INTEGRATED QUALITY ASSURANCE REVIEW
Railbelt Mental Health and Addictions

May 1 – 3, 2001

Nenana, Alaska

 

Site Review Team

Donna Mather, Community Member

Sharon Bullock, Peer Reviewer

Sarah McConnell, Facilitator

 

 

INTRODUCTION

 

A review of the mental health (MH) services provided by Railbelt Mental Health and Addictions (RMHA) was conducted from May 1 to May 3, 2001, using the Integrated Quality Assurance Review process.

 

This report is the summation of the impressions of a community team after interviewing consumers, staff members, community members, and staff of other agencies.  It also includes a limited administrative review.  It does not represent or reflect a comprehensive review of this agency.  The community team has collaborated on this report and the findings represent their consensus. 

 

Description of Services

 

RMHA’s service area includes the communities of Nenana, Anderson, Clear, Cantwell, Healy, Denali, and McKinley Village, all located within a 142-mile span along the George Parks Highway. The population of this area is reported to be 3,100 year round residents, with a summer increase including seasonal employees at the Denali National Park area plus other employees and transients drawn by the visitor industry.  The population is highly diverse economically and culturally.

 

RMHA has an annual budget of $328,806 (including MH and substance abuse grants from the State of Alaska). The agency has also received funds from the Denali Borough School District for services in their schools; the Nenana Ice Classic for their summer activity program; cash and fees; and in-kind contributions, in particular, office space in Healy and Nenana. They maintain an office in Nenana and in Healy, share office space in Cantwell and Anderson, and provide services in the schools at Healy, Anderson, and Cantwell.

 

RMHA functions by agreement with the City of Nenana, which provides administrative oversight. Personnel benefits, all expenditures, and incoming funds are handled by the City. A five-member executive Board of Directors governs RMHA. Attempts are made to have a Board member from each community, plus at-large members and at least two consumers. While the Board is required to meet quarterly, they reportedly meet one or two times per month. They hold their meetings alternately in each community within the service area. The extensive travel, and nine months of harsh weather producing hazardous driving conditions, present special challenges for this Board.

 

RMHA currently reports a client group of approximately 71, including about 20 youth diagnosed as severely emotionally disturbed, 12 adults diagnosed with a serious mental illness, and three clients (through an MOA with the LEAP program) are provided services related to domestic violence. RMHA reports that they offer services to children and adolescents that include identification, referral, case management and counseling services. MH services include intake, referral, case management and counseling services for individuals, families, couples and groups for adults, children and adolescents.

 

RMHA offers once per month psychiatric services and medication management to people identified as having a serious mental illness.  Other clinical services are provided by a full time mental health clinician and the agency is currently recruiting for a second full time position for a clinical supervisor.  A substance abuse counselor and an administrative director are also employed.

 

Emergency services are reportedly provided by giving home phone numbers of staff members to pertinent community providers. All agency staff are said to be “trained to assess suicide” with directions to call a clinician, the local clinic, or law enforcement as needed. 

 

There is currently no secretary due to funding issues. This has reportedly contributed to a community feeling that “No one’s ever there.” The Administrative Director reports that RMHA hired a secretary for two weeks specifically for the purpose of aiding with this Integrated Quality Assurance Review.

 

As a multi-service agency RMHA also employs a substance abuse counselor for assessments, referral, aftercare, and outpatient needs. However, they report that consumers do not typically receive integrated mental health and substance abuse services. A non-paid, substance abuse treatment intern has been added to the agency during the past year.

 

Description of Process

 

To conduct this review, a team consisting of one facilitator, one community member and one peer reviewer met for three days in Nenana. The team conducted 26 interviews and reviewed program/agency materials. The team interviewed 14 consumers and family members (in 10 interviews), 1 staff member, 4 Board members, 11 community members and related service providers.

 

Of those consumers interviewed, 8 interviews were with randomly selected individuals and families who receive services from RMHA. Four children (including one sibling pair) were interviewed with a parent or guardian present. Of those interviews, one parent is also a direct consumer; two were parents of consumers; one was a youth; and four were adult consumers. Two of the adults were volunteers, not in the random sample.

