CCSI News and Updates
Anne L. Wilder
Coordinated Care Services, Inc.
A lot to share in this month’s newsletter. Highlights include:

New Funding to Strengthen Homeless Services in Monroe County – we’re extremely pleased to have been selected as the recipient of a new SAMHSA Grant that will fund the “ Homeless Partnership in Monroe County,” which we’re implementing in partnership with the Monroe County Office of Mental Health. The project will focus on improving access to and retention in services for homeless adults with Serious Mental Illness (SMI) or Co-Occurring Disorders (SMI/Substance Use Disorders), supporting their progression in recovery and maintaining stable housing. We’ll circle back with updates as this project kicks into gear.
Coming Soon – Trauma Informed New York – With support from NYS OMH, CCSI is working to develop this on-line resource to bring together individuals and organizations from across the state that are working to implement trauma-informed practices, to help them to connect with and learn from others doing similar work – and to provide easy, “one stop” access to resources, events, trainings, and tools to support advances in trauma-responsive practice. The site will go live in January, so stay tuned for registration details!

CCSI on the Road – CCSI staff had the chance to participate in and present at a number of conferences across country during the past several weeks — just page down to view highlights from a few key events: the Healing Trauma, Healthy Communities Conference in Milwaukee, Wisconsin , the Alcoholism and Substance Abuse Providers of New York State (ASAP) 19th Annual Conference in Syracuse, the College of Behavioral Health Leadership’s Summit in Richmond, Virginia and the New York Association of Psychiatric Rehabilitation Services, Inc. (NYAPRS)’s 36th Annual Conference. 

Congratulations Adele Gorges!  Last month we honored outgoing NYCCP/HHUNY Director Adele Gorges and formally welcomed incoming Executive Director Deb Salgueiro. Check out photos and highlights from this community celebration!
Homeless Partnership in Monroe County
CCSI is pleased to have been awarded a Substance Abuse and Mental Health Services Administration (SAMHSA) Grant to support the “Homeless Partnership in Monroe County,” which is being implemented in partnership with the Monroe County Office of Mental Health, Priority Services Team, under Rebecca Maynard, Chief Priority Services. James Felicita, Rapid Engagement Delivery (RED) and Service Access Coordinator has assumed the role of Project Director. The five-year grant period extends from September 30, 2018 – September 29, 2023, with the services to begin by January 1 st .

The Homeless Partnership in Monroe County seeks to improve access to, and retention in, services to support adults, aged 18+, with Serious Mental Illness (SMI) or Co-Occurring Disorders (SMI/Substance Use Disorders) who are homeless to be successful in recovery and in maintaining stable housing. The project goals are to:
  • Increase the capacity of the behavioral health and homeless systems to identify and engage persons with SMI and/or COD who are homeless and not engaged in service.
  • Identify sustainable permanent housing options for individuals enrolled in the Project.
  • Provide evidence-based, integrated mental health and substance use interventions for COD treatment and case management services for enrolled individuals.
  • Provide linkages to recovery support services.

The partnership brings together organizations who provide services within and/or oversee the Mental Health, Substance Use Disorder, Medicaid, Homeless, and Housing systems in the community, along with community-based and peer-run recovery support services.  Click here to continue reading.
Trauma Informed New York Shares Vital Information Statewide

What is Trauma Informed New York?
CCSI, with support from NYS OMH, has developed this statewide trauma-informed care network to bring together individuals and organizations across the state that are implementing trauma-informed practices, giving them not only the ability to connect with and learn from others who are doing similar work, but providing “one stop” access to resources, events, trainings, and tools to support trauma-responsive practice. Network members will be able to communicate with each other directly through discussion forums on the site. An advisory council is overseeing the development of the site, which will go live in January 2019.  

Why is this important?
Individuals and organizations across New York are doing incredible work in implementing trauma-informed or trauma-responsive practices, but it can be a challenge to connect with others to share resources, ask questions, or obtain training and tools. By connecting individuals or organizations from any sector, it helps to strengthen services and ensure that trauma-informed practice is available throughout the state and infused through a variety of systems. Click here to continue reading.
Elizabeth Meeker, PsyD
Practice Transformation
Coordinated Care Services, Inc.
Amy Scheel-Jones, MS. ED
Senior Consultant
Practice Transformation
Coordinated Care Services, Inc.
From ACEs to Assets: Successfully Applying Trauma-Responsive Practices to Grow Resilience and Improve Education, Health and Wellness Outcomes

