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New Beginnings Today is a community counseling agency accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF)

New Beginnings Today is a community counseling agency accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF)

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New Beginning Today Press Kit New Beginning Today Press Kit Document Transcript

  • 2012 NEWBEGINNINGTODAY Press Kit Bringing brighter days ahead Dr. Marcus Green CEO/Founder All Rights Reserved. Confidential & Proprietary
  • New Beginning Today (NBT)THE AGENCY’S PHILOSOPHICAL APPROACH FOR PROVIDING SERVICES TO BEHAVIORAL HEALTHCONSUMERS.The agency’s mission is to assist clients in developing the capacity to improve their quality of life byproviding a comprehensive range of services that are client centered, strength based, and uniquelytailored to meet their needs.Our philosophy is to Families and individuals to be best for those that they love, as well as forthemselves. Often children and their families have needs that cross agency boundaries; therefore, all ofour services are developed cooperatively and care coordinated by teams and professional leadership.NBT ’s uses components of the Multisystem Therapy (MST), a home-based model of service deliverydesigned to reduce barriers that keep families from accessing services. The team and leadership shareresponsibility, expertise, and mutual support while designing creative services that meet an individual’sstrengths and needs across home, school and community. Interventions are flexible because theapproach is multi-faceted, taking all aspects of the child’s history and current life situation into accountOur Corporate Citizenship and Responsibility is to the communities and families it serves and believesin the strengths based approach to individual, family and community development. NBT is positionednot only as a provider of behavioral and mental health services but a committed and responsible partnerwho invests time and financial resource back into the community. As a part of its philanthropy, NBT’sleadership has established college scholarships and sponsorships for athletic teams and special events.Additionally, as described in the question 11i on collaboration, NBT is reaching out to partners toidentify innovative solutions to enduring social issues on African American males, truancy andgrandparents who are increasingly becoming caretakers of youth to have a larger social impact. NBT hasfounded a non-profit community based organization to partner with other community and faith basedentities and child service agencies to provide services not permitted by CMOs.New Beginning Today core services are preventive in nature and NBT’s core services address allrequired areas and are comprised of: ● Diagnostic Assessment and Individual Resiliency Planning ● Individual Counseling ● Family Training/Counseling, Group Training/Counseling ● Community Support Individual ● Crisis Intervention ● Medication Administration ● Nursing Assessment and Health Services ● Physician Assessment and Care ● Outpatient Substance Abuse Treatment and Education ProgramThe Diagnostic Assessment and Individual Resiliency Planning are performed by a master’slevel clinician and typically include the client, the parent/guardian, and other family members ifpermitted by the responsible adult. Information is also gathered from the referral source. Theinformation gathered during the assessment is then used by the assessor and the family to createthe client’s Individual Resiliency Plan, which includes specific/attainable goals, objectives, andinterventions with the family. SNAP-SMART principles, transitional planning, discharge planningand other components provide a continuum administered by the clinical professional. Thediagnostic assessment is also used to determine what CORE service(s) is/are the best fit for theclient. 2 www.NBTATLANTA.com
  • New Beginning Today (NBT)Individual Counseling is performed by a master’s level clinician, who has a background in SocialWork and/or Counseling. During individual counseling, the clinician explores, probes, and assiststhe client with various areas of personal need and builds on client strengths.Family Training/Counseling is performed by a master’s level clinician, who has a background inSocial Work and/or Counseling. During family training/counseling, the clinician assists the familywith the needs that were identified with in the client’s resiliency plan. These needs can includeteaching effective communication, how to deal with a child with maladaptive behaviors, effectiveparenting skills, and other areas.Group Training/Therapy is performed by a bachelor’s level and a master’s level clinician. TheBachelor’s level employee and the Master’s level clinician work together as a team and teacheffective anger management skills, social skills, relaxation techniques, and other modalities.The Community Support Individual (CSI) service is performed by non-degreed or bachelor’s levelemployees and are classified as CSI workers/paraprofessionals. CSI is nontraditional and servicesare typically not provided in the office. The services are provided in the community and empowerthe consumer and family with life skills.Crisis Intervention is used when a client is experiencing an abrupt and substantial change inbehavior which is usually associated with a precipitating