Behavioral Health System of Care Overview

ASHTABULA COUNTY SYSTEM OF CARE 101

Behavioral Health System of Care A framework for services and supports that are Person-Centered , Trauma Informed, and Designed to readily adjust to meet an individual s needs and their chosen pathway to recovery.

Person-centered and Trauma Informed: Allows for individual choices that fit a person s needs throughout the recovery process and acknowledges that mental health and substance use disorders are chronic diseases not the result of a person s flawed character. Some Elements of a Recovery Oriented System of Care Engages a Support System: We believe in the importance of families and other allies as support systems for the person in recovery. Individualized and comprehensive services across the lifespan: Like any other chronic diseases, behavioral health diseases need individualized, comprehensive, and flexible treatment.

Community-Based Services: Care is delivered in the community to enhance the availability and support from families, intimate social networks and peers. Some Elements of a System of Care Continued Continuity of Care : This includes a full continuum of care, including pretreatment, treatment, continuing care and recovery supports. Public Health Aligned: Community Behavioral Health aligns with and compliments the County Health Improvement Plan (CHIP)

Strengths-Based : A system of care that emphasizes individual strengths, assets and resiliencies. Some Elements of a System of Care Continued Culturally Responsive : It is culturally sensitive, competent and responsive to all community members. Equitable access to services. Committed to peer recovery services : It includes peer recovery support services, individuals with lived experience. Integrated services :It encourages coordination and integration of services and supports to best meet the individual s unique strengths, desires and needs.

Prevention Ashtabula County s System of Care Intervention Treatment Recovery Supports

Prevention PAX/Botvin Lifeskills in the schools Community Education PAX Tools for Families LOSS Team/Incident Response Team Stigma Reduction (Surveys) Youth Led Prevention Multi-media Campaigns Suicide Awareness and Prevention Activities Race/Art Show/Trainings/MH First Aid/QRP, etc. Implementation of CLAS Standards Prescription Drop Boxes/Take Backs/Drug Disposal Bags/Naloxone/NaloxBoxes Coalitions Prevention, Suicide Prevention, Housing, Substance Abuse Leadership Team PART Conference (October 2023) Crisis Diversion

Intervention Screening-SBIRT Multiple Settings Including On-Line Anonymous Web- Based Screen Community Care Clinic-Walk-in Screening and Assessment Prison and Jail Re-entry (Linkages) Crisis Diversion Parenting and Family Member Education and Support (CRAFT) High Fidelity Wrap Around for Families and Multi- System Adults Outreach at Community Sites Client s Rights and Advocacy

Crisis Intervention, Mobile Crisis, and Mental Health Crisis Bed-Adults and Youth Medication Assisted Treatment (MOUD) Psychiatry Therapies cognitive behavioral therapies, motivational interviewing, trauma-informed care, CBI-CC, EMDR, DBT, Contingency Management, etc., including walk-in services Specialized Docket Courts Behavioral Health Navigator-Adult Probation Residential Treatment- Substance Use Disorders Mental Health Hospitalization State Hospital and Private Forensic Services in the Hospital and in the Community Medically Managed Withdrawal (Detox) Treatment

Recovery Supports Housing-Temporary Assistance and Permanent Vouchers for Mental Health Peer Support Mutual Aid Groups AA, NA, Smart Recovery Recovery Housing for SUD Welcome Home Packs for Prison Re-entry Job Readiness and Employment Supports Linkages to Health Care Services Transportation Emergency Assistance Guardianship/Payee Program Assisted Outpatient Treatment Mission Program Community Counseling Center- Club House

Screening: A tool that can be administered by any trained person to determine if someone needs to have further mental health and/or substance use disorder assessments. Intake: An appointment to gather information needed to enroll the client into services but not an assessment. DEFINITIONS Assessment: Clinical evaluation conducted to determine a preliminary diagnosis and assists in developing a treatment plan. Level of Care: This can be a level of outpatient services or inpatient services. Level of Care is determined by the Assessment.

WORKFORCE DEVELOPMENT Supported Employment Program Peer Supporter Training CDCA Annual Training Bachelor of Social Work Program KSU Ashtabula CLAS Standards Training ASAM Level of Care Training Trauma Informed Care Training

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