Annual Report - 2014 (Read-Only)

Wasatch Mental Health
“Embracing Wellness”
2014
Annual Report
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WASATCH MENTAL HEALTH SERVICES
SPECIAL SERVICE DISTRICT
Commissioner
AUTHORITY
State law assigns the responsibility of administering local mental health
services to county government. Wasatch Mental Health is a Special
Service District of Utah County, governed by the oversight of the Utah
County Commissioners, who serve as the center’s Authority Board.
REPORT TO THE COMMUNITY
As the elected officials directly responsible for the provision of
community mental health services in Utah County, the Board takes its
responsibility to the residents and the clientele of Wasatch Mental
Health very seriously.
Larry Ellertson
Board Chair
Commissioner
Gary Anderson
Vice Chair
Wasatch Mental Health is recognized among mental health centers in
Utah for its efficient operations and maximization of services to
clientele for the money expended. We are proud to provide a full array
of mental health services to Medicaid eligible residents of Utah and
Wasatch County.
The Wellness Recovery Clinic, Watch Clinic, Vantage Point, New Vista,
Aspire Academy, Mountain Peaks Counseling, and the Receiving
Center expand the provided services to a broader population.
Commissioner
Doug Witney
Board Member
We look forward to continuing and expanding our excellence in service
provision to the residents of Utah and Wasatch County.
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TAB LE O F C O NTE NTS
Level 4 Skills Development Services, Supervised
Organizational Chart .......................................
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Message from the Executive Director ............
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Core Principles of Wasatch Mental Health.....
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State Mandated / Additional Services.............
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Bridge, USH, Peer Specialist ........................ 39-41
Volunteer Service ...........................................
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Child & Family Services.................................. 42-47
Fiscal Year 2014 Highlights ..........................
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Provo Family Clinic ........................................ 48/50
Fiscal Year 15 Goals .....................................
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Residential, Alpine House Individual Living ... 36-38
Level 5 Crisis: Crisis Services, Inpt, ROC,
American Fork Family Clinic, Grandfamilies,
Demographic & Performance Data................. 11
SBS, Spanish Fork Family Clinic .................. 51-57
Fiscal & Administrative Services ............... 12-15
New Vista (Youth Day Treatment) ....................... 58
Care Management Services ........................ 16-18
Aspire .......................................................................59
Human Resource Services ............................19-21
Giant Steps, Xcel ............................................. 60-62
Adult Services............................................. 22-27
Vantage Point ....................................................... 63
Level 1 Psych Services, Med Management
Stride, CY-Fast ..................................................... 64
Jail, Outside Provider, CIT, EVAC .......... 28-30
Level 2 Adult Outpatient Services,
Wasatch County Family Clinic .......................... 65-67
Wasatch Mental Health Service Directory ........... 68
Mountain Peaks ...........................................31-33
Level 3 Community Supportive Services,
WATCH, Mental Health Court, Wellness
Recovery Clinic ........................................ 34-35
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Services
Special Service District
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MESSAGE FROM THE DIRECTOR
It is a pleasure to present the Fiscal Year 2014 Annual Report to our Board
of County Commissioners, our local and state government officials, allied
agencies, and the citizens of Utah and Wasatch County.
Commissioners Larry Ellertson (Chair), Gary Anderson, and Doug Witney
demonstrate an exemplary commitment to our mission and goals. With
commissioners Anderson and Witney ending their term on the County
Commission in December 2014, we want to especially thank them for their
support over the years. We look forward to working closely with the Authority Board Chair, Commissioner Ellertson, and the newly elected county
commissioners starting in January 2015.
Wasatch Mental Health prides itself in excellent collaborative partnerships
with community partners to facilitate a seamless array of community services.
We wish to thank all who have supported us this last year.
In January of 2014, we opened Aspire Academy, a 16 bed residential facility in Orem to provide services to girls in state custody. Referrals to this
program have been increasing, and we were at capacity at this facility for
the first time in August of 2014.
The renovation of our Westpark Building’s second floor completed, Mountainlands Health Clinic opened a physical health clinic in June 2014. This
physical health clinic greatly enhances much needed access to physical
health care for our clientele. Similarly, a full service pharmacy (open to the
public) has been opened by Mountainlands at our Westpark location. This
facilitates clients filling their prescriptions and may have an impact on
medication compliance.
Late in 2013, Mountain Peaks Counseling, a clinic serving clients who
carry commercial insurance opened its doors at our South Provo Campus.
As in previous years, we increased the number of Utah and Wasatch County
residents served from 8,122 in FY 2013 to 8,922 in FY 2014. This is a 10%
increase and marks the eleventh consecutive
year where we experienced an increase in the
number of clients served. The total number
of client admissions grew by over 7% to
5,603. The Wasatch County Family Clinic
accounts for about 8% of the total client
count and new admissions.
After starting to provide mental health services to nursing home and assisted living
home facilities in 2013, we have increased
the services provided to these facilities from
59 individuals served in 2013 to 141 individuals served in 2014.
Juergen Korbanka, Ph.D.
Executive Director
WMH’s commitment to provide services for the uninsured and underinsured residents of Utah and Wasatch County remains strong. This year,
we provided over $1.4 million worth of services to uninsured and underinsured individuals (an over 50% increase from FY 2013). In total, over
1,500 individuals who were uninsured or underinsured received much
needed mental health services (with Utah County accounting for about
1,200 clients and Wasatch County over 300).
WMH’s collaborative community partnerships expanded significantly.
Utah Valley Regional Medical Center (UVRMC), in collaboration with
WMH, hired a client advocate to enhance and facilitate access to care for
individuals without insurance.
WMH was recognized by the Utah County Child Abuse prevention team
with an Excellence in Service Award.
We closely worked with Hope4Utah in training communities on suicide
prevention, and we participated in the “Walk for Hope” annual Suicide
Prevention Walk. Similarly, WMH was one of the agencies present to
inform the public about suicide prevention when Orem City held an
awareness event after the suicide of actor Robin Williams. In Wasatch
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County, our clinical staff collaborated in the creation of the Wasatch County Suicide Prevention Coalition.
Our partnership with the Provo Police Department has been strengthened significantly. One of our staff now regularly attends a weekly meeting at the Provo
PD to coordinate responses to mental health crises in the community.
Goals for the next year include adding a 5th classroom for our Giant Steps Autism Pre-school (increasing the service capacity by 25%). We also plan on completing the build out of our South Provo facility to house a psychiatric nurses station and several offices. This will enhance access to services and allow us to
move some of the medication related services from our busy Intensive Residential Treatment facility to South Provo.
With the county’s population growth in the Southern part of the county, we will start planning a building in Payson to house several of our clinical programs
and provide office and clinical space for allied agencies.
Internally, our Human Resources Department will bring an electronic records system online that will integrate and enhance Human Resources and personnel
related functions.
A grant coordinator/ writer will be added to the staff to enhance and develop additional funding streams to enhance clinical services to those in need.
We hope that the upcoming 2015 will allow us to celebrate as many successes as 2014.
Sincerely,
Juergen E. Korbanka, Ph.D.
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State Mandated Services
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Excellence in Mental
Health Care
Providing Excellent
Customer Service
Embracing Wellness
Economic Stability
Employee Growth and
Development
Inpatient Care and Services
Residential Care and Services
Outpatient Care and Services
24-Hour Crisis Care and Services
Medication Management
Psychosocial Rehabilitation, Including Vocational Training and
Skills Development
Case Management
Community Supports, Including In-home Services, Housing, Family
Support Services and Respite Services
Consultation, Education Services, Including, but not Limited to, Case
Consultation, Collaboration with other Services Agencies, Public
Education and Public Information
Additional Services
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Mental Health Court Services
Housing Services
Pre-Vocational Training Employment and Rehabilitation Services
Jail Medication Services
Respite Services
Nursing Home Services
Autism Treatment
Emergency Counseling and Shelter for Troubled Youth/Families
Juvenile Receiving Center Services in Cooperation with Law Enforcement and the Juvenile Justice System for Evaluation/Triage
and Referral Purposes
Youth Sexual Offender Treatment
Domestic Violence Treatment
Wellness Recovery Clinic
Homeless Outreach
Screening and Referral
Peer Support
Residential Treatment Services for female youth
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VOLUNTEER SERVICES
During FY 2014, 322 volunteers contributed 4,343 hours of service in eleven programs. Volunteers include students from Brigham Young
University, Utah Valley University, other area universities, and the community.
Our "Friends of Wasatch Mental Health" Advisory Board donated a total of 250 hours.
In FY 2014, the Advisory Board sponsored an Awareness and Wellness Run and Children’s Fair, which included a 10k run, a 5k run and 1 mile walk.
This is an awareness and fund raising event to educate the community, raise awareness, and decrease the stigma of mental illness.
Volunteer Hours FY 2014
2500
2166
2000
FY2014 Citizens Advisory Board Executive Committee
Sunny Todhunter —Chair
Richard Peterson —Vice Chair
Julia Currey—Adult Committee Chair
Mark Crosby —Adult Committee Vice Chair
Brenda Chabot—Youth Committee Chair
Alexander Gray—Youth Committee Vice Chair
Don Fairchild, Foundation Chair
Craig McAllister, Foundation
Susan Reynolds, Foundation
1500
1000
830.25
800
546.75
500
0
Board/Adm
Youth
Adult
Nursing Students
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FY 2014 Highlights & Goals for FY 2015
Center-wide Highlights for FY 2014
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Mountainlands Health Clinic opened a physical health care clinic at our Westpark location providing much needed access to physical healthcare to our
clientele
Mountainlands opened a full service pharmacy at our Westpark location greatly increasing access to pharmacy services for clients and staff
Aspire Academy in Orem, a 16 bed residential facility for teenage girls opened
Provided services to 8,922 individuals (an almost 10 % increase)
Admitted 5,603 individuals to services (an over 7% increase)
Increased services to Nursing Homes and Assisted Living facilities by almost 200% (from 59 individuals to 141 individuals served)
Strengthened our Recovery Services Coordination efforts assisting clients to meet their treatment goals
Hired a second dedicated therapist providing services to Nursing Home and Assisted Living Care facilities
Utah Valley Regional Medical Center (UVRMC), in collaboration with WMH, hired a client advocate to enhance and facilitate access for individuals who
are under insured or uninsured
Increased psychiatric service to jail inmates
Increased school based services to include Greenwood Elementary School in the Nebo School District
Increased services provided to the un- and underinsured to over $1.4 million (an increase of over 50%!)
The annual Wellness Race brought in a record amount of funding for programs and activities not covered by Medicaid
Wasatch Mental Health is the state leader in the administration of standardized clinical outcome measures (Y/OQ measures)
Assisted HOPE4Utah in training various communities on suicide prevention
Held WMH annual conference to train staff on various clinical issues, customer service, ethics, and suicide prevention
Participated in the 14th Annual Suicide Prevention Conference
Participate in the “Walk for Hope” Utah County’s 9th Annual Suicide Prevention Walk
Reorganized medication management services to increase access
Combined the adult and youth crisis teams to increase collaborative outreach efforts
Increased housing options for clients by working closely with local property owners and landlords
Strengthened partnership with Provo Police Department
Opened Mountain Peaks Counseling clinic, a program providing services to individuals who carry commercial insurance
Received Award from the Utah County Child Abuse Prevention team
Piloted Systems of Care with several challenging Youth cases
Hosted the second Open House for Mental Health Awareness month at several service locations
Hosted a CIT academy in Wasatch County in collaboration with the Wasatch County Sherriff’s office
Collaborated in the creation of the Wasatch County Suicide Prevention Coalition
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Center-Wide Goals for FY 2015
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Add a 5th classroom for our Giant Steps Autism pre-school to further increase service capacity by 20%
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Plan building a mental health office building in Payson co-locating with other human service agencies
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Complete build-out at South Provo Campus to house psychiatric nursing station and additional office space
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Integrate an electronic records system for Human Resources and personnel functions
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Increase the community awareness of WMH by enlisting the services of the BYU Marketing group
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Improve WMH’s website to be more consumer friendly
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Increase the community awareness of suicide prevention-intervention-postvention
Participate in the Risk Management program on suicide prevention through Mental Health Risk Retention Group
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Participate in the “Walk for Hope” Utah County’s 10th Annual Suicide Prevention Walk
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Participate in the 15th Annual Suicide Prevention Conference
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Explore possibility to develop a Youth Mental Health Court
Add a grant coordinator/ grant writer to the staff
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Participate in the cHIE (electronic health information exchange)
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Collaborate with DSAMH on Zero Suicide initiative
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Demographic and Performance Data-Fiscal Year 2014
Unduplicated
Clients Served
Male/Female
TOTALS
48%
Male
38%
Youth
Performance Data for Fiscal Year 2014
52%
Female
62%
Adults
Alaskan
Native
0%
Hispanic
Origin
12%
Mixed, Other
, Unknown,
7%
Ethnicity
White
78%
Adult SPMI
Non
SPMI
37%
SPMI
63%
American
Indian
1%
Asian
0%
Pacific
Islander
1%
Black
2%
NonYouth SED
SED
22%
SED
78%
Number of new Admits
Number of Patients Served
(unduplicated)
Inpatient Admissions
Unduplicated Inpt Admissions
5,603
8,922
772
556
TREATMENT (HOURS)
Evaluation/Testing
Individual/Family Treatment
Group Treatment
Med. Management MD (encounters)
Med. Management RN (encounters)
Skills Development/Adult
Skills Development/Youth
Behavior Management
Case Management
Peer Support Services
Psych Testing
Substance Abuse
15,123
44,132
28,299
16,110
28,990
80,618
62,429
90,580
41,726
1,000
3,818
5,043
BED DAYS
Inpatient
Inpatient WMH Coordination
Independent Housing
Adult Residential Supportive (SRT)
Adult Residential Intensive (IRT)
Vantage Point
TOTAL BED DAYS
3,455
2,112
33,248
10,974
4,492
2,635
56,916
* SPMI—Adults, identified as Seriously Persistently Mentally Ill (SPMI)
** SED—Children, identified as Seriously Emotionally Disturbed (SED)
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FISCAL &
ADMINISTRATIVE
SERVICES
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FISCAL AND ADMINISTRATIVE SERVICES
Services
Special Service District
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FISCAL AND ADMINISTRATIVE SERVICES
The Fiscal and Administrative Services Division is directed by Todd W. Phillips, CPA. This includes financial services,
information services and medical billing.
