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2015 Network Development Plan Grid: Priority Tasks, Goals and Action Steps / Outcomes
As a Local Management Entity/Managed Care Organization (LME/MCO) managing all funding streams, greater access to data will improve
validity of information and will increase CenterPoint’s ability to accurately identify service needs of individuals in the CenterPoint area.
Additionally, the flexibility to develop and sustain alternative programs will allow CenterPoint and its provider network to address needs of the
most vulnerable populations.
The following plan specifies priority tasks, goals and action steps / outcomes that support development of services and supports.
Needed Services /
Supports
Crisis Services
Goals
Action Steps / Outcomes
Assure a comprehensive crisis continuum in
1. Identify medical service provider through RFI process by
Forsyth, Stokes, Davie and Rockingham
4/30/15.
Counties.
2. Finalize facility plan, site preparation and other actions needed
prior to breaking ground by 12/31/15.
 Develop Behavioral Health Urgent Care
3. Implement BHUC/FBCC by 7/1/16.
(BHUC) and Facility-Based Crisis
Centers (FBCC), with co-located
medical services and recovery activities,
serving all four counties.
Assure adequate access across the catchment
area for Mobile Crisis Management Team
Assure adequate access across the catchment for
Partial Hospitalization services.
 Analyze effectiveness of myStrength
web-based recovery tools used by
clients served by DayMark Recovery
Services.
 Fully implement Wellness Centers with
evidence-based curriculum and Peer
Support
o Stokes
o Davie (3/15 new location
needed)
1. Monitor utilization of Mobile Crisis Management Team
services; respond as needed.
2. Evaluate need to extend state waiver to operate with single
provider of MCM due to low demand for service by Aug 2015.
1. Monitor utilization of Partial Hospitalization services; respond
as needed.
1. Review provider performance and clinical outcomes data in
Network Management Cross-Functional Team; make
recommendations.
1. Hire Wellness Center Manager and staff.
2. Identify sites (Community Operations)
o Davie (new site)
o Rockingham
3. Implement evidence-based curriculum with Peer Support with
provider partner RHA Health Services.
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Needed Services /
Supports
ACTT
Goals
o Rockingham
Assure adequate capacity of evidence-based,
high-fidelity Assertive Community Treatment
Team (ACTT) services in collaboration with
Division of MH/DD/SAS, NC ACTT Coalition
& Duke University, supporting the state’s
initiative “ACTT / Supported Employment”.
Supported Employment
/ Long Term Vocational
Support (SE/LTVS)
Assure adequate capacity of evidence-based,
high-fidelity Supported Employment/Long
Term Vocational Support (SE/LTVS) services
in collaboration with Division of MH/DD/SAS,
NC ACTT Coalition & Duke University,
supporting the state’s initiative “ACTT /
Supported Employment”.
NC Innovations
Services and Others
with I/DD Needs
Develop comprehensive service array that meets
specialty needs of individuals with I/DD.
Opioid Treatment
Meet access and choice requirements for Opioid
Treatment.
SA Services
Meet access and choice requirements for all SA
services
Action Steps / Outcomes
1. Monitor utilization of ACTT services to clients under the
Department of Justice (DOJ) Settlement Agreement; respond as
needed.
2. Continue ACTT Learning Collaborative to support model
fidelity.
3. Explore the possibility of “ACTT lite” service for individuals
needing intensive treatment who do not meet medical necessity
for ACTT.
1. Monitor utilization of SE/LTVS services to clients under the
Department of Justice (DOJ) Settlement Agreement; respond as
needed
2. Continue to inform providers of training opportunities.
3. Continue SE/LTVS Learning Collaborative to support model
fidelity.
4. Support providers in marketing the service to clients and other
(referring) providers.
1. Expand outpatient counseling and psychiatric services for
individuals with co-occurring disabilities.
2. Implement evidence-based practices for individuals with
Autism Spectrum Disorder (e.g. Applied Behavioral Analysis).
3. Implement “meaningful day” activities for individuals
transitioning from sheltered workshop models.
4. Assess and determine facility-based respite needs using Alpha
data reports on utilization and waitlists.
5. Expand utilization for state-funded and B3 funded respite
services.
6. Assure adequate capacity for psychological evaluations for
clients on the Innovations wait list
1. Identify providers for state funding allocation and/or single case
agreements for Opioid Treatment.
2. Continue to seek local Suboxone prescribers/slots for
CenterPoint clients.
