bluegrass

Spotlight of Success

NAMI Lex­ing­ton is proud and grate­ful for the long and mutu­al­ly sup­port­ive rela­tion­ship we have had with Bluegrass.org for many years now. Our com­bined efforts in advo­ca­cy, sup­ports, and ser­vices over the years have con­sis­tent­ly made dra­mat­ic improve­ments in the Blue­grass Region’s men­tal health sys­tem and more impor­tant­ly have pro­vid­ed an improved qual­i­ty of life for those we both are for­tu­nate to serve. Some of our major joint accom­plish­ments include:

  • Suc­cess­ful advo­ca­cy for the replace­ment of the anti­quat­ed East­ern State Hos­pi­tal.
  • Open­ing Kentucky’s FIRST peer oper­at­ed cen­ter, Par­tic­i­pa­tion Sta­tion, now con­sid­ered the Cen­ter of Excel­lence for this pro­gram­ming.
  • Pre­sent­ing the Annu­al Ken­tucky Con­sumer Con­fer­ence which draws over 400 consumer’s annu­al­ly from all over the state.
  • Devel­op­ment of the Cen­tral Triage Cen­ter (CTC) to assure prompt and appro­pri­ate respon­se to those expe­ri­enc­ing a men­tal health cri­sis.
  • Cre­ation of the Mobile Out­reach Team to provide quick com­mu­ni­ty respon­se for those in cri­sis. (a pre­cur­sor to the Assertive Com­mu­ni­ty Treat­ment Team (ACT))

The­se are just some of the many pro­gres­sive achieve­ments of our joint part­ner­ship and we look for­ward to new and cre­ative ways to improve the lives of peo­ple in the com­mu­ni­ty liv­ing with men­tal ill­ness and those who sup­port them. To that end, we will be pre­sent­ing a spot­light on Bluegrass.org in our NAMI E-news and at www.namilex.org to spread the word about all of the new and inno­v­a­tive pro­gram­ming that is being offered by Bluegrass.org.

April 2017 Spot­light

Under­stand­ing When Your Teen May Need Help From a Behav­ioral Health Pro­fes­sion­al

Rais­ing a teenager comes with both rewards and chal­lenges. Ado­les­cents are often moody, self-focused and unco­op­er­a­tive. Guid­ing teens through the­se times can be stress­ful. For many par­ents, it’s dif­fi­cult to know when pro­fes­sion­al inter­ven­tion is need­ed.

There are many changes tak­ing place in the phys­i­cal and emo­tion­al devel­op­ment of teenagers. The teenage years are a peri­od of iden­ti­ty devel­op­ment and for sort­ing out beliefs about their place in the world. Teenagers also test the val­ues they have observed and been taught. The­se process­es along with hor­mon­al and body changes can make deter­min­ing when get­ting pro­fes­sion­al help even more dif­fi­cult.

It is impor­tant to under­stand while teenage years are a nat­u­ral time of rapid change, there are some key points to con­sid­er if you are con­cerned about your teen. So, how do you know when teens are expe­ri­enc­ing prob­lems that are beyond the usu­al and require pro­fes­sion­al inter­ven­tion?

A recent arti­cle by Cheryl Lane, “Nine Signs Your Teen Needs a Men­tal Health Eval­u­a­tion” exam­i­nes key fac­tors of pos­si­ble behav­ioral health com­pli­ca­tions. They are:

1. Dif­fi­cul­ty func­tion­ing on day to day basis that sig­nif­i­cant­ly impact one or more areas of life.
2. Depressed and/or Sad much of the time
3. Intense and rapid mood swings
4. Use of alcohol/drugs in effort to cope with stress and neg­a­tive emo­tions
5. Extreme pre­oc­cu­pa­tion with weight and appear­ance as it relates to eat­ing and food
6. Exces­sive wor­ry
7. Hos­tile, vio­lent and aggres­sive behav­iors
8. Recent trau­mat­ic event
9. Pre­oc­cu­pied with threats/attempts at sui­cide

The­se nine signs are a guide­line and are help­ful to deter­mine if your teen needs pro­fes­sion­al inter­ven­tion. It is very impor­tant for par­ents to pay atten­tion to what teach­ers, coach­es, friends and neigh­bors share about your teen. Be sure to mon­i­tor social media post­ings and fol­low your own instinct about your teenager. The soon­er inter­ven­tion begins, the bet­ter the out­come will be.

For sup­port, ques­tions or to sched­ule an appoint­ment please call the Blue­grass 24-Hour Helpline at 1.800.928.8000. Blue­grass is a non-prof­it com­mu­ni­ty men­tal health cen­ter serv­ing 17 coun­ties in cen­tral Ken­tucky with behav­ioral health, sub­stance use and intel­lec­tu­al and devel­op­men­tal dis­abil­i­ty ser­vices. Our mis­sion is to help indi­vid­u­als and fam­i­lies live their best life through men­tal, emo­tion­al and phys­i­cal well-being.