situation and which is in the direction ofsevere impairment of functioning or a marked increase in personal distress. The clinician typicallyreceives a call from the client, parent, guardian, or referral source regarding crisis, and the clinicianassists in the de-escalation of the crisis (over the telephone and/or in person dependent upon thenature of the crisis).Medication Administration service includes the giving or administration of an oral medication orinjection. Medication Administration requires a physician’s order, and licensed medical personnelunder the supervision of as physician must administer the medication. The client, parent, orguardian is educated regarding the proper administration and monitoring of prescribedmedication.Nursing Assessment and Health Services require face to face contact with the individual tomonitor, evaluate, assess, and/or carry out a physician’s orders regarding the physical and/orpsychological problems of the individual. It includes providing nursing assessments, assessing andmonitoring the individuals response to medication, assessing and monitoring an individualsmedical and other health issues that are related to mental health or substance related disorders.Physician Assessment and Care Services include the provision of specialized medical and/orpsychiatric care such as evaluations and assessments, psychiatric diagnostic evaluation, medical orpsychiatric therapeutic services, assessment and monitoring of the youth’s status in relation totreatment with medication, and assessment of the appropriateness of initiating or continuingservices. 3 www.NBTATLANTA.com
  • New Beginning Today (NBT)NBT PROVIDES AND EVIDENCED-BASED PRACTICES AND DOCUMENTATION OF TRAINING.NBT uses Multisystem Therapy, Multidimensional Family Therapy, Brief Therapy, Cognitive BehavioralTherapy (CBT), Promoting Awareness of Motivational Incentives (PAMI) and Strength BasedInterventions for Families as their essential models. The Cognitive Behavior Therapy training has beenconducted by Schantate Johnson, LMSW, former Director of Training, and PAMI, family based and othertrainings have been conducted by Taunya Lowe, Ph D, who is retained by NBT to provide support toclinical staff . All documentation of training in evidence based practices and therapeutic interventions ismonitored by the Human Resources director as described in detail in 11h, on continuing education.Minimal documentation includes agendas, objectives, copies of training materials and power pointpresentations and on site or electronic certificates and sign in sheets with corresponding dates, times,and topics. Michelle Schofield, M.D, is NBT’s psychiatrist who refers to the psychodynamicpsychotherapeutic approach based on the traditions of Sigmund Freud. She also uses interpersonalpsychotherapy based on the teachings of Gerald Klerman and supportive psychotherapy recognizing theconsumer’s strengths.Recognizing the emphasis on evidence based practices and innovation, NBT is establishing theTransformational Practices Team, which focuses on evidence based practices, professional training anddevelopment, new and creative approaches and looping data back into quality performance andconsumer outcomes. This team has emerged out of the management and training staff of NBT andinterested community and professional stakeholders with expertise in clinical, behavioral and socialservices.NBT utilizes a family-centered modality.NBT has a comprehensive family centered model in place. NBT services promote a family-based focus inorder to: ● Diffuse the current behavioral crisis, evaluate its nature and intervene to reduce the likelihood of a recurrence; ● Ensure linkages to needed community services and resources; and, ● Improve the child/adolescent’s ability to self-manage behavioral health issues, as well as the parents/responsible caregivers’ capacity to care for their children.Beginning with the assessment and the Family Team Conference, NBT invites the client, his or herfamily, referral source and other professionals in collaborative treatment. This opportunity also orientsthe family to NBT’s services, the Consent for Services and other relevant documents. The clients, parentsand guardians sign the Consumer Rights and Responsibilities and Expectation of Consumers and FamiliesParticipating in Services, which empower them to be aware of their assurances for treatment. Strength-based assessment, Individual Resiliency Planning/Treatment Planning, transitional planning anddischarge planning are fully integrated opportunities for client and family input and require theirsignatures as well. Basic information such as scheduling, frequency of services, routine times,introduction to therapists and contacts is established at this conference. Staff members use SNAP-SMART principles in establishing measurable client and family centered outcomes. NBT provides aspecial resource called “Additional Tools” to help with meeting the family. NBT’s Professional TrainingTeam also provides workshops on consumer and family centered treatment planning.NBT possible services provided in the family centered approach are: ● Family therapy 4 www.NBTATLANTA.com
