Reinvesting in Our Community
Since 2010, we’ve reinvested over $1.4 million dollars in supportive treatment programs and services that benefit our community.
What is Reinvestment?
At the close of each fiscal year, Lycoming-Clinton HealthChoices is allowed to retain Capitation revenues and investment income which was not expended during the contract year to reinvest in programs and services in each County. These funds, called Reinvestment funds, must be spent in accordance with an Office of Mental Health and Substance Abuse Services (OMHSAS) approved reinvestment plan.
Reinvestment funds provide a unique opportunity for a financial incentive to reward sound financial management practices and allow the creative use of funds to fill identified gaps in the treatment system, to test new innovative treatment approaches, and to develop cost-effective alternatives to traditional services. Reinvestment funds are one mechanism used to achieve the Commonwealth’s expectation for continuous quality improvement of a comprehensive treatment system that supports recovery for persons with mental health, drug and/or alcohol treatment needs, and their families.
Reinvestment Committee
The Reinvestment Planning Committee includes and documents the involvement of members of Lycoming-Clinton HealthChoices who have received or are currently receiving services, families (including families of children and adolescents), persons in recovery, MH/ID and Single County Authorities (SCA), and as appropriate, County Commissioners and local legislators.
Stakeholders must be involved in all stages of the planning and decision making process. Information provided to stakeholders during the planning process includes:
Results of data analysis performed to document utilization trends, populations served, unmet needs, etc.
Results of Consumer and Family Satisfaction Surveys and Community Needs Assessments.
Research and outcome data regarding the potential treatments or services.
At numerous consumer, HealthChoices, and Community Care forums, stakeholders are also provided with regular updates and encouraged to submit input concerning reinvestment projects being considered.
Learn more about the stipend paid by HealthChoices for participating in our Reinvestment Committee.
Download our Reinvestment Committee Stipend Reimbursement Form here.
Our Reinvestment Projects
2008 Reinvestment Funds
D&A Case Management (Sub Oxone Coordinator)
Funds Spent: $76,766
Provider: WBDAAC Activities: Provider recruited 4 physicians in our bi-county area as prescribers for Sub Oxone and Vivitrol. Provider coordinated 2 county Medication Assisted Treatment (MAT) teams composed of prescribing physicians and representatives from SA providers to monitor clients’ compliance with the MAT program. Members Served: 45 adults. Outcomes: 100% of members in the MAT program for over one (1) year agreed the medication with outpatient treatment assisted with their recovery; 50% report that the medication assisted with day-to-day tasks; and a reduction in higher levels of care was also noted.
2009 Reinvestment Funds
Co-Occurring (MH/SA) Outpatient Services
Funds Spent: $74,174
Provider: Crossroads Counseling, Inc. Activities: Agency developed new polices, processes, and operations to establish self as co-occurring OP clinic; increased number of counselors; trained staff regarding co-occurring competency and therapeutic specialties. Members Served: 67 adults with co-occurring diagnoses. Outcomes: Expanded access to psychiatry, tele psychiatry, medication management, and MH OP services for Lycoming-Clinton members; and successfully scheduled clients within one week of referral.
Mobile Psychiatric Rehabilitation Services (MPR-S)
Funds Spent: $287,122
Provider: Skills of Central PA. Activities: implemented first mobile psychiatric service (with a supportive housing focus) in Lycoming and Clinton counties. Members Served: 192 adults. Outcomes: 97% of members sustained independent housing; members achieved 63% of treatment goals; and members experienced a 25% reduction in use of Crisis and MHIP.
2010-2011 Reinvestment Funds
Decision Support Center (DSC)
Funds Spent: $20,463
Provider: Community Services Group. Activities: partnered with Community Care to implement the Shared Decision Making (SDM) model of patient centered care, which included support in using the DSC from Certified Peer Specialists. Members Served: 369 adult members. Outcomes: Members successfully developed and applied personal medicine and power statements with prescribers, completed Common Ground health reports, and utilized the Recovery Library.
