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madison county mental health department serving the residents of madison county for over 40 years 1966-2007 monthly report june july 2007[close]
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madison county mental health department monthly report june july 2007 reports mental health department director of community services adapt program cedar house mental health clinic financial statements mental health department statistics contract agencies bridges consumer services of madison county heritage farmliberty resources madison cortland arc csb sub-committee reports alcohol substance abuse mental health mr/dd june minutes july minutes june minutes july minutes june minutes july minutes 44 51 56 29 30 38 23 1 5 7 9 14 21 page no board of supervisors social mental health services committee june 20 2007 meeting minutes july 10 2007 meeting minutes 60 i[close]
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madison county mental health department monthly report june july 2007 mental health director s report 2007 community services board annual dinner and awards ceremony on wednesday june 27 2007 the community services board held its annual dinner and wards ceremony this year s event was held at the white eagle conference center in hamilton ny the guest speaker for the event was duane spilde lcsw-r acsw the executive director of the nys conference of local mental hygiene directors mr spilde presented information on the current state of mental hygiene services in new york and the former director of the health department and dr james yonai the current director the community services board uses this annual the event to present its community services awards and the floyd bennett mental hygiene advocacy award these awards are given annually to one or more madison county residents in recognition of outstanding volunteer service and/or job performance in excess of position requirements the community service awards are presented in the areas of mental health alcohol/substance abuse and/or mental retardation/developmental disabilities continuing the tradition from last year the csb recognized the accomplishments dedication and distinguished service of former board member les mitchell by naming the mental retardation/developmental disabilities award in his honor the floyd bennett mental hygiene advocacy award is presented to an individual agency business or group of people whose advocacy efforts have helped to fight for the rights of consumers who are being discriminated against due to their mental illness chemical dependency or developmental disability the 2007 awards recipients were les mitchell mental retardation/developmental disabilities award mary patricia alcoholism and substance abuse award ellen rougeux mental health award james o marshall dvm floyd bennett mental hygiene advocacy award prudence prudy fanning in memoriam 1[close]
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madison county mental health department monthly report june july 2007 the csb also honors staff members of the department for their length of service this year three members of the department kathy hiller kim a guarascio ph.d elizabeth libby holmes 15 years 5 years 5 years at this year s csb event madison cortland arc also took the opportunity to present one of its awards that would have normally been handed out at the arc annual dinner earlier in the month phyllis little outgoing president of the arc s board of directors presented the 2007 presidents award to drs james and barbara yonai the couple was honored for their support of programs and services for families and individuals with developmental disabilities people first coordinated care listening forums comes to syracuse june 20 2007 in a landmark move that has been unprecedented in the nys mental hygiene system the commissioners of the omh oasas omrdd and the department of health toured the state over the last two months holding a series of fact finding forums the purpose of these forums was to obtain input from the people who use multiple services in the areas of health care addiction mental health and developmental disabilities and their families regarding their experiences the commissioners welcomed input from providers and others the goal was to obtain insight on how to improve quality and outcomes as well as coordinate support for people who have needs across multiple systems on june 20 2007 the listening forum arrived in syracuse the cny field office of omh coordinated the day s events at the renaissance hotel at noon a luncheon was held with richard f daines m.d commissioner department of health doh diana jones ritter commissioner office of mental retardation and developmental disabilities omrdd karen m carpenter-palumbo csw commissioner office of alcoholism and substance abuse services oasas and michael f hogan ph.d commissioner office of mental health omh also attending the luncheon were representatives from the cny regional offices of omh oasas omrdd and doh joining the state commissioners and regional office staff were the county mental health directors/commissioners from the 20 counties in the cny region the listening forum followed the luncheon and was attended by hundreds of consumers family members providers and other interested people a webcast of the event can be viewed at http www.webcatter.com/live/nysomh the madison county community services board was prepared for presenting testimony at the listening forum chris munn csb board member volunteered to attend the event and passed on the issues that the csb members had identified the information below was provided from discussions at that meeting and from minutes of the board s sub-committees alcoholism and substance abuse mental health and mental retardation/developmental disabilities 2[close]
