Wasatch Mental Health Services Wasatch Mental Health Services C Community Resources for it R f Adults, Youth, and Families Juergen E. Korbanka, Ph.D. Executive Director Wasatch Mental Health Core Faculty University of Phoenix, Utah Mental Health Services Awareness Night October 21 st , 2010 Provo, UT
Offering individuals with Offering individuals with mental illness the Opportunity to successfully achieve the outcomes they desire
Excellence in Mental Providing Excellent g Health Care Customer Service Embracing Wellness Embracing Wellness Employee Growth and Economic Stability y D Development l t
What Utah’s Behavioral Health System may look like DSAMH For-profits For-profits UBHC M UBHC Membership b hi MCO 13 Local Authorities County Gov. County Department Indep. Provider organizations organizations Non-profits Special Services Distr.
Administrative/Business Office Westpark Building 750 North 200 West, Suite 300, Provo, UT 84601 Phone: 801-373-4760 Fax: 801-373-0639 Fax: 801-373-0639 Web site: www.wasatch.org
ABOUT THE CENTER Established in 1967 Wasatch Established in 1967, Wasatch Mental Health (WMH) is – a comprehensive mental health a comprehensive mental health center – for Medicaid cardholders in Utah – for Medicaid cardholders in Utah County We Offer We Offer – an array of acute and chronic care services for children adolescents services for children, adolescents, adults, and families.
Locations Locations Westpark (Provo) Westpark (Provo) Parkview Campus (consisting of 7 buildings) American Fork Family Clinic American Fork Family Clinic Spanish Fork Family Clinic School Based (approx 30 schools) School Based (approx. 30 schools) Giant Steps (Orem) Supported Residential Supported Residential – Mapleview – Sunset/ Sunrise – Payson Supported & Independent
ABOUT THE STAFF Our Staff consists of: Our Staff consists of: psychiatrists, clinical psychologists clinical psychologists clinical social workers Licensed Professional Counselors Licensed Marriage and Family Therapists Specialized adult and youth day treatment case managers residential services staff, prevention and education specialists education specialists administrative and business staff
Wasatch Mental Health Fast Facts Wasatch Mental Health – Fast Facts We serve over 7,000 clients annually We have about 275 FTEs We have about 275 FTEs Our Annual Budget is about $25,000,000
How do I recognize a Mental Illness ?
People with M I often feel alone People with M. I. often feel alone “ D “ Dear Henry : H Where were you? ? We waited and W it d d waited but fi finally decided ll d id d that. . . “
What’s Abnormal ? What s Abnormal ? 1. Unusual Behavior 2 2. Socially unacceptable or in violation of social Socially unacceptable or in violation of social norms 3 3. Faulty perception or interpretation of reality Faulty perception or interpretation of reality 4. Personal Distress 5. Maladaptive or Self-Defeating Behavior 6. Dangerous Behavior g
What you want to know What you want to know Level of functioning ? Medications ? Medications ? History of Mental Illness (self/ family)? Li i Living Situation Sit ti Stressors/ Employment Status Financial Pressures Activities of Daily Living Activities of Daily Living
What you want to know What you want to know Risky (self-destructive) behavior Sudden unexplained or erratic changes in Sudden unexplained or erratic changes in behavior Support system ? Support system ? Family Relationships ? Drug use ? Legal history ? g y
Serious Mental Illness Serious Mental Illness
SPMI SPMI Seriously and Persistently Mentally Ill: 1. Severity Index (3 or more required) 1. Medication 2. Diagnosis 3 3. Productivity Productivity 4. Social Isolation 5. Public Assistance 6. Symptom Remission 7 7. Antisocial Behaviors Antisocial Behaviors 2. Duration 1. Intensive outpatient for 2 or more years 2. Outpatient 3 or more years p y 3. Persistence to treatment
Serious Illnesses Serious Illnesses Not tied to a specific diagnosis ! Not tied to a specific diagnosis ! A Associated with i t d ith – Schizophrenia – Bipolar Disorder Bipolar Disorder – Severe Depression – Severe PTSD – Personality Disorders – Autism Spectrum Disorders
People with SPMI Need People with SPMI Need Support Support Treatment – Therapy Th – Medication Management – Case Management Case Management – Day Treatment – Vocational Assistance and Training Vocational Assistance and Training – Residential Services – Housing Housing – Inpatient Treatment
People with M I try to blend in People with M.I. try to blend in When you are in deep trouble, say nothing, and try to look inconspicuous
People with SPMI Need People with SPMI Need Acceptance Acceptance (just like the rest of us !!!)