  • New Beginning Today (NBT) ● Individual therapy ● Communication skills ● Anger management ● Parenting education ● Child development ● Nutrition ● Resources Acquisition ● Networking ● Fiscal and home management ● AdvocacyAt each stage from intake to discharge, family centered and strengths based approaches aredocumented: ● Screening for Risk ● Progress Notes with Goals and Objectives ● Family Assessments ● Consumer Assessments ● Individual Resiliency Plan ● Discharge Plan, and, ● Other NBT standards.A partial listing of consumer and family techniques include: Miracle Question, Modeling, Life StoryTelling, Family Round Table Discussion, Behavior Modification, Reframing, Mirroring and Self-reflections.Sample consumer and family centered supportive care provided by professionals and paraprofessionalCommunity Support Individual (CSI), only where appropriate are: Positive Self-care, Career Counseling,Independent Living Skills, Grief Management, Loss and Separation Issues, Independent Living Skills,Leisure/Recreational Skills and Financial Literacy. Please note that paraprofessionals provide only non-clinical supportive services and skill building.We are offer evidence-based practices and interventions of Adolescent Substance Addiction.NBT uses the Matrix Intensive outpatient treatment as its intervention for substance use disorder. Thistreatment model incorporates elements of relapse prevention, cognitive behavioral therapy, psychoeducation and family approaches as well as the 12 step intervention. Consumers receive information,assistance in structuring a substance-abuse free lifestyle and support to achieve and maintainabstinence from drugs and alcohol. For 16 weeks, consumers receive several intensive outpatienttreatment sessions per week. This intensive phase of treatment involves counseling and support such asindividual/family sessions, early recovery skills, relapse prevention, and family education.We offer 24/7 Accessibility: On the policy level, NBT provides services when needed and responds tocrises immediately and addresses accessibility in Consumer Rights and Responsibilities. An on-call teameither headed by a clinical professional or with access to a clinical professional is available 24 hours perday 7 days per week. The on-call leader is trained in crisis intervention and crisis stabilization techniquesas well. NBT also has a psychiatrist or psychologist on call 24-7. NBT is proactive, and plans aredeveloped to prevent or mitigate crises. Crisis response can be taxing, but most families are appreciativebecause NBT’s capacity to respond engages the family and achieves the critical goal of preventing out ofhome placements and family discontinuity. 5 www.NBTATLANTA.com
  • New Beginning Today (NBT)Regarding involuntary commitment after normal business hours, NBT focuses on stabilizing the situationusing the Stabilization and Crisis Plan provided in the Orientation/Policies and Procedures Manual. Theon-call team member makes a referral for emergency care to the one call emergency psychiatrist oremergency personnel at the local hospital emergency room. The on-call staff member follows the NBTSafety Protocol and contacts the NBT administrator to proceed with the next steps articulated in theorganization’s guidelines. All appropriate referrals and Critical Incident Reports are followed inaccordance with Georgia Law Requirements 37-3-41. Involuntary Commitments.We provide utilization of outcomes data: NBT uses outcomes data in four basic forms. First, it monitorsthe client’s progress using SNAP-SMART principles throughout the Individual Resiliency Plan/TreatmentPlan, Transition Plan and other components of progress. These outcomes are documented both inCAFAS and Sharenotes. Secondly, NBT meets in staff and management sessions to discuss the client’sprogress often on a weekly basis. Thirdly, NBT will be participating in the CARF sponsored webinar onPerformance Improvement: I and II and the conference on Transforming Outcomes Data intoManagement Information. Lastly, through its partnerships such as school systems, NBT is paying moreattention to data trends on the aggregate/group levels and disaggregated/individual levels. For example,the field is observing an increase in ADHD, autism and other processing disorders and the emergence ofgender and culture specific approaches. As diagnoses become more prevalent and diverse on theaggregated and disaggregated levels, NBT can provide more customized approaches in a pool ofevidence based and solution focused strategies. The Transformational Practices Team and the QualityAssurance staff would be responsible for translating the CARF and other models into a more systemicapproach to data collection and use.We proffer monitoring of client satisfaction: NBT monitors client satisfaction through Pre and PostSurveys (Consumer Survey and Family Survey) administered by team leaders or other clinical staff. Staffalso periodically makes calls to referral sources and families. On an on-going basis, staff meets withpartnering agencies. When an informal or formal complaint arises, staff members immediately respondcall family members or CMO representatives. NBT has an extensive complaint and grievance procedureoutlined in its Orientation and Policies and Procedures manual.We invest in the continuing education of clinical staff: The Human Resources director monitors alltraining of clinical and supervisory staff. Records of Essential Learning and Continued Education Units(CEU) are maintained in a centralized Training Log, with appropriate certificates and on site or electronicsign in sheets. All NBT staff is expected to maintain