Report: Support Service Teams - First Nine Months

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The Support Services Teams (SST) began receiving referrals on August 16, 2010. By  May 31, 2011, 274 referrals were made to the SSTs. Since the SSTs accept referrals on a no-decline basis, the distribution of referrals simply reflects the referrals made to them. Please see more geography information about teams. The referrals and closures during this time period are shown by Team below: 

Team Referrals and Closures to 5/31/2011 and Active

Name of Team	Referrals thru 5/31	Closures as of 5/31	Active
Rockford	46	26	20
Chicago	48	18	30
New Lenox	42	9	33
Peoria	52	15	37
Springfield	42	24	18
Carbondale	44	19	25
TOTAL	274	111	163

Transfers are no longer counted separately and now are considered a new referral. There have been 4 transfers between SSTs. Three persons have been referred twice. Closures are made after services are provided, the person's behavior or medical needs are less frequent or less severe, and the provider or family has new skills, behavior plans or clinical services to help.

Policies and procedures were put into place with our partners serving children to accept referrals of children younger than 18, effective May 23, 2011. No children were referred as a result of this policy before the end of May. Two children (under age 18) had been referred as an exception prior to this.

Of the 274 persons referred to SST during this period:

• 62% were male and 38% were female
• The majority were in:
  • CILA (62%)
  • Family home, not receiving residential supports (16%)
  • ICFDD (14%)

    There were a few persons in other settings, such as child group home, community living facility, and nursing facility.

• Although medical concerns were included in reasons for referral for 29% of the persons referred, 2% of the persons referred were for medical reasons alone.
• The 223 persons who were receiving residential supports were from 115 different providers. Of the 115 providers, 58 providers had one person being assisted by SST, with the rest having 2 or more persons referred to SST.
• Ages of people referred:
  • Between ages 25 and 44 (43%)
  • Between ages 18 and 24 (28%)
  • Between ages 45 and 64 (26%)
• During the first nine-plus months, 32 persons referred to SST were admitted to a State-Operated Developmental Center (SODC) for a short-term intervention.
• Seven persons were discharged, however, 2 were readmitted due to a continuation of issues that challenged their community placement, and one person moved from SODC to a State-Operated Mental Health Center (SOMHC).
• Others are on target to return to their provider or a new provider within 30 to 60 days, with two persons planning to move to a community provider in July.
• Several SST referrals have been or are in a SOMHC. The following chart shows SODC admissions by SST and by SODC.

Admissions and Discharges to SODCs by Support Service Team

Name of Team	SODC	Number of Admissions	Number of Discharges*
Rockford (6)	Ludeman	2 (11/10, 5/11)	1 (2/11)
	Shapiro	2 (2/11, 5/11)
	Mabley	1 (2/11)
	Fox	1 (4/11)
Chicago (2)	Ludeman	1 (10/10)
	Mabley	1 (4/11)
New Lenox (6)	Shapiro	3 (9/10, 11/10, 2/11)
	JDC	1 (11/10)
	Ludeman	1 (4/11)
	Kiley	1 (4/11)
Peoria (4)	Shapiro	2 (10/10, 3/11)
	Ludeman	1 (2/11)	1 (5/11)
	Fox	1 (2/11)
Springfield (5)	Shapiro	2 (1/11, 2/11)
	JDC	2 (1/11, 3/11)	1 (5/11)
	Choate	1 (3/11)	1 (4/11)
Carbondale (9)	JDC	5 (10/10, 12/10, 1/11, 2/11, 5/11)	2 (12/10, 2/11)
	Choate	1 (11/10)
	Murray	2 (3/11)
	Ludeman	1 (3/11)	1 (5/11)
TOTAL		32	7

*Two persons are discharging to a community provider in July. One person was discharged from Fox Developmental Center in early June.

Support Service Team (SST) Training

SST staff participated in trainings at:

• Ludeman Developmental Center
• Mabley Developmental Center
• Jacksonville Developmental Center
• Murray Developmental Center
• Choate Developmental Center

SSTs have attended Network meetings to present information about SST. Illinois Crisis Prevention Network (Staff of the Rockford, Chicago, New Lenox and Peoria teams) presented information about Support Services Teams to:

• The American Health Care Association Annual Conference - Long Beach, CA
• Services, Inc. - In-Service Presentation
• ICEARC - Executive meeting for ARC
• ARC of Illinois Annual Conference
• Illinois DDNA (Developmental Disability Nursing Association) Annual Meeting
• National DDNA Conference - Hartford, CT
• OSG Conference
• Methodist Hospital - Chicago In-Service Presentation
• Riveredge Hospital - Meeting with leadership staff
• Other agency-specific trainings 

One of the SSTs, Community Ties of America (staff of Springfield and Carbondale teams), has offered training to agencies in response to specific client needs with the expectation that the material will be used to prevent crises in other clients.

Community Ties of America SST staff provided data collection sheets along with training on how to summarize information to present to the psychiatrist, neurologist or other health professional. They have also offered training about Borderline Personality Disorder to agencies whose clients have this diagnosis, training in Positive Behavior Support, documentation (behavior data collection), pica protocols, and nonverbal communication support (communication chart or dictionary, pain indicator checklist).

Community Ties of America SST has facilitated nursing documentation (i.e., Bowel Tracking, Sleep Tracking, Seizure Tracking, Med Error Tracking, Medication Side Effects Monitoring, Meal Diaries) consistent with standards of nursing care.

SST sponsored professional training in Bipolar Disorder, Anxiety, Panic Attacks and Post Traumatic Stress Disorder, Emotions Training, and Professional Crisis Management for agencies with clients with those concerns.

The ICPN hosted the following trainings for any providers (including those with no referral to SST) in their geography.

• Healthcare Considerations for Persons Dually Diagnosed, Dr. Carl Tyler on 2/24/11 and 2/25/11.
• Behavioral Management Simplified, Dr. David Lennox on 6/23/11 and 6/24/11.