driven by child and family needs, will continue training efforts.

“The training implementation has been successful and we are pleased that hundreds of people have participated and demonstrate a commitment to continuing to use the skills gained through the trainings,” said Parker.

The Aaron T. Beck Psychopathology Research Center at the University of Pennsylvania develops and evaluates treatments for psychiatric disorders, including schizophrenia and suicide behavior.

Correction: The original story referred to the Aaron Beck Center incorrectly as the Aaron Beck Institute.

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Department News Staff

Cohort 2 of DBHDD’s Management Academy a Resounding Success

On July 17, DBHDD graduated the second cohort of the Management Academy, a six-month program designed to train and support emerging leaders within the department. The program was co-developed by DBHDD’s Office of Learning and Organizational Development and the University of Georgia’s Carl Vinson Institute of Government.

In addition to the program curriculum, which covers topics such as “leading in the public sector” and “enhancing organizational effectiveness,” participants work in groups throughout the program to study and make recommendations on specific, DBHDD-focused issues and projects.

Before the lunchtime graduation ceremony, Cohort 2’s five interdisciplinary teams presented their findings to their classmates and DBHDD leadership.

Presentation Summaries:

Group 1: New Employee Orientation and Onboarding
Goal: To help DBHDD’s Office of Learning and Organizational Development by studying the department’s various new employee orientation programs and making recommendations on how to create standardized orientation program for all staff.

Team members: Julia Arthur, Katherine McKenzie, Ramona Pullin, Dr. Jamie Short, Candace Walker

Group 2: Bridging the Gap: IDD Waiver Funding Approval
Goal: To help improve the process of awarding waivers to individuals with intellectual and developmental disabilities. They interviewed DBHDD staff and families of individuals receiving waiver services. Recommendations included establishing a uniform communication process to ensure consistency and quality across our system.

Team members: Kenneth Ward, Allen Morgan, JaVonna Daniels

Group 3: Addressing the needs of dually diagnosed individuals
Goal: To help staff who care for dually diagnosed individuals access information that will help them provide better care by creating the website: Filling the GAP: Georgia Access Point. The site is intended to help staff improve care, mitigate challenges for people with a dual diagnosis, and identify cost savings that allow DBHDD to provide care to more individuals.

Team members: Brittaney Mills, CeCelia Dixie, Tiffany Snow, Linda Dykes, Holly Crowley, Yvonna Sherrell

Group 4: Communicating and Socializing DBHDD’s Vision and Mission Statements
Goal: To help the department promote our vision and mission statements to DBHDD staff, providers, advocates, consumers and the general public.

Team members: Marcy Burns, Andrea Harrelson, Fatma Jones, Michael Link, Jill Mays

Group 5: Promotion of the Crisis Continuum
Goal: To improve marketing of education to individuals and families about crisis services.

Team members: Paula Walden, J.R. Gravitt, Kimberly Miller, Lori Hanes

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Department News Staff

Introducing Dana Scott, the New Director of DBHDD’s Office of Health and Wellness 

20141213_220455-1Dana Scott, MSN, RN, is the director of DBHDD’s new Office of Health and Wellness under the Division of Developmental Disabilities. The office was established as part of the department’s reorganization to be centrally managed and functionally aligned.

Dana has worked for DBHDD since 2008 in various positions, including nurse manager, associate nurse executive and nurse executive. She also started the department’s quality unit for nurses. Dana has been a nurse for nearly 18 years. Her first leadership role was director of child and adolescent services for the University of Maryland Medical Center, where she focused on inpatient care, partial day programming and expanding community-based services. Dana holds a bachelor’s degree from North Carolina A&T and a master’s degree from the University of Alabama.

We interviewed Dana to learn more about the new Office of Health and Wellness.

When did you start in your new role?
I officially started on May 1.

What do you see as the role of the Office of Health and Wellness? 
When you take on a new position, you start with a vision. Since I began in this role, I was encouraged by Dan Howell [director of the Division of Developmental Disabilities] to spend time touring and talking to the people in DBHDD’s regional offices who work directly with our individuals. I jumped on this opportunity because I believe that we are only as successful as the people who do the work, touch the individuals and make the difference. The process has really helped me to understand their expectations of what the Office of Health and Wellness should do to help them do their jobs better.

So the vision has evolved. In about a month, we have developed a shared vision through the incorporation of feedback from the people actually doing the work. This helps us look at what our priorities need to be to help the individuals we serve. Our focus is twofold:

  1. What should we be doing right now, and how does the Office of Health and Wellness ensure that it happens?
  2. What are some of the initiatives and priorities we need to set in the future? For example, establishing frameworks for preventive care.

Tell us about the listening tour.
The listening tour has been focused on DBHDD’s regional field offices. We started about a month and a half ago. Almost immediately after I accepted the position, Ron Wakefield [director of the Office of Field Operations under the Division of Developmental Disabilities] and I began a tour of each of DBHDD’s six regions where we met with staff in different positions who are responsible for supporting individuals who are in the community or transitioning to the community. We used guided questions to help us understand what the staff need to help them do their jobs better, but mainly we just sat there and listened.

The response has been welcoming and positive. People are excited, and there seems to be energy and synergy, like ‘things are changing, and I think we like where they are going.’ As we’ve talked to staff at the regions, it’s so very evident that these people are doing what they love. They want to do it at a level of best practice, and they are excited about the fact that people from the central office are coming, and asking, and supporting them.

Have you completed the tour?
We have visited five of our regions and will visit the last region before the end of June. The goal of the listening tour is to get feedback, but our plan is not to stop there. We want to have a presence in the regions. We have committed to become familiar faces.