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madison county mental health department monthly report june july 2007 forum themes theme 1 access i.e where have you experienced easy and effective access to services what problems have you experienced in accessing services work force development experienced workforce is aging and retiring difficulty in attracting and retaining employees especially in the chemical dependency treatment field extended length of time it takes to fill vacant positions creates increases in the number of consumers who are put on waiting lists for treatment services emergency housing/respite short long term there is not enough respite emergency short-term long-term and permanent housing for consumers in all three disability areas there are currently 100 names on a waiting list for services in the omrdd system over 50 are ny cares eligible there are problems with medicaid payments for mental health treatment services in cross county situations where a consumer from a county with a managed medicaid program is living in an alcohol/substance abuse community residence in a different county the home county pays for chemical dependency treatment services but if the consumer needs to have mental heath treatment services in addition to the chemical dependency treatment services the home county s managed medicaid plan will not pay for them transportation public transportation system in madison county is not user friendly difficult to schedule evening appointments since there are no transportation services available state operating agencies need to allow ride sharing for mixed populations in the same vehicle e.g omrdd certified program provides rides for consumers to day hab site and would also transport clients to an intensive outpatient program at an oasas certified chemical dependency treatment clinic most services are provided in the northeast corner of the county making is difficult for some consumers to get there information the way we access the information is not coordinated and is difficult to use e.g submission of budgets is different for omh alfs and oasas saber while omrdd still uses paper submissions have someone be the technology leader to get the information to consumers in a better manner exploring different methods to deliver services e.g telemedicine 3[close]
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madison county mental health department monthly report june july 2007 consumer voice encourage agencies to have more consumer representation on governance boards prevention and wellness of consumers take a public health approach better screening tools applied in more settings have omh provide funding for mh educators i.e prevention specialists to provide prevention services in the community in the same way the health educators do in the public health departments cross systems approaches need to be incorporated in providing prevention services since most consumers now have co-occurring disorders role of schools life skills approaches should be emphasized in the schools theme 2 quality i.e what does high quality mean to you what services do you feel are of high quality and meet your needs where do you think quality could be improved when accessing services from more than one provider system work force development retirement of treatment providers creates experience and knowledge gaps in the workforce clients do not receive the same level of service and quality of service from entry level providers as they do from the seasoned veterans emergency housing/respite short long term differential standards for the approval of sites for community residences need to be established for rural counties in order to better distribute the residences in the countryside transportation theme 3 interagency collaboration and coordination of care i.e do you feel that your services are generally well coordinated are there specific areas where care is well coordinated do you have suggestions to help us improve coordination across systems expanding services for children and adolescents omrdd and omh must collaborate to increase the number of emergency and/or inpatient facilities that can treat children with co-occurring disorders i.e mental illness and developmental disabilities and jointly license community residences for these children and adolescents when they return to their home counties holistic approaches for treatment getting back to the holistic approach for treatment which includes prevention and wellness e.g address diet/smoking/obesity/over-medication etc and apply it in a cross systems approach in order to treat consumers with co-occurring disorders 4[close]
