|
RISE Together | Issue 02 | September 20, 2023 |
|
|
The OhioRISE program published the first edition of the new OhioRISE community newsletter on August 4. In the first edition of the newsletter, readers had the opportunity to share ideas on what to name the new newsletter. Thank you to all the readers that shared their ideas! Now, we are excited to announce the name of the new OhioRISE community newsletter. The name of the OhioRISE newsletter is… RISE Together!
|
|
Thank you again to our readers for participating in this newsletter naming survey! |
|
An OhioRISE member living in Shelby, Ohio started working with a CareStar care coordinator who organized the Child and Family Team (CFT). A CFT is made up of the member, family, care coordinator, and other community partners the member is involved with to support the member’s needs. From the beginning of their OhioRISE journey, the CFT explored resources and services to support the member. Even though most treatment resources are limited in his community, the CFT was determined to find a way to create access to services the member needed. These resources included intensive individual psychotherapy, and family counseling. The CFT considered all community-based resources to address the member’s needs in the community and in his environment.
Even with the support of the available community-based behavioral health services, the member continued to struggle with impulsivity. The CFT agreed that it was a good idea to help the youth access a residential treatment program based in Franklin County. While out of the home, the young man’s care coordinator and CFT continued to meet to monitor treatment progress and work on transition planning. After beginning the residential treatment program, the CFT realized the program was not a good match for the member; because they remained highly engaged, the CFT was ready to spring into action to help the youth find a different type of clinical care. Together, The OhioRISE Plan and the CFT worked to find alternative care and requested Multi-System Youth (MSY) Funding to support the youth’s care with a new provider. The MSY application request was quickly approved, and the member moved into a new facility, where he is getting more clinically appropriate treatment.
To this day, the CFT continues to support the member’s residential treatment and planning for their return home. The CFT secured intensive in-homeservices for the family, and the youth and family will soon begin working with the in-home therapist before the young man returns home to make sure there’s a seamless transition of care.
|
|
|
 |
|
Do you have a story to share about how OhioRISE is making a difference?
Please share a couple of paragraphs explaining how OhioRISE has made an impact. Do not include personal identifiable information.
|
If you know a youth, youth’s family, or youth’s caregiver who is interested in sharing their own story, please email
OhioRISE@medicaid.ohio.gov to coordinate an interview.
|
|
|
For OhioRISE Care Management Entity (CME) Coleman Health Services, it is important to be present within their communities and promote OhioRISE services. A few weeks ago, a Coleman care coordinator attended a community event where she spoke with a provider of behavioral health respite care (short-term relief services for primary caregivers of OhioRISE enrollees). The provider wanted to learn more about how to become a respite provider to serve OhioRISE youth and with Coleman’s help, they are in the final stages of the application.
The provider invited Coleman care coordinators and Coleman managers to tour their facility and discuss how their organization could support the OhioRISE population. The Coleman team offered to help the provider become part of the OhioRISE network. The provider was excited to receive guidance and assistance with the process. Thanks to the CME working to build the system of care in this community, a new provider will soon be available to deliver respite services to OhioRISE youth.
To learn more about Coleman, their services, and their partnership with OhioRISE, visit their website at www.colemanservices.org/services/ohiorise.To learn more about how to find a respite provider, visit Aetna’s website Find a Provider | Aetna Better Health of Ohio or to learn more about becoming a respite service provider, visit For Health Care Providers | OhioRISE - Aetna Better Health of Ohio.
|
|
|
Coleman Health Services was founded in Kent, Ohio in 1978. Coleman offers behavioral health, residential, employment, and supportive services in service centers located in 13 counties across Ohio. Coleman operates two 988 Suicide and Crisis line call centers with service to 19 counties and answers 988 text and chats statewide. They serve nearly 30,000 clients each year. The counties that they service include Ashland County, Holmes County, Richland County, Wayne County, Portage County, and Summit County.
