BHRF Checklist:

☒        Locations: We are located in the East Valley (Pinal County)

☒        Treat Men   ☒ Treat Women

                     ☐    allow for dependent children to stay, if so what age(s):

                                 ☒ Not allowed

                                 ☐ 0-5 Years old

                                 ☐ 6-11

                                 ☐ 12-15

                                 ☐ 16-17

☒        Disorders Treated:

                     ☒ Co-Occurring

☒ Substance Abuse

                     ☒ General Mental Health

                     ☐ DDD

                     ☐ Other (Please Identify): _____________

☒        Specialty Populations?

                     ☒ Transition Age Youth (TAY)

                     ☒ Seriously Mentally Ill (SMI)

             ☒ General Mental Health (GM)

                     ☒ Polydipsia

                     ☒ Eating Disorder

                     ☒ LGBTQ+

                     ☒ Violent/Aggressive Behaviors

                     ☐ Sexual Offenders (case by case basis)

                     ☐ Other (Please Identify): ________________

☒        Screening for mental illness? YES

☒        Use the ASAM version 3? ☒ Yes  ☐ No Are staff ASAM certified: ☐ Yes  ☐ No

                     If no, if applicable, how is substance abuse screened: ______________________

☒        Do you accept Medication Assisted Treatment? ☒ Yes ☐ No

                     Are there any limitations to any of the following medications? Please check all that apply:

                     ☐ Methadone

                     ☐ Buprenorphine

                     ☐ Naltrexone  

☒        Offer Evidence-Based Practice?

                     ☒ CBT

                     ☒ DBT

                     ☒ SMART Recovery

                     ☒ EMDR

                     ☐ Other (Please list): 

☒        Additional services provided:  

☒ Employment support/Vocational Support

Education Support

Anger Management

☐ Personal care

☒ Equine

☒ Medication Self-Administration

☒ Medication Management

☒ Psychiatric

☒ Adaptive Daily Living Skills

☒ Independent Living Skills

☒ Mental Health Counseling

☒ Individual Therapy

☒ Group Therapy

☒        What is your average length of stay? 90 days

☒        Do you have a discharge planning hand-off process (i.e. a warm handoff to the next provider? Referrals? Transition planning?) Please describe:

We work with the client, the clinical team, guardianship, COT, and other participating agencies in the care of the resident. We initiate discharge planning from the day of intake putting together a treatment plan implemented by the clinical coordinator with the assistance of the rest of the team. The discharge plan is coordinated through monthly case staffing with the whole team to see how far the resident has come with respect to treatment. The case staffing sets the whole team on the same page so that all the resources needed by the client are coordinated with a general understanding of the client and the whole team. The records of the client’s treatment are secured and monitored to see the changes that the client is making in the treatment process so that enough information is gathered to be shared with the transitioning team that coordinates the resident’s transition to the next level of care. During the transition, medical clinical records, and all other resources allocated to the resident are secured and made available to assist the transitioning team. Before discharge, the resident must have been able to achieve most or all the treatment goals in the treatment plan, or at least reached the baseline of his or her goals. The whole team should be confident or at least have some confidence in the resilient and believe that the resident has developed and achieved some milestones to fit for the next level of care. The patient is discharged with a discharge summary including a discharge plan that serves as a handoff to assist the next provider.

☒ Describe coordination of care efforts with member behavioral health home:

☒ Frequency of staffing: Once a month for sure. Then, or as needed based on circumstances that may arise.

Description (if applicable): Coordination of care is done daily and through monthly case staffing with the Client and the whole team to see how far the resident has come with respect to treatment. The case staffing sets the whole team on the same page so that all the resources needed by the client are coordinated with a general understanding of the client and the BHRF. The records of the client’s treatment are secured and monitored to see the changes that the client is making in the treatment process so that enough information is gathered to be shared with the transitioning team that coordinates the resident’s transition to the next level of care. There is always communication to make sure that everyone is up to date between doctors, specialists, case managers, and other social services via Email, Fax, Telephone, and written notes.

☒ Where do you currently get referrals from? (Mental Health Hospitals in collaboration with the insurance company)

☒ Any community partnerships you think we should be aware of? YES (FLORENCE HOSPITAL, BANNER IRONWOOD, MERCY GILBERT, MOUNTAIN VISTA HOSPITAL, AZITTS, INDIAN HEALTH CENTER, AURORA ETC.)

☒ Are you familiar with PA processes? Concurrent Reviews? Yes, very familiar with the PA process because I have prior experience as a program coordinator of a BHRF.

☒ Do you have a process for income verification? I work with the clinical team and mostly the benefits specialists at the clinics or DES to verify income.

☒ Are there bilingual staff available? YES, If so, what language(s) are English, Spanish, French, and Swahili.

☒ Staffing:

☒ Behavioral Health Professional

☒ Behavioral Health Technician

☒ Behavioral Health Paraprofessional

☒ Behavioral Health Medical Professional

☒ Registered Nurse(s)

☒ Physician/Nurse Practitioner

How do you help your residents develop independent living skills?

After the initial intake, a treatment plan is developed with a discharge plan by the clinical coordinator with input from the rest of the team. The Treatment plan has goals set for the client to follow while in treatment including ILS, to prepare the residents to be ready for the next level of care when the time comes.

These goals include Mental health and behavior management goals, medication monitoring and

medication education goals, social goals, ADLs, and ILS. These goals are monitored and recorded daily to see how well the resident is responding to his/her treatment plan, which helps us to track the resident's progress over time to measure the resident's strengths and weaknesses in order to better coordinate care with the rest of the clinical team. The client's goals are reviewed with the client on a one-on-one counseling basis once a week or once every two weeks, reviewed by the staff during clinical supervision, and the whole clinical team during our usual monthly case staffing with the client present. The client's

treatment plan is reviewed and updated every 3 months or as needed based on the circumstance.

Speaking specifically on ILS, the goals for ILS are on the treatment plan, which is all monitored and recorded daily, coupled with the one-on-one counseling with

the clients to get their opinion on how they are doing on their treatment goals including ILS.

We also assist the residents with ILS by showing them examples and watching them follow patiently. We teach and monitor them on how to make a healthy shopping list, eat healthy meals, clean their personal space, do their laundry, set up appointments, schedule transportation, call for medication refills 7 days ahead of time or as needed, advocate for themselves, help them get familiar with the community and community resources, and teach them better communication skills in order to get along with the world out there. We help residents build a resume for a job and get them all the resources to find a job and maintain it, including transportation. All these put together will help our clients live independently after treatment at Famond Care Network.