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madison county mental health department monthly report june july 2007 work force development provide cross system training activities for clinicians to allow them to treat consumer with co-occurring disorders emergency housing/respite short long term change regulations to allow mixing of consumers with a variety of disabilities e.g joint license in the same community residence transportation coordination of services/dual diagnosis adapt report submitted by gary roberts casac for the month of may 2007 adapt completed 23 intake evaluations there were 17 admissions and 10 discharges from treatment at the end of the month 128 people were enrolled in treatment and there were 725 treatment visits involving 132 clients for the month of june 2007 adapt completed 24 intake evaluations there were 15 admissions and 6 discharges from treatment at the end of the month 137 people were enrolled in treatment and there were 656 treatment visits involving 142 clients on thursday july 12 2007 gary roberts attended a training on the star-qi application star-qi stands for strengthening treatment access and retention quality initiative and involves the data collection part of niatx 200 niatx 200 is a three-year study to improve patient engagement and early retention in chemical dependency treatment the study which will examine the effectiveness of specific methodologies will involve over 50 outpatient providers in the upstate area participants will receive tools materials and potentially coaching to assist in efforts that improve patient engagement and retention adapt accepted an invitation to participate in the study and has already begun collecting and submitting data to oasas for the study the following is the most recent information on adapt treatment groups intensive outpatient program iop this program provides 12 hours of counseling per week in four weekly sessions the treatment cycle for this program is 12 weeks providing 48 group sessions per cycle the components of this group include group therapy family issues relapse prevention life stories communication and other topics related to recovery the group meets on monday through thursday from 8:30 am to 11:30 am the program facilitators are russell stewart peter lesko and sarah blair denise calcagnino and william walker evening intensive outpatient program evening iop this program provides 5 hours of counseling per week in two weekly sessions the treatment cycle for this program is 24 weeks the components of this group are similar to the morning iop program and the group meets on 5[close]
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madison county mental health department monthly report june july 2007 tuesday and wednesday evenings from 5:00 pm to 7:30 pm the program facilitators are william walker and denise calcagnino seg substance education group this is an open-ended 12-week substance education program aimed specifically at individuals with either an abuse or a dependency level diagnosis through group discussions and exercises the group increases awareness about the symptoms and effects of alcohol and drug dependence and introduces group participants to basic recovery tools this group continues to meet on thursday evenings from 5:30 pm to 7:00 pm and is currently facilitated by margaret gilkinson coping skills for recovery group this group is currently on hold pending referrals dual focus group a new dual focus group has been developed to provide more structure for the group participants a series of topics are covered to help participants to explore issues around chemical dependence and mental illness dual focus group meets on monday afternoons from 1:30 to 3:30 pm denise calcagnino is facilitating the group relapse prevention group this group combines a process group experience with education to help its members explore relapse issues this group provides 12 week cycles and is open-ended the group meets on mondays from 4:30 pm to 5:30 pm and is facilitated by sarah blair individual living skills group this open-ended group is designed to provide program participants some basic daily living skills e.g how to balance a checkbook how to interview for a job and other day-to-day responsibilities this group meets monday afternoon at 3:00 pm and is facilitated by russell stewart stage i group formerly called the adolescent group this group is intended for adolescents with chemical dependency or codependency issues the group uses discussion and exercises to encourage participants to examine the consequences of their alcohol or drug use and to consider alternative approaches this group continues to meet on tuesday afternoons from 4:00 pm to 5:00 pm and is facilitated by russell stewart women in recovery group this group was reactivated on july 17 2007 the women in recovery group addresses issues and experiences that are unique to women in treatment and recovery the group meets thursday evenings from 6:30 to 7:30 pm margaret gilkinson facilitates the group managing emotions in recovery this group is a 12-week program which uses a cognitive behavioral approach to explore how we manage anger and other emotions and to learn how to change negative behaviors resulting from these feelings margaret gilkinson facilitates the group coda family issues group the group is an open-ended group which is designed to help group participants with codependency and other family issues centered on chemical dependence the group is open to anyone who has concerns about a family member s or loved one s alcohol 6[close]
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madison county mental health department monthly report june july 2007 or substance use the group is facilitated by william walker kids club due to recent changes in the oasas regulations this group is currently on hold and under revision cedar house monthly report submitted by tom kleinklaus lcsw by way of follow up to last month s report cedar house has begun addressing the health concerns of our members in a new way this form which was developed by carol dewolfe c.m.h.n and maryann wandersee counselor has the psychiatrist dr buscema specifically address health issues of members who are medically at risk for obesity high blood pressure high cholesterol etc the following page is a copy of the get hip form 7[close]
