Trumbull County Community Support Network


Mission

The mission of this program is to function as an Intensive Case Management Treatment Team providing community support and other indicated services to Trumbull County residents with severe mental illness. This mission seeks to assist clients with improving their understanding of behaviors and/or lifestyle changes which will enable them to live more successfully in community settings of their choice. Services of the team are designed, according to the Recovery model, to fit individual consumer needs and will vary as these needs change in order to promote positive individual control. These services include the provision of case management, medication/ somatic services and/or counseling/psychotherapy, and, applies to clients of the Team as well as those who may be receiving supplemental services from another community provider. An example would be provision of medication monitoring services on a daily basis for clients receiving medication/somatic or community support services from another community agency.
Target Population

The target population for the Team is identified as follows:


• Consumers who are residents of Trumbull County.
• Consumers who meet criteria for Severe Mental Disability as defined by ODMH Certification Standard: 5122-24-02 (91). Consumers who meet these criteria with a primary diagnosis as defined by the DSM-IV, Schizophrenia and Other Psychotic Disorders, are considered as the primary target population for services of the team.
• Consumers who choose to be involved.
• Consumers who do not have a primary diagnosis of Substance Abuse.
• Consumers who have had two or more psychiatric hospitalizations (Public or Private) or RiverBend Treatment Center admissions over the past year.
• Consumers who need intensive (two or more per week) contact to maintain community living.
• Consumers who have been high users of Diversion, Step-Down or Crisis services over the past year.
• Consumers with a Forensic status assigned to the Team through the Trumbull Lifelines Alcohol, Drug and Mental Health Network.

Description of Services

This program will consist of a comprehensive Community Support Team which functions based upon Intensive Case Management Treatment and Recovery principles by providing services to consumers in their homes and within the surrounding community. Services and supports to be provided by the team include Primary Community Support Program Services and the following:

• Treatment and Recovery planning including decompensation prevention planning/Advanced Directives, Recovery maintenance
• Activity for Daily Living Skills Training
• Independent Living Skills Training
• Symptom recognition and management
• Medication monitoring
• Assistance with entitlement acquisition and use
• Assistance with finding and maintaining acceptable housing
• Family linkage
• Community linkage for clients and families
• Referral to supports/services not within the scope of the team
• Counseling/Psychotherapy
• Medication/Somatic Services
• Diagnostic Assessment
• Monitoring of forensic clients in State Psychiatric Hospitals and on Conditional Release in the community; ongoing communication with and reporting to legal personnel and designated forensic agencies
• Adult Care Facility Annual Evaluation and Monitoring
• Review appropriate placement in Adult Care Facilities for all Trumbull County clients in conjunction with Area Agency on Aging
• Aggressive outreach and client empowerment is the mode of intervention
• Persons with severe mental illness can achieve Recovery
• The community is viewed as a resource, not as an obstacle

Hours of Operation

Usual working hours are from 8:00 a.m. to 4:30 p.m., 7 days per week. Staff are assigned a forty-hour schedule within these hours. Flexible scheduling is available to allow staff to provide services based on times convenient for our clients. Staff are on call on a rotating basis to assure 24 hour response to consumer crisis. The Program Manager, Team Supervisor and physician are on-call 24 hours a day, 7 days per week. During regular hours, staff may be contacted at 330-394-6017. After 4:30 p.m. services can be accessed by contacting CONTACT at 330-393-1565.

 

 

 

 

 

 

 


4076 Youngstown Road, Suite 201, Warren, Ohio 44484
Phone: 330-675-2765 / FAX: 330-675-2772 / TDD: 330-399-1566