We’ve put together seven or eight pages of responses from each region. After we review all of the feedback and begin to put things in place, we need to get back to these folks and say, “not only do we want your input about what to do, but we need your feedback on the most efficient ways to do it—because ultimately, what we put in place has to facilitate you getting it done.” We want this to be an ongoing relationship.

So what does the Office of Health and Wellness look like right now?
We are starting from scratch and working on a proposal that includes where we want to go and the resources we need to accomplish our goals. It is my hope that the office will be interdisciplinary, so that all disciplines within the community are represented and advocated for.

Are you the only employee in the Office of Health and Wellness right now?
At the moment, yes. However, the need for the office has existed for some time, so health and wellness functions have been carried out by people who, though not officially in the Office of Health and Wellness, have stepped up.

Do you have a timeline of when and how the office will be built out?
The timeline will be carefully scrutinized to ensure that we are doing the right things at the right time. We have to balance the urgency of the need while being meticulous enough to make sure that we don’t rush and miscalculate what needs to be implemented at what times for what reasons.

Is there anything that we haven’t talked about that you would like to add?
I think that it’s important to give credit where credit is due. This work has been a combination of very supportive leadership and dedicated staff and team members. It is truly the result of people willing to be a team.

What about you?
My energy and the commitment I have to DBHDD’s vision and mission come from the fact that I’m a nurse first—I started out touching people. As a result, I appreciate my responsibility for helping people do their jobs effectively and helping them get the same level of job satisfaction I’ve had throughout my career. I may not have done this job before, but I’m willing to get in the trenches. I’m willing to ask the questions. I’m willing to get out there and find out what is needed to get the work done.

Why are you most excited to be a part of this new initiative?
The individuals we serve are an inspiration. No matter how hard the work is, you want to come to work every day and advocate.

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Department News

Mandatory Training Required

New system for travel reimbursements

Your participation in training for Concur, the state’s new travel reimbursement system, is required in order for you to continue receiving travel reimbursements after July 1, 2015.

On July 1, DBHDD will begin using Concur for all travel reimbursements. The new system will replace the expenditure spreadsheets and automate the reimbursement process.

If your job includes travel, or you assist with travel or you approve travel reimbursement requests, you must use Concur beginning July 1. 

Participation in one or more of these trainings is mandatory. If you do not complete the training, you will not have access to Concur and will not be reimbursed for travel.

Webinar schedule and registration

Please contact Nathan Ring with any questions about Concur or the webinars.

Thank you for your cooperation.

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Department News

DBHDD focuses on youth during May’s Mental Health Month

Earlier this month, we celebrated the 10th anniversary of National Children’s Mental Health Awareness Day with more than 200 supporters at the state Capitol. The event, which featured a panel on school-based mental health services, represents just one of the many ways that DBHDD promotes children’s mental health and the importance of early treatment for youth with serious emotional disturbances.

DBHDD’s Office of Children, Young Adults and Families provides assessment, counseling, therapy, crisis intervention, peer support, clubhouses and other services for youth and their families. Services are targeted toward children and adolescents (ages 4-17), and transition-aged youth and young adults (18-26) who often fall into a gap between child and adult mental health services.

A 2009 report by the National Research Council and the Institute of Medicine estimated that 13-20 percent of children living in the United States experience a mental health challenge in a given year, and that youth behavioral health disorders cost an estimated $247 billion annually. This figure includes costs associated with mental health treatment, lost productivity and criminal activity.

DBHDD is improving children’s mental health care through several initiatives.

Georgia System of Care
DBHDD’s Offices of Children, Young Adults and Families and Federal Grant Programs and Special Initiatives are working with partners across Georgia to build a strong system of care for children’s mental health services. The system of care primarily serves people from birth to age 21 who experience a diagnosable emotional, socio-emotional, behavioral or mental health disorder that impairs their functioning in family, school or community settings.

The Georgia System of Care seeks to change the way children’s mental health services are delivered by bringing together Georgia’s child-serving agencies and organizations to provide integrated care that is comprehensive and effective. The system is recovery-focused and takes a family-driven, youth-guided approach to service delivery. System of care focuses on workforce development, system-level planning, social marketing and support for youth and young adults. Clubhouses serve people with co-occurring mental health and substance use challenges.

The 2015 Georgia System of Care Academy will take place on July 14-16 at the Atlanta Evergreen Marriott in Stone Mountain. We will share more information about the academy in upcoming DBHDD newsletters.

Listening, Inspiring and Guiding Health Transitions (LIGHT) Initiative
The LIGHT Initiative focuses on the young adult population and includes development of policy and practice improvements, as well as treatment for first-episode psychosis. The program will offer specialized training and a provider toolkit to DBHDD providers.The initiative is supported by DBHDD’s Offices of Children, Young Adults and Families and Federal Grant Programs and Special Initiatives.

Georgia Apex Project
The first signs of mental or emotional distress often appear when a child is at school. The Georgia Apex Project, supported by the Office of Children, Young Adults and Families, aims to reduce the number of youth with unmet mental health needs which often contribute to poor academic performance. The project supports school-based mental health programs, including early detection of mental health needs, and establishes better coordination between school districts and the state’s community service boards. The Georgia Center of Excellence in Child and Adolescent Behavioral Health will provide ongoing technical assistance and support to Georgia Apex Project grantees.

Youth Mental Health Clubhouse
DBHDD also supports youth mental health clubhouses for children and families. Clubhouses offer a positive and healthy environment for youth struggling with mental health challenges or difficult family situations. Clubhouse staff help with homework, job placement, peer support, family engagement and social activities to engage youth and help them manage their symptoms. There are currently six youth clubhouses in Georgia and plans to create five more in 2015.Read about youth clubhouses on the DBHDD blog.

For more information, visit the Office of Children, Young Adults and Families on DBHDD’s website.