Highlights and accomplishments during FY2014 included:
Revision of a retirement policy that gives increased value and flexibility to employees and reduces the cost to the agency
Further refinements in the employee human resource on-line portal to provide more elements of information
Implementation of new integrated budgeting software that links to the accounting software
Improved process for recognizing revenue and accounts receivable amounts related to insurance and third-party billing
amounts to consider unique characteristics of various programs
● Expansion of the receipt of third party payments via electronic payments rather than paper checks.
● Further implementation of electronic billing for some commercial insurance carriers
● Completion of the annual independent audit and the Medicaid cost study audit.
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Todd Phillips, CPA
Goals for FY2015 include:
Fiscal and Administrative Services
● Further implementation of the electronic HR system
● Implement electronic payments to select vendors in the client representative payee area
● Introduce new financial reporting related to our acuity based care system of delivering clinical services
● Improve portions of the electronic billing function to provide better billing and collections information
● Upgrade components of our technology network
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FY 2014 Expenditures
$29,550,503
(Unaudited)
Personnel
76%
FY 2014 Revenue Sources
$28,852, 445
Misc
Expense
1%
(unaudited)
Medicaid
54%
Operating
6%
Client
Related
16%
Depreciatio
n 1%
Medicaid Fee For
Service
4%
Treatment
Contracts
7%
Other Revenue
3%
Insurance /
Personal
Payments
3%
Residential
Contracts
2%
County
4%
State / Federal
23%
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CARE
MANAGEMENT
SERVICES
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CARE MANAGEMENT SERVICES
E x e c u tiv e D ire c to r
J u e rg e n K o rb a n k a , P h .D .
Services
Special Service District
A d m in is tra tiv e A s s is ta n t
L e s lie O ls o n
C lie n t F a ta lity R e v ie w s
C lie n t G rie v a n c e S e rv ic e s
A s s o c ia te D ire c to r
C a re M a n a g e m e n t S e rv ic e s
D o ra n W illia m s , L C S W
A llie d A g e n c y C o o rd in a tio n
C lin ic a l O p e ra tio n s O v e rs ig h t
C o m m u n ity E d u c a tio n /In fo rm a tio n S ta ff
C o n tin u o u s Q u a lity Im p ro v e m e n t (C Q I)
C o rp o ra te C o m p lia n c e
D e v e lo p m e n t T ra in in g O v e rs ig h t
H IP A A R e g u la tio n s
M e d ic a id P o lic y a n d P ro c e d u re C o m p lia n c e
S tra te g ic P la n n in g
S u p p o rt S e rv ic e M a n a g e r
K ent D owns, M A
M e d ic a l R e c o rd s S u p e rv is o r
J a n H a ll, R H IT
A d m is s io n s /D is c h a rg e s /T ra n s fe rs
D is c lo s u re s
H IP A A /C o n fid e n tia lity T ra in in g
R e c o rd S to ra g e /R e te n tio n
A d m in is tra tiv e P o lic ie s a n d P ro c e d u re s
F a c ility C o n s tru c tio n
F a c ility M a in te n a n c e
F ix e d A s s e ts /In v e n to ry
P o lic y T ra c k in g
P ro c u re m e n t
V e h ic le M a in te n a n c e
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CARE MANAGEMENT SERVICES
The Care Management Services Department is directed by Doran William, LCSW, who oversees and manages the
operations of WMH’s Corporate Compliance Program and other compliance related matters. This includes:
The development and implementation of policies and procedures to ensure that WMH is in compliance with state and
federal laws and regulations.
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Doran Williams, LCSW
Associate Center Director
Overseeing all activities related to the development, implementation, maintenance of and adherence to policies and
procedures addressing privacy and access to protected health information (PHI).
Managing the Clinical Records Department to ensure the privacy and protection of all sensitive material and personal
information.
Providing leadership and participation in WMH’s Quality Assessment and Performance Improvement Program (QAPI)
that administers relevant activities necessary to deliver excellent service to members as well as compliance with the
Division of Medicaid.
In addition, the Care Management Service Department oversees:
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Business contract development and oversight of delivery of service.
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Outside clinical providers utilization management services.
Staff development and education training programs.
Facility maintenance, construction and operations.
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Goals for FY15
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We will work on improving WMH’s customer service and community relationships.
We will focus on concurrent documentation to include the consumer in the documentation process. Thus, improving the
documentation and relationship with the consumer.
We will continue to ensure that Wasatch Mental Health’s (WMH) buildings, vehicles, and facilities are maintained and represent
WMH in a positive manner to provide a comfortable and respectful place for recovery to happen.
We will work toward building an office building in Payson for improved access to treatment for clients in the Southern County.
We will work on improving the website of WMH.
We will work on decreasing the late and unlocked notes for employees and supervisors.
We will participate in a suicide assessment through the Mental Health Retention Group and conduct our own internal assessment.
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HUMAN
RESOURCE
SERVICES
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Services
Special Service District
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Human Resources
The human resource department supports Wasatch Mental Health by focusing efforts on our most important asset - our
employees. We accomplish this through the recruitment, selection and development of a qualified workforce who have
the unique competencies required to serve our clients. Our core functions are based upon the principles of:
• Recruitment of qualified individuals, and retention of our valuable employees
• Training and development promoting individual and organizational success
• A safe work environment promoting wellness for employees and clients
• Fair and consistent administration of policies and procedures
• Providing a competitive salary and benefits package
• Fostering an environment of equal opportunity
2014 Highlights
Ralf Barnes, SPHR
Human Resource Director
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Recruited, hired and oriented 95 employees and interns
Rolled out Employee Navigator, our new benefits enrollment web site
Implemented new recruitment electronic tracking process
Tested and implemented Greenshades, an employee self service portal
Completed termed employee file scanning project
Reestablished cultural competency committee
Hired new HR Specialist & HR Director
FY 2015 Goals
HR Staff
Our HR team is directed by Ralf Barnes, with HR Assistant Judy Guilbert
and HR Specialist Stephanie Mecham.
Each member of the HR department
has focused responsibilities, but we
are all available to help with any HR
issue.
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Improve new hire cycle time. We are developing a recruitment through orientation process flow to enhance response
time and improve compliance.
Implement new hire prescreen process. New applicants will be fully screened and cleared before their first day of
work.
Review and update all HR polices. Policies need correction and updating to reflect organizational changes.
Implement consolidated HRIS application. Develop an integrated HRIS system to reduce redundancy and improve
information accuracy.
Implement enhanced employee performance improvement process. An improved standardized process will be developed to improve overall center performance and guarantee the fair treatment of employees.
Review and update performance evaluation standards. As WMH grows performance standards must be updated to
reflect new program expectations. Our employees deserve clear performance standards that are in alignment with the
mission of WMH.
Complete credentialing project. Will utilize CAQH data warehouse to improve the credentialing process.
Enhance Relias Training utility. Will update reporting hierarchy to improve notification accuracy. Update training
courses and auto enrollments to improve efficiency.
Recertify all approved NHSC sites and add additional sites if possible.
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ADULT SERVICES
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ADULT SERVICES
Services
Special Service District
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ADULT SERVICES
Adult Services consists of the following programs:
Randy Huntington
Director
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Medication Management Services
Psychological Services
Adult Outpatient
Community Support Services and Representative Payee Services
Adult Skills Development Services
Supported Housing and Residential Services
Intensive Residential Treatment (IRT)
Expanded Crisis Services and Recovery Outreach Center (ROC)
Wellness Recovery Clinic (WRC)
Mental Health Court Services
Homeless Outreach (WATCH)
BRIDGE team (an ACT-like model)
Nursing Home services
Private Providers
Psychology Internship Program
Additionally, the Adult Division hosts and participates in regular coordination meetings with the following allied
agencies to coordinate services and improve the continuum of care:
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Division of Services for People with Disabilities (DSPD)
Utah County Substance Abuse
Utah County Jail
Utah County United Way
Provo City Housing
Housing Authority of Utah County
Food and Care Coalition
Department of Workforce Services
Vocational Rehabilitation Services
Project Reality
Community Action Services
Utah County Continuum of Care
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Adult Services Division - Fiscal Year 2014 Highlights
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Referrals to psychological services continue to increase over the previous years. Two psychology residents have been added to assist in keeping up with
the demand for this service.
Medication management services have reorganized to provide clinics at the level of care where clients are receiving other services. This creates a more
efficient and convenient service delivery for clients and creates more of a team approach to treatment. One of the buildings that house Level IV services
is being remodeled to create a medical clinic where pill boxes, shots, doctor visits and other medical services can be administered closer to where other
services are provided.
Medical clinics at the Utah County Jail have increased in duration to meet the demand of numbers of inmates needing to be seen.
An electronic prescription program that is integrated in the electronic chart was activated this year.
Nursing home medication management has been brought back in house this year. This will allow for closer coordination of care with other team members and the residential facility.
CIT continues to be a strong, highly rated, training for law enforcement officers. There are 2 academies a year in Utah County. One is specifically for
correctional officers and one is for patrol officers. This year will be the first year for the correctional academy.
Provo Police Department has a federal grant to orchestrate a community program to prevent abuse and neglect of the elderly and vulnerable populations. Wasatch Mental Health has participated in this community training and prevention effort.
A new physical health clinic was opened on site this year where clients in Levels 1, 2, and 3 receive services. This integrated health care model is an
exciting addition to services at Wasatch Mental Health.
BRIDGE Team, a community assertive community based treatment team, expanded by one case manager
Decreased wait time for clients to USH by better through-put and keeping higher acute clients in the community
Combined Adult and Youth crisis teams to more collaborative in outreach efforts
Worked closely with several property owners of apartments to find housing units for very chronic clients who have been denied rental spaces everywhere else in the county
Developed a partnership with Provo Police Department to coordinate community challenges
Hired a full time Peer Support Specialist and included Peer Support Services in every level of acuity
Opened Mountain Peaks Counseling (MPC) an Outpatient Clinic for people who have insurance
Expanded care to home bound elderly and Assisted Living facilities in addition to Skilled Nursing Homes
Added additional prescriber at South Campus/level 4 due to increased volume of appointments.
Expansion of nurses /med clinic at South Campus has begun
Increased Supervised Residential Treatment (SRT) beds from 32 beds to 33
Added clinical focus supervisor to the adult day treatment (ADT) model (Clubhouse)
Under the supervision of the new ADT supervisor we have added over 13 classes to focus on specific skills development and treatment for recovery.
Eagle scout project of bikes donated to Clubhouse - members ride them to and from TE's and for exercise/wellness.
Clubhouse was able to go on an extended treatment experience utilizing the Foundations support
Added ShopKo to our employment opportunities for members with 4 TE's (transitional Employment) and 2 SE's (Supported Employment)
Experienced many recovery service coordination (RSC) successes with individual clients progressing in their recovery
Expanded our Pre Assessment Screening and Resident Review (PASRR) staff for nursing home placements by one FTE to address growing numbers of
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referrals
Wellness Recovery Center continues to reach the goal of getting Inpatient clients into services in 7 days or less
Facilitated an internship program at the Utah County Jail to address a gap in discharge planning
Fiscal Year 2015 Goals
The Adult Division plans to achieve the following goals during FY 2015:
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Medication management services will continue to build and strengthen medical clinics. We will continue to focus on introducing our clients to the integration of their physical and psychiatric health care needs utilizing Mountainlands Community Health Clinic, which recently co-located with WMH.
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WMH will continue to work closely with the Utah Department of Substance Abuse and Mental Health to participate in the Zero Suicide Initiative. Prevention, intervention and Postvention initiatives will be emphasized. This will include specialized training for clinical personnel and the introduction of
the Stanley Brown Safety Plan in our clinical assessment.
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Due to increased demands at Utah County Jail, WMH will continue to build on our Prescriber clinics. We will coordinate with our internship program
to work towards improved discharge planning for inmates. We will start a pilot program in conjunction with Utah Valley University to provide two
social work internships at the Utah County Jail.
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WMH will continue co-sponsoring the twice annual CIT academy, including the newly implemented academy targeted specifically at correctional officers. We will strengthen the current partnership with Provo Police Department for increased coordination of care and participate in the General Police
Academy at Utah Valley University.
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WMH will continue introducing Peer Support Services on each Level of Care, including filling the two existing part time positions.
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WMH will focus on Recovery Services Coordination with the target of offering the correct amount of services for each client. This will continue to include both informal (with the Clinical Staff) and formal (with Administrative Staff) reviews.
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Of the 5,561 adults served in FY 14, 2383 (42%) were male
and 3178 (58%) were female. The following graph depicts the
gender distribution in the adult division for FY13.
The following table shows services provided to clients in the adult division:
Treatment Service Units Provided in Adult Services
Treatment Service
Unduplicated Adults
Served
Male
43%
Female
57%
Evaluation
Individual/Family Therapy
Group Therapy
Meds Management MD (Encounters)
Meds Management RN (Encounters)
Skills Development- Adult
Behavior Management
Case Management
Peer Support Services
Psychological Testing
Hours/ Units
6,236
23,752
10,360
6,554
6,415
39,469
4,270
66,782
549
1,178
Of the adult clients served, 3,531 (67%) met the criteria for having a Serious and Persistent Mental Illness (SPMI). This is
slightly higher than the percentage of SPMI clients served during
FY13. The following graph depicts the proportion of the SPMI
population during FY14.
