Wasatch Mental Health Briefing Report June 2010
Over this last month, we invited the Authority Board to Working Days in Southern Utah. This gave us an opportunity to demonstrate our Junction Software, our soon-to-be implemented Employee Performance Review database, and our Y/OQ database to the Authority Board. The time was also used to address long range planning initiatives regarding WMH, facilitates, and program enhancements.
We recently received our Medicaid rates. They are in line with our projections and expectations, and thus no further budget adjustments are needed at this time. The next main issue will be whether or not the FMAP extension will be passed on the federal level. Should this not occur, WMH may not be able to make the match to “buy down” the needed federal funds.
Offering a High Deductible Health Plan (HDHP) and an associated Health Savings Account (HSA) for the upcoming fiscal year has been very successful. Out of 215 eligible employees, 146 signed up for the HDHP (68%) This will result in premium savings over the next fiscal year of over $375,000.
Following is a graph depicting the Y/OQ data collection.
Total # of OQ/YOQ's Collected (Center-wide)
4500 4136
4000 3634 3557 3475 3500 3392 3335 3288 3272 3135 3157 3110 3027 3000 2811
2500
2000
1500 # of Instruments of Instruments # Collected
1000
500
0 May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 Apr-10 May-10 Month
1
ADULT SERVICES DIVISION
Performance Indicators
Units of Service Provided in Adult Services FY09
FY10 20,000
18,000
16,000 18,050 17,435 16,994 16,681 16,356 16,278 16,194 14,000 16,032 15,795 15,406 15,244 15,162 15,137 15,039 14,941 14,839 14,842 14,810 14,771 14,727 14,618 12,000 14,477 13,749
10,000 Units of Service of Units 8,000
6,000
4,000
2,000
0
Month
2
OQ/YOQ Administration
Number of total unduplicated clients served last month: 2938 Adult Clients Served 1840 Child/Youth Clients Served 1098 % of Undup. Clients Completing an OQ/YOQ 61 %
ADULT OUTPATIENT Performance Indicators
During the month of May (beginning with the pay period starting on 4/25/2010 and ending with the pay period ending 5/22/2010), AOP staff with productivity standards achieved a total of 1162.57 productive hours. This equates to 83.64% of the department’s cumulative productivity standard, which is a 14.52% decrease compared to the month of April. During the month of May, four AOP employees met or exceeded their productivity standards, with six employees reaching at least 90%, and ten reaching at least 80%. The number of employees not meeting 80% of their productivity expectation during the month increased to seven. The overall decrease in the percentage of productivity standards reached this month appears to be due to several factors including: the increase in productivity standards experienced by all clinicians, a slight decrease in client attendance, a new employee building a case load, and some lateness in note writing.
Below is a graph that indicates the Kept, Canceled, and Failed appointment rates for the therapists.
2010 Therapy Appointments K B C 1800
1600 1561 Number Kept Number Broken 1400 Number Canceled 1274 1237 1205 1200 1138
1000
800
600 478 395 385 400 347 366 Number of Appointments of Number
200 29 53 52 48 55 0 JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC
Month
3 Leadership/Allied Agency Participation/Initiatives/Successes
During the month of May, AOP continued to monitor the newly implemented intake schedule designed to better match intake capacity to forecasted utilization patterns. As shown in the graph below, 59 out of 88 available intake slots were filled during the month of May for an average utilization rate of 67% for the month.
During May, 67% of available intake capacity was utilized compared to a forecasted utilization of 73% and an average utilization of 47% under the old system. Of interest is the fact that while the total percentage of practical capacity utilized remains very close to the forecast, there continues to be a fairly high degree of dispersion in when clients come for intakes. For example, during May one time slot (the Tuesday AM intake period) operated at only 41% of capacity, while another time slot (the Monday AM intake period) operated at 125% of practical capacity. Thus far, there do not appear to be consistent trends in time slot utilization that would recommend a reallocation of resources, though this will continue to be monitored.
Our focus this month was getting as many client profile pictures into the client’s e-chart to help with identification purposes. We managed to take 216 clients pictures that are not currently in our e-charting system.
4 TARGETED CASE MANAGEMENT Performance Indicators
PASRR In FY 09, PASRR revenue was at a record average, which has boosted the budgetary expectation for the second year in a row. In May PASRR revenue totaled $12425. We are 15.2 percent over budgetary expectation for FY10 YTD.
