Wellspan Health

Specialized Treatment and Recovery Team (START) - York Enhancements - Wellspan’s Specialized Treatment and Recovery Team (START) – York Enhancements Expands Its Certified Community Behavioral Health Clinic to Serve 500+/YEAR, 2,150 in 4 Years. Enhancements Are Support Groups and Education in Community Settings, Expanding Walk-in Hours, Adding Evidence-based Practices Specific to Persons Experiencing Homelessness, Formerly Incarcerated, Spanish-speaking and Lgbtqi+; Training for Lgbtaia+ Affirming Staff, On-site Tobacco Cessation, and Expanding Collaboration With Prison Diversion/re-entry. the Population of Focus for Start Is Individuals With Complex Behavioral and Physical Health Needs, Who Also Have Psychosocial and Cultural Factors And/or Complexities Precipitating, and Propagating Health, Mental Health, and Substance Use Concerns. Most Participants Are From York City, Where 44% Are Non-white, 33% Hispanic, and 27.7% Living Below Poverty Level. Location Is York City, Although Participants Are Accepted From Any Geographic Area. Goal 1: to Improve and Expand the Care Provided by Start Obj 1A: by Increasing Peer and Recovery Support Services and Adding Community Partners That Address Sdoh, Start Participants Scores on the DLA20 (implementation by March 2023) Will Improve by at Least 10% From Intake to Discharge by 9/29/24 and Annually Thereafter. Obj 1B: by Offering On-site Freedom From Smoking Groups and Individual Counseling at Start, the # of Referrals to Tobacco Cessation Will Increase by 20% by 9/29/24 and Annually Thereafter. Obj 1C: as a Result of Seeking Consumer Input Through Patient Rounding and Engaging Start Community Oversight/governance Groups (consumer Advisory Board and Consumer Advisory Council) and Considering That Feedback to Improve Services at Start, by 9/1/23 and Annually Thereafter 85% of Consumers Will Indicate They Would Recommend the Program to Others as Measured on Mcclean Perceptions of Care Ebasis Patient Experience Survey. Goal 2: to Increase Access to and Availability of High-quality Services to Meet Identified Community Needs Obj 2A: as a Result of Offering at Least 15 Hours/week of Open Slot (walk-in) Appointments, by 9/29/23 and Thereafter, the Average Time Between Requesting an Appointment and Having a Scheduled Appointment Will Decrease to an Average of 3 Days (currently at 3.4-DAY Average). Obj 2B: as a Result of Providing Peer and Recovery Support and Support Groups in Community Locations and Increasing Start’s Number of Lgbtqia+-affirming Team Members, There Will Be a 10% Overall Increase in Unduplicated Individuals Served by 9/29/24 and Maintained Thereafter, and at Least a 5% Increase in Number of Lgbtqia+ Individuals Served by 9/29/24 and Annually Thereafter. Goal 3: to Provide Care in a Community-based Setting to Reduce Overall Cost of Care Obj 3.A: as a Result of Integration of Crisis Staff With Start Staff and Increased Community Outreach, the Number of Ed Diversions Will Increase by 10% Each Year to at Least 70/MONTH by 9/29/23, 77/MONTH by 9/29/24, 85/MONTH by 9/29/25, 94/MONTH by 9/29/26. Obj 3B: Upon Discharge From Start to Primary Care or Other Outpatient Services, Start Participants Will Have a 20% Reduction in Ed Visits for MH or Mh/sud Compared to the 12 Months Prior to Receiving Services at Start by 9/29/25. Obj 3C: as a Result of Collaborative Efforts Between the Start, Community Action for Recovery and Diversion (card), York County Re-entry Coalition and the County Prison System, Diversions From the Justice System Into Treatment for Those With MH and Sud Disorders Will Increase by 20% Over Four Years (5% Per Year) by 9/29/26 From a 2022 Baseline of 27.