SPMI Adults 67%
33%
67%
27
LEVEL 1—PSYCHIATRIC OUTPATIENT SERVICES
Psychological Assessment Services
Psychological testing to assist in diagnostic clarification and treatment planning is performed by staff psychologists, psychology residents and doctoral level psychology interns. This service is primarily utilized by prescribers and therapists seeking
objective information regarding a client’s condition and prognosis. WMH has a designated testing center that centralizes resources and coordinates testing that takes place center wide. The Psychological Services Department added two psychology
residents and two graduate students this year to assist in handling the number of referrals made to the department. The Department has focused on having testing done in a timely manner and having feedback sessions with the client and referral source to
ensure that the results are understood and useful.
Medication Management Services
Geri Alldredge, Ph.D.
Program Manager
WMH clients are provided Medication Management Services by staff psychiatrists, APRN’s, and nurses assigned to various
clinics and levels of care throughout the organization. Medication Management Services are an integral part of treating individuals with mental illness. Clients whose symptoms are adequately stabilized through medication management experience a
better quality of life and personal independence in the community. Nursing services are an integral part of the medical department. Nurses monitor medical vital signs, coordinate care with other providers, work with prescription refill needs and provide
clients with essential information regarding medical mental health needs. Wellness Coordinators are also a central part of medication management services. Wellness Coordinators assess the need for physical health care and coordinate that care with community providers and the recently opened Mountainlands Health Clinic
at our Westpark location. Medication management services have partnered with level of care service sites to provide clinics where the client receives other services
to create more of a team approach to providing care and to centralize services for the client. A new psychiatric medical clinic will be opening this year at our South
Provo location to better serve Level IV clients. A new physical health clinic was opened on site this year where clients in Levels 1,2, and 3 receive services. This
integrated health care model is an exciting addition to services at Wasatch Mental Health.
Utah County Jail Mental Health Services
Wasatch Mental Health contracts with Utah County Sheriff’s Department to provide mental health services at the Utah County Jail. Wasatch Mental Health provides two medication clinics a week for inmates requiring mental health services. Wasatch Mental Health also has a full time social worker who provides direct
care to inmates and serves as a liaison between the two organizations to coordinate care during and after incarceration.
Outside Provider Management
Wasatch Mental Health maintains a provider network of licensed private practitioners in the fields of Psychiatry, Psychology, Social Work, Marriage and Family
Therapy, and Professional Counseling to meet the needs of clients who cannot be served within the center. Services are provided to clients in the community when it
better meets their needs.
Crisis Intervention Training (CIT)
Crisis Intervention Training is an international program orchestrated and supported by the State of Utah with a local partnership between Orem Public Safety and
Wasatch Mental Health. Officers participate in forty hours of training on mental health issues. The main goal of the academy is to promote understanding, empathy
and skill building for law enforcement officers dealing with individuals with mental illness and their families.
28
Elder and Vulnerable Adult Coalition (EVAC)
EVAC is a multi-agency coalition whose goal is to prevent abuse, neglect and fraud of the elderly and vulnerable populations through collaboration and networking
of community agencies. The coalition works to increase awareness and create strategies to combat problems with in the community.
Highlights for 2014
•
•
•
•
•
•
•
•
Referrals for psychological services continue to increase over the previous years. Two psychology residents have been added to assist in keeping up with the
demand for this service.
Psychological services hired two graduate students from Brigham Young University to assist in keeping up with psychological testing requests. This is a first
step in creating a more formal relationship with the university.
Medication management services have reorganized to provide clinics at the level of care where clients are receiving other services. This creates a more efficient and convenient service delivery for clients and creates more of a team approach to treatment. One of the buildings that house Level IV services is being
remodeled to create a medical clinic where pill boxes, shots, doctor visits and other medical services can be administered closer to where other services are
provided.
An electronic prescription program that is integrated in the electronic chart was activated this year.
A new physical health clinic was opened on site this year where clients in Levels 1, 2, and 3 receive mental health services. This integrated health care model is
an exciting addition to services at Wasatch Mental Health.
Nursing home medication management has been brought back in house this year. This will allow for closer coordination of care with other team members and
the residential facility.
CIT continues to be a strong, highly rated training for law enforcement officers. There are 2 academies a year in Utah County. One is specifically for correctional officers and one is for patrol officers. This year will be the first year for the correctional academy.
Provo Police Department has a federal grant to orchestrate a community program to prevent abuse and neglect of the elderly and vulnerable populations. Wasatch Mental Health will continue to participate in this community training and prevention effort.
Goals for 2015
•
•
•
•
•
•
The Psychological Services Department is still new and will focus this year on stabilizing service delivery. We believe that we are now staffed to keep up with
the demand for this service.
Medication management services will continue to create and/or stabilize medical clinics at Level of Care service sites. Level 4 will be a particular area of focus in the upcoming year.
Partnering with Mountainlands to coordinate medical care will also be a focus in the upcoming year.
Genetic testing for medication metabolism will begin this year to determine if it is helpful in prescribing psychotropic medications.
WMH will continue co-sponsoring CIT academies in Utah County and Wasatch County.
WMH will continue to participate in training on the prevention of elder and vulnerable abuse and neglect.
29
Medication Services Organizational Chart
Services
Special Service District
30
LEVEL 2 ADULT OUTPATIENT SERVICES
*The Adult Outpatient (AOP) clinic provides treatment and case management to adults residing in Utah County. Licensed
psychotherapists provide individual and family therapy, therapy groups, behavior management groups and supportive
counseling.
A Licensed Case Manager provides Case Management, Personal Services, Rep. Payee Services, and some limited Skills
Development Services.
The Adult Outpatient Program utilizes Master’s and Ph.D. interns from several different universities from across the country. The Psychology Intern program has been a member of the Association of Psychology Postdoctoral and Internship
FY 2014 Highlights
AOP continues to provide outreach
Dean Anderson, LCSW and consultation to other agencies and
Program Manager
organizations in the County in order to
build relationships and improve
services. Recent efforts include: making presentations to community
and religious groups, presenting at the Brigham Young University Law
School about domestic violence treatment, attending DCFS staffing
and coordination meetings, co-leading dual diagnosis groups with Utah
County Substance Abuse, providing treatment and support to clients
who live in nursing homes and assisted living facilities, participating
on the local Domestic Violence Council and working closely with
DSPD providers to care for those with MI and MR diagnoses.
The AOP Secretaries have been trained and are now providing quality
receptionist and scheduling services for Mountainlands Health Center
which is located at Westpark.
All contracts managed by AOP were utilized well with the available
funds being exhausted in the last days of the fiscal year.
The “Thinking Matters” group was started for Mental Health Court
clients. The developer and group leader presented at the Western
Region Mental Health Court conference with one of the local judges
expressing his feelings about the program and its success.
AOP therapists completed 818 new intakes in FY14, which is an
increase of 11 intakes from last year and an average of 68.17 per
month.
•
•
•
•
•
•
•
•
•
•
•
•
•
•
In November 2013 the AOP Program Manager met with all AOP clinical
staff individually to review the data in regards to their progress towards
their productivity, late notes and other goals. AOP clinical staff, as a
collective department, reached 100% productivity several times in FY 2014.
Late notes have been low for most of the year; they are at an average of
approximately 5 per month, secretaries and therapist work together to
reduce this number.
AOP Secretaries served 17,061, clients at the check in desk; this is an
average of 1,551 per month. The breakdown of these numbers are 10,789
per year or 989 per month on average who came to see the therapists and
6,272 per year or 570 per month on average who came to see the
prescribers.
Secretaries work to fill provider’s schedules even if it means making
multiple calls and filling the same hour more than one time.
Collected 7,522 OQ questionnaires. This is an average of 626.8
questionnaires per month.
On those occasions where an outcome questionnaire was administered,
AOP clinicians referenced the questionnaire in their therapy notes 95.5% of
the time.
AOP and WMH lead the State of Utah in the number of OQ45s given to
clients and the use thereof.
Hired a second nursing home therapist /liaison.
Had a 105% increase in the number of assisted living homes we are going
to, to provide mental health services.
31
•
Had a 13% growth in the number of clients served in nursing
homes.
•
•
Partnered with Mountainlands Community of Governments case
management team to start providing mental health care to a few
elderly mentally ill clients in their homes.
Increased the use of an innovative scheduling; this has increased
productivity.
Increased department productivity by 4.51% despite changes in
CPT codes that negatively affect productivity.
Continue to implement Recovery Services Coordination in an effort
to help clients focus on their recovery and minimize client
dependency on WMH and its staff.
Provided approximately 40 student interviews for UVU and BYU
students who are exploring careers in mental health or are in
graduate school assigned to learn more about mental health
treatment.
AOP staff participated in a variety of WMH wellness programs for
staff.
In 2013 AOP used 2 volunteers for 19.5 hours. In 2014 AOP used
5 volunteers for 222.25 hours.
•
•
•
•
•
•
•
•
Consistently reach the expected number of collected OQ-45s. OQ-45s will
be given to every client, every week and utilized as a therapeutic tool.
Complete annual assessments on every client.
As the elderly population grows, expand mental health care to this
population in nursing homes, assisted living centers, and their homes.
FY 2015 Goals
•
•
•
•
•
•
All staff will reach their productivity goals.
There will be no notes submitted later than 2 weeks.
Encourage recovery and client-centered treatment planning and
service delivery as a healthy philosophy in working with clients on
their challenges.
Meet WMH standard of utilizing collaborative documentation.
Implement the use of more Evidenced Based treatments and groups.
Improve the use of Recovery Coordination Services in an effort to
help clients achieve their goals and work toward more independent
living.
32
MOUNTAIN PEAKS COUNSELING
Annual Report Fiscal Year 2014
Introduction
Mountain Peeks Counseling (MPC) serves adults and children who have insurance, private payment, or ecclesiastical payment.
Licensed psychotherapists provide assessments, individual therapy, marital therapy, and family therapy.
A licensed prescriber provides medication management
MPC is open Monday through Thursday from 5:30 p.m. to 9:00 p.m. for therapy and every other Wednesday from 3:00 p.m. to 5:00 p.m. for prescriber clinics.
Fiscal Year 2014 Highlights
•
•
•
•
•
•
•
•
•
Mountain Peeks Counseling opened its doors on September 23, 2014.
Started the clinic with two therapists working an average of one hour per week.
Finished the fiscal year with four therapists working an average of 3 hours per week.
A Prescriber started working at the clinic in March 2014.
In the first nine months, 82 clients were served.
287 therapy sessions were provided.
14 medication management evaluations and 6 medication management follow up sessions were provided.
Percentage of co-payments collected - 96%
Number of co-payments collected - 192 out of 201
Fiscal Year 2015 Goals
•
•
•
•
•
•
Encourage Recovery and Client-Centered treatment planning.
Meet WMH standard of utilizing collaborative documentation.
Double the number of clients served in the clinic in the second year of operation.
Collect 100% of the expected co-payments.
Collect 100% of third party payments.
Expand the number of therapy and medication management services provided.
33
LEVEL 3 — COMMUNITY SUPPORTIVE SERVICES
Community Supportive Services provides comprehensive mental health services to clients at Level 3 acuity. Level 3
clients are typically those with mental illnesses who live out in the community in their own housing, but require substantial case management support to maintain independence. These clients may also benefit from time limited individual and group psychotherapy to resolve transient issues that may appear in their lives. Two treatment teams have been
created, each with a clinical therapist, 4-5 case managers, and a Program Manager or Supervisor. Clients also have
access to WMH doctors and nurses who care for the clients’ medication needs. With this team approach clients can
expect to have services wrapped around them in a coordinated manner. Our goal is to promote recovery through our
service provision and to encourage increased independence as measured by moving to a lower acuity level. In FY 14,
CSS served 1,125 unduplicated individuals.
REPRESENTATIVE PAYEE SERVICES
Brian Butler, LCSW
Program Manager
Occasionally, Social Security may designate that Social Security beneficiaries with a mental or physical disability
have a representative payee to manage their benefits until a physician designates that they are have recovered sufficiently to manage their benefits appropriately on their own . Wasatch Mental Health is often the natural choice to provide this valuable service. Wasatch Mental Health provides Representative Payee Services (RPS) to approximately
275 adult clients at any given time. These services are provided across Levels of Care 1-5. RPS staff work with clients to budget their money on a monthly basis, pay bills on the client's behalf and partner with them to become more
independent in the management of their funds. In RPS, the goal is to assist clients in becoming responsible enough
with their money that they are able to become their own payee, or reduce their reliance on the WMH payee system to
the furthest extent possible. RPS is audited extensively by Social Security every 3 years. During the most recent audit, RPS received no recommendations or
findings and received compliments on the manner in which client funds are managed.
WATCH PROGRAM (HOMELESS OUTREACH)
The WATCH program (co-located with the Food and Care Coalition) assists individuals who are homeless and chronically mentally ill to obtain adequate
treatment (including: psychiatric care, therapy, and case management) as well as adequate housing and other necessary services. In FY 2013, the WATCH
program served an average of 86 individuals per month. Through funding from the State Emergency Shelter Grant (ESG), Wasatch Mental Health and our
501c(3) Friends of Wasatch Mental Health Foundation, 1,084 nights of safe emergency shelter was provided to 106 homeless individuals to assist them in
their transition from the street to permanent housing.