 

Interviews were conducted at the City of Nenana offices, a local restaurant, the Nenana health clinic, a home visit and by telephone. The interviews lasted from 15 minutes to an hour. An Open Forum was announced and held at the Marge Anderson Senior Center in Nenana on Tuesday evening. After all the interviews were completed and the information gathered, the team members met to contribute to this report. A written report was drafted, reviewed and edited by team members. The written report was then presented to staff on the final day of the review. This report is based on the Department of Health and Social Services’ integrated program standards.

 

Open Forum

 

An Open Forum was scheduled for 7:00–8:30 P.M. at the Marge Anderson Senior Center in Nenana. It was advertised twice in the Nenana newspaper. Posters were faxed to four locations in Cantwell, five locations in Healy, two in Anderson and five in Nenana. No one attended the Open Forum.

 

FINDINGS

 

Progress Since Last Review

 

The following are the areas requiring response identified during the review conducted May 24–26, 1999. The Administrative Standards referred to are from the 1999 report. Progress in each area is noted below:

 

1.       The stated mission of RMHA is too global and does not meet the requirement of the standards by using empowering People First, non-stigmatizing language to offer consumer centered services (Standard #1).

Progress: There was not a copy of the 1999 Mission Statement available for comparison. While the Mission Statement has reportedly been revised, and is somewhat more specific, it remains quite global and does not contain consumer-centered language to describe how consumers and their families are empowered. The current Mission Statement is not displayed in the RMHA Nenana office. Standard partially met.

2.       The team did not observe that staff and key people communicate in the presence of and away from the person using People First, non-stigmatizing language. (Standard #2).

Progress: The team consistently observed staff communicating with and about consumers in respectful terms during the three days on site.  However, there is no evidence whatsoever of any agency-wide education and orientation about mission, philosophy and values that promote understanding and commitment to consumer-centered services in daily operation. The Administrative Director requested explanation and definition of  “People First” and what this standard means, reflecting the absence of adequate staff training on consumer-centered programming. She was referred to the DMH/DD Regional Coordinator. Standard not met.

3.       Formalize inclusion of consumer input in policy setting and program delivery in the policies and procedures (Standard #12).

Progress: A policy and procedure (page C.2) was entered in the manual 6/2000, which provides for program evaluation and the appointment of “persons from the public to participate in evaluation studies.” This procedure does not require that some of the “persons from the public” appointed to participate be consumers; and does not specify the frequency of the program evaluation. Standard partially met.

4.       There is no policy and procedure documenting how involvement of consumers, staff and the community will be facilitated in annual agency planning and evaluation (Standard #13).

Progress: The agency reports that it completes a consumer satisfaction survey twice per year. A consumer satisfaction survey is also available on the RMHA web site. No policy and procedure exists to require that the consumer satisfaction survey be completed, nor the frequency with which it should be completed. See also item #3 above. Standard partially met.

5.       Document policies and procedures developing annual goals and objectives in response to consumer, community and self-evaluation activities (Standard #14).

Progress: The activities reported relative to this program standard are of note. The Board of Directors engaged in a self-evaluation during this past year, establishing a three-year plan. Consumer satisfaction surveys were reportedly distributed twice during the past year, and a community needs-assessment was performed. A written policy and procedure needs to be available to formalize these activities and insure their completion on an on-going basis. Standard partially met.

6.       Person centered language regarding people who receive mental health services is absent in publications and documents (e.g., "this population", "client", "in a nutshell, no pun intended"). Services focus on situational and substance abuse needs. Referrals from citizens concerned about others in the community should take a back seat in agency publications while focusing on support services available to those who identify a need and consent to receive services from professionals they choose and trust (Standard #16).

Progress: Newsletters demonstrate significant improvement in this area since the spring of 2000, and, with minor exceptions, are of an outstanding quality. Standard met.

7.       Personnel policies and procedures do not document a system for review and revision of all job descriptions (Standard #20).

Progress: Policy and procedure “Review of Job Descriptions” (E.79) revised 9/2000 is now part of the Policy and Procedure Manual. Standard met.

8.       Create a procedure to incorporate consumers into the hiring and evaluating of direct service staff (Standard #22).

Progress: Policy and procedure “Hiring Committee for Direct Service Personnel” (E.80) revised 9/2000 is now part of the Policy and Procedure Manual. Standard partially met.

9.       Include a policy that staff identify, respect and encourage local natural supports for consumers (Standard #26).