Mental Health Drop In Center
Funds Spent: $55,591 (2010); $211,675 (2011)
Provider: Skills of Central PA. Activities: implemented first mental health consumer drop-in program in Lycoming and Clinton counties; coordinated group trips, events, and community volunteering activities for members; provided transportation to program; supported consumers in planning and holding community awareness and educational events about MH. Members Served: 35-40 adult members participated each week. Aggregate Outcomes: Consumer engagement in daily operations of drop-in center increased 25% from Year 1 to Year 5; consumer engagement in positive community activities increased 60%; and consumer sense of mutual support and encouragement towards recovery increased 57%.
Enhanced Mobile Psychiatric Rehabilitation Services (EMPR-S)
Funds Spent: $148,550
Provider: Skills of Central PA. Activities: provider hired a Wellness Nurse and MPR staff were trained in wellness coaching, to support members in improving overall health, self-management of medications, and coordination of physical and behavioral healthcare. Members Served: 83 adult members.
Substance Abuse Recovery Resource Center (RRC)
Funds Spent: $23,811
Providers: WBDAAC, PATH, White Deer Run OP, and Genesis House. Activities: providers developed in-house resource centers for use by members that included computer with internet, DVDs, books, and other information to assist members in reaching goals. Aggregate Members Served: 3-18 members, family members, and supportive persons utilized the providers’ resources each week. Outcomes: Resources regarding relapse prevention and helping family members in recovery were the most popular topics of information sought by clients; members also utilized computer to apply for benefits, public housing, and employment.
Dual Diagnosis MH/ID Treatment Team (DDTT)
Funds Spent: $25,000
Provider: Beacon Light Behavioral Services. Activities: a shared team was implemented with Blair and HMJ Counties to serve Lycoming and Clinton members. Members Served: 5 adult members. Outcomes: Average length of stay for Lycoming Clinton members was longer than projected due to members having high no show and cancellation rates for appointments; no members were admitted to higher levels of care. Overall satisfaction rate with Team as reported by members was 4.6 out of 5.
ASAM Network Wide Training
Funds Spent: $25,293
Providers: All Lycoming and Clinton substance use disorder providers. Activities: provider staff were trained in the use of ASAM Criteria tool as part of statewide transition from PCPC tool. Three trainings were completed, and 90 local SUD staff were trained. Outcomes: 100% of staff required to attend ASAM training have completed training.
2011-2012 Reinvestment Funds
Children’s Respite Services
Funds Spent: $5,785 (2011); $205 (2012)
Provider: Diakon Child, Family, and Community Services. Activities: recruitment and certification of respite staff and respite homes, and provision of hourly, in-home, out-of-home, and emergency respite services. Members Served: 32 members served to date. Outcomes: no outcomes to date.
Evidence Based OP Trauma Treatment
Funds Spent: $99,536
Providers: Community Services Group, Crossroads Counseling, Inc., and Genesis House. Activities: evidence- based trauma informed treatment support group models for women were implemented in both counties by MH and SUD providers. Members Served: 86 adult members. Aggregate Outcomes: an 85-100% retention and completion rate was noted; 50% decrease in members’ MH symptoms and a 1-3% decrease in SA symptoms; 25% reduction in members’ trauma symptoms; and 75% of members reported improvement in overall functioning and coping skills.
2012-2013 Reinvestment Funds
Supportive Housing
Funds Spent: $31,195 (2011); $17,947 (2012), $81,133 (2013)
Provider: WBDAAC. Activities: Contingency Fund established and made available for members who are clients of WBDAAC and are seeking affordable, safe, and independent housing; funds may be applied to needs including rent, security deposit, and household necessities. Members Served: 376 adult members served to date. Outcomes: 100% of members maintained their housing; 92% of members did not access higher levels of care nor were incarcerated; 100% of members reported enhanced quality of life through having a safe environment in which they can recover.