MENTAL HEALTH COURT
The Mental Health Court program has been functioning in the Provo 4th District Court since 2004. On September 20th, 2007 a second Mental Health Court
was inaugurated in the Provo City Justice Court. Then, in December 2011, an agreement with Orem City Justice Court was made to begin a 3rd Mental Health
34
Court in the county. These smaller Mental Health Courts serve those who have been charged with Class B and C Misdemeanors.
The goal of Mental Health Court is to help to engage the mentally ill participant in mental health treatment so that they are less likely to engage in criminal
behaviors. Following a mental health screening for appropriateness, the Mental Health Court offers a plea in abeyance agreement for clients charged with
misdemeanors and some non-violent felony offenses.
Judge Fred Howard of the Fourth District Court, Judge Vernon “Rick” Romney of the Provo City Justice Court and Judge Reed Parkin of the Orem City
Justice Court preside at the hearings which are held every Monday, Thursday and Wednesday afternoons respectively. Case managers and therapists track
and report on each participant’s participation and progress in treatment to the court on a weekly basis. There has been a great deal of community support and
dedication on the parts of those agencies and organizations that are working to make the Mental Health Court program successful. Data gathered continues
to demonstrate cost-savings as a result of Mental Health Court as shown by a decrease in jail bed days for current participants and graduates of the program.
Data indicates that 70 percent of MHC graduates do
not return to jail after graduation.
Annualized Jail Bed Days for MHC Graduates
2009-2013 n=104
Wellness Recovery Clinic
The Wellness Recovery Clinic is a no-fee clinic
opened on July 1, 2005 to provide short-term mental
health services to individuals in need who meet income eligibility guidelines and do not have medical
insurance. In FY14 the WRC served a total of 474
unduplicated clients who were uninsured or underinsured.
The Wellness Recovery Clinic provides the following
services to clients on a short-term basis to help stabilize mental health with the aim to refer to outside
community providers for ongoing care::
Intake Screenings/Assessments
Group therapy
Case management
Psychiatric Evaluation/Meds Management
Medication assistance.
Psychological testing
2500
2237
2000
1500
1431
1000
666
500
281
0
Yearly average 3 years
prior
1 year prior
Yearly average during
MHC up to 11-1-2013
Yearly Average After
MHC up to 11/1/2013
35
LEVEL 4—SKILLS DEVELOPMENT SERVICES (Clubhouse Model)
“WASATCH HOUSE” (CLUBHOUSE)
A place to come. A place of meaningful work.
A place for meaningful relationships.
A place to return.
Recovery Happens Here!
In FY2014, Skills Development Services treated a total of 241 individuals, with an average daily attendance of 82 clients, and
a total of 76,838 hours of skills development were provided.
Wasatch House provides a supportive environment which encourages members to improve the quality of their lives. The
program is successful in helping clients to stay on their medication, and preventing hospitalization. The value of work is at the
core philosophy of the healing process. All clubhouse work is designed to help members regain self-worth, purpose, and
confidence. Wasatch House is accredited by the International Center for Clubhouse Development. There are 3 clubhouse
programs in Utah and over 300 worldwide.
Wasatch House is equipped with a state of the art commercial kitchen, exercise equipment, updated sound, video and
computers, along with a large thrift store, business, and career and education room.
Our wellness program continues to grow as we encourage our members to participate in classes of discussion and working out on our exercise equipment. In
these classes we encourage a healthy living and we teach about nutrition and other activities for positive health benefits. Our “biggest loser” and “clubhouse
weight watchers” program has assisted dozens of members to lose weight. We have a successful diabetes class and are educating on coping with this disease.
Dave Blume, LCSW
We are also having success with our tobacco cessation class as we encourage and support our members who want to quit smoking. We have excellent support
and resources from the Utah County Health Department as we assist our members in reducing or quitting their smoking habit.
Our ‘Stigma Busters” group is active in Utah County as we educate the community on mental illness and the myths behind this disease. We are regular presenters
at Brigham Young University, Utah Valley University and the University of Utah where we present to psychology and social work students.
We have had continued success in our skills development in the form of classes where we teach specific skills to enhance the quality of the member’s lives. We
are discussing things like men’s and women’s issues, transportation/learning the bus system, education tutoring, Spanish learning, self esteem, self awareness
skills, life skills, anger management, cooking and relationship building techniques. These classes help members to learn specific skills to help them with
improving their functioning.
Clubhouse participants come from a variety of different settings including: Intensive Residential Treatment (IRT), Supported Residential Treatment (SRT),
Community Supported Housing (Alpine House), nursing homes, as well as individuals living independently in the community.
36
Clubhouse participants come from a variety of different settings including: Intensive Residential Treatment (IRT), Supported Residential Treatment (SRT),
Community Supported Housing (Alpine House), nursing homes, as well as individuals living independently in the community.
Clubhouse is also an integral part of helping clients transition out of the State Hospital. Prior to their discharge, clients have the opportunity to attend Clubhouse
for a couple of weeks, to help ease the transition from the State Hospital back to the community. While at Clubhouse, clients are given the opportunity to
demonstrate their readiness for discharge.
Some successes we enjoyed this past year was an extended activity to Torrey Utah, funded largely by the Friends Of Wasatch Mental Health foundation. We
took 64 members and 14 staff on a 3 day extended activity. Clients expressed great appreciation for the opportunity as they reported how it reduced their
symptoms of mental illness. They attributed their success to the preparation and anticipation of taking this trip. They were able to utilize the social and adaptation
skills they learned while attending the Clubhouse.
We have added a focus with supervisor support at the Clubhouse. Ed Zunkowski was asked to give 12-15 hours of his week as a supervisor to the Clubhouse
staff to enhance the clinical treatment of our program. As mentioned above we have classes offered to teach skills development to the members to enhance the
quality of their life. Ed has also increased the supervision regarding the recover plans for the members. He has been training the staff members to improve the
quality of the recover plans and involve the client in setting goals and reporting more accurately on their progress.
Recovery service coordination has been a large focus in our program as we look closely at the progress of our members. We are encouraging members to reach
for their goals and encourage them to find other resources to fill their day. Many of the members at Clubhouse have been attending for many years, some for
over 20 years. We are asking them to consider making progress outside of the Clubhouse and develop interests in areas that will help them in their recovery. Our
focus has turned more towards a needs based program and we are encouraging them to set achievable goals and celebrate their success as they get involved in a
variety of activities in our communities. We have been able to transition many members toward a lower acuity of care and some even completely out of services
as they succeed in their goals.
Supported Residential Services
We operate with a full time staff of 6 and 1 - ¾ time case managers along with 2 full time clinical therapists. This team works closely to provide wrap around
services for the clients we serve. We have served 225 unduplicated clients in what we call level 4 services. We work very closely with the Skills Development
Services as the clients participate in psychosocial and psychoeducational rehabilitation.
The Doctors clinic provided at the South Campus building provides psychiatric care for clients who are assigned to level 4. We currently have 4 prescribers
who come to this clinic to bring the service closer to where the clients receive their day treatment. Case managers accompany the client to these visits to ensure
quality information and treatment is being coordinated with the prescribers. We are adding the services of 1 full time and 1- ¾ time nursing staff to our clinic
with a newly remodeled nursing station. This continued effort to bring services closer to this severely mentally ill population. Clients will be able to fill their pill
boxes and seek medication assistance without traveling across town for this service.
37
Supervised Residential Services
Supervised Residential Services consists of several levels of supervision within a 50-bed apartment complex located in Payson, Utah. All of these apartments are
shared housing. It is owned and operated by WMH. Housing services includes: house parents, case managers, daily pillboxes, and supervised independent living,
and the Clubhouse model of psychosocial rehabilitation. Within this 50 bed complex, we offer more intense support for up to 33 clients who are in more need of
wrap around services due to their acuity of need being higher. These clients are in a treatment based housing where they attend Skills Development regularly and
have more intense case management with pill boxes for medications and more support form the house parents at the residence. The remaining 17 beds are slated
for clients who are more independent in their abilities and do not require the more intensive services (described in more detail below as independent living).
Alpine House
Alpine House is a non-treatment, 18-bed, home-style facility with bedrooms and family meals for WMH clients. It is owned and operated by Utah County
United Way. The 24-hour house parents are their employees. In addition, Wasatch Mental Health provides daily pillboxes, case management for each of the
clients and requires clients to participate in the Clubhouse model of psychosocial rehabilitation.
Independent Living
Independent Living consists of four non-treatment housing complexes. 1) Mapleview Apartments, a 24-bed apartment complex run by Provo City Housing, 2)
Payson Independent Living Apartments, a 17 bed apartment complex owned and operated by Wasatch Mental Health, 3) Yarrow Apartments, a 17-bed
apartment complex managed by Utah County Housing, and 4) Provo duplex (4-beds), Sunrise (6-plex, 11-beds), Sunset (4-beds) managed by Provo City
Housing. Each of these apartment complexes has case managers assigned to monitor and tend to the clients needs such as money management, connecting with
community resources, and general mental health care.
Referrals for admission to Supported Housing Services come from various sources such as Inpatient facilities, the Utah State Hospital, crisis workers, allied
agencies within the community and other departments within Wasatch Mental Health. Clients transition throughout the entire housing structure as they develop
the skills to live as independently as possible. The ultimate goal is to have the client transition to complete independence as they develop these skills.
Some areas of success we have experienced this year are expanding our Supported Housing Treatment by 1 bed in Payson as we have been able to meet the
needs of more individuals in that supported environment.
Recovery Services Coordination has been a big focus in our services in the Housing department. We have developed a tracking system and are utilizing a
reporting tool in our electronic records to closely monitor how long a client has been in services and how they are doing in reaching their goals. The Housing
Team works closely with the Skills Development team (Clubhouse), to help clients achieve their goals and work towards less dependence on the mental health
system. There is a big focus on the right amount of service at the right intensity. We have helped many clients progress to a lower level of acuity as the make
progress in their recovery goals.
38
Level 5—CRISIS SERVICES
The following graph represents the total and breakdown of Crisis calls which were received for 2014. Wasatch Mental
Health Callers, Non Wasatch Mental Health Callers, Calls which were passed onto a Clinician, Resolved on the phone, or
Resolved Face to Face.
Kip Landon, LCSW
Program Manager
Crisis Services (Daytime/
Nighttime Crisis Services)
Crisis Services provide emergency services 24-hours a day,
7 days per week 365 days per
year. Emergent and urgent care
assessments are conducted;
including walk-ins and phone
calls from current Wasatch
Mental Health clients and
community residents needing
care. If hospitalization is
needed for stabilization, Crisis
Services makes the appropriate
arrangements.
Inpatient
Inpatient services are provided by contract with local hospitals. They are the most restrictive and intensive resource
offered by the center. We also manage the fiscal oversight that is connected with inpatient stays. Managing this important
resource involves providing the most effective and efficient care possible. Inpatient services include 24-hour a day
nursing assistance and supervision in a locked psychiatric hospital. Daily programming includes medication
management, nursing care, case management, psychotherapy groups, individual psychotherapy, recreational therapy, and
daily activities. Discharge planning meetings with family members and other individuals provide support to the client as
they move to a less restrictive environment. The treatment team assesses and evaluates the client daily in a clinical
staffing. All clients discharged from the hospital receive an outpatient plan that includes follow up appointments.
Involuntary Civil Commitment to Mental Health Treatment
Crisis Services maintains the oversight for all initial involuntary civil commitment applications and court ordered commitment
processes. This includes both youth and adult clients. A monthly civil commitment review meeting is held to ascertain whether
clients up for review should remain under involuntary civil committed, be allowed to discontinue services on a voluntary
39
basis, or be offered continued services on a voluntary basis.
Recovery Outreach Center (ROC)
The Recovery Outreach Center (ROC) is located on WMH’s Parkview campus. This is an expanded Crisis Service that includes on-site intervention and
mental health triage for acute psychiatric stabilization. WMH has the goal of decreasing the number of inpatient psychiatric bed days by providing other
levels of care in addition to inpatient psychiatric hospitalization.
Family Assessment Stabilization Team (FAST) Mobile Crisis Outreach
FAST – Family Assessment Stabilization Team is a new innovative way of thinking about mental health treatment. FAST, as it implies, focuses on
timely intervention and prevention to both youth and adults. FAST includes 24-hour access to care, Mobile Crisis Outreach in the community, shortterm day services at the ROC (Recovery Outreach Center), Intensive Residential Treatment (IRT), and Inpatient Hospitalization when necessary. We
provide assessment, prevention, crisis resolution, consultation, and follow-up services. We work in concert other community agencies, physical health
providers, and law enforcement, to provide holistic treatment approach to mental health care.
Intensive Residential Treatment
(IRT)
IRT is a residential care/treatment
program designed to help people who
suffer from chronic mental illness by
providing resources, services, and
opportunities as an alternative to
psychiatric hospitalization. This program
is a 16-bed adult residential facility
serving both men and women ages 18 and
older. Beds are typically available for 8
males and 8 females. IRT is staffed with
24-hour, 7-days a week personnel,
including a nurse. An array of services is
provided including assessment, individual
therapy, group therapy, skills
development, case management, day
treatment, medication management, and
psychopharmacology. A psychiatrist
makes rounds bi-weekly and is available
on-call, 24-hours a day.
