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Care Coordination Evidence-Based Practices (EBPs)

"Care Coordination" level practices (can be implemented by Care Coordination Organizations in concert with Peer Support Programs):

  • Wellness self-management
  • Peer Support

The Care Coordination Program will strive to implement the following evidence-based practices at two levels:

  • Wellness self-management and peer support principles and practices are essential to successful engagement between the enrollee and the care coordinator and are therefore necessary components of care coordination. These practices dovetail with the values of intentional care, person centered planning and individualized service planning. Therefore, Wellness Self-management & Peer Support will be implemented simultaneously at the Care Coordinator level by Care Coordination organizations in concert with peer support programs. In effect, these two practices will be implemented as an extension of the initial care coordinator training through the use of self-assessments and other fidelity measures, toolkits and other materials, and trainers and consultants available to the Program.

  • Integrated Treatment of Mental Health and Chemical Dependency; Family Mental Health Education; and Supported Employment will be implemented at the participating provider level. Focusing on participating providers who currently offer these services and assessing and improving the fidelity of their practices will facilitate simultaneous implementation of the three practices. In phase 2, providers not currently offering these services will be trained to and supported in including them in their practice repertoire.

The New York State Office of Mental Health (OMH) will provide toolkits for each of these areas in the near future to the Care Coordination Program. Each toolkit will include videotape introducing the practice, informational materials for different stakeholders, a PowerPoint presentation or research handouts, and videotapes demonstrating the practice.

OMH is also working with the University of Rochester to establish a center of excellence for Family Mental Health Education.

Note: ACT and medication (psychopharmacology) practices are beyond the scope of the Care Coordination Program at this time, and will be considered for implementation in subsequent phases of the Program.

 


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