Feb­ru­ary 2017 Spot­light
Bluegrass.org and the Fayet­te Coun­ty Deten­tion Cen­ter — 35 years of Men­tal Health Ser­vices

The Treat­ment Advo­ca­cy Cen­ter reports over the past decade coun­ty jails and pris­ons have emerged as America’s new asy­lums hous­ing 10 times more men­tal­ly ill per­sons than hos­pi­tals. As many com­mu­ni­ties strug­gle to man­age this men­tal health cri­sis, Bluegrass.org marks 35 years of men­tal health ser­vices to the Fayet­te Coun­ty Deten­tion Cen­ter.

The Fayet­te Coun­ty Deten­tion Cen­ter (FCDC) Men­tal Health pro­gram was cre­at­ed as a part­ner­ship between the Lex­ing­ton-Fayet­te Urban Coun­ty Gov­ern­ment and Bluegrass.org with the goal of low­er­ing the risk of sui­cide in coun­ty jails and pro­vid­ing care for indi­vid­u­als with men­tal ill­ness while in cus­tody. Begin­ning in 1982, clin­i­cians start­ed screen­ing at-risk inmates as they were booked into the Fayet­te Coun­ty Jail and pro­vid­ed ser­vices based on assess­ments. The pro­gram began oper­a­tions with three employ­ees and a part-time psy­chi­a­trist work­ing inside the deten­tion cen­ter. Since then, the pro­gram has con­tin­ued to grow to keep pace with the increas­ing inmate pop­u­la­tion with men­tal health prob­lems. In 2005, Blue­grass increased ser­vices to provide staff 24-Hours a day, 7-Days a week. Hav­ing staff on-site around the clock pro­vides a high lev­el of care for inmates and sup­port to jail admin­is­tra­tion. FCDC is one of only two coun­ty jails in Ken­tucky with on-site men­tal health ser­vices. The FCDC pro­gram served as a cat­a­lyst for the devel­op­ment of the Bluegrass.org Jail Triage Pro­gram which facil­i­tates com­mu­ni­ty men­tal health and coun­ty jail part­ner­ships through­out the state.

Man­ag­ing risk and pro­vid­ing psy­chi­atric care has proven to be a high­ly effec­tive strat­e­gy for reduc­ing sui­cide and self-injury at FCDC. The facility’s sui­cide rate over the last 35 years is dra­mat­i­cal­ly low­er than the rate for incar­cer­at­ed per­sons nation­al­ly. Accord­ing to the Bureau of Jus­tice Sta­tis­tics a jail the size of the Fayet­te Coun­ty Deten­tion Cen­ter would aver­age 6.75 sui­cides a year. In the past 10 years there have been no sui­cides. Pro­vid­ing con­ti­nu­ity of care mea­sur­ably improves an inmate’s qual­i­ty of life while incar­cer­at­ed and the goal is to car­ry this improve­ment after release. With dis­charge plan­ning, Bluegrass.org match­es clients to a range of com­mu­ni­ty part­ners includ­ing out­pa­tient ser­vices, recov­ery pro­grams, hos­pi­tals, Assertive Com­mu­ni­ty Treat­ment team, Adult Pro­tec­tive Ser­vices, and the Fayet­te Men­tal Health Court. This pro­gram was cre­at­ed to address the high sui­cide rate in coun­ty jails across the nation and to provide care for per­sons with men­tal ill­ness while in cus­tody. The col­lab­o­ra­tive approach has sig­nif­i­cant­ly reduced the cycle of Fayet­te County’s most severe­ly men­tal­ly ill cit­i­zens’ need­less involve­ment in the crim­i­nal jus­tice sys­tem. Fur­ther, facil­i­tat­ing access to treat­ment pro­motes func­tion­al recov­ery and has proven to be sig­nif­i­cant­ly more cost-effec­tive than repet­i­tive­ly cycling indi­vid­u­als with men­tal ill­ness through the jail and the court sys­tem.

Bluegrass.org’s men­tal health pro­gram at FCDC is an inte­gral part of the jail’s dai­ly oper­a­tion. In 2016, the staff aver­aged 38 con­tacts per day for a total of 14,366 con­tacts. In addi­tion, Bluegrass.org pro­vides psy­chotrop­ic med­ica­tion for 20% of the inmate pop­u­la­tion. In 2016, the Fayet­te Coun­ty Deten­tion Cen­ter was iden­ti­fied by the Com­mu­ni­ty Ori­ent­ed Cor­rec­tion­al Health­care Ser­vices Orga­ni­za­tion as one of the safest and best con­nect­ed jails in the nation in a Pew Foun­da­tion report to be pub­lished at a future date. The Men­tal Health Pro­gram was not­ed to be impor­tant fac­tor in that suc­cess.