Wasatch Mental Health
Crisis Services
Inpatient
• PCBH
• UVRMC
• UNI
• SLBH
• AF
• Mtn. View
• Timpanogos
FAST
Family
Assessment
Stabilization
Team
• Mobile Crisis
Outreach
Bridge
TeamACT
Model
24 Hour
Crisis
• Youth
• Adult
ROC
Recovery
Outreach
Center
IRT
Intensive
Residential
Treatment
USH
•Youth
•Adult
•Treatment
Triage
40
Bridge Team (Act like Model)
We have expanded staff for the Bridge team in order to meet the needs of clients living in the community. The Bridge program was created to provide
more intensive community support for individuals transitioning from inpatient care to less restrictive settings. Also for individuals needing more
intensive services to remain stable in the community. The Bridge program is based on an Assertive Community Treatment (ACT) model of care but has
been tailored to meet local needs. The Bridge staff is comprised of a multi-disciplinary team who provide services in the community as well as at the
mental health facility. The Bridge Team delivers in-home services to individuals whose illness prevents them from successfully participating in services
delivered in a traditional clinic model. This concept is known as “a hospital without walls.”
Utah State Hospital (USH)
A staff liaison with the Utah State Hospital facilitates admissions and discharges from this hospital for both youth and adults, as well as monitors
progress during the patient’s stay in the hospital. The average length of stay for a patient referred by Wasatch Mental Health to the USH is
approximately nine months. Patients may only be admitted to the Utah State Hospital by Wasatch Mental Health, or in the case of a forensic patient, by
a Utah State District Court Judge.
Peer Support Specialist
Peer Support Specialist is an additional service that has been implemented to build alliances, instill hope, and demonstrate that recovery is possible.
Peer Specialists assist clients in Crisis Services to improve socialization, problem-solving skills, secure and maintain employment, pursue educational
goals, overcome their fear of failing in society because of the stigma of mental illness, prevent hospitalization or a more restrictive treatment
environment, and instill hope as “someone has been there.”
Highlights
•
•
•
•
•
•
•
•
Expanded the BRIDGE Team by one additional case manager and approximately 8 additional clients
Expanded Peer Support Specialist services to all acuity levels
USH throughput is much improved, and we able to admit patients much more quickly
Incorporated the Stanley Brown Safety plan as a regular tool in crisis interventions.
Crisis Staff increased the number of new client intake evaluations as overflow for Westpark, PFC and WRC
Several national and state officials remarked that the FAST follow up after crisis and inpatient admissions is the “Golden Standard” of providing
wrap around services
Increased relationships and housing options for BRIDGE Clients in the community
Increased WMH presence with city and school suicide protocols
Goals
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Increase presence and partnership with Hope4Utah and suicide prevention in public school systems
Remain within Inpatient Psychiatry Budget
Increase BRIDGE Team to at Least 60 clients by FY 2015
Continue to provide community training on crisis intervention resources and involuntary civil commitments
Decrease late notes
Increase OQ scores collected each month
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CHILD AND
FAMILY SERVICES
42
CHILD AND FAMILY SERVICES
Services
Special Service District
43
CHILD AND FAMILY SERVICES—CFS
Youth and Family Services consists of the following programs:
Provo Family Clinic
Spanish Fork Family Clinic
DHS Services
GIANT Steps
Stride Partial Day Treatment
Vantage Point Youth Services
Grandfamilies
Aspire Academy
American Fork Family Clinic
Wasatch County Family Clinic
New Vista Day Treatment
XCEL Partial Day Treatment
Youth Mobile Crisis Team
School Based Behavioral Health Services
Strengthening Families
Additionally, the Youth and Family Services Division hosts and participates in regular coordination
meetings with the following allied agencies to coordinate services and improve the continuum of care:
Catherine Johnson, LCSW
Director
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Division of Children and Family Services
(DCFS)
Juvenile Justice Services
Juvenile Court
Juvenile Court Judges
Fourth District Court
Multi-Agency Coordinating Council
Childrens Justice Center
Utah County United Way
PIC Committee
Mountainland Headstart
Kids on the Move
Kids Who Count
Provo Early Intervention Program
Provo School District
Alpine School District
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Nebo School District
Wasatch County School District
North County Medical Coalition
Provo Medical Coalition
South County Medical Coalition
Heber Valley Hospital
Autism Resources of Utah County
Autism Council of Utah
Utah Infant Mental Health Association
Utah County Continuum of Care
Division of Services for People with Disabilities (DSPD)
Brigham Young University
Utah Valley University
University of Utah
Utah State University
•
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•
State Division of Substance Abuse and Mental
Health Behavioral Health-force Work Group
Utah County Substance Abuse SMART Committee
Utah Department of Human Services Systems of
Care Implementation Committees
44
groups. He presented on understanding and addressing mental health
issues among LBTQ youth. He also presented on how to respond to
adolescent self injury. Some of the places he presented were the
Generations Conference, school counselors of Alpine school district,
Medical coalition meeting in North, South counties and Provo. He also
presented to psychology students at UVU, The Child abuse Prevention
team, and numerous other groups.
Stride and School based services across the county worked together to
provide summer services.
In March WCFC and Wasatch County Sheriff hosted a CIT Academy
The Wasatch County Suicide Prevention Coalition was created.
Adopted the Systems of Care treatment approach with allied agencies for
several cases to pilot this integrated treatment approach
Fiscal Year 2014 Highlights
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Opened Aspire Academy, a girls group home.
Added Respite workers to the Youth Mobile Crisis team
Michael King developed a description of the Acuity Based Care levels and
the GAF facilitating client/ clinician communication and understanding
WCFC hosted a QPR train the trainer at the Wasatch Campus of UVU in
Heber.
Wasatch Mental Health was presented the plaque for organization of the
year by the Utah County Child Abuse Prevention team
Scott Taylor , program manager over Vantage Point and the youth crisis
team, was presented with the award for the professional of the year by the
Utah County Child Abuse Prevention team.
Catherine Johnson participated in the Zero Suicide Academy in
Washington, DC. with 15 other entities.
Richard Hatch and Bryant Jenks participated in the International CIT
conference in Hartford Connecticut.
Catherine Johnson traveled with Dinah Weldon DSAMH, Lana Stohl
DSAMH and Gail Rapp Bureau of Medicaid to participate in a seven state
think tank regarding systems of care.
Implemented the Systems of Care approach to providing services with two
families.
Hosted the second annual open house for Mental Health Awareness Month
in May at each of locations where treatment is provided to youth and
families.
Added a program manager to the Youth and Family Division
Clinical note and Safety Plan have been integrated into the Junction web
chart.
Collaborative documentation is being done by more clinicians, including
the youth services admin tech who takes minutes at several meetings.
Brenda Chabot was featured in a KSL TV news interview regarding the
FRF program and NAMI Utah County.
The American Fork and Provo Strengthening Families Programs received
a $5,000 grant from the Ashton Family Foundation.
The Treatment Support Measure (TSM): A new Evidence-Based Resource
for Child and Family Cases- was made available.
Michael Riquino did numerous presentations to school and community
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Fiscal Year 2015 Goals
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Continue to develop a treatment track program for youth services.
Continue to improve documentation by implementing accountability
measures to ensure that documentation is completed on time, incorporates the client’s voice and goals, and includes measurable and obtainable objectives.
Consider developing a Youth Mental Health Court.
Implement collaborative documentation with at least 50% of the staff
Implement the Systems of Care approach to services with at least 10
families.
Find or Build a new building for the Spanish Fork Family Clinic in
South County
Expand GIANT Steps more to the south part of the county.
Expand the Youth Crisis Team by one masters level clinician.
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Service Data and Statistics – Youth and Family Services
In FY 14, the Youth and Family Services Division served 4768 unduplicated individuals.
For FY 14, 3250 (67%) were youth clients, ages 0 to 18 years, while 1624 (33 %) were
adult clients, ages 18 years and older. The following graph depicts the age distribution
in the youth division for FY14.
Of the youth clients served, 2707
(78%) met the criteria for having a
Serious Emotional Disturbance
(SED). This graph depicts the proportion of the SED population during
FY14.
46
CHILD AND FAMILY SERVICES
Treatment Service Units Provided
Gender Distribution CFS
Divsion 2014
Male
56%
Female
44%
For FY 14, 1933 (56%)
youth clients were male
while 1542 (44%) youth
clients were female. This
graph depicts the gender
Hours/Units
Evaluation
5,065/4,662
Psychological Testing
2,132/1,546
Individual Therapy
23,738/26,029
Group Therapy
16,997/12,183
Medication Management MD
1990 / 3616
Med Management RN
885/3,530
Behavior Management
44,519/15,129
Case Management
8,641/13,120
Psychosocial Rehabilitative Services
63,427/36,008
Peer Support Services
437/316
Behavior Management
89,099/44,128
Bed Days
Vantage Point
2635
Inpatient
1273
Aspire Academy
1627
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PROVO FAMILY CLINIC
1165 E 300 N. Provo, Utah
801-377-1213
The Provo Family Clinic is a part of the Children and Youth Services division of Wasatch Mental Health. It was
formally called Youth Out Patient. We provide a variety of services for adults, youth, and families in Utah County.
We also provide services for families under the care of the Division of Children and Family Services. Services
include the following:
Colleen Harper, LCSW
Program Manager
Family and Individual Therapy
Medication management
Psychological testing
Group Therapy
Case management
Behavior management
Therapists
Provo Family Clinic therapists come from a variety of educational fields of study with different expertise. There are
clinical psychologists, clinical social workers, marriage and family therapists, registered play therapists, trained sand
tray therapists, and certified trauma and loss counselors on our staff. The therapist’s expertise includes working with
a variety of diagnoses such as bipolar disorder,
major depressive disorder, anxiety disorders,
obsession-compulsive disorders, attention deficit
hyperactivity disorder (ADHD), oppositional defiant
disorder, and conduct disorder, etc. Other areas of
expertise include work with divorce adjustment,
blended families, trauma and loss, sexual abuse,
sexual reactivity, physical abuse, adoptive children
and youth, children witnessing domestic violence,
perpetrators and victims of domestic violence, foster
-care reunification, and parenting.
Medical Staff
PFC medical staff includes nurses, APRN
prescribers, and a psychiatrist.
From July 2013 to July 2014 a total of 1642
unduplicated youth were served and 235
unduplicated which equals 1852 clients serviced for
the fiscal year.
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HIGHLIGHTS
• A parent writes: The summer Program has been so beneficial for L.! He is always happy about going and happy when he comes home? The level/points
system is great because it is simple enough for L. to understand and easy for me to re-enforce and follow thru at home. His vocabulary has also improved.
He is learning people’s names instead of just saying “Hey” I appreciate the communications between parents and teachers. Thank you so much!
•
On August 7 at staff meeting Catherine Johnson congratulated the PFC program for it’s productivity of 102 % and Therapist for 103 % productivity.
There were minimal late notes.
•
This is a great example of a coordinated effort to help a client: The sister of my client moved home, she had, no job, no funding, and is addicted to heroin.
I was able to link her to ROC case management. Sheryl Gau and the FRF were able to take the client to Utah County Substance Abuse for an assessment.
Client was recommended for inpatient treatment for her addiction to heroin. Client started methadone treatment and went to weekly meetings through Substance Abuse. I was able to access the CYFAST contract and see her weekly to keep her stable mood wise. Client checked into Foothill about a month
ago. I kept working with her sister and her and her parents are reporting that the older sister is doing well in treatment.
•
In staff meeting clients who have been in services a year or more are being staffed and a plan is being made for them to progress towards recovery and to
finish treatment or to develop an appropriate maintenance treatment program.
•
Michael Requino presented to the North County Medical Coalition on October 15th and to the South County Medical Coalition on November 5th. He is
scheduled to present to the Utah County school nurses on November 14th and to the Provo Medical Coalition on December 4th. He is presenting on suicide issues for LGBTQ youth and resources for them. He has been well received.
•
A therapist reports: I am seeing two girls under the school grant who are sisters. They arrived from living in another country last Spring. Their parents
had left them in another country under the care of their aunts for the previous 12 years. Parents separated. Mom brought her 3 daughters to Utah in the
spring and they have had a really hard time adjusting to the language, culture, and changes in their style of living. The middle daughter started cutting in
May and June and was frequently suicidal. The youngest started cutting later and spent a few days in Provo Canyon Behavioral Hospital at the beginning
of the school year. The middle daughter over dosed on her younger sister's medication one evening and almost went to the hospital too. The parent liaison
at their school contacted me when school started and asked if I could work with this family. I am seeing the 2 younger daughters at school for Individual
therapy, David Maldonado has been providing case management, and Ben Weinheimer has agreed to provide Collateral FT to mom. Both girls are increasingly stable. The youngest continues to have some suicidal thoughts but neither has engaged in cutting for the last month or so. Both are open and engaging in therapy. Mom is receptive to suggestions in her therapy. They were linked to DI vouchers to get some winter clothes with the case manager as well
as he has also been going into the home to teach them about communication and "My Time".
•
In January staff discussed the letter from Human Services. HIPPA laws about what can be disclosed were discussed.
•
Safety and emergency procedures were reviewed in staff meeting.
•
Groups needed were discussed and the group schedule was prepared and posted where clients can see it.
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•
On February 14,Colleen Harper presented at the PIC Committee on Wasatch Mental Health and the service we offer.
•
Doran Williams presented important information on the web based recovery plan included in the Clinical Web Chart to staff. He answered questions and
was helpful in understanding how the recovery plan can be used more effectively for the client’s recovery.
•
Dr. Jared Warren, a professor from Brigham Young University, presented at staff meeting. he Topic: The Treatment Support Measure (TSM): A new Evidence-Based Resource for Child and Family Cases. This instrument was developed through a study which involved PFC and other locations looking at the
results of YOQ progress. It is now available for use here.
•
Focus Group was held with the Division of Child and Family Services to build communication and relationships.
•
Larry Dunning attended Utah Play Therapy conference and he shared with the staff the information he learned from the conference and several of the intervention he found helpful.
•
Wasatch Mental Health was presented the plaque for organization of the year by the Utah County Child Abuse Prevention team at the Annual luncheon.
Scott Taylor , program manager over youth Vantage Point and the youth crisis team, was also presented with the award for the professional of the year.
