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“In a recovery-oriented system, mental health consumers rebuild meaningful lives while decreasing their dependence on the system. They participate in services that enable them to recover rather than become long-term users of the mental health system. (Wisconsin Blue Ribbon Commission Final Report, 1997) This web page provides: (click on any topic for quick link)
La Crosse County Human Services Wisconsin has long been a leader in the development of supportive services to persons with mental health and substance abuse service needs, who are living in the community. With the development of Comprehensive Community Services (CCS), the Wisconsin Department of Health and Family Services is increasing access to supportive services for children, adolescents, and adults including older adults with mental health or substance use disorders. CCS programs will provide psychosocial rehabilitation services to consumers who have needs for ongoing, high or low-intensity services resulting from mental health or substance use disorders, but who are not in need of Community Support Program (CSP) services. The Department recognizes the importance for mental health consumers who need more intensive support to have access to CSP services. The addition of CCS to the array of services will provide consumers and counties with more choices to match consumer needs with appropriate supports. CCS programs will use a wraparound model that is flexible, consumer directed, recovery oriented, strength and outcome based. The focus of CCS programs will be to assist consumers in efforts to maximize their independence. In 1997, after a year of analysis and input from providers, stakeholders and consumers, Wisconsin’s Blue Ribbon Commission on Mental Health came out with definitive recommendations to change the way mental health and substance abuse services are provided in Wisconsin. The Department used these recommendations in the development of HFS 36, Comprehensive Community Services. Guiding Principles include: · Meaningful participation of consumers, their chosen supports systems and/or families, and advocates is critical to successful system design, implementation and on-going quality improvement. · Services focus on successful living in communities and provide access to jobs, housing and transportation as well as health, educational, vocational, social, spiritual and recreational resources. They make full use of natural supports. · Consumers are empowered to take more control of their lives and are given the resources and skills to be responsible for their actions and decisions. · Families of children and adolescents involved in the mental health and substance abuse system are recognized as central partners in the service and treatment process. · Treatment and other services are cost effective and efficiently use all available resources, including natural supports, to achieve positive consumer outcomes. · The mental health substance abuse system takes a flexible, creative, and at times non-traditional approach to providing services. Services are comprehensive, culturally relevant and within available resources make every effort to meet the needs of consumers, families and communities. The Department, and in particular, the Bureau of Mental Health and Substance Abuse Services views the creation of the CCS benefit as one of the ways to transform the mental health and substance abuse delivery system in Wisconsin. It is anticipated that, over time, the success of this recovery-based program will stimulate changes in existing local programs to facilitate a seamless system of services based on hope, empowerment and recovery.
INDICATORS TO HELP IMPLEMENT THE CCS VISION Embedded in CCS are mechanisms to ensure that CCS will deliver recovery-based services to adults, older adults and children in such a way that it incorporates the vision and principles of the original Blue Ribbon Commission document. 1) Meaningful Participation ü Consumers and community have a significant representation on the local CCS Advisory Board or Coordinating Committee. ü CCS Coordinating Committee provides meaningful input into program plan development, agency consumer related policies and has a role in on-going quality improvement activities 2) Access ü All target populations are included in the CCS plan. ü Access to services is based on level of need as determined by the Department approved functional screens. ü Planful assertive outreach anticipates and identifies persons in need of services. 3) Recovery ü Recovery is evidenced by staff training and the appropriate and effective implementation of individualized services for each consumer. ü Agency forms and processes used for intake, assessment and care planning are recovery based ü Recovery will also be evidenced by the supportive relationship staff have with consumers 4) Meeting Individualized Needs ü Service plans foster natural and peer supports wherever possible. ü A flexible array of services is available. ü Service plans are reviewed for effectiveness and appropriateness and change to reflect consumers’ current needs and goals. ü Service plans are recovery-based, individualized, based on consumers identified needs and life goals and crafted in a recovery team with the consumer/family. ü Service plans are designed to assist the person to achieve the highest level of health wellness, stability, self-determination and self-sufficiency. 5) Focus on Quality Improvement ü Continuous quality improvement is embraced as the responsibility of local program management and resources for QI are integrated into program costs ü Quality improvement processes support improving consumer outcomes and use measurable quality indicators based on data/information the agency collects reliably and routinely. ü A quality improvement plan is in place at the time of full certification that is effective, measurable and focused on the effectiveness of service delivery and satisfaction of consumers
DESCRIPTION OF LA CROSSE COUNTY CCS PROGRAM Eligibility The program is available to individuals on Medical Assistance. The consumer could be a person of any age with either a mental health disorder or a substance abuse disorder (or both), AND be in need on ongoing, comprehensive services to minimize the effects of their disorder and maximize their independent functioning. Description Comprehensive Community Services (CCS) is a recovery oriented program that assists individuals in designing a plan of mental health and/or substance abuse supports and services to promote their journey or recovery. Consumers that are enrolled in CCS will receive assistance in meeting basic needs such as housing, benefits, and physical care. In addition, CCS consumers will also have the ability to use their Medical Assistance to obtain many new forms of services that were not previously covered. CCS provides a great deal of consumer choice regarding how supports and services are delivered. The consumer is the center of a team that will decide what types of supports and services are needed to assist them in reaching their goals. Consumers who enroll in CCs are assisted in identifying who they would like on their Recovery Team. The team consists of the consumer, the service facilitator, and any other formal or natural support person that the consumer wishes to be involved in designing their plan of support. The consumer identifies their goals and is actively involved in the team process of deciding if any supports and services need to be purchased to supplement what is available in the community or through their natural support system. If the support or service needs to be purchased through Medical Assistance, the consumer has the opportunity to choose from a network of providers. If a desired provider is not on the list, the service facilitator will attempt to arrange for them to be added to the network. Many new kinds of services will be available through CCS. Employment training, money management training, social and coping skills training, peer support, and consumer rights and advocacy training are only a few. Assistance will also occur to arrange for traditional services such as counseling, therapy, and day-treatment programs. Services are provided in a manner that is respectful, culturally appropriate, collaborative between consumers and providers, based on consumer choice, and protective of consumer rights. Applications Applications are available in Clinical Services or at the Aging & Disability Resource Center (785-5700). Completed applications can be turned in at the Aging & Disability Resource Center. If you are currently receiving services from a Mental Health Recovery Services program, simply ask your assigned worker to forward the completed application form to: Shelly Skau (Human Services Supervisor) 608-789-7845 skau.shelly@co.la-crosse.wi.us
CCS PROGRAM CONTACT INFORMATION For questions regarding children’s services: Kristine Buehler (Human Services
Supervisor) For questions regarding adult services:
Shelly Skau (Human
Services Supervisor) For provider questions regarding billing or contracting: Chris Sander (Human Services
Supervisor)
Each CCS program in Wisconsin is required to have a “CCS Plan” that is kept updated. This is a document that describes the manner in which the program will be delivered (staffing, vendors, policies and procedures, etc.).
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