The prob­lem cre­at­ed by incar­cer­at­ing the men­tal­ly ill is clear­ly a tremen­dous chal­lenge. But men­tal health pro­grams demon­strate incar­cer­a­tion can cre­ate an oppor­tu­ni­ty to con­nect under­served per­sons with life-chang­ing ser­vices. Pro­vid­ing men­tal health care to the incar­cer­at­ed pop­u­la­tion has proven to make jails safer, improved the qual­i­ty of life for per­sons liv­ing with men­tal ill­ness, and low­ered the aggre­gate cost of men­tal ill­ness to the com­mu­ni­ty.

HOW IT WORKS
Jail Triage Process
Refer­ral. Indi­vid­u­als are rou­tine­ly screened for men­tal health and safe­ty issues upon enter­ing the facil­i­ty. Refer­rals can also be prompt­ed by arrest­ing or trans­port offi­cers, med­ical request, or risk alerts indi­cat­ing a his­to­ry of men­tal health or safe­ty issues. Intake Assess­ments. Clin­i­cal assess­ments include screen­ing for cur­rent or past sui­ci­dal think­ing or behav­ior, inten­tion­al self- injury, cur­rent or past med­ica­tion, acute dis­tress, and cur­rent or past symp­toms of men­tal ill­ness or impair­ment. Rec­om­men­da­tions. Spe­cial­ized hous­ing or obser­va­tions due to safe­ty risk or men­tal sta­tus are rec­om­mend­ed based on clin­i­cal assess­ments. Clin­i­cians also rec­om­mend risk alert flags to be placed in the inmate’s file for con­tin­ued offi­cer noti­fi­ca­tion when war­rant­ed.

Clin­i­cal Ser­vices Offered
There are a vari­ety of men­tal health issues occur­ring with­in the inmate pop­u­la­tion. Bluegrass.org has devel­oped an array of ser­vices to address the needs of indi­vid­u­als while in cus­tody. Cus­tody staff, med­ical staff, con­cerned out­side indi­vid­u­als and inmates can request an assess­ment if they have con­cerns about risk for self-harm or men­tal sta­tus.

Sui­cide Obser­va­tion. When an assess­ment indi­cates there is an ele­vat­ed risk for self-harm, inmates are under con­tin­u­ous direct obser­va­tion and access to items that could be used for self-harm is con­trolled. Dai­ly fol­low-up and plans for on-going assess­ments and safe­ty are estab­lished. Men­tal Health. Indi­vid­u­als who exhibit active symp­toms of men­tal ill­ness that could affect safe func­tion­ing, such aggres­sive or threat­en­ing behav­ior, active psy­chosis, poor real­i­ty ori­en­ta­tion or pro­nounced mood insta­bil­i­ty are assessed for treat­ment and a week­ly fol­low-up is per­formed by a case man­ager. Med­ica­tion. Inmates who report they are cur­rent­ly tak­ing med­ica­tions are referred for ver­i­fi­ca­tion. Cur­rent med­ica­tions are start­ed the next day when pos­si­ble and psy­chi­atric fol­low-up is pro­vid­ed for the dura­tion of their stay in cus­tody. Pre­scrip­tions and assis­tance mak­ing out­pa­tient appoint­ments are also pro­vid­ed pri­or to release. Ther­a­peu­tic Ser­vices. Bluegrass.org believes ther­a­py should be a solu­tion-focused and per­son-cen­tered. When inter­ven­tions are tar­get­ed to speci­fic issues, evi­dence indi­cates indi­vid­u­als are bet­ter able to achieve and sus­tain recov­ery. Psy­choe­d­u­ca­tion­al sup­port and refer­rals for issues such as domes­tic vio­lence and abuse, and recov­ery are also pro­vid­ed. Men­tal Sta­tus Exam­i­na­tions. Per­formed by court order, the­se con­sist of bio­graph­i­cal and psy­choso­cial data, psy­chi­atric his­to­ry, cur­rent men­tal sta­tus and rec­om­men­da­tions for com­pe­ten­cy eval­u­a­tions, treat­ment, invol­un­tary hos­pi­tal­iza­tion and treat­ment over objec­tion as need­ed. Pri­or to Release. Indi­vid­u­als are assessed to deter­mine poten­tial dan­ger to self or oth­ers due to either active sui­ci­dal­i­ty or acute men­tal ill­ness and referred for out­pa­tient appoint­ments, med­ica­tion and invol­un­tary hos­pi­tal­iza­tion if need­ed.

If you would like to learn more at the Bluegrass.org Men­tal Health Pro­gram at the Fayet­te Coun­ty Deten­tion Cen­ter con­tact Peter Tay­lor, LCSW, Team Lead­er at 859.425.2746 or pjtaylor@bluegrass.org. Bluegrass.org is the com­mu­ni­ty men­tal health cen­ter serv­ing 17 coun­ties in Cen­tral Ken­tucky.

-Writ­ten by Peter Tay­lor, LCSW, Jail Pro­gram Team Lead­er at Bluegrass.org.