•
In staff meetings we have regularly staffed clients who have been in services over a year or close to a year to consult and get ideas on how to help the client
move towards their recovery goals. Provo Family Clinic has had more therapists working at times in the school system. Children with out funding have
been able to be helped through the School Based Grant.
•
Grandfamilies has had a regular rotation of classes and has monthly get together with past and current participants.
•
This summer the Stride Program and school based therapist and case managers in all three school districts worked together to have summer day treatment
programs in three areas of the county.
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AMERICAN FORK FAMILY CLINIC
564 E. 300 S. American Fork 801-763-0698
The American Fork Family Clinic is a part of the Children and Youth Services division of Wasatch Mental Health. We
provide a variety of services for adults, youth, and families in northern Utah County. We also provide services for families
under the care of the Division of Children and Family Services. Services include the following:
FAMILY AND INDIVIDUAL THERAPY MEDICATION MANAGEMENT
PSYCHOLOGICAL TESTING
GROUP THERAPY
CASE MANAGEMENT
SCHOOL-BASED SERVICES
GRANDFAMILIES PROGRAM
Bryant Jenks, MFT
BryantManager
Jenks, LMFT
Program
Therapists
The American Fork Family Clinic serves clients who are designated as levels 1, 2, & 3 under our new Acuity Based Care
Program
Model.
AFFC Manager
therapists come from a variety of educational fields of study with different expertise. There are clinical psychologists, clinical social
workers, marriage and family therapists, registered play therapists, trained sand tray therapists, and certified trauma and loss counselors on our staff. The
therapist’s expertise includes working with a variety of diagnoses such as bipolar disorder, major depressive disorder, anxiety disorders, obsessivecompulsive disorders, attention deficit hyperactivity disorder (ADHD), oppositional defiant disorder, and conduct disorder, etc. Other areas of expertise
include work with divorce adjustment, blended families, trauma and loss, sexual abuse, sexual reactivity, physical abuse, adoptive children and youth,
children witnessing domestic violence, perpetrators and victims of domestic violence, foster-care reunification, school based interventions, and parenting.
Medical Staff
AFFC medical staff includes registered nurses, two adult psychiatrists, a nurse practitioner and a certified child psychiatrist. Their expertise helps our
department to be on the cutting edge of medication treatment for adults, children and youth with mental illnesses.
Case Managers
AFFC has six case managers helping in the outpatient clinic, the school-based programs, and with DHS (Division of Human Services) cases. They work to
assess the needs of referred clients, and then they coordinate and link them to services. Our case managers are also involved in running behavior
management groups with the Strengthening Families Program, the Summer Program, and in the outpatient clinic.
F.Y. 2014 Highlights
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Greenwood Elementary continues to be a great host school for our School Based Programs, Strengthening Families Program, and Stride Program
A training was created to help new case managers know and understand how case management is done and documented.
Acuity Based Services continues to be discussed. We are working to get the right amount of services, in the right amount of time, according to the
clients needs.
The Alpine School District hosted various meetings in different areas where the school, DCFS, Law Enforcement, and Wasatch Mental Health are
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•
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•
coordinating on how to best help the youth.
The Alpine School District is holding a monthly community meeting
with the Student Resource Officers, Juvenile Justice Services, DCFS,
and Wasatch Mental Health to discuss student needs and make
appropriate referrals.
Staci Oakes, case manager, initiated having our youth in the Stride and
Strengthening Families programs make Christmas Cards for children
who stay in the Ronald McDonald House connected with Primary
Children’s Medical Center in Salt Lake City. A total of 175 cards
were made and sent.
Kathy Farmer, case manager, coordinated the annual Sub-For-Santa
drive with the BYU 173rd Student Ward. An auction to raise funds
was held December 6th at the Parkview Building, and the gifts were
purchased and wrapped for the children and youth on December 9th.
There was great participation and excitement with the event. The
students were able to supply gifts for over 40 children and teens served
by Wasatch Mental Health.
The American Fork and Provo Strengthening Families Programs
received a $5,000 grant from the Ashton Family Foundation to help
with the food and incentives provided as a part of the classes. We are
excited to have this support of a very good evidenced based program
serving the whole family.
The American Fork Family Clinic partnered with NAMI to host their
“Family Connections Class”.
In early April 2014 we had our semi-annual focus group with DCFS to
problem solve and discuss our needs to help us continue our strong
partnership. We talked a good amount about communication issues
and how we can resolve them quicker. Each company has a point
person or supervisor that can be reached to help resolve needs.
Feedback Received
AFFC outpatient clinic:
We received a letter from a grandfather (raising 3 grandchildren) who
thanked us for the Grandfamilies program and the Child-Parent
Relationship Training class offered at WMH. Here are some of his words
about our services:
“The program in American Fork was excellent. The counselors were
outstanding, professional, and yet very personal in their counseling services.
Together we discovered that the A-C-T methods with Choice-Giving Strategies (when
appropriate) not only worked with the younger boys, but also worked with the
teenager in my family. After several play sessions with the youngest boy, the next
oldest asked if I would set up a special play session with him. I did and we had a very
constructive time together. A few weeks later, the teenager asked if I would spend
some special one-on-one time with him. I made some modifications and adjustments
to the implementation process of A-C-T, which improved my relationship with my
teenager. However, the concepts, principles and “tools” were directly applicable to
our situation. Things really changed for the better.
…Personally, I am better able to see things from the boys’ points of view and
the yelling and adversarial relationships have evolved into more healthy
relationships. I really appreciate your organization for providing these two
programs.
The programs you offer may not “save the lives” of all those you would hope
to “save”. But, in my (our) case, it was “life altering/saving”. I was about to “throw
in the towel”, but thanks to the help provided, I was able to understand and mend my
relationships with the boys and my wife. Thank you very much for providing
programs that helped us “out of the ditch”. Even if things do not keep moving in the
right direction, we will always be grateful for the assistance and help provided to us
in our hour of need.”
One of our therapists, Lanice Hollingsworth, reported the following success
with EMDR treatment:
“I have been working with a teenage girl who has regularly been involved in illegal
activities for the past 1 1/2 years. She was convinced she was a "criminal" after a
traumatic altercation with her stepfather when she was handcuffed and taken to DT in
a police car. We reprocessed the event with EMDR and she now looks at herself as a
"rebel," but no longer a "criminal." She explained to me that being a rebel means she
can make choices to be good and not be controlled or confined by fear. Some of her
most recent choices have been to speak up when she is unhappy, ask people for what
she wants instead of being afraid they will say no, and choosing to do good in school
rather than to follow her old crowd.”
We finished another round of our Child/Parent Relationship Therapy class.
We received the following feedback.
"I feel like the special playtimes are a good outlet for them. On the days we do
them, they're a lot more chill. And I just feel like I know how to handle things better.
Our house feels more healthy. The skills I've learned have been very helpful. The
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relationship with my children has improved greatly."
"I feel like I've been able to regain that control, of myself. I feel like I know
what to do now if my son has a problem."
"I totally loved this training and feel it has definitely changed my life and
my kids life for the better! So grateful THANK YOU!"
"My son was throwing tantrums, acting out, high anxiety. The tantrums
are way down. He's helping more. He's sleeping through the night now. And
he's communicating a lot better. We have a better relationship. We are
happier."
Staci Oakes, case manager, received the following letter of gratitude
from the Ronald McDonald House connected with Primary
Children’s Medical Center in Salt Lake City.
“Let me take this time to thank you for all you have done for (client). We have
said many times, we don’t know what we would do without you. So, Thank you – Thank
you & Thank you.”
“Thank you for believing in me! I am really thankful for all your encouraging
words. If it weren’t for you believing in me I don’t know if I would have made it to
graduation day. I’m so thankful for everything you have done for me, and not giving up.
You were there every step of the way, and you made sure everyone recognized all the
hard work I did.”
Reported by Michelle Bahr, LCSW: “I started working with a 7th grade girl last
year who was having a hard time with being bullied in school and online. The
family had been referred to SFP in Springville and learned about our mental
health services and school-based grant through our staff there. Her family
completed SFP and she attended our self-esteem group last spring in addition to
individual therapy at school. She didn't come in over the summer, because she
was doing well and even getting along better with her sisters than she was prior
to services. At the beginning of the school year, her mom reported to me that she
was starting to be bullied again and would like her to continue to have access to
individual therapy occasionally. I've been able to see her about once a month,
and although she continues to report the same peers trying to pick on her, she
consistently reports handling the situations appropriately and the frequency of
the incidents decreasing. Last week when I met with her, she also told me how
her mom had also noticed and commented to my client that she is doing a much
better job of dealing with the bullying. From what I've seen and has been
reported by my client and her mother, my client smiles more, communicates
better, and is more assertive and confident. She is able to stand up for herself
without retaliating back and sets appropriate boundaries with how she expects
her friends to treat her. She reported that although she still doesn't like school,
she is working harder to get good grades.”
Strengthening Families Program in American Fork:
Recently Suzanne Jasper received a couple of cards expressing thanks
for the great services being provided by Suzanne and Wasatch Mental
Health. Here is what they said:
Strengthening Families has changed our family in so many ways:
1. Communication—Instead of lots of yelling and miscommunications we have great
communication skills with better listening and talking skills.
2. My time—My Kids all seem more at peace with their relationships with me. They
are not so demanding of my time when I take the time to spend one on one time with
each of them as often as possible. Also there is less acting out.
3. Family time—We make more efforts to spend time as a family whenever and
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4.
however we can; family meeting, dinner time, the game night, etc. Because we are trying to spend more time together there is more peace and harmony in our home. We all
want to be together and spend time together.
Consequences, discipline and positive affirmation—I know when I use these skills that my kids have more respect for me and I am building a healthy relationship with my
kids.
I will forever be grateful that we had the opportunity to go through this program. I know that things will not always be perfect, but we will always have these tools to fall back
on. I know with these skills that we can be and have become the family we want tro be; happy, peaceful, forever strong and unstoppable. The staff were amazing and made it
fun.
School Based Services in AFFC:
Reported by a client: “When I was 17, I decided that my life was unimportant and wasn’t worth living; one morning in December, on my way to school, I attempted to take my
own life by jumping in front of the truck. The truck, although didn’t stop, swerved out of the way and continued down the road left me standing in the road realizing what I had
tried to do. I immediately took the matter to a school counselor with whom I’d become comfortable with sharing my personal struggles. Immediately, she called my mom
(eventually creating more problems at home) and called a meeting with her and the principal. Because I come from a low income family with just my mom and little brother, we
were able to apply for a grant which would allow me to get the mental help I needed regardless of my family’s unfortunate financial situation. My therapist was absolutely
amazing. Prior to seeing him, I had been in out of different kinds of counseling and obviously, all seemed to have failed. 8 months later, and I realize that the thought of suicide
or that I would be better off dead has not once crossed my mind lately. My sessions with my therapist over the past 8 months have taught me how to cope with my anxiety and
depression, allowing me to feel like I’m living and not just existing. I am extremely grateful for every step along the way that’s helped me become the person I am now, and I
genuinely hope that other teenagers who struggle with their self worth can receive the same help that I have. I believe that everyone has the right to be happy.”
School-based services received the following letter from Principal Jason Benson of Greenwood Elementary:
“I am writing this letter to express my gratitude and appreciation for your help and the support of Wasatch Mental Health over the past few years. I can honestly say that you
have made a huge difference in the lives of our students, families, and our community.
Through programs such as STRIDE and Strengthening Families, Wasatch Mental Health has been able to offer help and resources to families and students who struggle with
social, academic, and family issues.
One of the things that I am most grateful for is the opportunity we have had to have Wasatch Mental Health counselors and therapists come to Greenwood and offer services
during the school day. We have students who have tried to commit suicide, who are being abused at home, and who are suffering from severe depression who have been able to
meet with a counselor and receive the help that they needed. I have also been able to contact Wasatch Mental Health in times of crisis, such as when a student was cutting her
arms with scissors to punish herself, and they responded immediately and were able to send someone over to provide counseling to the student and her family.
These are just a few of the times that Wasatch Mental Health has impacted the lives of our students. Your staff is amazing, well trained, and has the ability to build trust with
students who have a difficult time believing in anyone. Once again I appreciate your help and support and look forward to continuing our great partnership.”
Parent of a youth in School Based Services: “Thanks so much for all the things you did to help Susan [name changed]; we are very grateful for everything she has
accomplished. You guys are great and have been a very good influence for her. Keep up the great job you are doing.”
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SPANISH FORK FAMILY CLINIC
607 East Kirby Lane
Spanish Fork
801-801-794-6700
The Spanish Fork Family Clinic is a part of the Children and Youth Services division of Wasatch Mental Health. We provide a variety of services for adults,
youth, and families in southern Utah County. We also provide services for families under the care of the Division of Children and Family Services and are in the
same building with them. Services include the following:
Family and Individual therapy for adults and children
Medication Management
Psychological Testing
Group Therapy
Case Management
School based therapy and case management
Therapists
SFFC therapists come from a variety of educational fields of study with different expertise. There are clinical psychologists, clinical social workers, registered
play therapists, trained sand tray therapists, EMDR, and certified trauma and loss counselors on our staff. The therapist’s expertise includes working with a
variety of diagnoses such as bipolar disorder, major
depressive disorder, anxiety disorders, obsessioncompulsive disorders, attention deficit hyperactivity
disorder (ADHD), oppositional defiant disorder, and
conduct disorder, etc. Other areas of expertise include
work with divorce adjustment, blended families, trauma
and loss, sexual abuse, sexual reactivity, physical abuse,
adoptive children and youth, children witnessing
domestic violence, perpetrators and victims of domestic
violence, foster-care reunification, and parenting.