1. Contract with provider for SA Non-Hospital Medical Detox
2. Contract with provide for SA Medically Monitored Community
Residential Treatment
3. Contract with provider for SA Non-Medically Monitored
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Needed Services /
Supports
Goals
B3 Services
Develop and/or expand B3 services including,
but not limited to:
 Peer Support
 Supported Employment / Long-Term
Vocational Support
 Community Guide
 Respite
 Psychiatric Consultation
 Innovations Deinstitutionalization
 Community Transition
 Individual Supports
Residential Services
Child MH/SA (supporting the State’s initiative
“Closer to Home”)
Adult MH/SA
I/DD
Action Steps / Outcomes
Community Residential Treatment
4. Identify provider for expansion and/or state funding allocation
to meet need for services in Stokes, Davie and Rockingham
Counties (e.g. SACOT, SAIOP)
1. Offer Peer Support, SE/LTVS and Individual Supports to top
adult service continuum providers; increase the number of
existing providers
2. Increase number of I/DD respite providers
3. Educate all child providers about the use of planned respite
4. Track utilization and expenditures
1. Increase in-catchment capacity for Intensive Alternative Family
Treatment.
2. Extend contracts to all providers affiliated with Rapid Resource
1. Develop residential options for sexually aggressive clients
1. Develop adult residential options, especially in the rural
counties, as identified by quarterly residential capacity analysis.
2. Develop residential options for sexually aggressive clients
3. Develop .5600C in the catchment area
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Needed Services /
Supports
Services in Rural
Counties (Stokes,
Davie, Rockingham)
Goals
Action Steps / Outcomes
Rockingham County Work Plan
1. Increase community awareness of Medicaid B3 services (Peer
Support, Respite, and Supported Employment) with goal of
improving access to care and improving the quality of care for
clients.
2. Improve awareness of choice of MH/SA Providers
3. Reduce utilization of Hospital Emergency Rooms for nonemergent mental health and substance abuse needs
4. Improve local CenterPoint presence in Rockingham County
5. Provide site-specific training to DSS staff on how to assist
walk-in clients with MH and/or SA needs
6. Submit grant proposal to Kate B. Reynolds Charitable Trust to
fund CHIP program
7. Increase community awareness of Medicaid B3 services (Peer
Support, Respite Supported Employment) with goal of
improving access to care and quality of care for clients
8. Track and report on progress
Davie County Work Plan
1. Improve client choice of MH/SA Providers
2. Reduce utilization of Hospital Emergency Rooms for nonemergent mental health and substance abuse needs
3. Improve local CenterPoint presence in Davie County
4. Provide site-specific training to DSS staff on how to assist
walk-in clients with MH and/or SA needs
5. Discuss sex-offender specific services with Barium Springs
6. Increase accessibility to MST services
7. Community Education on availability of psychiatric services
and open access hours at RHA.
8. Community education regarding adult service array
9. Implement Suicide Prevention Task Force
10. Track and report on progress
1. Community Operations and Network Development to partner
with community agencies and groups to creatively address
transportation issues as top priority in Stokes, Davie and
Rockingham Counties e.g. joint grant applications for provider
collaboration around transportation; purchase of shared vehicles
to support child/family access to and engagement in treatment.
2. Educate community of existing transportation options
3. Issue an RFI to develop alternative transportation provider
Transportation in rural counties
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Needed Services /
Supports
Goals
Assure educated providers who understand the
structure, requirements and expectations for
service delivery
Integrated/collaborative Promote integrated/collaborative healthcare
throughout the network
Healthcare
Provider Network
Training and Education
Action Steps / Outcomes
1.
2.
3.
1.
2.
3.
4.
5.
6.
7.
8.
9.
Use of Enabling
Technologies
Promote the use of enabling technologies to
support client outcomes
1.
2.
3.
Revise Comprehensive Training Plan as needed
Provide training on evidence-based models
MH FA trainers will offer trainings to the community.
Issue RFI for a medical service provider to be co-located with
the planned Behavioral Health Urgent Care/Facility Based
Crisis Centers
Integrate Artemis Project into behavioral health clinics
workflow
Add integrated/collaborative care clinician co-located at the
Forsyth County Community Care Clinic
Health Improvement Peer Program (HIPP) grant support for
additional trainings and for state funded clients
Integrated/collaborative care clinicians and Peer Support
Specialists onsite at Downtown Health Plaza
Continue the antipsychotic medication monitoring project
(health screening for co-morbid medical conditions)
Coordinate physical health needs for clients accessing
Emergency Department or inpatient psychiatric services
Naloxone kit funding/distribution/education
Support Rockingham County efforts to plan and implement the
Community Health Integration Project (CHIP) grant.
Track provider performance and clinical outcomes resulting
from implementation of myStrength web-based recovery tools
Implement technology to support integrated care (e.g.
pedometers “prescribed” by behavioral health clinicians, point
of contact glucose testing for clients taking antipsychotics –
incentive for behavioral health practices, PHQ-9 and other
screenings with technology, Sense Health for clients to receive
Smart Phone daily text reminders for medications and
appointments)
Technology workgroup will identify, analyze and recommend
additional technologies for implementation
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