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madison county mental health department monthly report june july 2007 get hip join the cedar house health improvement plan healthy lifestyle family doctor exercise at the ymca 3x wk discuss weight loss program walk or bike for 30 min 3x wk referral to obesity clinic use a pedometer to count steps referral to dietician consult with a personal trainer discuss healthy lifestyle turn off the t.v and do an activity screen for stds go to the library 2x wk cancer screening stretch at cedar house colon prostate breast participate in c.h walking group cervical take medications as prescribed bone density testing attend the c.h smoke enders support group diabetic diet play volleyball weekly calorie controlled diet participate in pathways hiking group complete physical enroll in an educational class comprehensive lab work do crossword puzzles word find sudoku assistance to stop smoking attend a movie or play know your numbers bmi read weight cholesterol bp spend time with a pet healthy eating keep a food journal attend the c.h weight loss group member join weight watchers or diet workshop signature eat fresh fruit and vegetables other recommendations take a multivitamin each day take calcium with vitamin d each day reduce soda intake drink 64 oz of water each day eliminate junk food limit coffee to 2 cups/day attend carefree dinner limit white foods date increase fiber intake charles a buscema m.d limit sugar limit salt mental health adopt a healthy lifestyle and healthy eating habits take medications as directed exercise good sleep hygiene attend community support groups aa/na eliminate alcohol street drugs over-the-counter drugs caffeine attend educational groups at c.h make a new friend wellness recovery action plan 8[close]
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madison county mental health department monthly report june july 2007 the psychiatrist goes over the form with the cedar house member and the member circles activities they would like to try to improve their health we will work with the cedar house member to help them support to help them support their health improvement plan and this will become part of their treatment plan for the month of may cedar house had an average daily attendance of 44 and provided 1,003 units of service this is very similar to may 2006 when cedar house had an average daily attendance of 46 and provided 1,012 units of service cedar had no admissions and 4 discharges during the month no cedar house member required psychiatric hospitalization during may mental heath clinic report by dr steve adams service availability as of the writing of this report there are 36 people awaiting assignment to a therapist the longest wait is now about 3 weeks psychiatry appointments for adults are booked through mid-july with 5 new people waiting for appointments child psychiatry service has no new referrals waiting and are booked through late-july there are currently no children awaiting psychiatry screenings there are no forensic assessment referrals awaiting assignment we anticipate being able to meet all current court deadlines there are no psychological testing referral waiting to be assigned may during the month of may clinic staff provided 1211 service visits this represents a moderate increase in performance compared to last month 1081 and reflects a slight decrease in performance compared to may of last year 1324 the crisis service responded to 280 crisis contacts including 173 crisis phone calls 14 crisis walk-ins and 3 daytime mobile calls this was in addition to 81 telephone or face-to-face screenings for persons requesting services from the department june during the month of june clinic staff provided 1107 service visits this represents a slight decrease in performance compared to last month 1211 and reflects a slight decrease in performance compared to may of last year 1218 the crisis service responded to 262 crisis contacts including 173 crisis phone calls 10 crisis walk-ins and 1 daytime mobile call this was in addition to 65 telephone or face-to-face screenings for persons requesting services from the department note units of service numbers do not include contracted services such as head start consultation and boces consultation services 9[close]
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madison county mental health department monthly report june july 2007 staff notes we have regretfully accepted the resignation of edwina davies mental health crisis worker effective july 18th edwina started with the department as a child and youth intensive case manager when the program first got off the ground back in 1995 and helped set the standard for the program under the auspices of the mental health department later edwina re-joined the department as a crisis worker where she has served for the past 4 years despite more than her share of hardships in her personal family and professional lives edwina has remained dedicated to the department and a staunch advocate for her co-workers and clients alike we will miss her as she moves forward in her career in accepting a case manager position in the nys criminal justice system we wish her well also