SYSTEMS of CARE Community Case Management

SYSTEMS of CARE Community Case Management

Case Management Case management is a collaborative service that provides: Assessment Planning Facilitation Advocacy for options and services to meet an individual’s holistic needs through communication and available resources to promote quality costeffective outcomes.

Referrals to Community Agencies 01/01/11 – 02/28/13 WAVI 4 Regional West 6 Western Resources for Disabled 2 Social Security 13 Volunteers of America Vocational Rehab 3 11 Sioux San Penn. Co. Housing 15 6 Salvation Army 16 Hope Center Rebound 10 3 Behavior Management 84 BH Workshop 6 Catholic Social Services 6 Lutheran Social Services 16 Mission 27 Southern Hills Alcohol/Drug (SHAD) 1 Lions Club 2 Goodwill 4 Food Bank 28 CCADP/Detox/Treatment 20 Community Health Community Action 23 1 Job Corps Church Response Dept. of Social Services Dept. of Labor 1 As of February 28, 2013 transitional 3 12 24 case management staff have coordinated services with 27 community agencies. A total of 347 referrals have been made to these agencies.

Coordinated/Provided Services for CCC Clients 01/01/11 - 02/28/13 Transportation 38 Clothing Medical Medicaid/Medicare 8 13 4 Social Security 8 Medications/Med Mgt. 43 Housing 37 Counseling 53 Household 3 Other 18 Glasses 2 Case Mgmt 24 Emergency Housing 32 Payee 12 Food (voucher, pantry, SNAP) Rent/Deposit 3 48 DriversEducation License/ID 4 1 Employment 13 Phone Service 3 As of February 28, 2013 Health & Human Services Transitional Case Management staff, as well as varied community agencies, have coordinated and provided a total of 368 services for Crisis Care Clients. Legal 1

Caseworker Activity 01/01/2011 – 02/28/2013 Agency Transports 334 Physical Client Contacts 708 Phone Calls/Email 992 Physical client contacts refer to actual face-to-face contact with a CCC client. Agency transport refers to transports given to a CCC client by Transitional Case Management with a company vehicle for the purposes of getting to appointments, obtaining food, shelter, clothing, etc. Phone calls/emails made by Transitional Case Management to both the CCC client and community agencies on the clients behalf.

Crisis Care Center/Community Case Management Accomplishments 1,009 Identified Diversions from County Involuntary Mental Health Commitments 1,641 Total Self or Community Referrals to the Crisis Care Center 400 Total Individuals Referred to Transitional Case Management Services 2,034 Total Contacts and Community Support Services for Transitional Case Management 27 Total Community Collaborative Partnerships Developed 347 Total Referrals to Community Collaborative Partners 368 Total Coordinated Services Provided through Community Collaborative Partners As a result of this INTIAL Community Collaborative process of community networking, the conservative cost savings to the County is: 1,009,000.00 This is REALLY good, but it could be REALLY GREAT!

TODAYS PROCESS Ambulance 256 Family 196 Nursing Home 17 Self 65 Emergency Department Other 499 263 1,973 Friend 37 in 2 1,710 of this total only represents individuals going through the Pennington County Process. 402 were dismissed/dropped at the Main Hospital Area Law Enforcement 634 Crisis Care 6 012 **Unknown 263 The Board of Commission’s original CCC Reserve’s goal is pivotal to the next step in realigning todays process into tomorrow’s successes. **Unknown due to not resulting in a petition 2012 CCC Total Diversion Savings: 636,000 012 1,3 0 In 2 243 Transitional Case Management Crisis Care Center 8 In 2012 CCC had 1,018 referrals of those, 636 were mental health diversions and of those diversions, 263 came from the ED. RC Regional Behavioral Health 3rd Floor

TOMORROWS PLAN: A New Point of Entry Self Family Other Crisis Care Center New CCC Location New Sustainability Plan Mobile Unit Discussion Develop Diversion Team Marketing Plan Friend Transitional Case Management Diversions to the Crisis Care Center and Transitional Case Management represents a cost savings to Pennington County, our Community, and Rapid City Regional Hospital WHILE changing lives and establishing long term effective solutions. RCRH ED/Behavioral Health Law Enforcement RCRH Behavioral Health focusing on the severely mentally ill requiring a higher level of care and longer in-patient services.

Agencies Working Together Motivational Interviewing Effective Case Managers Creates Changed Lives Empowered Clients Moving to the