MENTAL HEALTH COURT
Provo City Justice MHC
Currently, there are 12 participants. In May, there were 2 screenings set and 2 appts kept, with 2 individuals being admitted. 3 screening appointment is set for next month with 1 prospective graduate for next month. 2 of the PCJC participants are also being tracked in District MHC.
Fourth District MHC
In May, 13 screenings were scheduled. 9 screening appointments were kept and 4 failed. Of the 9 screenings completed, 3 individuals were admitted to the program. 48 individuals are currently participating in the District MHC program. There was 1 graduation this month and 2 prospective graduates for next month.
Leadership/Allied Agency Participation/Initiatives/Success
Brian Butler, LCSW and Randy Huntington, LCSW provided training for all case managers on using person centered planning for the newly designed SCP’s. Case managers were trained in reviewing the Daily Living Assessments to ascertain needs, involve the client in formulating the service plan goals and use measureable and specific goals. For those who were not in attendance, another training will be held in June.
We were invited by Gene Carly of the Housing Authority of Utah County to collaborate on a grant that could potentially bring up to 100 additional housing vouchers to our area to be used by clients of WMH and DSPD. We are in the process of collecting data to submit to HAUC by June 18 th .
TCM is currently providing case management services to 397 clients. During the month of April, TCM opened 21 new clients into TCM services and closed 6 individuals .
5 WATCH Program
Performance Indicators During the month of May, 14 intake screenings were scheduled for the WATCH program with 14 appointments kept. Of these, 6 were opened into WATCH services. The WATCH program is currently serving 79 clients.
Leadership/Allied Agency Participation/Initiatives/Successes
Success Stories :
The WATCH program had a few clients approved for Social Security disability benefits this last month as well as a few others that were approved for Medicaid. These approvals open the door for long term treatment needs to be met as well as increased financial stability for the clients approved for Social Security benefits. WATCH places a high emphasis on coordinating efforts among its team members to achieve this goal.
Interagency Cooperation
With a great deal of collaboration between the WATCH program and the Share a Smile program through the Food and Care Coalition, a client was able to obtain a full denture set after working toward this goal for the last 3 years. After so many setbacks throughout the process, the Food and Care Coalition, along with their partners in the Share a Smile foundation, became involved and solved this challenging problem. The dignity and enhanced self image as a result of her being able to smile proudly made this coordinated effort worthwhile.
A draft of a proposal to move all WATCH operations to the Food and Care Coalition has been submitted to the Division Director for review. Once approved by the Executive Committee, we will deliver it to Brent Crane for his review. The tentative date for the move is August 23 rd , 2010.
Number of OQ/ YOQs administered: 109
Percent of unduplicated clients who completed an OQ/YOQ: 64%
6 WELLNESS RECOVERY CLINIC
Performance Indicators
The following graphs illustrate the number of WRC clients attaining income benefits, and dollars saved through Patient Assistance Plans.
Number of Clients Attaining Income Benefits
90 80 70 June May 60 April March 50 February Number of Clients 40 January December 30 November October 20 September 10 August July 0 Food Stamps GA SSI/SSD SSI/SSD Vet Benefits Applied Received
Cost Savings Through Patient Assistance Programs (PAP) 2010 $40,000 $35,591 $35,000
$30,000 $24,693 $26,423 $24,993 $25,000 $20,375 $20,653 $20,000 $18,655 $16,840 $16,596 $15,000 $10,741 $10,373 $10,000
$5,000
$0 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 April-10 May-10
7 Leadership/Allied Agency Participation/Initiatives/Success
During the month of May, the Skills Through Artistic Expression group created cards for the patients at Primary Children’s Hospital. Staff received a great deal of positive feedback from members at being able to be a part this project. During May we said goodbye to one of our therapists. This created some temporary delay in getting new clients into our program, but the other therapists have worked very hard by taking on extra responsibilities until the new therapist was hired.
A follow up meeting was held this month with Delia Rochon to clarify expectations and processes related to the reporting on the IHC Foundation Grant. We will be taking steps to ensure more accurate counting and reporting on the number of referrals made and how many kept their initial appointment beginning in July. One indication to pay attention to was the length of time it took from referral to intake. We determined that there are approximately 2 referrals per week on average from the hospital. We have set aside 2 intake appointments per week for hospital referrals with the goal to have the intake within 7-10 days of referral.
Number of total unduplicated clients served last month: 214 Number of OQ/ YOQs administered: 430 Percent of unduplicated clients who completed an OQ/YOQ: 79%
INTENSIVE RESIDENTIAL TREATMENT AND HOUSING
Performance Indicators
The following graphs and statistics illustrate the bed day capacity in percentages for Jan 2009 to present for Intensive Residential Treatment (IRT) and Supervised Residential Treatment (SRT).