Progress: Policy and procedure “Development of Natural Supports” (F.32) revised 9/2000 is now part of the Policy and Procedure Manual. Standard met.

10.   Assure that staff receive necessary training in Medicaid documentation.

A Medicaid documentation training has been conducted by DMH/DD staff.  Standard met.

 

                                                      Areas of Excellence

 

+ Community awareness efforts including the initiation of an RMHA web site and quarterly newsletters, with a reported circulation of 800, are impressive.

 

+ The “Nenana Explorers,” a summer youth activity program with supportive funding by the Nenana Ice Classic has received outstanding reviews from community members.

 

+ Efforts to reach an extensive geographical area through school-based services in the Denali Borough School District have been identified as a strength by citizens, consumers and related agencies of the Denali Borough.

 

+ It is commendable that RMHA currently maintains positively regarded services with only one FTE mental health clinician, who is consistently described as professional and helpful. The agency’s effort to hire a Clinical Supervisor appears critical to continuing the high quality of the clinician’s services.

 

The Five Life Areas

 

Choice and Self Determination

The team identified the following strengths under Choice and Self-Determination for those receiving MH services:

+ Most consumers feel that they are given choices, and that they have satisfactory input in their treatment plan.

+ Most consumers feel listened to.

+“I’d watch her (Keri) with other kids.  They came and talked with her. Then I chose her to work with my child.”

+ “I’m absolutely satisfied with the services I received; Keri is awesome, empathic, helpful and everything a counselor should be.”

 

The team identified the following weaknesses under Choice and Self-Determination for those receiving MH services:

- Many consumers express negative feelings about having to change counselors without warning and without being consulted.

- Several consumers note that they feel their choices are limited by the number of clinicians and by the limited clinician time available in each community.

- “Mary’s leaving unexpectedly, having to start all over with a new clinician… I just told all my story and had trust in her.”

- “We didn’t know she (Mary) was leaving. Telling our story again was a real inconvenience. Gaining trust again makes it real hard.”

 

Dignity, Respect and Rights

The team identified the following strengths under Dignity, Respect and Rights for those receiving MH services:

+ All consumers interviewed report feeling consistently treated with respect and dignity. They feel they are treated with “kindness,”  and “patience,” by staff described as “pleasant,” “professional,” “discrete,” and “friendly.”

+ Most consumers report that they participate in their treatment planning and sign their treatment plan after regular reviews.

+ All consumers are aware of their rights, and have an idea of what to do if they have a grievance.

+ Most consumers state that they would feel comfortable talking with either Traci or Keri if they had a concern.

+ “Dr. Ackley really listens to me and he’s working with me to figure out a combination of medication that doesn’t cause as many side effects.”

+ “They treat us like people – we’re treated really well”

+ “Traci is very helpful, and respectful.”

 

The team identified no weaknesses under Dignity, Respect and Rights for those receiving MH services.

 

Health, Safety and Security

The team identified the following strengths under Health, Safety and Security for those receiving MH services:

+ Many consumers recognize that RMHA helps them to gain access to a variety of services.

+ Some consumers report feeling “safe” to “fairly safe” in their homes and in their village.
+ One consumer reports feeling safer in their community because they have a new policeman.
+ Some consumers report feeling secure in their ability to access needed services.

+ Two consumers reportedly receive important medical care as a direct result of encouragement and support from RMHA staff.

+ One consumer reports that RMHA assistance in acquiring a cell phone has helped greatly in accessing needed services.

+ “RMHA helps out with food when necessary.”

+ “Keri is helping me get dental needs met. I’m still on a waiting list.”

 

The team identified the following weaknesses under Health, Safety and Security for those receiving MH services:

- Some consumers report feeling “not so safe” after a murder occurred in Nenana in January.

- Some consumers reported feeling “not safe” in Nenana because of “all the drunks in town.”

- Several consumers report concerns about reaching an answering machine during business hours at the RMHA offices.

- Several consumers would like to have more flexible and more frequent access to psychiatric services.

- One consumer reports transportation problems in accessing dental and vision services, which are only available in Fairbanks.

- Some consumers express concern that they don’t know what services they can access at RMHA.

- “RMHA needs to use radio and newspaper more in announcing their activities so more people know what’s going on.”

- “Dr. Ackley is here only once per month on Sunday, there’s not always someone to assist with getting there.”