“Coleman Health Services is proud to partner with OhioRISE to assist youth who have complex behavioral health and multisystem needs,” Hattie Tracy, Coleman’s president, and CEO, said. “We are serving families in six Ohio counties, and we know that it was difficult for these families prior to the development of OhioRISE. It is a privilege to manage their care as a
Coleman describes year-one of OhioRISE as a time where they have built strong partnerships in the communities they support. In year-two, they want to know how they can improve. They want to focus on supporting their care coordinators and tap into underserved populations, including a large refugee camp in Summit County.
To learn more about Coleman, their partnership with OhioRISE, and their services, visit their website at www.colemanservices.org/services/ohiorise.
|
|
|
Franklin County Children Services (FCCS), the public children’s service agency is a strong local OhioRISE community partner that works closely with the two OhioRISE CMEs serving Franklin County, the Buckeye Ranch and The Village Network. Together, they are serving youth involved in child protection who can benefit from OhioRISE. FCCS’s mission is “Protecting Children by Strengthening Families”. FCCS achieves this through collaboration with families and their communities, advocating for the safety, permanency, and well-being of each child they serve in a manner that honors family and culture. For FCCS, it is a natural fit to integrate OhioRISE into their system. One way they do this is by hosting monthly meetings with their two partner CMEs and inviting other system partners like the county board of developmental disabilities to explore ways to support families.
Over the past year, FCCS and Aetna have learned to solve challenging cases together and work on creative community supports. As a back-to-school initiative, FCCS was able to work with the OhioRISE plan to provide tablets to youth who are in child protective custody, helping to set this unique population of children up for success in school this year. This is a great way to use OhioRISE benefits to help a vulnerable population.
FCCS is also working with the Ohio Department of Job and Family Services to pilot a new program called Tiered Foster Care. FCCs is partnering with their CME on this initiative with - the CME helps to streamline the CANS assessment process ensuring a single assessment can be used for both OhioRISE eligibility and for tiered foster care purposes.
Additionally, the Buckeye Ranch created a ‘same day access’ flyer for FCCS staff to use and share with members to connect them with the OhioRISE program that outlines the process for families to get same day CANS assessments. The Village Network recently helped prevent a youth from entering child protection custody by expanding behavioral health respite services with a local provider. FCCS reports that The Village Network and The Buckeye Ranch are both” unbelievably responsive” to their agency’s needs.
FCCS has several upcoming initiatives to implement that align with the OhioRISE program and looks forward to the continued opportunity to work closely with OhioRISE CMEs on the implementation of these initiatives since both FCCS and the OhioRISE program share the same goals, to keep kids safe and get them access to their care they need to live up to their greatest potential.
Visit the FCCS website to learn more about their work.
|
|
Psychiatric Residential Treatment Facilities (PRTF) are being created in Ohio to provide short-term, intensive, physician-directed psychiatric hospital level care in residential settings for Ohio’s youth under age 21. PRTF services are intended for young people with the most intensive behavioral health needs requiring longer mental health stabilization than would be available in an inpatient hospital setting.
Starting in November 2023, new Ohio-based PRTFs will extend our in-state continuum of care for young people with behavioral health needs – today, children and youth can only access PRTF services in other states. While limited PRTF capacity will launch in November 2023, the OhioRISE plan will work closely with providers to grow access to this important part of the continuum of care in the coming years.
Children and youth who need PRTF services have mental health and co-occurring diagnoses requiring 24/7 care. The PRTF environment provides intensive psychiatric clinical monitoring, medication management, and a concentrated individualized treatment protocol.
PRTF residency is typically short term - no more than six months. This means PRTFs will work to rapidly equip children and youth with the skills and resources they need to return to community-based settings as quickly as clinically indicated.
We are hopeful that having access to PRTFs in Ohio will help reduce long inpatient lengths of stay and reduce the number of young people who must travel to other states to receive this intensity of service. You can monitor PRTF implementation by visiting the OhioRISE PRTF Resources page.
|
|
|
Behavioral health respite is a service that is available to all youth who are enrolled in OhioRISE. Behavioral health respite service may include the following activities:
- Supporting the child or youth in a home and in community-based settings.
- Assisting the child or youth with their daily activities.
- Transporting the child or youth within the community.
- Transportation activities that do not include the provision of behavioral health respite are not reimbursable as behavioral health respite.