IRT Bed Day Capacity Percentage 88 87 90 80 Jan 80 71 69 69 Feb 70 60 59 55 Mar 60 50 49 46 48 50 44 Apr 36 40 32 May 26 30 Jun 20 Jul 10 Aug 0 Jan FebMarAprMayJun JulAugSepOctNovDecJan FebMarAprMay Sep
8 SRT Bed Day Capacity Percentage 89 90 83 84 85 77 77 79 79 79 77 80 73 73 73 72 69 67 69 70 60 50 40 Series1 30 20 10 0 Jan FebMarAprMayJun JulAugSepOctNovDecJan FebMarAprMay
Lakeview - Adult Day Treatment
Performance Indicators
Lakeview Skills Development Hours for FY09- FY10 8000
7000
6036 6000 5583 5122 5000 4847 4867 4709 4582 4652 4393 4447 4117 4170 4000
3000
ASD Hours Average Hours
Number of total unduplicated clients served last month: 111 Number of OQ/ YOQs administered: 83
Our OQ’s are down a bit, approximately 15%, this would be due to have only a part time secretary. Rebekah Cook, our fulltime secretary, was accepted for a case manager position in Stride. The secretaries out front play a vital role in helping clients fill out an OQ, with the reduced coverage we had a reduction in total numbers. We have hired a new secretary.
9 Average Daily Attendance for FY09- FY10 70
65
59 60 58 58 57 55 55 55 55 55 55 55 53 51 50
45
40
Average Daily Attendance Average Daily Attendance
Leadership/Allied Agency Participation/Initiatives/Success
We have been encouraging clients to make comments in our comment box. We have had a significant increase of questions and comments both for the positive and negative. This is a helpful process as we involve the clients more and more in the programming here at Lakeview. We have been better able to resolve concerns/complaints. We recently adjusted our programming schedule to meet some of the requests of the clients here.
We were able to take an extended activity to the Ogden/Weber County area. We participated in activities ant the Ogden Eccles Dinosaur park/museum and the Ogden nature and education center. We were also able to visit the natural hot springs at Crystal Hot Springs and later enjoy and opportunity to provide a service project for the State of Utah at Antelope State Park, where the clients picked up trash and generally cleaned several areas of the park. The clients set many goals and were able to achieve them, including increased socialization, reduction of maladaptive behaviors, reducing symptomology, developing communication and enhancing their basic living skills. I have included some of the client quotes:
“This makes me feel like I’m a part of something and that I accomplished something [the service project]. Even though it was very little we accomplished something – finished what we started. It made me feel good inside and that’s what it’s all about.”
“This trip was a great inspiration to me. I learned a lot about friendship, being independent and also patience. When it comes down to it, I have learned a little more about myself.”
10 WASATCH HOUSE
Performance Indicator
UNDUPLICATED MEMBERS SERVED
106 110 104 103 100 100 96 90 80 70 60 50 40 30 20 10 0
Billible Hours Total For Wasatch House
3922 4000 3633 3500 3172 3500
3000
2500
2000
1500
1000
500
0 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
11
Leadership/Allied Agency Participation/Initiatives/ Successes
May was a busy month as we continued to settle into our new facility, learn how to run all of the equipment, and we hosted the Utah clubhouse network conference on May 19- 21 st !
“The Joy of the Climb” was the theme of the UCN Conference and we had workshops on recovery, employment, wellness, and other clubhouses subjects. On Wednesday evening, we had the ‘Battle of the Bands” as three clubhouse bands from St. George, Toole, and Salt Lake City performed. They were fabulous and it was great to see the members utilize their talents in such a positive way. One member from St. George was completely agoraphobic before becoming involved in their clubhouse band. The Thursday workshop day was great with over 190 in attendance. It was the largest conference ever hosted by the UCN. We had groups from Logan, Davis, Salt Lake, Toole, Price, Moab, Cedar City, St. George and Provo. The Logan Clubhouse is just beginning and was able to get a lot of support from the group as well as Davis Behavioral Health as they begin a program. The guest speakers for our keynotes were very inspiring as we had staff from State Vocational Rehabilitation, Clinical Director from Southwest Behavioral Health, and the disability Law Center. It was also nice to have Rick Hendy from the State Division attend the entire conference. The members presentations were professional and inspiring. In the evening on Thursday, we had a bar-b-queue at Nunn’s Park and a hike to Bridal Veil Falls. We came back to clubhouse for a dance until 10 pm so it was a long, fun filled, day. On Friday, we had the closing keynote, and open mike from the members. This topped up the conference in a great way. Many members played their guitar and told stories about how the conference had helped them. The conference was a great way to celebrate “Mental Health Awareness Month.”