Certified Peer Support Services (CPS)
Funds Spent: $138,392
Providers: Skills of Central PA and Community Services Group. Activities: expansion of existing CSG peer services and Skills’ implementation of stand-alone 2nd choice for CPS services; providers hired and certified 6 new CPS staff and 2 new CSP Supervisors, and all received Forensic Peer certification; one peer also participated in Wellness Recovery Action Plan (WRAP) training. Members Served: 48 adult members. Aggregate Outcomes: 15% reduction in utilization of crisis services; 31% decrease in admissions to MHIP; and members reported a 50% increase in self-esteem and social functioning.
Healthy Homes
Funds Spent: $1 ,015
Provider: WBDAAC. Activities: This reinvestment plan revision intends to expand financial support available to help members maintain safe and healthy housing.Members in need of financial assistance to treat other home based health compromising conditions that prevent attendance at counseling, jobs, or school, may be considered for funds on a case by case basis. Outcomes: To date, 7 members have been assisted with funds and 100% have maintained their housing.
Community Based D&A Adolescent Treatment Services (CBDA)
Funds Spent: $159,985
Provider: Crossroads Counseling, Inc. Activities: Implementation of Community Care model for family based D&A service for teens; two teams were recruited and trained to establish one in each county. Members Served: 16 adolescents and their families. Outcomes: 70% of youth being served maintained sobriety during participation in services; only one member was placed out of the home due to relapse; 100% of parents were willing to participate actively in treatment; and families reported 34% improved communication and better insight into the dynamics of addiction.
Continued Fund Use — Supportive Housing MD / ID
Funds Spent: $62 484
Activities: Reinvestment is utilized for Contingency Funds for members/clients of MH/ID in need of affordable, safe, and independent housing. Plan was extended one more year, until 2020. Outcomes: To date, MH/ID has served 11 members with supportive housing funds; 100% of members reported enhanced quality of life and that having stable housing is providing a safe environment.
2017 Reinvestment Funds
Methamphetamine OP Services
Funds Available: $71,438
Methamphetamine treatment services are counseling, intervention, education, and support services for individuals who want help for methamphetamine use disorder.
Child Respite Services
Funds Spent: $72,226
Provider: Diakon. Activities: The Reinvestment Committee approved one additional year of reinvestment funding to continue this plan with Diakon as the provider. Considering the high and repeated utilization of this service by families with significant needs, a cap will be placed on services for the year. Outcomes: It is projected that 40 unique members will be served with Respite Services next year.
2018 Reinvestment Funds
Trauma-Informed Cognitive Behavioral Therapy (CBT) Training (Priority 2)
Funds Available: $21, 550
Substance abuse in one way that survivors of trauma try to deal with their memories and feelings. This is a type of therapy that helps individuals overcome the negative effects of traumatic experieces, and learn to handle their feelings without using substance. Training for White Deer Run.
Expansion of Parent Child Interactive Therapy (PCIT) (Priority 1)
Funds Available: $20,000
PCIT is a type of play therapy provided to young children and their parents. The adults learn and practice new skills they can use to help with handling their children’s behavior. Target Population: Families and children ages 2-7.
Community Recovery Services: CRS services/Drop-in Center (Priority 4)
Funds Available: $100,000
Community Recovery Services combines Certified Recovery Support and Certified Peer Support services with a Drop-in Center to provide peer and family peer support services and advocacy (including transition support from hospitalization and incarceration), to individuals in recovery from substance use disorder and mental illness. It also provides education, information, support, and socialization for those in recovery and their family and friends. It provides a safe and nonjudgmental space for adults to support one another, and to share life experiences. Target Population: Adults and their families, friends, and loved ones.
School Based Child/Adolescent Partial Hospitalization Program (PHP) or (IOP) (Priority 3)
Funds Available: $25,000
Child and Adolescent PHP or IOP offer services to children and teens who need more help than can be provided in outpatient therapy, and who are at risk for hospitalization, residential treatment, and other out of home placements. Target Population: Students ages 13-18.
Short-term Crisis Residential Program for Youth (Priority 5)
A short-term crisis residential program is designed for youth who have a mental health diagnosis, and act in ways that make them and others unsafe in their homes, schools, and communities. The average length of stay in a short-term residential program for this age group is typically 4-6 months. Target Population: Youth ages 12-18