Reinvestment


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Reinvestment

Reinvestment is one way to help achieve a comprehensive treatment system that supports recovery for persons with mental health issues, including drug and/or alcohol treatment needs, as well as their families. Reinvestment funds become available if there are unspent medical and/or administrative funds at the end of a Contract Year. The Counties are permitted to retain these funds for reinvestment, as designated by CABHC’s Board of Directors. The total amount of reinvestment funds that can be used is capped at 3% of the total medical claims revenue received during that year.

Reinvestment funds help fill identified gaps in the service system, test new treatment approaches, and develop cost-effective alternatives to traditional services. The planning process for use of these funds includes CABHC, PerformCare, county Human Services staff, individuals currently receiving services and their families. Through this collaborative process, CABHC seeks creative ways to enhance the program. This is accomplished by the establishment of new in-plan services focusing on evidenced based treatment models; the development of innovative services that can be tested to determine their impact on quality and outcomes for possible future inclusion in the program as supplemental services; and the provision of non-medical services that assist in supporting members’ wellness in the community.

Please see the list of current Reinvestment projects below. For more information on any of them, contact our Director of Program Management. You can also see a list of previously completed Reinvestment projects here.

Reinvestment Projects
Recovery House Scholarship Program
There are a number of individuals who, after completing non-hospital rehabilitation or halfway house programs, require transitional housing to support their recovery. CABHC’s Recovery House Scholarship Program provides scholarships to individuals who require financial assistance to enter a Recovery House as part of their journey. Since 2007, CABHC has been providing scholarships to those who qualify for the program. For more information, see Recovery House Scholarship Program
Respite Care
Respite care is designed to offer short-term respite to the caregivers of children, adolescents, and adults with severe behavioral health concerns. Services are short term and can occur either in the caregiver’s home or in an out of home placement. Based on need and available resources, respites can be hourly or overnight. Youth Advocate Programs, Inc. (YAP) is the Respite Management Agency for this program. To learn more about Respite Services, please contact YAP directly at 717-232-3150 or visit them at www.yapinc.org.
Specialized Transitional Support for Adolescents
This program supports adolescents (ages 14-22) in planning their transition from child to adult services. The transitional program focuses on four basic target domains to assist these adolescents in becoming successful adults, including Education, Employment, Independent Living, and Community Involvement. There are currently four providers for transitional services: The Jeremy Project in Dauphin County, NHS Stevens in Cumberland and Perry Counties, PCS Warrior in Lebanon County, and CSG in Lancaster County.
Drug and Alcohol Recovery Specialist Services
The Drug and Alcohol Recovery Specialist Services Program (RSP) works with individuals in need of one-on-one coaching to overcome obstacles keeping them from succeeding in recovery. Recovery Specialists meet with individuals regularly, develop a plan to address areas of need, act as role models, monitor successes and challenges, and offer support as individuals learn the skills necessary to remain in sustained recovery. To learn more, or to make a referral, contact The RASE Project at 717-277-7400 or www.raseproject.org.
County Housing Initiatives
Each County has its own housing initiative plan as presented to OMHSAS. For more information on County housing initiative plans, contact the local office of interest. Links to each County's website can be found on the Counties page.
Peer-Operated Drug and Alcohol Recovery Centers
Peer-operated drug and alcohol recovery centers are developed based on geographical need and resource capacity. These centers do not typically provide treatment services and are not staffed by paid professionals. Instead, these are self-directed facilities run by their members that provide peer support, sober recreation activities, and/or community education where adults (18 and older) in recovery can find a sympathetic ear, information about recovery services, and enjoy a safe, drug and alcohol free environment.
Mental Health Inpatient Integrated Peer Specialist Services