Jan­u­ary 2017 Spot­light

Too many peo­ple live in despair for too long because they lack con­fi­dence they can take the first step away from sub­stance use. At the Schwartz Cen­ter, we under­stand the mag­ni­tude of the deci­sion to stop, and walk beside indi­vid­u­als as they start their tran­si­tion to hap­pier health­ier life.
Locat­ed in Lex­ing­ton, the Schwartz Cen­ter is a short term res­i­den­tial treat­ment pro­gram for peo­ple liv­ing with a sub­stance use dis­or­der. Unique to the Schwartz Cen­ter is the focus on treat­ing the whole per­son and not sim­ply the addic­tion. This begins on day one when patients enter­ing the pro­gram receive both behav­ioral and phys­i­cal health assess­ments. The pro­gram is staffed by a board cer­ti­fied physi­cian in both fam­i­ly and addic­tion med­i­cine, mul­ti­ple inde­pen­dent­ly licensed behav­ioral health ther­a­pists, peer sup­port spe­cial­ists, a reg­is­tered nurse, and behav­ioral health asso­ciates. Each mem­ber of the treat­ment team works with the patient to iden­ti­fy goals they hope to accom­plish while in the pro­gram.

Dur­ing their time in treat­ment, patients have the oppor­tu­ni­ty to receive psy­choe­d­u­ca­tion and recov­ery class­es, par­tic­i­pate in a well­ness pro­gram, are offered smok­ing ces­sa­tion includ­ing nicotine replace­ment ther­a­py, par­tic­i­pate in indi­vid­u­al and group ther­a­py, fam­i­ly ther­a­py, attend faith-based class­es, and go to local sup­port group meet­ings.

This lev­el of care is a cru­cial step for many as they begin their recov­ery jour­ney. Res­i­den­tial treat­ment exists for those who have been unable to lim­it their use of sub­stances while liv­ing in their home envi­ron­ment. At the Schwartz Cen­ter, we see a lot of peo­ple who have sig­nif­i­cant desire to reduce or abstain from drug use. But, drug use is preva­lent in their home envi­ron­ment and they aren’t able to reduce the day in day out temp­ta­tion. The Schwartz Cen­ter allows our patients to live in a drug free and safe envi­ron­ment while they learn and heal. The trans­for­ma­tion in patients between admis­sion and dis­charge is tru­ly remark­able. Our team strives to ensure the patient, at the time of dis­charge, has regained con­trol of thoughts and behav­iors and are no longer liv­ing at the total will of their addic­tion.

At the Schwartz Cen­ter rec­og­nize res­i­den­tial treat­ment is only a step in the recov­ery jour­ney and our patients will have more work to do to rebuild their lives once they get home. With that in mind, we work to link patients the recov­ery sup­port they will need includ­ing; clin­i­cal ser­vices, pri­ma­ry care providers, and sup­port groups in their coun­ty of res­i­dence.

If you or a loved one is inter­est­ed in more infor­ma­tion about res­i­dent sub­stance use treat­ment call the 24-Hour Help Line at 1.800.928.8000.

Novem­ber Spot­light

Find­ing the right ser­vices and sup­port for indi­vid­u­als with intel­lec­tu­al and devel­op­men­tal dis­abil­i­ties can be a chal­lenge. Blue­grass works to make the process eas­ier for fam­i­lies through a pro­gram appro­pri­ate­ly named Access. For 50 years, Access has been pro­vid­ing mean­ing­ful expe­ri­ences and oppor­tu­ni­ties for indi­vid­u­als with intel­lec­tu­al and devel­op­men­tal dis­abil­i­ties to live and par­tic­i­pate in their com­mu­ni­ties. Pro­fes­sion­als provide ser­vices to sup­port an individual’s emo­tion­al, men­tal, and phys­i­cal well-being. Cur­rent­ly 1,300 clients in 17 Ken­tucky coun­ties receive case man­age­ment and assess­ment ser­vices through Access.

Most Ken­tuck­ians served by Access receive sup­port through two Med­ic­aid waiver pro­grams. Ken­tucky is expe­ri­enc­ing a Med­ic­aid fund­ing cri­sis that is sig­nif­i­cant­ly impact­ing indi­vid­u­als with intel­lec­tu­al and devel­op­men­tal dis­abil­i­ties. Kentucky’s most vul­ner­a­ble cit­i­zens are cur­rent­ly placed on wait­ing lists for ser­vices. Accord­ing to a report gen­er­at­ed by the Depart­ment for Med­ic­aid Ser­vices in Sep­tem­ber 2016, there are 7,758 Ken­tuck­ians with intel­lec­tu­al and devel­op­men­tal dis­abil­i­ties wait­ing to receive ser­vices.

Sarah Bell, Region­al Direc­tor of Intel­lec­tu­al and Devel­op­men­tal Dis­abil­i­ties Oper­a­tions, explains “As a non-prof­it Com­mu­ni­ty Men­tal Health Cen­ter, Blue­grass is unique­ly posi­tioned to sup­port clients who are on the­se wait­ing lists. Through our non-prof­it mis­sion, we are able to fill in the gaps with need­ed ser­vices which allows indi­vid­u­als to remain in their com­mu­ni­ty.”