Specific Techniques Specific Techniques Breathing Putting things in perspective Putting things in perspective Prioritize Di ti Distinguish facts from emotions i h f t f ti Validate emotions Don’t hang on to feelings Outline a course of action Outline a course of action
Specific Techniques Specific Techniques Focus on present Communicate that you are in their corner Communicate that you are in their corner Give feeling that you matter A k Acknowledge doubt l d d bt Introduce continuum (feelings vs. behavior)
Reflective Listening Reflective Listening Facilitative body language Reflection of and response to feeling Reflection of and response to feeling Summarization and paraphrasing O Open-ended statements and questions d d t t t d ti Non-judgemental atitude
Mental Illness and Personality Disorders
Traits vs. States State = The condition or circumstance of being at any given time (Short term) y g ( ) Trait = A distinguishing or peculiar feature with Trait = A distinguishing or peculiar feature with enduring patterns (Long term)
What is a personality disorder? What is a personality disorder? Our personalities are enduring patterns of perceiving, relating to, and thinking about the p g, g , g environment and oneself. It is only when personality traits are inflexible and maladaptive p y p and cause significant functional impairment that they constitute a personality disorder. (DSM IV) y p y ( )
Feelings associated with PDs Feelings associated with PDs Guilt You feel depleted of your energy You feel depleted of your energy Sense of not doing enough Sense of being ineffective S f b i i ff ti “I can’t let them down” Wanting to “rescue” individual Feeling blamed Feeling blamed Self Doubt
Performance of Performance of Your Your Community Mental Community Mental Health Center Health Center
WMH – Quick Facts WMH Quick Facts Number of Clients Served 8,000 7,064 7,000 6,455 , 6 005 6,005 5,819 6,111 5,898 5,814 6,000 5,655 5,593 5,532 5,396 4,901 4,844 5,000 4,728 4,000 3,731 3,055 3,000 2,000 1,000 1,000 0 FY'95 FY'96 FY'97 FY'98 FY'99 FY'00 FY'01 FY'02 FY'03 FY'04 FY'05 FY'06 FY'07 FY'08 FY'09 FY'10
WMH Quick Facts WMH – Quick Facts New Client Admissions 5,000 4,500 4,344 4,329 4,231 4,182 4,182 4,000 3,716 3,531 3,438 3,439 3,382 3,500 3,311 3,274 3,221 3,179 3,000 2,714 2,617 2,500 2,000 1,735 1,735 1,500 1,000 500 0 FY'95 FY'96 FY'97 FY'98 FY'99 FY'00 FY'01 FY'02 FY'03 FY'04 FY'05 FY'06 FY'07 FY'08 FY'09 FY'10
WMH – Quick Facts WMH Quick Facts Total Service Units Provided 450,000 414,718 400,000 362,072 354,184 353,435 350,000 336,937 334,619 333,693 331,608 327,056 324,836 322,822 296,502 300,000 246,689 238,442 237,316 250,000 227,400 200,000 150,000 100,000 50,000 0 FY'95 FY'96 FY'97 FY'98 FY'99 FY'00 FY'01 FY'02 FY'03 FY'04 FY'05 FY'06 FY'07 FY'08 FY'09 FY'10
Youth Services “Fast Facts” Youth Services – Fast Facts YouthServices - Gender Distribution YouthServices - Gender Distribution Male 44% 44% Female 56% 56%
Changes in Medicaid Eligibility Changes in Medicaid Eligibility Currently: Currently: Uninsured Americans = 50 million Uninsured Utahns = 450,000 By 2014: Insured Americans = 32 Million (64% increase) Insured Utahns Insured Utahns = 290 000 = 290,000 About 50 % covered through Medicaid and 50% covered through Employer Subsidy In Utah: 290,000 Utahns insured (Medicaid 120,000 + employers 170,000) Expands Medicaid Coverage from currently 220,000 to 340,000 (increase of120,000) Of 120,000 new Medicaid about 60,000 may need Behavioral Health Services in addition to Of 120,000 new Medicaid about 60,000 may need Behavioral Health Services in addition to Primary Health Care
Medicaid Eligible Clients in 2014 Medicaid Eligible Clients in 2014 70000 70000 60000 60000 50000 45000 40000 37119 29079 27501 27197 30000 20813 18820 18197 17519 17431 20000 10000 0 0 FY 1994 FY 1995 FY 1996 FY 1997 FY 1998 FY 1999 FY 2000 FY 2001 FY 2002 FY 2003 FY 2004 FY2005 FY2006 FY2007 FY2008 FY2009 FY2010 FY2011 FY 2012 FY 2013 FY 2014
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