The goal of this program is to develop Certified Peer Specialist (CPS) services in four Inpatient Psychiatric units: Philhaven, Pennsylvania Psychiatric Institute, Lancaster General Hospital, and Holy Spirit Hospital. The CPS will work with unit staff to bring a recovery-oriented perspective to their programs. They will also educate individuals about recovery through their own experiences, ensure that individuals have a strong partner in their treatment, assist in discharge planning, and provide limited follow-up in the community after discharge.
Substance Abuse Supportive Housing Expansion
This project will fund eight new substance abuse supportive houses in the Counties through the purchase and/or renovation of selected homes. At least one of the homes will serve women and children. CABHC is facilitating a selection committee that will set the standards these programs must meet to be eligible for start-up funds.
Cumberland/Perry D&A Recovery Specialist Services
The goal of this project is to employ two part-time D&A Recovery Specialists to support participants in Cumberland County Specialty Courts. The target population is adults who have cycled in and out of D&A treatment and are participants in the Cumberland County Children and Youth Services, Specialized Substance Abuse Disorder Case Management program. The purpose of this program is to enhance the delivery of D&A services to families involved with Cumberland County CYS and Juvenile Court system, with a special emphasis on parents with children under the age of five and who are at risk of losing their children. Those hired will be expected to become certified as Recovery Specialists through the PA Certification Board.
Adult Co-Occurring Outpatient Services
This program will target adults (18 and older) with co-occurring mental health and substance abuse disorders. Individuals will be screened for co-occurring disorders at the time of intake for drug and alcohol or mental health services. Identified individuals will be eligible to participate in a co-occurring disorders group that will run twice a week for eight weeks. Individuals may also be involved in individual treatment during this time. Providers offering these groups must hold a dual license as both an outpatient mental health and drug and alcohol clinic.
Mobile Mental Health Intellectual Disabilities Behavioral Intervention
This program will fund the creation of a Mental Health and Intellectual Disabilities team in Dauphin County, consisting of a Behavioral Specialist and Registered Nurse, to assist adults (21 and older) with serious mental illness and intellectual disabilities, as well as their families and support systems. Services will include a Functional Behavioral Assessment, individualized treatment plans, targeted interventions, and other related needs. All services delivered by the team will be considered mobile, as they will likely be delivered in the home or community.
Dauphin Housing Initiative (Sunflower Fields)
Co-developers, the Affordable Housing Associates of Dauphin County and Monarch Development Group, LLC, will develop a 35-unit affordable housing development. Of these units, five units will have the capacity to house up to nine individuals who are recipients of Behavioral Health Services. These individuals will be fully integrated into the development.
Mental Health Inpatient Child/Adolescent Unit
PA Psychiatric Institute’s Board, along with CABHC, PerformCare and the Counties, has authorized an estimate for the cost of creating a six to ten bed dedicated Children's unit on 4 Landis, and the conversion of 5 Landis to a twelve to sixteen bed unit solely for Adolescents. These units would replace the current sixteen-bed Child/Adolescent combined unit on 5 Landis, which places younger children at risk of harm and results in admission denials based on the acuity on the unit, or presence of adolescents with aggressive behaviors.
Drug and Alcohol Detox and Rehabilitation Expansion
Gaudenzia has proposed an expansion of their Common Ground rehab and detox program, and potential expansion of their short-term rehab program, in response to the growing demand for opioid addiction treatment. Gaudenzia would move the Common Ground programs from their current facility to the Chambers Hill Adolescent facility, and move the Adolescent Program to the Common Ground facility. This will allow for significant expansion of detox slots (from ten to eighteen) without going through the zoning issues associated with a new facility. The Common Ground program would maintain its twenty-four slots (both for rehab and for dually diagnosed individuals), with the potential to expand later.
Drug and Alcohol Mobile Brief Intervention and Assessment
The primary goal of the Drug and Alcohol Mobile Brief Intervention and Assessment is to create an intercept point for individuals accessing hospital emergency services, or who are in physical healthcare units of local hospitals, who may be in need of substance abuse services. This intercept point would allow for the identification and linkage to substance abuse treatment for those individuals struggling with addiction and co-occurring mental health disorders.
Follow-Up after Inpatient Hospitalization Discharge Support
