Northern Maine General

Filing Period

Jul 1, 2010 to Jun 30, 2011

Signed

Oct 3, 2011

Return Version

2010v3.4

Gross Receipts

$10,868,311

Mission

Major Activities

Activity 2

NMG's Children's Case Management program is a home and community based service designed to assist consumers and their families with maximizing their ability to function within their environment. Each consumer receives a thorough psychosocial assessment to identify their strengths and presenting needs. Each comprehensive assessment includes taking a thorough client history, identifying the needs of the individual, and gathering supporting information and documentation from other sources including friends, family, and providers. Strengths Based, comprehensive service plans are developed following the initial assessment and consumers are able to identify individual short and long term goals and specific objectives for meeting those goals. The plans are reviewed minimally every 90 days. Consumers, guardians, and other individuals designated by the consumer are active participants in the assessment and planning process.Through the planning process consumers are linked to supportive services taking care to avoid the duplication of services. Referrals may include but are not limited to medical assessments and services, psychological evaluations, social and natural supports, and educational services. These services are then monitored and evaluated by the Case Manager to ensure that the service plan is effectively implemented and adequately addresses the needs of the consumer.Northern Maine General currently employs three staff persons who provide case management services to children that have been diagnosed with Mental Retardation and Pervasive Developmental Disorders. These staff would continue to provide Case Management services under the mental health license. The current case managers all meet the staff qualifications as defined under Section 13.07-2.B.1.of the MaineCare Benefits Manual. These individuals are responsible for completing the psychosocial assessments, developing the ISP's, providing referrals, participating in crisis resolution services, assisting with residential services, monitoring and coordinating comprehensive services, advocating for consumer needs, and assisting with problem solving and skill development. The program is supervised by a Licensed Clinical Social Worker who is responsible for reviewing and authorizing all psychosocial assessments and ISP's, service reviews, annual assessments, and crisis plans.Consumers served by NMG's Targeted Case Management service meet the eligibility requirements identified in Section 13.03-3.A. of the MaineCare benefits manual. These requirements include; A child with a completed multi-axial evaluation of an Axis I or Axis II diagnosis or a child between birth and five (5) years of age who is determined by a professional approved by the Department as being at risk of developing a mental health disorder due to known environmental or biological risks using DHHS adopted tools, and has significant impairment or limitation in adaptive behavior or functioning according to criteria as established by the Department and determined by a qualified professional approved by the Department. Northern Maine General's Outpatient Services are comprised of professional assessment and counseling services designed to assist consumers with improving functioning, managing disruptive symptoms, decreasing maladaptive behaviors, and promoting positive social, emotional, educational, and vocational growth and development. Services are strengths based and delivered utilizing psychological and sociological evidenced based approaches. Consumers are evaluated and an individualized plan of treatment is developed to maximize personal growth.Children's Outpatient Services assists with improving the consumer's individual functioning and family living environment in order to assist parents, guardians and family members to understand the effects of the consumer's disabilities. Clinicians engage parents and family members and other natural supports to positively affect their consumer's growth and development.Se

Activity 3

Franciscan Home is a community residential facility that serves up to sixteen residents who have been diagnosed with severe and prolonged mental illness. Each resident has a private bedroom. There are eight private rooms on the second and third floor and both floors have a separate television room and a library/computer room for residents to use for social activities and for keeping in touch with families and friends. The home has a great deal of historical and sentimental value, as it is the building that originally housed Northern Maine General Hospital. The now renovated facility has enclosed stairwells at either end of the building and a full service elevator centrally located for the resident's conveniences. Close by is NMG Northern Aquatics, a therapeutic pool facility where residents can receive land or pool based physical therapy. Many local businesses are within walking distance of the home, including several small grocery and convenience stores, a senior citizen center, the Good Sheppard Shop, a bottle redemption center, a Catholic and a Christian church. In addition, there is a Health Center nearby with two attending physicians and a Physician Assistant. The Health Center also provides dental service, a podiatry clinic, and mental health counseling clinic. Transportation is provided by the home and, as available, through the Aroostook Regional Transportation system.The Franciscan home serves primarily public wards for which the department has a legal responsibility or others with similar needs. The Franciscan home only admits those with a primary diagnosis of severe and prolonged mental illness. Residents may have functional impairments and behavioral challenges. Priorities for admission are determined in collaboration with the department. Upon admission and then yearly, a comprehensive assessment is completed by a person centered planning team consisting of the resident, family members and friends (identified by the resident), legal representatives, Licensed Clinical Social Worker, the resident care director, Activity Coordinator, Social Services Coordinator, and any other applicable professional. Upon completion of the assessment, each resident will have a service plan that is individualized and person centered. The annual service plan will be reviewed at least quarterly and revised as needed. As part of the service plan, each resident will have a discharge plan which will state the resident's preferred living arrangement and the goals working on to meet the residents' preference. Any unmet needs identified though the assessment will be documented on the service plan. Residents will be encouraged to remain as self-sufficient as possible in their daily living. The services provided by the home will be designed to help residents maintain their independence and improve their quality of life. The Franciscan home will provide the following residential services:1. Housekeeping and home maintenance skills;2. mobility and community transportation skills3. interpersonal relationships, including spouse, family, and friends;4. health maintenance, including personal hygiene, exercise and fitness, nutrition and diet management, and use of medical services and medicine;5. safety practices, including dealing with injuries and life threatening emergencies,6. financial management, including techniques client purchasing, banking, taxes, budgeting, and repaying debts;7. basic academic skills;8. management and personal and legal affairs;9. contingency planning, problem solving, decision-making;10. self-advocacy and assertiveness training;11. utilization of community services and resources, including laundromats, library, post office, client affairs offices;12. recreations and leisure time activities;13. work attitude and skills exploration14. menu planning and meal preparation15. use of the telephone16. human sexuality; and 17. Client affairs, client rights, including familiarity with warranties, policies, and procedure of government

Filer

EIN

01-0262323