12 CRISIS / MEDICAL SERVICES
Court Commitment Reviews Wasatch Mental Health currently has 153 individuals who are court committed. 36 of these individuals are currently receiving treatment at USH on the civil and forensic units and 117 are receiving outpatient services through WMH.
CRISIS SERVICES Crisis services has initiated a “Welcome to Wasatch” gesture. We have a candy dish at the front window that serves as connection point for some of our “regulars” who stop by for a treat and a small conversation with the secretaries. I can hear the greetings and pleasant, encouraging conversations from my office. They are brief encounters in which staff make an effort to create a positive exchange with clients. Secretaries also make an effort to put up seasonal decorations that create a more personal, less institutional ambience in the office.
Kip says getting “tased” is definitely a once in a life time experience (says he doesn’t need to do it again for any reason). He has a video tape of the incidence. We have invited him to bring the video to staff meeting but he has not shared it with us yet! Inpatient Services Performance Indicators
YTD Inpatient FY 2010
Projected Expenditures
$1,986,637 Budgetary Expectation
$1,512,500.00
The graph above illustrates the budgetary expectation, based on a budget of 1,650,000 for FY 10. The actual expenses plus the projection of incoming expenses have been added and placed next to the budgetary expectation. These numbers will change as actual money is paid out to replace the projection. The graph likely illustrates a worst case scenario.
13 Medical Services Prescribers
This is Dr. Austin’s last month. She will be in for a couple of days mid month and then gone. Robin and Travis are taking her clients from the WRC, Tim has already absorbed the Bridge clients and the few AOP clients that are left will be moved to whoever is open.
Dr. Brinley’s schedule is staying more full since we cut back his hours. He is not happy about the cut back. I am hoping that he will pick up some of Dr. Jeppson’s clients.
I have been talking with individuals in the adult medical services about setting the clinic up differently (having the client in a room and having providers come to them). So far there is a favorable response to the idea but I haven’t presented to the change resistant portion of the department yet.
Private Providers Performance Indicators
YTD Outside Provider FY 2010
$105,794
Actual Expenditures Budgetary Expectation $114,583.33
The graph above depicts the expenditures for private provider services as compared to the budgetary expectation. The numbers lag behind several months due to the billing turn around time involved.
14 CHILDREN AND FAMILY SERVICES DIVISION
Performance Indicators
15
The above graph indicates the total capacity of possible units of service based on productivity standards in comparison with the actual units of service provided. For the month of May, therapist time is at 88% capacity and case manager time is at 77% capacity. This may be accounted for by the 10% increase in expected productivity. That said, there were still more units of service provided by therapists and case managers as shown in the graphs below.
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School Based Services
Leadership/Allied Agency Participation/Initiatives/Successes
Kyle Bringhurst and Tammy Baker received the following “thank you” note from a parent:
“I want to thank you for helping John [name changed] this last year. He has had some difficult times but I feel your support has been important in many ways; he values coming to school; he understands his responsibility better. While he still has a long road to travel, I know he has not passed these milestones alone. Thanks again...”
Kathy Farmer received a “thank you” card from a young mother:
“Thank you so much for the groups you put together for young parents! The free essays helped us out so much! We loved the resources and the knowledge we’ve gained at the groups! Thank you for always being so nice to us & everyone else! You are a big part in helping us [graduate] in time! Thank you!!
Number of total unduplicated clients served last month: 234 Number of YOQs/OQs administered: 106 Unduplicated number of YOQs/OQs: 80
American Fork Family Clinic (AFFC)
Leadership/Allied Agency Participation/Initiatives/Successes Our AFFC prescribers, Dr. Tim McGaughy & Dr. Teresa Cisneros, have increased the amount of people they are seeing in the office from 78 in December 2009 to 108 this past month of May. This is a consistent pattern in the last few months of seeing well over 100
17 clients per month combined. We appreciate their service out here and know that it will continue to grow.
The AFFC office has been preparing to move next door to where DCFS previously occupied the office. The waiting room will be a great improvement for the clients as they check in and wait for their appointment. The space will also improve our ability to conduct our parenting groups, as well as other groups. This also makes us a great site for hosting DCFS child and family team meetings. The building, overall, will better fit our needs to serve families.