Access can assist indi­vid­u­als wait­ing for a Med­ic­aid waiver allo­ca­tion by con­nect­ing them with:
• Afford­able hous­ing
• 24-hour res­i­den­tial sup­port
• Day train­ing pro­grams
• Sup­port­ed employ­ment
• Home­mak­ing ser­vices

Often we see fam­i­lies who have nev­er been able to uti­lize ser­vices in the com­mu­ni­ties where they live,” reports Melis­sa Willough­by, Region­al Intel­lec­tu­al and Devel­op­men­tal Dis­abil­i­ties Admin­is­tra­tor, “It has been pow­er­ful to see indi­vid­u­als and their fam­i­lies access ser­vices and then flour­ish. Fam­i­lies con­nect with each oth­er and devel­op a nat­u­ral sup­port sys­tem through the ser­vices pro­vid­ed by Access.”

If you have a fam­i­ly mem­ber who has an intel­lec­tu­al or devel­op­men­tal dis­abil­i­ty, con­tact Access at 859.272.7483 or learn more at www.bluegrass.org. For fam­i­lies with chil­dren birth through the age of three with a devel­op­men­tal delay con­tact the Blue­grass First Steps Ear­ly Inter­ven­tion Sys­tem at 895.271.9448.

Sep­tem­ber Spot­light

School-based ther­a­py gives chil­dren and fam­i­lies bet­ter access to treat­ment

For many, child­hood is a time of great hap­pi­ness, play, friend­ships, learn­ing and growth. But not for all. The Nation­al Insti­tute of Men­tal Health esti­mates that as many as 20 per­cent of chil­dren age 13 to 18 suf­fer from a sev­ere men­tal dis­or­der. The NIMH esti­mates that 13 per­cent of chil­dren age 8 to 15 expe­ri­ence a men­tal health issue.
While attention-deficit/hyperactivity dis­or­der (ADHD), is the most com­mon dis­or­der affect­ing kids 13 to 18 (8.5 per­cent), near­ly 4 per­cent of teens suf­fer from mood dis­or­ders and 3 per­cent expe­ri­ence major depres­sion.

Accord­ing to Kentucky’s Office of Ado­les­cent Health, ado­les­cents in the state ranked high­er than the nation­al aver­age in sui­cide risk. A sur­vey of Ken­tucky high school stu­dents revealed that 15 per­cent had seri­ous­ly con­sid­ered attempt­ing sui­cide. Five per­cent had a sui­cide attempt result­ing in seri­ous phys­i­cal injury requir­ing med­ical inter­ven­tion.

The Child and Fam­i­ly Well­ness Cen­ter at Bluegrass.org helps chil­dren, their par­ents and care­givers, and schools address the­se issues. The Cen­ter is a dynam­ic clin­ic designed to serve the men­tal health needs of chil­dren with per­son-cen­tered treat­ment. The Cen­ter is led by Aaron Dowdell, a licensed mar­riage and fam­i­ly ther­a­pist. His team of more than 30 staff part­ner with local schools to provide a com­pre­hen­sive, mul­ti­dis­ci­pli­nary approach to recov­ery using evi­dence-based prac­tices, ensur­ing the high­est qual­i­ty of care.

Pro­vid­ing an oppor­tu­ni­ty for ther­a­pists, psy­chi­a­trists, and case man­agers to focus sole­ly on the devel­op­ment and growth of Kentucky’s youth is both an asset and a neces­si­ty for the men­tal health of the Com­mon­wealth.

In 2015, Bluegrass.org part­nered with local schools in the Project AWARE grant. This grant was designed to use behav­ioral health inter­ven­tions for youth with­in the school sys­tem to pre­vent dis­rup­tion of learn­ing.

School-based ser­vices build an out­reach of sup­port to chil­dren, teach­ers, par­ents, admin­is­tra­tors, and sup­port staff,” said Kris­ten Hamil­ton, an ear­ly child­hood men­tal health spe­cial­ist and recip­i­ent of the Out­stand­ing Com­mu­ni­ty Coun­selor Award FROM THE Cen­tral Ken­tucky Coun­sel­ing Asso­ci­a­tion. “Fam­i­lies ben­e­fit from hav­ing a con­ve­nient loca­tion to meet near their homes. Chil­dren have bet­ter atten­dance rates and do not miss valu­able class time, which results in improved aca­d­e­mics,” she not­ed.
What began as an inter­ven­tion lead to Bluegrass.org pro­vid­ing ther­a­py ser­vices in more than 20 pub­lic schools. “I am able to devel­op rela­tion­ships with teach­ers and staff and offer guid­ance in how to work with some of the most dif­fi­cult behav­iors in the class­room. The­se stu­dents often ben­e­fit from a team approach to address the aca­d­e­mic, men­tal health, and eco­nom­ic needs of their fam­i­lies,” said Brit­tany Osborne, a school-based clin­i­cian at Blue­grass.