Medical Staff
SFFC medical staff includes registered nurse and
prescribers on some days. Adults, youth, and children
can be seen for medication management.
55
FY 2014 Highlights & Goals for 2015
Highlights:
•
The overpowering negative emotions group done by Allyson Gilbert and Mike Wilkins has had good attendance and gotten good feed back from clients.
•
The current art exhibit at Spanish Fork Family Clinic features artwork that was entered in the Freedom Festival Children's Art Show in Provo. The juried
show included work of 115 children ages 5-14, hanging in the Health & Justice Building in Provo through the month of July, and is a Freedom Festival
event in partnership with the Utah County Art Board. Of the 16 pieces selected to be included in the SFFC exhibit, many received awards and ribbons in
the Provo show. We feel all the children were winners because of their effort and participation. The kids were anxious to share the art with us, so we might
also share it with our clients and visitors to our office. This is a special exhibit for Naomi White, SFFC secretary, who arranges the exhibits. As chair of the
Freedom Festival Show, 2007-2011, she is pleased to bring some of the kid's artwork to Wasatch Mental Health. The exhibit will be displayed through September
•
This is a great example of recovery: I started seeing him in January 2009 as an intern. At that time he was addicted to alcohol, on oxygen, suicidal, and severely depressed. He has struggled with bipolar symptoms and dependent personality issues. He was living with his parent, divorced, excessively angry,
had several physical issues, not working, and had severe relationship strains with others. I've worked with him on several fronts once a week largely
through interpersonal social rhythms therapy for Bipolar and empowering him to increase autonomy. I've also been encouraging the idea of decreasing therapy as he recovers. Just this last week we decided to move him to level 1 acuity for meds only. He had not been in for about 2-3 months prior to our meeting last week and was doing well. He is working a full time job, living in a house with roommates (getting along well with them), his self-esteem has improved, OQ scores have been in the more normal range for someone not in therapy in the community, and he has been sober for 4 years now.
•
SFFC hosted a luncheon for Spanish Fork DCFS. Team building activities were also done.
•
Michelle Bahr reports: At the beginning of last summer, we started an intake for a client, B. under the school-based grant. This student has had a history of
problems in school and has been in behavior units as well as other self-contained units. We had not been able to help his mom or the family when we first
received a referral for him several years ago because they don't have/qualify for Medicaid despite B's disabilities. When his mom contacted us, we were
excited to finally be able to help him through the school-based grant. At the intake, he became aggressive and defiant, threw a chair that put a small hole in
the wall, and ended up going to Vantage Point. Melinda and the crisis team got involved as a result and Melinda worked with his mom over the summer to
help B.'s mom access and utilize the resources they have. B. got into therapy and was able to get meds adjusted/updated through outside providers. Tasha
Jones, case manager, has stepped in with some case management as needed and B. will be starting the XCEL program. His teacher at school has also been
able to work with the team and Ben's mom to transfer some of his successes at school to home. This summer, this family was in crisis and because of the
services we offer and are able to link families with, made possible by the grant and crisis funding, they are doing better. Melinda just emailed and said the
wrap-around meeting for today was cancelled because B.'s mom feels they are doing so much better--including B.'s behavior at school, home, and on the
bus
From an adult client: "I used to have nightmares every single day of my life. It was so hard going to bed each night knowing I'd wake up terrified from an
•
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awful dream that felt like reality. Therapy has really helped me with my anxiety and now my nightmares are under control. I'm not afraid anymore. I feel like
I can live my life again."
•
School based mental health services, Nebo School District: We continue to make progress (in leaps and bounds) with our relationship with Nebo School
District. We met with the counselor at Westside Elementary Tuesday and she is willing to book out their conference room on Fridays for the entire day, hoping to help us open up as many as possible at their school and possibly run groups there as well. This is an exciting new development, and it seems there are
a few other prospective schools with similar views. We are hoping to keep growing and might even require another therapist/cm soon to cover this blooming
district! We couldn't have made it this far without the efforts Michelle Bahr put into this district for several years and are grateful she left us such a solid
foundation to continue working on.
•
Successes: From the mom of a client: Thank you for letting us be seen at your office. We didn't know how we'd be able to come in for therapy unless we
had the school district grant. I feel like our therapist with Wasatch Mental Health has understood more about our problems and what to do about them than
all the other therapists we have seen in the past. My son was going to fail his semester and not graduate. But now his depression is better, he is back in school
and he is on track to graduate. We are getting along so much better too. I am very grateful. Thank you!"
•
An open house was held to promote Mental Health Awareness month.
•
Therapist reports: I have been working with a little girl, for about a year individually and before that in Strengthening Families. She has a lot of anxiety
and this comes out as anger. Her parents weren't coping very well with the stresses in their life and this bled over into hers. They have had DCFS involvement for about a year now and some significant changes have been seen. In March of 2013 dad would often complain that his children didn't want anything
to do with him. Allyson Gilbert worked with one parent and Mike Wilkins the other. Through the stability of her maternal grandparents this sweet child has
learned to manage her anxiety and her parents have learned how to create structure that makes her feel safe and reduces her anxiety. Her meltdowns and
rages that were occurring for hours at a time multiple times each day are now about 2 times per week and are very short lived. At a team meeting in May she
was seen going to her dad and hugging him. She was seen sharing her feelings with him. We did not see this a year ago. The maternal grandparents have also
expressed how much progress they have seen in the dad and the children. They are committed to continuing to help the family where needed and are very
supportive. My client and her siblings returned home for a trial home placement at the end of May. There are small hiccups, as expected, however, the family
is doing well and my client has been able to return to live with her parents in a better environment than when she left. The team work between our clinicians
and DCFS helped a family reunite.
•
On June 26th we participated in the Migrant Summer School Health Fair at Taylor Elementary in Payson. Alex Gray was able to give information about
some of the services we can provide to the migrant workers and their families living in our area. A number of families and community partners expressed
appreciation for the information and the networking opportunity.
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NEW VISTA YOUTH DAY TREATMENT SERVICES
New Vista is a Day Treatment program focused on treatment for youth ages 8 yrs to 19 yrs who have sexual behavior
problems. These youth are referred by the courts and our allied agencies, Division of Juvenile Justice Services (20%) and
Division of Child and Family Services (80%). These youth all have problems of different intensity with inappropriate
sexual touching. We follow treatment protocols set forth by the NOJOS organization (see www.nojos.org) and we treat
both males and females at NOJOS levels 1, 2 and 3. NOJOS Levels 1 & 2 are outpatient levels while NOJOS Level 3 is
our Day-treatment program. In FY ‘12 we served 62 clients in New Vista Youth Services, in any of the three NOJOS
levels of service.
Units of Service
All of our key indicators were up in FY ‘13 from FY ‘12. Our total units of service (individual, family, group, skills, etc.)
increased in FY ‘12 from an 1162 monthly average in FY ‘13 (total of 13949 hours of service) to a monthly average of
1437 (a total of 17241 hours of service).
Greg Robinson, LCSW
Program Manager
Fiscal Report
Because of the increased amount of service rendered to our clients we saw a significant increase in revenue. In FY ‘11 our
monthly average income/loss was $40,250 in the red and in FY ‘12 it was $20,690 in the red per month. In FY ‘13 we
trimmed that to $15,335 showing another 50% improvement over the previous year.
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ASPIRE ACADEMY
Aspire Academy is a 16 bed “High Residential Treatment Program” for adolescent females ages 12 to 20 years. Our girls are in custody of the State of Utah and
usually under the care of DCFS. The girls we serve require intensive psychiatric, behavioral, medical and other structured rehabilitative interventions which
include continuous monitoring. They may exhibit aggression, self-destructive behavior or have grossly impaired reality testing, communication, cognition or
affect. Some issues we deal with include psychiatric
disorders, emotional and behavioral disorders, and
possibly developmental disorders.
We opened our doors on January 21, 2014. Since we
opened we have averaged 64.8% occupancy or about 11
girls. We ended the fiscal year in June with a little over
13 client per day in residence. We maintain a minimum
of 1:4 staff to client ratio throughout the day including 2
awake nighttime staff. We have both male and female
staff so our girls learn from appropriate role models.
Financially we faired quite well as well. January started
out in the RED because we had a new building, new
furnishing and new staff with very few clients. Since
January we have been in the BLACK in all but one
month and we have averaged over $25,000 per month
from January to June.
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GIANT Steps Autism Preschool Program/ Xcel Adolescent
Program Overview
GIANT Steps: GIANT Steps is a part of the Division of Child and Family Services at Wasatch Mental Health. The
program offers day-treatment for preschool-aged children diagnosed with an autism spectrum disorder either before or at
the time of assessment. GIANT Steps has four classrooms—each with a capacity of 12 children, serving a total of 48 preschoolers and their families. The program provides a 1:2 ratio of teachers to children throughout most of the day. In addition to our full- and part-time autism specialists and aides, GIANT Steps employs a clinical social worker, case manager,
and has medical staff available at the facility as needed. Each child participates in an Individualized Recovery Plan with
Wasatch Mental Health.
Michael King, LCSW
GIANT Steps Program Mgr
Catherine Johnson, LCSW
Acting XCEL Program Mgr
Janeen McFadden
GIANT Steps Supervisor
Chad Shubin,
XCEL Supervisor
•
•
•
•
•
XCEL: The XCEL program is designed to serve teens ages 12-18 who are experiencing serious challenges in their lives
due to co-morbid mental health issues. XCEL has two groups, one that serves teens ages 12-15 and one group that serves
teens ages 15-17. The purpose of the program is to provide coping strategies for adolescents with co-occurring mental
health disorders, Autism Spectrum Disorder, and teens with behavior problems or delays in social, emotional, and daily
living skills. Our staff include a therapist, case manager, and several human service workers who assist clients with behavior problems in the home and at school setting.
FY 2014 Highlights
• GIANT Steps have benefited from many community agencies this past period. We have received donations from The
Autism Council of Utah, E-bay, and Davita Dialysis, and other community entities.
• Our annual auction was the most successful ever. We had over 120 donors and raised $20,000.
• The Utah County Annual Commissioners’ Cup Charity Golf Tournament donated $10,000.
• XCEL was awarded another grant from the Department of Workforce Services! This grant will allow the program to
serve more teenagers on the Autism Spectrum and those with emotional and Developmental Delays. XCEL will operate two groups for teens 50 weeks
out of the year. These groups are open to Medicaid and Non-Medicaid clients.
GIANT Steps served 48 children during the school year and has made plans to expand services into a school within the Provo School District.
XCEL was able to provide services for 80 youth.
We had 27 GIANT Steps children graduated to Kindergarten, five of which were able to be mainstreamed into regular Kindergarten.
The Summer Program for GIANT Steps served 37 children.
We had many positive outcomes from our programming based on pre and post data. Our programs received a great deal of positive feedback from the
families with whom we work.
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• Fifty volunteers from the community provided 1244 hours of service for our programs
• We had 948 hours of parent training time recorded for GIANT Steps. In XCEL, 1026 hours were recorded.
• 1343 hours of parent time in the GIANT Steps classrooms was accomplished. There were 478 hours of parent volunteering at our GIANT Steps commu•
•
•
•
•
•
nity outings.
Two eagle projects were completed for our programs (30 wood puzzles for classrooms and venue prize wheel).
XCEL held its second annual “Lights on after school” event. Those who attended were able to learn more about what XCEL is and does for the clients
they serve.
Whitney Talbert, one of the Autism Aides in the Younger XCEL group, organized a pageant for special needs youth in Utah County for the past 4 years.
Miss Teen Extraordinaire Pageant was hosted by Larry Ellertson, Authority Board Chair of WMH. This pageant has been a major success and support to
families with teenaged daughters with special needs.
Transportation was provided for Provo & Nebo School District clients during the entire school year and summer.
We continued our relationship with BYU research. Longitudinal Alpine School District Outcomes for Graduated GIANT Steps Students continued. GIANT Steps and XCEL continue to gather data on the efficacy of their programs.
Collaboration and cooperation occurred with several partners and key stakeholders occurred including the Autism Council of Utah, UVU, the Autism
Resources of Utah County Council, and Utah County School Districts.
Services Provided in GIANT Steps
GIANT Steps provides the following services in a school day treatment setting:
• Mental Health and Autism Diagnostic Evaluation
• Pre and Post Developmental Testing (PEP-3, CARS2)
• Psychiatric Services as needed
• Individual/Family Therapy, including home visits with as needed.
• In-Program Parent Training twice per month as well as regular in-school training
• Case Management Services
• Behavior management and Skills Development Services
• Services are provide in the classroom as well as in the home and the community.
Services Provided in XCEL
XCEL provides the following services in a day treatment setting:
• Family Therapy
• Individual Behavior Management
• Group Behavior Management
• Skills Development Services
• Respite
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•
•
Case Management Services
Services are provided onsite at Wasatch Mental Health as well as at a
number of locations in the community in order to provide realistic opportunities for growth.
Feedback from Families
been for them and their son because he has not called home but a few times
claiming to be sick and asking to be picked up. They said that last year phone
calls and requests to come home were a daily thing, and were causing a lot of
disruption for the client and his parents. Also, he has had no instances of making violent, disturbing comments or drawings at school, whereas this was happening several times per week, previously.
“We have felt nothing but blessed to be a part of this program... The progress and service is incredible… It has been life changing for (child) and our
family.”
Goals for FY 2015
“Words cannot express how grateful we are… our child has come so far in
the 2 years he has been at GIANT Steps… we are so lucky to have been able
to work with you and will miss you.”
• Keep existing classrooms running to fidelity.
• Continue exploration of options for adding a GIANT Steps classroom in
“This program has helped our child a lot. She really loves it and it has
helped her communicate and learn how to do so many things in a better way.