Number of total unduplicated clients served: 317( Adult: 123; Youth: 194) Number of YOQs/OQs administered: 375 Unduplicated number of YOQs/OQs: 208 Number of POQs administered: 44
NEW VISTA YOUTH SERVICES
Performance Indicators In May our performance is the same as it was in April our overall productivity was down slightly. Four of five therapists were over 100% of their standard, despite the increased standard. The one therapist that was below 100% had been struggling with some of her outpatient clients canceling or not showing up for their appointments.
May Report: We have maintained our total number of residents at 8 for this month. We have had to turn away two potential residents because we still don’t have a contract for FY ’10.
Continuing to track is the timeliness of note entry, see chart below. Best month every for timeliness of note writing. What more can be said? I suggest nothing.
18
Leadership/Allied Agency Participation/Initiatives/Success This past month we discovered that wherever we relocate to in Provo we need to notify neighbors and have a hearing prior to moving in. Due to this fact we have decided to look for additional options for housing. We currently have it narrowed down to two possible locations.
The RFP bid for a residential contract was completed and delivered on May 12. It will take some time to find out if we are awarded a contract or not. We cannot more forward with relocation until we know if we have a contract. As of June 10 we are still waiting to hear from the State as to whether we have a contract or not.
19 GIANT Steps Performance Indicators
This month we quickly trained 4 new staff during a busy time of year. Teachers and parents of graduating students attended IEP meetings for Kindergarten (see highlights below), testing for outcome measures on returning students was started (see highlights below), and there were many new groups and activities introduced to the students (listed above). The program continued to struggle with the absence of our supervisor, but met most requirements with minimal complications. Parents and staff prepared for Alpine school district services to end this month (28 th ). This included transportation services. Parents requested information to arrange for carpooling. This was managed through obtaining releases for all those interested. We have seen an increase of parent networking during this time of year, where activities such as play-dates and barbeques are being planned outside the program.
May Highlights • IEP Meetings (with Alpine School District related services representatives and G.S. staff) started and completed. This was where qualifying information (outcome measures, medical evaluations and diagnoses, treatment plans) was provided and decided services for students entering Kindergarten. Once placement was accepted by the parents, the prospective Kindergarten teacher presented IEP goals to also be approved by parents. At this time, students were taken off their Private Treatment Plan and placed on the district’s IEP. • Teachers continued testing for outcomes measures for returning students. The test administered is the PEP-3/CARS, where scores determine placement of the coming school year. For final classroom placement decision, completion of all those returning is needed to compare to new intake scores.
20 • The GIANT Steps Parents Group, Friends of GIANT Steps (FOGS), sponsored and arranged for a booth during Autism Speaks Walk Now for Autism. Materials, activities, and program information was provided and supervised by G.S. staff. FOGS paraphernalia was provided and managed by the support group members. • The program was able to attend the Foothill assembly Dance Festival, where each grade prepared and preformed outside for a total attending time of about 1 ½ . All classes were able to attend to the assembly for the entire duration with little or no occurrences. • Waiting list additions increased this month (between 10-15), and tend to continue till the following school year.
Feedback from parents (taken from thank-you card) “…Thank you so much for taking such great care of Landon this year. Everyone is so great, and I love you guys. I have enjoyed chatting with you every week. I can tell that you were loving and patient and sweet to Landon, so thank you so much for helping me feel so at ease while he is at school! It is a relief to know that he is being helped by someone who cares so much… Thanks for all you do to take care of these special babies! I am so thankful!”
VANTAGE POINT
Program Indicators The graph below shows the number of admissions in each of our three programs, and total admissions, for each month of the past 14 months. Of our 111 admissions this past month, 95 were unduplicated.
Vantage Point Admisssions 140
124 120 120 122 120 115 111 107 100 92 93 92 88 90 80 80 75 74 76 74 70 65 67 62 60 59 60 57 55 47 47 43 45 40 41 40 42 41 41 37 38 39 37 34 30 28 30 25 27 20 21 14 14 11 11 8 7 7 8 8 9 7 6 4 6 5 0 Mar-09 Apr-09 May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-10 Jan-10 Feb-10 Mar-10 Apr-10 May-10
DCFS Shelter Crisis Residential
21 Our average number of youth served residentially the past seven months is 113. Or average the seven months prior to that was 84.5. A Safe Exit is when a youth returns home to the original parent/guardian or to another appropriate placement agreed upon by them. Safe Exit Rate Crisis Residential 100 % Juvenile Receiving 94% (2 AWOL, but it was the same boy who checked in 2 separate times. We did confirm he was located and returned home.)