leaving the mhd in july is dr charles buscema dr buscema has been a consulting psychiatrist with both cedar house and the outpatient clinic since 2003 his knowledge and expertise have led him to a position as medical director of a cmhc in fort pierce florida his absence will be felt deeply by both staff and patients best wishes to him as well service updates the following are specific groups currently being offered through the outpatient clinic and their current status relative to new referrals these specific groups are offered in addition to alwaysavailable individual couples and family therapy coping with emotions group/dbt ongoing thursdays 10:00-11:30 this group focuses mainly on learning skills for distress tolerance emotion regulation interpersonal effectiveness and controlling self-destructive symptoms the group is appropriate for persons in individual therapy who experience frequent crises and/or self-injurious or self-defeating behaviors this group runs in 16 week cycles new members will continue to be accepted until the group is full contact kimberly puetzer for referral information anger management group for adults ongoing cycles re-starts april 12th thursdays 3:30-4:30 designed to help those who have problems with aggression to reduce self-defeating behavior and achieve their goals in a healthier way contact kim guarascio or kathy mackey for referral information adult sex-offender treatment basic education suspended pending additional referrals thursdays 10:30-12:00 designed to provide basic education regarding appropriate sexuality sex education laws regarding sexual behavior and consent and strategies to avoid contact with potential victims for cognitively impaired perpetrators extended evaluation and education group-phase i 8-10 weeks recurring this is a psycho-educational group for individuals that committed a sex offense during this phase individuals are evaluated for an extended period to determine suitability for further sex offender 10[close]
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madison county mental health department monthly report june july 2007 treatment individuals who attend this group will learn about sexual abuse and its effects the definitions of consent coercion and other forms of sexually abusive behavior identifying warning signs for re-offense introduction to relapse prevention and thinking errors associated with re-offense individuals are also required to complete a personal accountability statement questions or information regarding referrals for this group should be directed to marla velkyreger or kathy mackey adult sex offender treatment phase 2 ongoing the content of this offense-specific treatment group is to help offenders reduce their denial and level of defensiveness offenders are educated about the cycle of sexual abuse and the potential for re-offending individual sessions couples sessions and family sessions are initiated as necessary in addition to the group to help educate the family members and any individuals identified as the offender s support system about risk factors associated with re-offending offenders are taught to identify and correct their cognitive thinking errors and defense mechanisms a court probation parole mandate comprehensive evaluation and polygraph examination are required for entry into the group questions or information regarding referrals for this group should be directed to marla velkyreger or bud ballinger forensic services coordinator adult sex offender treatment phase 3 ongoing this group is the third phase of sex offender treatment and is a process therapy group there is no set time limit for this phase individuals in this phase are challenged toward expanding insight and understanding about their sexually abusive behavior promoting emotional development and appropriate emotional expression and empathy engaging in specifically targeted exercises to reduce inappropriate arousal and increase appropriate arousal developing and following an expanded relapse prevention plan with the cycle of alternatives that elicits support from others developing multiple contingency plans for risk situations and strengthening social networks and support systems questions or information regarding referrals for this group should be directed to julie brown or dr ballinger forensic service coordinator mcap adolescent program for problem sexual behaviors ongoing the group meets on mondays from 3:00 to 4:30 p.m the program involves individual family and group treatment methods a court or juvenile authority mandate completion of a sexual assessment and submission to polygraph examination are required for participation questions or referrals for these groups should be directed to marla velky-reger or kathy mackey relatives as parents program rapp ongoing a monthly support group for persons raising a relative s child or grandparents raising grandchildren the group is held on the second thursday of the month from 9:00 to 10:30 a.m at the oneida city public library contact colleen miller staff social worker for information about the group this program is being jointly sponsored by the office for aging mental health and oneida city public library adolescent anger management recurring re-starts july 17th this 10 week group is geared toward helping adolescents manage their anger and to identify and communicate their feelings in appropriate ways this group will be offered in time limited increments as referrals 11[close]
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