- “Just getting a machine is not helpful. Someone who was depressed like I was – it took a lot of courage just to call. When I got a machine I hung up and it took weeks before I could leave a message. That’s critical to someone who’s depressed.”

 

Relationships

The team identified the following strengths under Relationships for those receiving MH services:

+ Most consumers feel that they are assisted in developing relationship skills.

+ Some consumers feel that their work with RMHA is supportive of their relationships, specifically peer and family relationships.

+ Some consumers identify involvement of the family in treatment as very helpful to family relationships.
+ “The medication is helping in gaining relationship skills – the medication helps me be more comfortable in social situations.”

+ “Yes, our work has been real helpful in improving sibling relationships.”

+ “Keri teaches social skills through games and discussions.”

+ “Keri’s social coaching in the school setting supports relationships with the teachers and other students.”

 

The team identified the following weaknesses under Relationships for those receiving MH services:

- Some consumers report concerns about either a lack of integration of family counseling or a lack of parenting skills training.

- One consumer expresses concern that “No parenting skills are taught. We’ve talked about it, but nothing has happened yet.”

 

Community Participation

The team identified the following strengths under Community Participation for those receiving MH services:

+ Several consumers report that RMHA has been very helpful at involving youth in safe and drug-free community activities.
+ One consumer reports that staff helped them realize the importance of participation in school.
+ One parent of a consumer applauds the good teamwork between the school and RMHA, which has resulted in increased inclusion in activities for young consumers. (Anderson)

+ “In summertime RMHA organized some great activities – horseback riding, pizza, swimming at Hamme Pool – for Nenana Explorers. They organized it and arranged funding.”

+ “My counselor is wonderful in helping me to find employment.”

+ “In my community I don’t feel discriminated against or anything.” (Healy)

+ “Keri’s a godsend! I’d like to see her around for a long while!”


The team identified the following weaknesses under Community Participation for those receiving MH services:

- Some consumers express their wish for safe, healthy activities for youth in the wintertime, too.

- Some consumers express reluctance to become involved in their community.

- “I don’t get involved in the community, I don’t like the politics.”

- “No, they haven’t helped me get involved in community activities.”

 

                                                      Staff Interview

 

There is currently only one mental health service provider at RMHA. She was interviewed, with the following results.

 

The staff interviewed expressed a consumer-centered approach to their work with clients. She reports that treatment goals are selected by consumers, and efforts are made to introduce local service resources in addition to RMHA. Family education about mental illness is a priority, with the goal of enhancing consumers’ family and community relationships. An art group is offered by this clinician for social skills practice.

 

This clinician has an excellent grasp on the agency’s philosophy and mission, as reflected by her statement “(The mission is) to provide the best services possible to a diverse and scattered population, with a history of difficulty accessing services, and to meet their needs in the community in which they live.” She has learned much about cultural diversity within the natural support system in the community. She reflects a joy and enthusiasm in her work.

 

The current level of work, with very limited staff, is “exhausting”. Travel demands are different from many rural sites in Alaska because of the concentration and skills required to drive to the various communities in extremely harsh weather conditions and hazardous driving conditions most of the year. A good thing this clinician “enjoys driving!” It will be a relief for the agency to gain clinical staff.

 

Concerns are few, and relate to intense work responsibilities created by clinical staff departure, and the need for improved communication within the organization.

 

                                Interviews with Staff of Related Agencies

 

Nine people from related agencies were interviewed. Agencies and communities represented in the interviews included: Denali Borough, Denali Borough School District, Healy physician’s assistant, the mayor of Nenana, Nenana Senior Center, Nenana village elder, magistrate, Nenana Native health clinic, Tanana Chiefs Conference, Nenana law enforcement and Nenana fire/EMT services.

There was a wide variety in the feedback provided.

 

Positive comments regarding the agency, staff, and services included:

+ One community member related that services were offered free of charge for a period of time following the community’s multiple tragedies. (Nenana)

+ “We’ve had a really good working relationship with Railbelt

+“I’ve found them very accommodating.”

+ “I think that RMHA services are very important; and they’re doing better than a decent job lately.”

+ “I’ve nothing but good to say; psychiatrist is excellent; utilization good in our community (Healy); I’m a full supporter of their system.”

+ “Emergency services system worked well when we had to use it.”