Blue­grass is a non-prof­it com­mu­ni­ty men­tal health cen­ter pro­vid­ing men­tal health, sub­stance abuse and intel­lec­tu­al and devel­op­men­tal dis­abil­i­ty ser­vices to indi­vid­u­als and fam­i­lies in 17 cen­tral Ken­tucky coun­ties. To learn how you or a fam­i­ly mem­ber can receive care, con­tact the 24-Hour Help Line toll free at 1–800-928‑8000 or vis­it bluegrass.org.

August Spot­light

Blue­grass Intel­lec­tu­al and Devel­op­men­tal Dis­abil­i­ties (IDD) Services/Access is expe­ri­enc­ing some excit­ing expan­sion both with­in the Blue­grass Region and beyond. Over the course of the past cal­en­dar year, Blue­grass has begun pro­vid­ing IDD Case Man­age­ment ser­vices in Wayne, Adair, Green, McCreary, Clin­ton, Casey, Tay­lor, Lau­rel and Rock­castle coun­ties. Our First Steps Point of Entry, serv­ing chil­dren with devel­op­men­tal delays from ages birth to three, has received record num­bers of refer­rals from with­in the Blue­grass Region due to efforts to reach out to fam­i­lies of chil­dren ages birth to twelve months. And our Con­sumer Direct­ed Option pro­gram has received over 75 new refer­rals for indi­vid­u­als with IDD choos­ing to per­son­al­ly direct their fund­ing for ser­vices. Blue­grass IDD Services/Access includes:
• Case Man­age­ment for indi­vid­u­als with IDD through the Michelle P. and Sup­ports for Com­mu­ni­ty Liv­ing waivers
• Case Man­age­ment and Per­son­al Assis­tance for indi­vid­u­als with IDD with­out access to a Med­ic­aid waiver
• Sup­port Bro­ker­age ser­vices for indi­vid­u­als choos­ing to con­sumer direct their ser­vices through the Michelle P., Sup­ports for Com­mu­ni­ty Liv­ing, Acquired Brain Injury and Acquired Brain Injury – Long Term Care waivers
• Cri­sis ser­vices for indi­vid­u­als with IDD expe­ri­enc­ing a behav­ioral or sit­u­a­tion­al cri­sis
• Spe­cial­ized ser­vices for indi­vid­u­als with IDD who are receiv­ing 24-hour care in a nurs­ing facil­i­ty
• Screen­ing and eli­gi­bil­i­ty deter­mi­na­tion through Kentucky’s Ear­ly Inter­ven­tion Sys­tem
• Ser­vice Coor­di­na­tion for chil­dren, ages zero to three, who are deter­mined to be eli­gi­ble for ser­vices through First Steps
To reach Blue­grass IDD Services/Access, please call 859–272-7483.
To reach First Steps, please call 859–271-9448.
For an after-hours emer­gen­cy, please call the Help Line at 1–800-928‑8000.

For the Mon­th of July

UTURN – Ado­les­cent Sub­stance Use Treat­ment

Blue­grass UTURN, is a new ado­les­cent sub­stance use treat­ment pro­gram offered at mul­ti­ple sites through­out Cen­tral Ken­tucky. Blue­grass rec­og­nized treat­ing drug use-relat­ed issues ear­ly is a more effec­tive approach than play­ing catch up after the dis­or­der has peaked. How­ev­er, it is often dif­fi­cult to engage ado­les­cents in sub­stance use treat­ment, because the nature of youth is to believe the prob­lem is insignif­i­cant and won’t lead to true con­se­quences or addic­tion.

In order to expand the reach and effec­tive­ness of ado­les­cent sub­stance use ser­vices, Blue­grass devel­oped UTURN, a pack­age of treat­ment ser­vices includ­ing; indi­vid­u­al, group, and fam­i­ly ther­a­py using evi­dence-based prac­tices pro­vid­ed by ther­a­pists with mas­ters degrees. UTURN pro­vides ran­dom urine drug screens, includ­ing the ever chang­ing screen for new mod­el syn­thet­ic sub­stances so often abused by ado­les­cents. The­se are sub­stances such as Bath Salts, K2, and Spice which require an expen­sive lab­o­ra­to­ry test to detect. Many urine screens and or over-the-coun­ter screens are not able to detect the­se extreme­ly dan­ger­ous sub­stances. Blue­grass offers fam­i­lies the abil­i­ty to uti­lize their own insur­ance to cov­er the spe­cial­ty urine drug screen.

At the core of UTURN’s suc­cess is the part­ner­ship with refer­ral sources like fam­i­lies, Depart­ment of Juve­nile Jus­tice, Depart­ment of Com­mu­ni­ty Based Ser­vices, schools, and church­es. Work­ing close­ly with the refer­ral source and pro­vid­ing com­pli­ance reports great­ly improves pro­gram atten­dance. Blue­grass part­nered with Ridge Behav­ioral Health and the Depart­ment of Behav­ioral Health to ensure ado­les­cents in the UTURN pro­gram have access to all nec­es­sary lev­els of care.