knowledge and skills regarding research trends inbest/evidence based practices. NBT requires all potential clinical staff to submit copies of licensure orcertification. For clinical staff in the process of licensure and or unlicensed staff, a master’s degree in theareas of counseling, social work and/or psychology is required. Clinical staff is required to have 29 hoursof specialized training per year. Individual and small group coaching, technical assistance throughemails, phone conferences, webinars individual improvement strategies, cross training, CEU and NBTsponsored staff development are a part of skill enhancement. NBT retains an external professionaltrainer and uses master’s level staff to provide customized support in areas included but not limited toIndividual Resiliency Planning, Family Centered Planning, CORE components, Cultural Competency,SNAP-SMART principles and evidence based practices. On an individual basis, NBT financiallyunderwrites external training through CARF, professional organizations and credentials enhancementsuch as paying for testing to become a Licensed Clinical Social Worker (LCSW). After attending outsidetraining, staff is required to demonstrate at least three modalities, strategies or interventions. Trainingdevelopment staff headed by Dr. Lowe evaluate growth areas and staff inquiry. By promoting a cultureof inquiry, clinical staff feel comfortable in pursuing creative, non traditional approaches, discoveringevidence based practices and solutions and exploring treatment options. 6 www.NBTATLANTA.com
  • New Beginning Today (NBT)We have strategic collaboration with other agencies to enhance outcomes and innovation: NBT staffdevelop collaborations based on the consumer/family’s needs in education, personal skill development,housing enhancement, counseling (individual and family), healthcare, job training and other services.NBT staff and the consumer develop a transition plan for all consumers entering the NBT program. Theplan ensures a continuity of therapeutic and family support. NBT advocates for and links families tocommunity resources and services promoting family self-sufficiency.Our partnerships. Some of NBT’s key partners and referral sources are TriCity High School, AtlantaMetropolitan College Upward Bound, Fulton County Department of Juvenile Justice, Clayton CountyDepartment of Juvenile Justice and Hearts to Nourish Hope.NBT’s relationship with referral sources transcends traditional boundaries of a clinical provider to that ofa company with a heart for the community, searching for solutions. NBT assists families in accessingcommunity resources, modeling positive behaviors to demonstrate how to engage referral sources,making initial contact, documenting progress toward any adjusted goals and objectives and ensuringthat consumers get authorized support. Referral sources are documented in an internal ReferralTracking System which is now being migrated into Sharenotes.Our collaboration. Three examples of collaboration demonstrate NBT’s commitment to innovation withour partners: Clayton County Schools’ truancy presentation, grandparents’ workshops and proposedprincipals’ meetings on African American male achievement and behavior.Highlight of Achievements ● In January 2011, NBT staff met with Clayton County School System officials to introduce the” Truancy Prevention in Action: Best Practices and Model Truancy Programs” by the National Center for School Engagement, an initiative of the Colorado Foundations for Families and Children. The federal Department of Juvenile Justice uses this model as its national best practices, and NBT indicated to the district the link between poor academic performance and antisocial behavior and other risk factors. NBT and school officials will be determining next steps, perhaps including NBT’s providing clinical services to students and professional development opportunities to staff. ● Prior to this meeting the school system was not familiar with this nationally recognized model. In the fall of 2010, an NBT clinician offered workshops to grandparents of their clients who attended Venetian Hills Elementary Schools. Topics encompassed Navigating the School System, Health and Nutrition, Grandparents’ Rights, Communication Skills, and Recreational Resources for Grandparents. ● NBT has noted chronic dropout rates and social ills affecting African American males in the metro Atlanta area. As a result, NBT is designing a series of listening sessions with school officials to develop a proposal to offer more customized services to families, students and staff. This may expand NBT’s role beyond providing traditional clinical services to youth and their families to helping schools develop environments of achievement by focusing on how behavioral and academic services are offered. ● NBT is currently researching effective practices for African American achievement including positive behavioral enforcement, pedagogical models, asset and inquiry based learning, heritage 7 www.NBTATLANTA.com
  • New Beginning Today (NBT)and identity, hands on experiential learning, community linkages and other features conduciveto their learning. NBT partners with experts in various sectors to provide technical support. Ifnothing else, NBT is committed to and raising awareness regarding African Americanachievement among its referral sources and peer agencies. 8 www.NBTATLANTA.com