The PBH Outreach Unit consists of Clinically
Licensed Counselors and Community
Liaisons. Both groups focus on ensuring
consumers get the right level of care, at the
right time, without experiencing any system
barriers.
Clinical Licensed Counselors (CLC’s) work with
the community at the local level to assist
consumers in maintaining a continuity of care
by:
- Providing Clinical Screening and Referral for each
county in the PBH area
- Providing Care Management for consumers who
have had several recent hospital stays and are at
risk of returning to the hospital
- Working to reduce the number of times consumers
are readmitted to psychiatric hospitals
- Participating in Community Child Protection Teams
- Leading Child and/or Adult High Risk teams
- Providing assessments when needed to help
consumers get faster access to services
- Increasing community collaboration and
partnerships
Liaisons work with providers and others in the
community to make sure consumers have timely
access to the right type of care by:
- Working with community agencies to follow
consumers of mental health, developmental
disabilities, and/or substance abuse services
as they use services of various agencies
- Coordinating with community agencies, like the
Primary Care Collaborative or Criminal Justice System,
to make sure consumers get all of the services they
need in the continuum of care
- Informing and monitoring the discharge process
for consumers in state MH,DD,SA hospitals/centers/
treatment facilities
- Keeping MH, DD, SA hospitals/centers/treatment
facilities up to date on changes in procedures of
the Access Department at PBH
Access/Outreach Unit
- Pam Burton - Outreach Director
- Kathi Barker - CLC - Rowan
- Jennifer Cagiano - CLC - Cabarrus
- Devora Neely - CLC Davidson
- Vacant - CLC - Stanly
- Traci Szeszulski - CLC - Union
- Tracy Sherrill - CLC - Broughton
- Amy Ford - Access Outreach Liaison Supervisor
- Erin Nantz - DD Olmstead Liaison
- Cynthia Ellis - SMH Olmstead Liaison
- Todd Rapoza - SA Liaison
- Monvayata Ratchford - Primary Care Liaison
- Bill Laughlin - Guardianship
- Joseph Coleman - Guardianship
- Brandy Myers - Administrative Assistant
|
- Identify and address service barriers within
the PBH provider network
- Provide face-to-face clinical screening and
referral when appropriate
- Provide care management for high risk
consumers with multiple hospitalizations
- Provide oversight, liaison, and tracking for
PBH continuum of care by disability type
and/or identified population (e.g. Substance
Abuse; Criminal Justice; DD/MH Olmstead;
Primary Care Collaborative)
- Serve as an on-the-ground resource within
PBH catchment area
- Assist with emerging crisis stabilization to
avoid decompensation
- Reduce state hospital readmissions
- Increase service utilization of PBH continuum
of care through the collaborative work with
consumers, providers, stakeholders and PBH
staff
- Work with PBH providers and stakeholders to
ensure consumers move seamlessly through
the continuum of care
- Monitor jail booking logs to identify current
PBH consumers and assist in developing
appropriate discharge plans
- Work collaboratively with State Developmental
Centers and PBH providers to ensure
successful transition of consumers from state
institutions into the community
- Track consumers designated as MH Olmstead
to ensure they are receiving appropriate
levels of care
- Monitor housing needs for adults diagnosed
with Mental Health disorders with a primary
focus on Severe and Persistent Mental Illness
- Promote, encourage and facilitate advocacy
Access/Outreach Documentation
|