Last month, 1300 community members and professionals gathered at the Healing Trauma, Healthy Communities Conference in Milwaukee, Wisconsin. This three-day series began with a community call to action on addressing race and historical trauma as part of the healing framework and included plenary sessions from leading experts in the field such as Dr. Robert Anda, Laura Porter, Dr. Bruce Perry, Dr. Kenneth Ginsburg, and L. Song Richardson.
CCSI’s Dr. Elizabeth Meeker , Director, Practice Transformation, and Amy Scheel Jones , Senior Consultant, Practice Transformation, presented on integrating trauma-responsive and resilience development strategies within an education setting. They provided a brief review of foundational information on the impact of trauma and adversity on educational outcomes, and the principles of trauma-responsive education. Through the lens of school, family, and community collaboration, the session discussion included an approach to sustainable change, and strategies that are in alignment with Multi-Tiered Systems of Support. The essential element of resilience and the power of the educator were highlighted through compelling data demonstrating undeniable risk-reduction in the presence of assets able to be developed in an educational setting. They emphasized opportunities for practice change at the individual, school, district, and community levels. Through this exploration of research and practical experience, participants gained a vision of their next steps to becoming more trauma-responsive.  Click here to continue reading.
Collecting and Visualizing Data to Drive Network Performance

CCSI’s Center for Collaboration in Community Health’s David Eckert , Senior Consultant, and Rebecca Hauck , Consultant, presented at the Alcoholism and Substance Abuse Providers of New York State (ASAP) 19th Annual Conference in Syracuse last month. Dave and Rebecca showed three examples of user-friendly, interactive, data collection visualization tools developed by CCSI staff, including:

  • Key Indicators Tool – utilizes data from the Psychiatric and Clinical Knowledge Enhancement System (PSYCKES) to show trends in client utilization of acute services at the State, Regional, County, and Agency/Program levels. The PSYCKES acute service utilization measures include: frequent use of Emergency Room services, multiple inpatient hospitalizations, and hospital/inpatient readmissions within 30 days of discharge. This Tool is currently being utilized by counties as they work with local agencies and programs to identify and reduce the unnecessary use of acute services by the clients they serve by implementing interventions intended to meet client needs at lower levels of care.
  • Substance Use Disorder Dashboard – features data from the OASAS Client Data System (CDS) to visually represent service utilization and treatment outcome trends. Data is visualized in an interactive format which enables County leadership to identify service capacity across all levels of substance use treatment, including: Community Residence, Supportive Living, Inpatient, Outpatient, and Methadone Maintenance. This user-friendly dashboard also depicts discharge disposition and discharge status by primary substance. The use of these visualized reports is particularly relevant as we focus on maximizing our use of current services and monitor treatment outcomes across all levels of care to gauge our progress in the current Value Based Payment environment and in addressing the current heroin epidemic.

Thought Leaders Convened at Summit to Share Innovations Around Eliminating Health Inequities

Lenora Reid-Rose , Director for Cultural Competence and Diversity Initiatives and Nancy Sung Shelton , Sr. Consultant, Cultural Competence and Health Literacy, attended the College of Behavioral Health Leadership’s Summit in Richmond, Virginia at Virginia Union University (VUU). VUU is a historically black college, founded in 1865 to give newly emancipated slaves an opportunity for education and advancement. Its powerful history was not lost as Lenora and Nancy gathered and explored important questions, and discussed creative solutions to address eliminating health disparities and increase health equity.

The Summit was a powerful convening of thought leaders from behavioral health organizations across the nation, and Lenora and Nancy had an opportunity to mingle with fellow innovators. They heard about the horrid history of African American mental health treatment presented by Dr. King Davis, a major contributor in the fields of health and mental health focusing on public mental health policy, the provision of culturally competent mental health services, health care for the mentally ill and disparities in rates of illness and services for people of color. The profound and unfortunate truth revealed was that as much as Dr. Davis was detailing historical horrors as experienced by patients in the first Lunacy Psychiatric Hospital for People of Color, the pain and injustice continues in these contemporary times for black and brown people. Dr. Davis posed questions to consider in the effort to confront and address health inequities:
  1. What business are you in?
  2. Is the organization adequately staffed?
  3. How are you positioned in the network?
  4. How financially stable are you?
  5. Is your client-base increasing?
  6. How effective are you in the use of technology?
  7. Are you using data to drive change?

Confronting Health Inequities

Achieving health equity requires valuing everyone equally with focused and ongoing societal efforts to address avoidable inequalities, historical and contemporary injustices, and the elimination of health and health care disparities. Nancy Sung Shelton , Senior Consultant, Cultural Competence and Health Literacy, presented at New York Association of Psychiatric Rehabilitation Services, Inc. (NYAPRS) ’s 36th Annual Conference about confronting health inequities and the historical implications of racism on contemporary systemic issues. Nancy talked about health and well-being as human rights that should be afforded to all, based on the patient’s/consumer’s individual needs, and is a matter of social justice – from the perspectives of personal bias to systemic racism. Those attending her presentation explored personal activities, within their sphere of influence, that could help to address disparities, racism, and create a more equitable system and community. Contact Nancy at to learn more about achieving health equity at your organization. Click here to see photos.
NYSAC’s Fall Seminar Offered Exhibits and Workshops on a Range of Topics Impacting Counties