Leadership/Allied Agency Participation
We represented Vantage Point at the WMH booth at Pony Express days held in Eagle Mountain this past month.
Vantage Point re-vamped its behavior management system this month. Led by intrepid case manger/supervisor Calie Betts, our staff collaborated and developed a new system to emphasize our tx goals better. It is easier for clients to understand quickly, and provides feedback more promptly to fit with our short term intervention model. In addition we have cut back on rewards in the form of treats, and have focused more on increasing privileges such as choice of shower time, choice of free time activities, etc.
Every Saturday we arrange for the kids staying at Vantage Point to participate in a community service project. This past month our service projects included picking up trash at Bridal Veil Falls park and pulling weeds and yard work at an elderly woman’s home.
Leadership/Allied Agency Participation
American Fork Stride was able to move back to the WMH American Fork Clinic! While we really appreciated Greenwood Elementary allowing us to use space the past 2 school years, we are glad to not feel like house guests any longer. The new space in AF clinic will allow us to add one or two new clients and will allow us to not have to move that class back to Provo during the summer since Greenwood is not available then. Other things like not having to coordinate with special school functions, having keys to the building (we didn’t at Greenwood), and our AF case manager having an office in the same location where we do our programming, are things that make us excited to be back in the AF clinic!
22 YOUTH OUTPATIENT
Performance Indicators
Intakes: For the month of May 2010 there were 54 intakes in Provo Outpatient and 11 in the Spanish Fork Family Clinic for a total of 65 intakes. Between the two offices there were 101 intakes scheduled. This is a 64 % show rate. The break down by clinics: Provo- 54 intakes/29 no shows, Spanish Fork 11 intakes/7 no shows.
Productivity
During May 2010, the Provo YOP (86) clinic had 822 appointments kept and 225 no shows. This is a 79% attendance rate. Spanish Fork Family Clinic (85) had 413 appointments kept and 99 no shows. This is an 81% attendance rate. DHS cost center (71) had 413 encounters with 20 no shows. This is a 95% attendance rate. These rates only count appointments attended and appointments failed. It does not count appointments cancelled and rescheduled. If an appointment is cancelled within 24 hours before the appointment time it is counted as a fail.
Leadership/Allied Agency Participation/Initiatives/Success
• Colleen handed out “ Assessment Changes to Accommodate New Clinical Conclusion . These papers are included with the hard copy of the notes. Case Managers and Clinicians can do the assessments. It was read over with everyone. • Dave Blume the Program Manager from Lakeview spoke about the program and how it has evolved over the years. The goal is to keep clients out of the hospital and to teach them specific skills to become more independent. • Marsha Medford APRN and Dr. Cisneros participated in training staff. They handed out and reviewed preferred practice guidelines for assessment of children and youth. They also reviewed an article titled Medication Treatment Services In Utah Public Substance Abuse and Mental Health Agencies . A current referral form for psychiatric services was also reviewed and will be e mailed.
Financial Report
Financial: In July 09 there was $133,588 billed with 1338 units of service, August there were $106,039 recorded with 1136.75 units and in September there were $110,045 recorded with 1177.5 units, and in October there is $108,034 with 1188.75 units and in November there were $104,878 with 1140.5 units. In December there were $111,802 billed with 1200 units. January 2010 there was $118,355 with 1266.5 units of service. In February there was $132,283 with 1385.5 units. In March there was $158,703 with 1805.75 units. In April there was $137,305 with 1476.75 units. In May there were 104,977 with 1112.5 units. These reports include YOP and Spanish Fork Clinics.
Number of total unduplicated clients served last month:
23 In the Provo Children and Family Clinic (cost center 86) the number of unduplicated clients for the month of May was 504. In the Spanish Fork Family Clinic (cost center 85) there were 136 unduplicated clients.
Human Resources
Monthly Report May 2010
Category Terminations Status New Hires Replacements
Perscribers 0 0 0
Therapists 2-FT 0 0
Case Managers 2-FT 0 0
HSW's 1 P-T 0 1-PT
Autism Aides 0 0 0
Admin. Techs 0 0 1-FT
Psy. Interns 0 0 0
Van Driver 0 0 1-PT
RN's 0 0 1-PT
LPN 0 0 0
Maintenance 1-PT
Other Interns 0 0 9
Interns replaced some of those who left in April.
24