To learn more call 1.800.928.8000 24 hours a day.

For the Mon­th of June

Blue­grass Preg­nan­cy and Addic­tion Net­work – New Pro­gram June 2016

Anoth­er excit­ing wing in the Blue­grass Recov­ery Net­work con­tin­u­um is the Preg­nan­cy and Addic­tion Net­work cre­at­ed in part­ner­ship with the Ken­tucky Depart­ments of Pub­lic Health and Behav­ioral Health. The goal of the net­work is to build a col­lab­o­ra­tive part­ner­ship between local hos­pi­tals, area med­icat­ed assist­ed treat­ment pro­grams, pri­ma­ry care physi­cians, child care agen­cies, edu­ca­tion­al enti­ties, and trans­porta­tion providers to ensure all preg­nant wom­en and their fam­i­lies receive a pos­i­tive treat­ment expe­ri­ence with as lit­tle bar­ri­ers as pos­si­ble.

The Preg­nan­cy and Addic­tion Net­work is led, in the field, by a R.N. nurse nav­i­ga­tor, case man­ager, and peer sup­port spe­cial­ist. Jean­nie King, R.N. came to Blue­grass after 17 years in the mater­ni­ty unit of a Lex­ing­ton hos­pi­tal. King reports, “As a labor and deliv­ery nurse, the num­ber of preg­nant wom­en with sub­stance abuse dis­or­der I cared for increased sig­nif­i­cant­ly with­in the past five years. I saw many wom­en and infants who arrived at the hos­pi­tal hav­ing received not pri­or care and in des­per­ate need of ser­vices after they deliv­ered. I am excit­ed to join the team at Blue­grass Preg­nan­cy and Addic­tion Net­work and to help the­se wom­en on their road to recov­ery.” Hav­ing an expe­ri­enced labor and deliv­ery nurse lead­ing the team will strength­en out­comes.

In addi­tion, Blue­grass Preg­nan­cy and Addic­tion Net­work uses a Peer Sup­port Spe­cial­ist, who is an indi­vid­u­al with per­son­al expe­ri­ence of addic­tion dur­ing preg­nan­cy, has main­tained a suc­cess­ful recov­ery, and trained to work with peers. “I want to share my expe­ri­ence, strength, and hope to the wom­en who feel hope­less. There is a solu­tion to the dis­ease of addic­tion. I want to give back what was given to me; a life that is hap­py joy­ous and free.” Said Jen­ni Hurst, Peer Sup­port Spe­cial­ist.

To learn more call 1.800.928.8000 24 hours a day.

For the Month of May

Blue­grass Pre­ven­tion is part of Bluegrass.org. Pre­ven­tion strives to change com­mu­ni­ty con­di­tions to pre­vent the use of sub­stances by youth. Staff inter­act with local coali­tions or boards, such as the local Agen­cy for Sub­stance Abuse Pol­i­cy  or ASAP Boards in uti­liz­ing data to deter­mine where the great­est needs are, what resources are avail­able, and what effec­tive pro­grams will get out­comes.

The work of Blue­grass Pre­ven­tion includes:

  • Con­nect­ing part­ners who can enhance work being addressed in the com­mu­ni­ty.
  • Help­ing find and gath­er Alco­hol, Tobac­co and Oth­er Drugs (ATOD) data to enhance grant writ­ing and pro­gram plan­ning.
  • Pro­vid­ing expert per­spec­tive on cur­rent trends.
  • Pro­vid­ing a vast ATOD and men­tal health resource library includ­ing; DVDs, books, lit­er­a­ture, pub­lic speak­ers, and train­ing oppor­tu­ni­ties.
  • Infor­ma­tion about emerg­ing issues, leg­isla­tive shifts, new resources, clin­i­cal providers, and refer­ral resources.
  • Staff is adept at strate­gic plan­ning, devel­op­ing action plans, mar­ket­ing and rela­tion­ship build­ing.
  • Blue­grass Pre­ven­tion staff have recent­ly devel­oped train­ing around syn­thet­ic drugs. As an emerg­ing issue and prob­lem, accu­rate and up to date infor­ma­tion was need­ed to increase the lev­el of under­stand­ing and knowl­edge of what to look for as well as strate­gies to pre­vent and address use.
  • Blue­grass Pre­ven­tion is Kentucky’s only Fetal Alco­hol Spec­trum Dis­or­ders (FASD) Coor­di­nat­ing Site, pro­vid­ing ser­vices to the Blue­grass Region and the rest of the state. This pro­gram pro­vides pro­fes­sion­al devel­op­ment to all audi­ence through train­ings, pro­vid­ing train­ing, resources and tech­ni­cal assis­tance to agen­cies and pro­grams. Blue­grass Pre­ven­tion is pas­sion­ate about con­nect­ing peo­ple with infor­ma­tion that will bring light to FASD. Learn more at ky-fasd.org.
  • Blue­grass Pre­ven­tion is Kentucky’s only Alco­hol Pre­ven­tion Enhance­ment Site coor­di­nat­ing research on effec­tive best prac­tices, projects, ideas, and links to bol­ster alco­hol pre­ven­tion efforts in Ken­tucky. The focus is to enhance pre­ven­tion of under­age drink­ing by pro­vid­ing online train­ing, access to resources, news feeds, edu­ca­tion­al mate­ri­als, cur­rent events and research, data track­ing, strate­gic plan­ning, col­lab­o­ra­tion and shar­ing oppor­tu­ni­ties. Blue­grass Pre­ven­tion serves all of Ken­tucky includ­ing coali­tions, pre­ven­tion pro­fes­sion­als, edu­ca­tors, law enforce­ment, gov­ern­men­tal offi­cials, par­ents, coach­es and our youth. Learn more at kyprevention.com.
  • The Zero Tol­er­ance pro­gram is also offered by Pre­ven­tion. This inter­ven­tion pro­gram tar­gets those under 21 who are tick­et­ed for drink­ing and dri­ving.  The 15 hour edu­ca­tion­al pro­gram is cur­rent­ly offered once a mon­th in Fayet­te Coun­ty for any per­son with­in our region who is cit­ed.  Blue­grass Pre­ven­tion hope is to expand this pro­gram as buy-in hap­pens from the enforce­ment task force on the impor­tance of address­ing the­se issues ear­ly and quick­ly. PREVENTION WORKS!