Last month, Rodney Corry, Director, Management Services, Dave Eckert, Senior Consultant, Center for Collaboration in Community Health, and Jim Monfort, Manager of Financial Services, Senior Consultant, Center for Collaboration in Community Health, had the opportunity to attend the New York State Association of Counties (NYSAC) Fall Seminar at the Riverside Convention Center in Rochester. CCSI was also a sponsor of this event. NYSAC is a state-wide organization whose mission is to represent, educate and advocate for New York's counties and be the voice of county leaders throughout New York State. This year’s Fall Seminar offered exhibits and workshops that touched on a wide range of topics impacting many of CCSI’s governmental partners and customers. Our team was able to participate in discussions ranging from county budgets and fiscal claiming, to efforts across the state to address the opioid epidemic. A workshop focusing on recent Raise the Age legislation and the local impact on counties featured a particularly robust conversation between panelists from the Governor’s office, representatives from other state agencies and county officials. More information about NYSAC and the 2018 Fall Seminar can be found at .  
James Monfort
Manager of Financial Services, Senior Consultant
Center for Collaboration in Community Health
Coordinated Care Services, Inc.
Financial Services Update

All 2017 Final Claims Should be Submitted and Approved
Now that summer is officially over, all 2017 Claims should be submitted and reviewed. By now, counties should have also maximized the 2017 State Aid Claims. Individual provider and county group approvals of OMH claims should be completed in ALFS as soon as possible. For OASAS claims, payments are currently being withheld until all final claims are submitted. For OPWDD the 10% holdback amount of 2017 State Aid will continue to be withheld until all final claims are submitted. Only then can the final claims be approved, closeouts processed, and holdback amounts released for payment.

New Resource for Adolescents and the Parents/Caregivers Who Love Them

In popular culture, the moody adolescent is easily recognizable. Often portrayed as dangerously risk-taking, obstinate, irritable and at the mercy of their growing minds and bodies. This unflattering and inaccurate portrayal begins to shape parents’ understanding of adolescence with a skewed perspective, reinforcing the unhelpful belief that this is a stage in the parenting relationship that “must be survived.” At the same time, these low expectations are subversive to the adolescent’s own sense of self and understanding of the true strengths that they explore and develop throughout this period. Dr. Kenneth Ginsburg and his team at the Center for Parent and Teen Communication are seeking to change this framework, offering hope, quality information on adolescent development, and practical strategies to guide parenting practice to best support youth throughout the teen years. Similarly, as a practicing physician in Adolescent Medicine, Dr. Ginsburg believes in the power of putting knowledge and resources into the hands of youth themselves, empowering them to understand their development, create ways to manage stress in healthy ways, and to reach out to their parents/caregivers on topics where they may feel anxious or stigmatized. Articles, slideshows, and videos -many created by youth for youth are now universally accessible through the Center’s website , Facebook page and Twitter page . There’s a wealth of information helpful to youth, their parents/caregivers, and any other adults that care for or work with youth. All resources are grounded in positive youth development, trauma-responsive approaches and resilience development. Please review, use and share this comprehensive new site.

To learn more on applying Dr. Ginsburg’s framework for resilience development within your own community or organization, please contact Amy Scheel-Jones .
Supporting Community Schools

As lead agency for the Enrico Fermi School 17 community schools implementation, CCSI works in partnership with students, families, teachers and the community to coordinate strategies for organizing the resources of the community around student success. This video from Starasia Goodwin, a student at School 17, explains that they make learning fun, and school staff help her work through conflicts with friends in a productive way. She also shares the poster she made for the school's peace walk, and talks about the importance of peace, love and helping others in need. Click here to watch!
Congratulations to Adele Gorges – and Welcome Incoming Executive Director Deborah Salgueiro!

Two weeks ago, more than 100 CCSI staff, colleagues, community partners, friends and family came together to help celebrate Adele Gorges, outgoing Executive Director for NYCCP / HHUNY, and to welcome incoming Executive Director Deborah Salgueiro. Adele joined CCSI in 2002 to lead what was then the Western New York Care Coordination Program (WNYCCP), a collaborative effort of the NYS Office of Mental Health; Chautauqua, Erie, Genesee, Monroe, Onondaga and Wyoming counties; peers and family members; and mental health providers. Under Adele’s leadership, the WNYCCP helped to drive important advances in the delivery of behavioral health services, including a strong focus on person-centered planning, care coordination, and using data to inform practice. As work expanded across NYS, the WNYCCP evolved into the New York Care Coordination Program (NYCCP), which today provides management and administrative support for Health Homes of Upstate New York (HHUNY) , serving 22 counties across upstate New York, and working with 172 care management agencies. Management and administrative service are also being provided to Children’s Health Home of Upstate NY (CHHUNY) , which includes more than 100 child and family agencies across 54 counties.

The reception provided not only a terrific opportunity to highlight the many accomplishments Adele achieved during her tenure, but the chance to formally welcome Deborah Salgueiro into her new role as Executive Director for NYCCP / HHUNY!  
Want to hear more? If you haven’t yet had the chance, we hope you’ll check out our Facebook page for more CCSI news and resources.