+ “I’m very supportive of the program and hope to see them increase services; I would like to use local services.”

 

Those interviewed expressed a number of concerns and frustrations with the agency. The frustration with the answering machine, and not being able to access staff was shared by several community members. Some of their comments follow:

 

-         “They need to communicate better with other agencies, to let them know what services they provide and when they’re available.”

-         “No one knows what’s going on down there.”

-         “There’s no flexibility for working consumers who are not able to take time off work.”

-         “RMHA work is not suitable to the Nenana population; people would just rather not use that agency.”

-         “Type of counseling provided didn’t fit client needs, and there was no flexibility in treatment method.”

-         “How much we work together has depended on the leadership and how much they communicate about services available – it’s not happening now. There’s no follow through with emergency services system, so back to using Fairbanks.”

-         “Even though agency provides both MH and SA services, dually diagnosed consumers are not consistently receiving integrated services.”

-         “We all need more support from the legislature for kids – we’re all being asked to do more with less resources.”

-          “No one from there comes to the Senior Center.”

-          “More of a delay in service response than I’d like to see.”

-          “There are concerns about a perception of conflict between the former Director and the Board.”

-          “We don’t interact with them unless they need something.”

-          “Crisis management is not consistently available.”

-          “We have had times when we needed attention immediately and couldn’t get hold of anyone. We can’t get a response from the answering machine. Something needs to happen.”

 

Administrative and Personnel Narrative

 

The Administrative and Personnel Checklist is included at the end of this report. It includes 34 items, of which 22 are completely met by RMHA. Only one standard is not met, and 11 are partially met. It should be noted that RMHA has taken numerous positive actions in the area of evaluation and planning and simply needs to translate these activities into formal policy and procedure documents in order to meet fully several standards. Those standards not fully met are:

 

1. Standard #1: Partially met. The Mission Statement remains quite global and does not contain consumer-centered language to describe how they empower consumers and their families.

 

2. Standard #2: Not met. The team consistently observed staff communicating with and about consumers in respectful terms during the three days on site in preparation of this report. However, there is no evidence whatsoever of any agency-wide education and orientation about mission, philosophy and values that promote understanding and commitment to consumer-centered services in daily operation. The Administrative Director requested explanation and definition of this standard. She was referred to the DMH/DD Regional Coordinator in order to gain the information with which to comply with this standard.

 

3. Standard #6: Partially met. With appreciation for geographic and weather-related barriers, the Board should continue efforts to recruit Board members from communities that are not represented, to increase cultural diversity to reflect the population of the service area, and to increase consumer membership on the Board.

 

4. Standard #9: It is unclear if this standard is fully met, because the mayor of Nenana, rather than the governing board, has final approval of RMHA new hires, including any Director level position.

 

5. Standard #12: Partially met. Progress in this area is notable. A policy and procedure (page C.2) was entered in the manual 6/2000, which provides for program evaluation and the appointment of “persons from the public to participate in evaluation studies.” This procedure should require that some of the “persons from the public” appointed to participate be consumers; and specify the frequency of the program evaluation.

 

6. Standard #13: Partially met. While it is encouraging that the agency reports a consumer satisfaction survey is completed twice per year, and a consumer satisfaction survey was viewed at the RMHA web site, there is neither policy nor procedure to require this activity, describe the frequency for soliciting the information, or suggest how the information should be used to assist in agency planning and evaluation.

 

7. Standard #14: Partially met. The agency has engaged in a number of excellent activities aimed at meeting this standard. A policy and procedure need to be established to formalize these activities and insure their completion on an on-going basis, as well as insuring that these activities will indeed be used to guide the planning process.

 

8. Standard #17: Partially met. There are mixed reports regarding this standard. RMHA is recognized for active participation with most of the agencies in their service area. While the Administrative Director reports efforts to work with Tanana Chiefs Conference (TCC) and the Nenana Tribal Council, there has not been success in this area. Important components of the TCC system to establish working relationships with would include, but not be limited to, Yukon-Tanana Subregion itinerant mental health and prevention counselors, Tribal Family and Youth Services, Old Minto Recovery Camp (re: consumers with a dual diagnosis), and case management.

 

Note: In the Exit Interview, the Administrative Director noted that there is a MOA with Old Minto Recovery Camp, but it is “not very active.” It was not clarified if this includes mental health services or is limited to substance abuse services.