It's people like you that make this world a better place to live in. Thanks
again for all that you do.”
• Follow through with plans to add another GIANT Steps classroom in
Provo.
the Nebo School district.
• Continue efforts related to family satisfaction/input/in-service. We want to
•
•
“Our child is doing great in Kindergarten. He is reading at a second grade
level. I can only blame you guys. :). Thanks so much!!”
continue looking at ways to improve services that we provide in the home
and to siblings.
Have ongoing communication, information sharing, and training with the
other DHS/DSAMH funded Autism Projects in the State of Utah.
Continue to work on collaboration with our partners and stakeholders in
the community.
“Our son keeps improving with behavior and following directions at home, I
know it’s from all of the learning he is doing at school!!”
“Our daughter following directions are much improved! She seems much
more aware of her surroundings, and is easier to pull back to attention. She
is also doing well with new experiences - for example, she was able to get a
haircut with minimal fuss! No tantrums this month!”
Recently parents of one client reported to staff that they are very grateful for
the services they have received. Their teen was not able to go out into the
community, church, and other places without stripping off his clothes. Since
he has been in XCEL he has been able to go out in the community with his
family and to church, with his clothes on!
The parents of one of our youth talked about how nice this school year has
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VANTAGE POINT YOUTH SERVICE CENTER
Vantage Point is a multiple service, short-term crisis residential program for adolescents, providing three important
community services: (1) Youth Services, (2) Juvenile Receiving, and (3) DCFS Emergency Shelter Care. Vantage
Point is primarily funded through a contract with Juvenile Justice Services. Other funding comes from the Division of
Child and Family Services, and Wasatch Mental Health.
Youth Services -Youth Services provides services to teens and families in crisis due to a youth’s ungovernable or
runaway status, or where there is a serious parent-child conflict. Counseling is provided to resolve family conflict, and
to maintain or reunite youth with their families. Our goal is to divert ungovernable youth from the juvenile justice or
child welfare systems. Essential services include: 24-hour, 7days per week crisis intervention, short-term shelter/time
out placement, and family counseling. Youth Services accepts youth ages 12 through 17. We provide individual,
family, and group therapy; skills development services and behavior management; outpatient family relationship,
substance abuse, girls self-self esteem, and anger management groups; and case management, mental health
Scott Taylor, LCSW
Program Manager
Youth Services Juvenile Receiving DCFS Shelter
FY 14 Number of Vantage Point Admissions
177
Youth Services
287
136.8
1240.6
Avg Stay Length1.82 days
11.4 hours
7.0 days
Admissions
287
177
Bed Days
Total Admissions - 1,187
Juvenile Receiving Center
723
DCFS Shelter
1316
723
Vantage Point Services
Case Management
Group Respite & Skills Development
Therapist Direct Care
Behavior Management
Peer Support (Family Resource Facilitator)
Hours
862.5
26,660
3224
2228.25
63.25
Juvenile Receiving -Co-located with Youth Services, Juvenile Receiving is a 24-hour, 7days per week reception, screening/evaluation, and referral service
for all juvenile offenders who do not qualify for admission to secure detention. Juvenile Receiving relieves a major problem for police officers who detain a
youth and have no place to release them to. It also provides a timely and appropriate conduit to services for troubled/delinquent youth and their families.
Once a youth is “received” from law enforcement, Juvenile Receiving will conduct an initial screening to determine interventions that may be needed, and to
facilitate a referral to the appropriate providers. Often youth are referred to the Youth Services program at Vantage Point.
DCFS Emergency Shelter—Vantage Point also provides temporary emergency placement for youth in the custody of the Division of Child and
Family Services. These are youth that have been removed due to abuse or neglect, and/or youth who have unexpectedly experienced a
disruption in their foster care placement.
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STRIDE! Children’s Partial Day Treatment Program
Stride is a 5 day a week, 13 week long, day treatment program for Elementary age children ages 5 – 12. The program also includes a weekly parent educational group that provides parenting training to compliment the day treatment curriculum.
The Stride program is designed to assist elementary school-age children
who are experiencing social skill deficiencies due to mental illness and
emotional challenges. The goal of the program is to provide a positive
environment where children can feel accepted, confident, and successful while at the same time gain social skills in areas such as anger management, compliance, honesty, and getting along with others.
Each day at Stride, the children have a lesson on a specific social skills
topic, time to work on homework from school, activity time, relaxation
time, and snack time. Group therapy is provided once a week during
the school year and daily during the summer. Each day the children
bring a report on their behavior from school and home using a tracking
sheet. This enables the school and parent or guardian to be involved in
the program.
Mission Statement
The mission of the Stride Program, in cooperation with the parents and
teachers, is to provide quality learning of social skills by:
Equipping children with the basic social skills of life,
Heightening awareness of the consequences of chosen actions, and
Ensuring a positive environment where children feel accepted, confident, and successful.
Financial Graph 2013-2014
In FY 2014 the Stride program:
Served
Provided
Provided
Provided
Provided
Provided
Provided
232
2,618.75
2,1441.35
156.5
314.25
587
260.5
hours
hours
hours
hours
hours
hours
children
hours of group skills development treatment
hours of group behavior management treatment
of case management
Group for guardians and parents
Group therapy
Respite
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Wasatch County Family Clinic
55 South 500 East
Heber City, Utah
435-654-3003
The Wasatch County Family Clinic (WCFC) is part of the Children and Youth Services Division of Wasatch Mental Health.
Wasatch Mental Health began operating this clinic in Wasatch County January 2013. The WCFC provides mental health,
substance use and prevention services to adults, youth, and families in Wasatch County. WCFC also partners with many
community agencies to provide services including DCFS, Wasatch County School District, Courts, Children’s Justice Center,
Heber Valley Medical Center, Adult Probation and Parole and Juvenile Probation.
Services include the following:
Richard Hatch, LCSW
Program Manager
Family and Individual Therapy
Case Management
Behavior Management
Peer Support Services
Crisis Intervention
Prevention Services
Group Therapy
Medication Management
School-Based Services
Psychological Testing
Drug Court
Therapists/Clinicians
Clinical staff at WCFC provides services to clients in Acuity levels 1 through 5. A multidisciplinary approach is utilized and consists of Licensed Clinical Social
Workers, Licensed Marriage and Family Therapists, and Licensed Clinical Mental Health Counselors. Staff also includes Case Managers and a Family Resource
Facilitator. Clinical Psychologists are also available for consultation and testing as needed. Staff expertise includes working with a variety of diagnoses such as
depressive disorders, mood disorders, anxiety disorders, personality disorders, trauma and substance use disorders. Staff also have expertise in childhood
disorders including ADHD, oppositional defiant disorder and conduct disorders. Staff also works with family issues including, divorce adjustment, blended
families, parenting and abuse issues.
Medical Staff
WCFC provides psychiatric medical services. A psychiatrist and RN provide psychiatric coverage one and a half days per week at the clinic to adult and youth
clients. Additional psychiatric coverage is available from providers working in Utah County as needed.
2014 Highlights
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Services were provided to 166 youth and 519 adults during FY2014. Crisis Contract with Heber Valley Hospital. In February 2013 an agreement was made
to provide crisis services to the Heber Valley Hospital. This had been problematic in the community and this contract has been appreciated. During FY2014
82 individuals were evaluated in the hospital.
WCFC conducted a CIT training academy in partnership with the Wasatch County Sheriff’s office. Officers from Heber Police, Wasatch County Sheriff’s
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•
•
•
•
Department and Summit County Sheriff’s Department participated in this training. School based services have been provided in four elementary schools in
the Wasatch County School District. Services were provided to 45 students. Services included individual therapy, case management and skills group
services. Children receiving services showed decreases in disciplinary referrals and decreases in YOQ scores. A summer program was also offered to 26
children.
Prevention activities have been provided in the schools and community. Activities include the monthly APP program where high school and middle school
students are introduced to healthy activities. The Issues Conference provided information to over 500 individuals and families. WCFC also participated in a
variety of fairs and events in the community distributing information regarding substance abuse and mental health issues. Parenting classes have also been
provided to parents. Prime for Life classes have been instructed monthly to adults and teens with alcohol related charges. Our Prevention Coordinator has
also been active on the Caring Community Coalition.
The Wasatch County Suicide Prevention Coalition was created. Members include community members, Wasatch County Health Department, NAMI-Ut and
Law Enforcement.
WCFC has been trained in QPR for suicide prevention and provided 6 classes with 153 individuals receiving the training.
Drug Court has provided the opportunity for individuals with substance use issues to receive treatment in lieu of prison or jail time. This year 22 individuals
have participated in Drug Court and there have been 5 graduations.
WCFC has participated in the Systems of Care Expansion grant. Community meetings have been held to identify strengths and barriers to mental health
services in Wasatch County. Participants have included: youth, parents, mental health providers, schools, health department, NAMI representatives, United
Way representatives, probation, DCFS, and government officials including the Wasatch County Manager and a Representative of the Utah Legislature.
Feedback
The Wasatch County Manger continues to report positive feedback regarding WCFC. WCFC had an annual site review conducted by the Division of Substance
Abuse and Mental Health (DSAMH). The following comments were provided in the monitoring visit:
FY14 DSAMH Comments For Children:
Family Feedback: The Utah Family Coalition collected feedback from eight families. Families reported that WCFC and the staff are friendly, helpful, and
knowledgeable. The families stated that the center is supportive and acts as a partner in providing services. One mother communicated that she was grateful with
WCFC because they allow her to have a say in the treatment of her child, which includes the ability for her child to maintain a relationship with a private
therapist he saw prior to being in services at WCFC.
Community Partnerships: WCFC is involved in partnerships with the Children’s Justice Center, the Division of Child and Family Services, Juvenile Probation,
and several schools in Wasatch County. Feedback from the community partners was positive. Especially strong is the partnership with schools, which enables
WCFC to provide treatment for children, youth and their families in locations that are close to their home.
Assessing Trauma: WCFC, by utilizing the shared electronic medical record with Wasatch Mental health, has done an excellent job assessing childhood trauma.
In the assessment, there are two specific sections which identify trauma; one focuses on history and the other identifies the child's current response to the trauma
and other significant information related to the trauma. Identifying unresolved trauma is critical to treatment and WCFC is to be commended for their efforts.
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FY14 DSAMH Comments For Adults:
Crisis Intervention Training: WCFC has developed a collaborative working relationship with Heber City Police Department and DSAMH recognizes and
appreciates their efforts in providing CIT training to Law Enforcement officers. WCFC reports all but two officers in Heber have been CIT trained and according
to the local Sheriff, the training has been very positive for their officers. The director at WCFC is the regional coordinator for the CIT program and together with
a CIT instructor from the police department will be providing a full CIT academy in March of next year.
Collaboration with Community Partners: DSAMH commends WCFC efforts in partnering with the Health Department in efforts to provide Question Persuade
Refer (QPR) suicide prevention training to their community. WCFC reports a good relationship with their school district and have been part of the training in
Parent Seminars addressing suicide prevention and children’s mental health.
Crisis Response: WCFC has developed a positive relationship with Heber Valley Medical Center and is providing crisis coverage in the Emergency Room as
well as Heber County Jail. WCFS-WMH provides 24 hour crisis and emergency services to Wasatch County residents and is triaged through the crisis center in
Provo.
Suicide Prevention: WCFC is working with the Health Department to certify individuals in QPR as well as looking at piloting the Columbia-Suicide Severity
Rating Scale (CSSR-S) at the ER in Heber Valley Medical Center.
Consumer Feedback: Individuals in recovery that were interviewed reported that they felt supported in many areas of their lives. Many enjoyed the social
aspects of groups that were available. Some consumers expressed disappointment from the changes in services since WCFC started managing services, such as
the frequency of dining out and the changes in individuals' mental health providers.
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Wasatch Mental Health Programs
Address and Telephone Directory
Recovery Outreach Program
24 -Hour Emergency Crisis Services
1175 East 300 North, Provo
Phone 801-373-7393
Intensive Residential Treatment
(Adult)
1157 E. 300 N., Provo
Phone: 801-377-4668
Community Support Services (Adult)
750 N. Freedom Blvd., Suite 108, Provo
Phone: 801-373-7394
Administration
750 N. Freedom Blvd., Suite 300, Provo
Phone: 801-373-4760
Provo South Campus
633 S. 550 E., Provo
Phone: 801-373-7443
Provo Family Clinic
1165 E.300 N., Provo
Phone: 801-377-1213
Adult Outpatient
750 North Freedom Blvd., Provo
Phone: 801-373-9656
New Vista
1189 E. 300 N., Provo
Phone: 801-375-9226
Vantage Point/Youth Receiving Center
1189 E. 300 N., Provo
Phone: 801-373-2215
GIANT Steps (Autism Services)
Foothill Elementary School
921 N. 1220 E., Orem
Phone: 801-226-5437
Spanish Fork Family Clinic
607 E. Kirby Lane, Spanish Fork
Phone: 801-794-6700
Wasatch House Skills Development
Services (Wasatch House)
605 E.600 S., Provo
Phone: 801-373-7440
American Fork Family Clinic
578 E. 300 S., American Fork
Phone: 801-763-5010
Supportive Residential Living (Adult) WATCH Program (Homeless)
956 W.900 S., Payson
299 E. 900 S., Provo
Phone: 801-373-7443
Phone: 801-852-3779
Wasatch County Family Clinic
55 S. 500 E., Heber City, Utah
435-654-3003
Stride
1165 E. 300 N., Provo
Phone: 801-373-4765
ASPIRE ACADEMY
Admission information call 801-3734765
Mountain Peaks Counseling
580 E. 600 S., Su 210, Provo
Phone 801-960-1620
Wellness Recovery Clinic
580 E. 600 S., Provo
Phone: 801-852-3789
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