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.
| Active Reinvestment Projects |
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| Specialized Transitional Support for Adolescents This project was started with the goal of giving support to adolescents from the age of 14-22 years who are CBHNP Members. These Members all are at a point where there is a need to begin planning their transition from children to adult services. The transitional program is designed to focus on four basic target domains to assist these individuals 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 County, PCS Warrior in Lebanon County and CSG in Lancaster County. |
| Recovery House Scholarship Program There are a number of individuals who, when completing non-hospital rehabilitation or halfway house services for the treatment of substance abuse issues, require some form of transitional housing to support their recovery. This may include individuals who are homeless or whose prior living situation would have undermined their recovery efforts. A local network of Recovery Houses has been developed to provide a living environment that reinforces recovery. CABHC can provide scholarships to fund up to two months’ rent to assist individuals who qualify. CABHC began providing recovery house scholarships in December, 2007. For more information, see Recovery House Scholarship Program |
| D&A Recovery Specialist Expansion in D&A OP Clinics This project is to foster peer to peer recovery support services designed and delivered by persons in recovery which will network and build strong and mutually supportive relationships with formal systems in the community. The D&A Recovery Specialist service will expand by embedding Certified Recovery Specialists (CRS) into four licensed D&A OP clinics (one in each county with CU/PE being a joinder). An RFP will be developed and sent out to selected licensed OP clinics. |
| Expand Medication Assisted Treatment (MAT) in D&A OP Clinics Reinvestment funds will support four existing D&A Licensed OP Clinics to bring MAT into their clinics. By offering MAT, the Clinic would expand its services to further support and enhance the benefits of traditional therapies. The target population will consist of adolescents and adults who are experiencing an addiction that can be treated using Medication Assisted Treatment (MAT). |
| Social Determinants of Health Services are targeted to support adults and children/adolescents (children) who are enrolled in MA. The target population will either be part of the OMHSAS approved CBCMP FQHC program model, or through the County’s Case Management Unit/Crisis Intervention Service. This priority will utilize reinvestment funds to support the funding of SDoH supports as provided by CBOs in our Counties. The first model ties the funding of SDoH as part of the OMHSAS approved Community Based Care Management Program that we operate with our four FQHCs utilizing Community Health Workers. Reinvestment funds will be leveraged to provide access to SDoH supports through a needs assessment conducted by the CHWs. The second model will operate similarly to the first model but will broaden the population to be served by allocating funds to each of the Counties for use by their Case Management programs and Crisis Intervention. The funds will broaden support to members that are not involved with the FQHC/CHWs but are just as much in need of supports with their SDoH. |
| Behavioral Health Urgent Care The BH Urgent Care Centers (BHUCC) will be targeted to open one in Harrisburg and one in Lancaster. The BHUCC would serve children/adolescents and adults on both a call-in scheduling function as well as a walk-in capacity. The BHUCC would operate Monday through Saturday with expected hours from 9-6 M-F and 9-2 on Saturdays, with evening appointments made available when indicated. The BHUCC will adopt a recovery-oriented approach that reduces and eliminates the trauma that is associated with the use of emergency departments, adopting the “Livingroom” approach and many of the characteristics from the emPATH model. The BHUCC will also be used as a step-down or bridge service to provide brief treatment and medication while an induvial is waiting to get into their referred to service(s). |
| Behavioral Health Supports for Nursing Home Facilities This project is designed to develop a nursing home behavioral consultation service targeted to Community Health Choices Members who are residents in Nursing Facilities (NF) with a diagnosis of dementia with behavioral disruption. The service would be delivered by master’s or doctoral level clinicians with experience in functional behavioral assessment, behavioral plans, and/or experience working with the target population. The service also includes in-person, hands on training for direct care nursing facility staff to implement, monitor and adjust behavioral plans as needed. The service will include periodic reassessments and changes or updates to behavioral plans. The duration of the consultation and training services is short term. |
| D&A RSS Services, standalone program This project would build on the existing success of CRS services, and bring into the network a second free standing provider who will offer RSS in the Counties. A provider will be selected that will be located in our Counties and will receive referrals from other providers, the SCAs, and self-referrals seeking to benefit from the recovery support that RSS can offer. The implementation will support the hiring of CRSs that will be assigned to a specific County or Counties based on the demand and the mix of where referrals reside. This service is to support the more formal treatment while addressing many of the life challenges persons face every day, most notable social determinants of health and resource access. |
| Contingency Management for Adults Training Contingency management refers to a type of behavioral therapy in which individuals are ‘reinforced’, or rewarded, for evidence of positive behavioral change. These interventions have been widely tested and evaluated in the context of substance misuse treatment, and they most often involve provision of monetary-based reinforcers for submission of drug-negative urine specimens. This project will contract with a vendor who is recognized to provide training, mentoring of fidelity and eventual certification in CM by participating clinicians. The project would identify 5 D&A OP Clinics that would agree to the implementation of CM, and identify up to 5 therapists who are qualified to participate in the training. |
| Psychiatric Residency Program In concert with the Capital Area Behavioral Health Collaborative, its Counites and their Members, Penn State Psychiatry Community Psychiatric Resident Track will expand an additional residency slot dedicated to work in partnership with community providers to support the training of 4 new psychiatrists, and to have them work in ambulatory locations throughout the Counites. |
| Mental Health Inpatient Hospital Expansion UPMC/Western Psych is developing a new adult MH IP psychiatric unit to be located in Harrisburg. The unit being developed will have a total of 20 beds, 4 of which will be Extended Acute Care beds. |