For the mon­th of March, we shine the light on bluegrass.org Help Line; more than just a phone call.

The bluegrass.org Help Line pro­vides access to all of bluegrass.org’s emer­gen­cy ser­vices: Adult Emer­gen­cy Ser­vices, Cri­sis Sta­bi­liza­tion Unit, Children’s Cri­sis Ser­vices, IDD Cri­sis, Jail Triage, and Open Access.  The Help Line is staffed by Cri­sis Line Coun­selors, who are trained to assist indi­vid­u­als in need.  The Help Line pro­vides 24 hour access to eval­u­a­tion and inter­ven­tion for behav­ioral health emer­gen­cies.

Recent­ly, a CIT(Crisis Inter­ven­tion Team) offi­cer shared their pos­i­tive expe­ri­ence with bluegrass.org’s ser­vices. The offi­cer respond­ed to an indi­vid­u­al that was in cri­sis due to sui­ci­dal ideations. The indi­vid­u­al refused treat­ment so the offi­cer called the bluegrass.org Help Line. The expert team at bluegrass.org pro­vid­ed assis­tance and dis­patched some­one from the Children’s Cri­sis Team to help the offi­cer in pro­vid­ing and seek­ing addi­tion­al care for the indi­vid­u­al. The process took 9 hours but in the end the indi­vid­u­al was trans­port­ed to a facil­i­ty where they will receive the men­tal health ser­vices they need. The Children’s Cri­sis Spe­cial­ist assessed the indi­vid­u­al, offered assis­tance and com­plet­ed the nec­es­sary paper­work to have the indi­vid­u­al admit­ted for care.

bluegrass.org’s Help Line is a valu­able resource to our com­mu­ni­ty. For more infor­ma­tion about ser­vices please con­tact bluegrass.org at 1–800-928‑8000.

A IDD Access Line is avail­able at (859) 272‑7483.

Deaf and Hard of Hear­ing indi­vid­u­als can con­tact by Video­phone: 1–800-928‑8000,

E-mail: crisisline@bluegrass.org or TTY cri­sis line: 1–800-806‑2880

http://bluegrass.org/customerservice/helpline.shtml#

For the mon­th of Feb­ru­ary, we shine the light on a brand new high­ly inno­v­a­tive pro­gram for indi­vid­u­als deal­ing with brain injuries (ABI, TBI).  New Vis­ta Behav­ioral Health, a sub­sidiary of Bluegrass.org, oper­ates an advanced neu­robe­hav­ioral pro­gram that pro­vides ther­a­peu­ti­cal­ly inten­sive and effec­tive reha­bil­i­ta­tion ser­vices, in a home and com­mu­ni­ty-based set­ting. This pro­gram is designed to serve med­ical­ly sta­ble indi­vid­u­als age 18 or old­er with brain injuries. A mul­ti-dis­ci­pli­nary team will assess the client and devel­op an indi­vid­u­al­ized treat­ment plan to meet his or her unique needs. This ensures all ser­vices are deliv­ered in an effi­cient, effec­tive and com­pas­sion­ate man­ner, in a loca­tion close to home. Our pro­gram uses evi­dence-based prac­tices and activ­i­ties that enable clients to devel­op prac­ti­cal skills that help them func­tion more effec­tive­ly in real-life sit­u­a­tions.

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For more infor­ma­tion regard­ing our ser­vices please call us Mon­day through Fri­day, 8:00 AM to 5:00 PM, at (859) 253‑1686, exten­sion 577, or send an email to dmgutierrez@bluegrass.org

 

 

 

 

 

 

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