Each OhioRISE member can receive up to 50 days of behavioral health respite service without prior authorization, and if more is needed authorization can be secured from the OhioRISE Plan Your family or friends my become a behavioral health respite provider by meeting enrollment and training criteria.
The OhioRISE program is working to leverage all possible people and resources who can help expand the workforce of individuals providing respite care across the state. Unlike most other treatment services, behavioral health respite can be provided by a wide variety of people, including natural and family support people – these types of individuals often have a relationship with a young person who needs respite, and they can start providing paid respite care if they enter into a contract with a specific type of Medicaid provider organization or if they enroll themselves as an independent Medicaid provider.
Some unique types of people that might consider providing respite care include foster care providers, family members, neighbors, and family friends.
Individuals and organizations interested in providing behavioral health respite care can get more information about contracting with or becoming a Medicaid provider by sending an email to OHRISE-Network@aetna.com with subject line, “BH Respite Provider Request”. In the body of the email include please include the interested provider or organization’s name and contact information. Please copy (cc) Stephanie Humphrey at HumphreyS1@aetna.com and Kandi Tolbert at TolbertA1@aetna.com.
|
|
|
✔ Medicaid Eligibility and Enrollment
To enroll in OhioRISE, a child or youth must be determined eligible for and enrolled in Medicaid. This document explains how a Medicaid application should be submitted to determine Medicaid eligibility.
✔ OhioRISE Eligibility: Child and Adolescent Needs and Strengths (CANS) Assessment
Children and youth who may be eligible for OhioRISE must meet each of the following criteria:
- Are eligible for Ohio Medicaid (either managed care or fee-for-service).
- Are age 0-20.
- Require significant behavioral health treatment needs, measured using the CANS assessment.
Children and youth may also be eligible for OhioRISE due to certain urgent conditions. For example, if a child or youth is in a hospital for behavioral health reasons.
Unless urgently enrolling because of a hospitalization, OhioRISE eligibility is assessed using the CANS. A CANS assessment is a tool that gathers the young person and family’s story to understand their needs and strengths, and to help determine the best ways to provide help.
To ask for a CANS assessment, you can contact any of the following:
-
A local care management entity.
-
A child or youth’s managed care organization.
- Aetna Better Health of Ohio.
-
The Medicaid Consumer Hotline.
-
Behavioral health providers or Family and Children First Councils, which may have a CANS assessor onsite or be able to link to one.
To find contact information for a CME to schedule a CANS assessment, click here.
|
|
Are you interested in taking a community or provider training? Click here to register for the OhioRISE Community and Provider Training or to learn more about OhioRISE trainings. |
|
|
This month, we recommend "Self-Care for Caregivers: A Practical Guide to Caring for You While You Care for Your Loved One" by Susanne White. This book is a practical self-care guide on how to take care of yourself while taking care of others.
You can check out a digital copy on the Ohio Digital Library or find it at your local public library. Find the closest Ohio library near you here.
Our Self-Care Reading List section highlights favorite wellness reads recommended by OhioRISE staff. This is in effort to promote self-help and research-focused mental health books to support your journey in prioritizing a healthy mind.
|
|
 |
|
If you or your family member is experiencing a mental health, behavioral health, or addiction crisis, know that the following resources are available to help. |
|
|
|
If you or someone close to you is experiencing a mental health or behavioral health crisis, call 1-888-418-MRSS (6777).
Families with youth and young adults up to age 21 who are experiencing difficulties or distress can receive assistance within 60 minutes after contacting MRSS. You may also receive up to 42 days of intensive, in-home services and linkage to on-going supports.
|
|
|
If you are experiencing a crisis, text “4hope” to 741741 from anywhere in Ohio, anytime.
Crisis Text Line is here for any crisis. A live, trained crisis counselor receives the text and responds, all from a secure online platform. The volunteer crisis counselor will help you move from a hot moment to a cool moment.
|
|
|
If you or someone close to you is experiencing a mental health or addiction crisis, call, text, or chat 988.
By contacting the Suicide & Crisis Lifeline, you will reach a trained call specialist who can offer help and support in your time of need.
|
|
|
|
|