Four local Mental Health Inpatient providers (three adult and one child/adolescent) will develop a support service to assist high-risk individuals with discharge and attendance at follow-up appointments. Services will include filling and managing prescriptions, confirming aftercare appointments and ensuring barriers to attendance are addressed, and follow-up consultation. The providers will create a discharge nurse position for this purpose. Mobile Psychiatric Nursing may be an alternative if providers are unable to support a discharge nurse position. The nurse will contact individuals prior to discharge and work with them for up to thirty days (average duration is expected to be about ten days).
Outpatient Evidenced Based Treatment
This project will support the certification of selected outpatient providers to gain the capacity to provide Dialectic Behavioral Therapy (DBT), and Trauma Focused Cognitive Behavioral Therapy (TF CBT). The Counties will form an ad hoc group, facilitated by CABHC and with PerformCare participation, to select the providers targeted to participate in each of the EBP certifications. These providers will use project funds to send selected staff for training and certification as well as one year of coaching, depending on the model and fidelity requirements.
Latino Drug and Alcohol Rehabilitation Halfway House
This goal of this project is to develop a licensed bilingual and bicultural Drug and Alcohol Rehabilitation Halfway House to better serve the Hispanic population. CABHC, in partnership with the County SCA Directors, PerformCare, and Drug and Alcohol treatment stakeholders will develop an RFP to solicit the development of this program, with a critical requirement of past experience and capacity to run drug and alcohol treatment programs for the Hispanic population. The facility’s capacity would be eighteen to twenty-four people.
Mental Health and Drug and Alcohol co-located Clinic
Data indicates that the vast majority of residents in the Columbia, Lancaster County area are required to leave the area to access Mental Health and Drug and Alcohol outpatient. Therefore, the development of a single provider-run, co-located Mental Health and Drug and Alcohol licensed satellite clinic will offer better access to treatment for these individuals. CABHC, Lancaster County MH/ID and SCA, PerformCare and stakeholders will develop an RFP to select a provider that is licensed to provide both services in a co-located site.
Vivitrol Care Coordination
There is a need to expand the use of Vivitrol as an option in substance abuse treatment. The development of the Vivitrol Care Coordination Service will provide education to physicians in an effort to engage additional PCPs who would utilize Vivitrol as part of a comprehensive opioid treatment and care approach; increase the number of individuals successfully utilizing Vivitrol in a recovery program; and assist members who are engaged in Vivitrol treatment in coordinating support from other community organizations.
Hospital Based Extended Acute Care (EAC) Program
This program would expand the capacity of the Extended Acute Care (EAC) program by twelve psychiatric beds to be located in a general hospital facility. This would increase the ability to serve adults in need of EAC/EAU services when they are also experiencing medical issues that cannot be easily provided for in a freestanding facility.
Mental Health/Intellectual Disabilities Mobile Behavioral Intervention Team
This project will expand the Mental Health/Intellectual Disabilities mobile behavioral intervention by two teams, each consisting of a Behavioral Specialist and Registered Nurse, that will assist adults (21 and older) with serious mental illness and intellectual disability, as well as their families and other Mental Health and/or Intellectual Disability provider agencies. CABHC, Counties, PerformCare and stakeholders will develop and distribute an RFP to develop this program.
Behavioral Health/Physical Health Integration
This project consists of two models. The Care Connections model, to be developed by Lancaster General Hospital, will initiate a Community Health Worker (CHW) program focused on interventions with high-utilizers of emergency department services. The objective is to determine if CHW interventions will improve post-emergency room outcomes among low socio-economic individuals with co-occurring physical and mental illness. The CHWs interventions will be modeled after the Penn Medicine IMPaCT model of CHW care.
The second project is the development of an integrated care model that would establish the NHS Capital Region (NHSCR) Mental Health Outpatient Clinic in Harrisburg as a Health Home program for Gateway members who receive their mental health treatment at NHSCR. The program’s objective is to support the triple aim of improving the health of individuals with SMI; enhancing the consumer experience of care (including quality, access, and reliability); and reducing/controlling the per capita cost of care.