 

9. Standard #19: Partially met. The mental health clinician is reported to have a plan for passing an acceptable licensing exam in October, 2001. Clinical supervision is currently being contracted and efforts are in progress to hire a Clinical Supervisor.

 

10. Standard #22: Partially met. Progress in this area is good. Consumers participate in the hiring process. There is no procedure to incorporate consumer input with evaluation of direct service providers.

 

11. Standard #25: Partially met: All orientation/training areas are covered except cultural diversity and “potential work related hazards associated with serving individuals with severe disabilities.” Given the population of the RMHA service area, it is a priority to provide orientation/training in the area of cultural diversity.

 

Program Management

 

The facilitator reviewed the personnel file of the one current mental health service provider; the agency’s Policy and Procedure Manual; the Independent Auditor’s Report of October, 1999 (most recent available); a letter, dated April 16, 2001, noting “nothing out of the ordinary” in the Community Mental Health Services Special Revenue Fund; four newsletters; and the RMHA web site. Additionally the facilitator interviewed the Administrative Director for two and one-half hours regarding the Action Plan from the last review, current compliance with Administrative Standards, and clarification of the agency overview.

 

The Administrative Director expressed concern that the review did not include a review of the Administrative Director’s personnel file.

 

The Administrative Director addressed concerns about the abrupt departure of the recently departed Clinical Director, explaining that the process leading to her resignation was a confidential matter with the Board of Directors. When asked about closure for consumers, she stated that the former Clinical Director had been offered the opportunity to have closure contact with consumers but declined that opportunity.

 

                                                       Areas Requiring Response

 

1.       Address and resolve the problem of accessing a person during business hours, with attention to issues of protecting confidentiality.

2.       Address balance of services to schools and other consumers. Assure that SED youth are identified for service, and that RMHA is providing service to priority populations as established by DMH/DD.

3.       The agency should address integration of substance abuse treatment with mental health treatment for consumers with co-occurring conditions.

4.       Engage in efforts to recruit local staff, and encourage employees to make a commitment for extended service to the agency. Consider establishing a policy/procedure for repayment of training funds to the agency if employees leave the agency soon after receiving those training funds.

5.       Agency should carefully consider the inherent complications of having a Clinical Supervisor under the supervision of a non-clinically trained Administrative Director.

6.       Agency should insure that only clinically trained staff are engaging in clinical mental health activities.

7.       Clarify the Crisis Procedures (F.2) as they relate to suicide risk, depression, and other frequent presenting concerns. Clarify procedure for non-clinically trained staff response.

8.       Standard #1: After receiving training in consumer-centered language and services for Board

      and employees, review and revise Mission Statement to be more specific and reflect

      consumer-centered language that describes how RMHA empowers consumers and their

      families. While not a requirement of Standard #1, the agency is encouraged to display their

      revised Mission Statement in their offices, visible to consumers, which is a grant regulation.

9.       Standard #2: Provide agency-wide education and orientation about mission, philosophy, and

      values that promote understanding and commitment to consumer-centered services in daily

      operations.

10.   Standard #6: With appreciation for geographic and weather-related barriers, the Board should

      continue efforts to recruit Board members from communities that are not represented, to

      increase cultural diversity to reflect the population of the service area, and to increase

      consumer membership on the Board.

11.   Standard #9: Clarify with DMH/DD if this standard is fully met, relative to the mayor of Nenana,

      rather than the governing board, having final approval of RMHA new hires, including any

      Director level position. This was reported by Board members.

12. Standard #12: Add language to the Procedure which will require that some of the “persons from

      the public” appointed to participate in the program evaluation be consumers; and specify the

      frequency of the program evaluation.

13.   Standard #13: Complete a policy and procedure to insure the completion of consumer

      satisfaction surveys twice per year, and maintenance of the consumer satisfaction survey at

      the RMHA web site. It would also be important to specify the frequency for soliciting the

      information, and suggest how the information should be used to assist in agency planning and

     evaluation.

14.   Standard #14: A written policy and procedure needs to be available to formalize activities such

    as the needs assessment and consumer satisfaction surveys, insuring their completion on an

     on-going basis, as well as insuring that these activities will indeed be used to guide the planning

     process.

15.   Standard #17: Consult and continue efforts to work with Tanana Chiefs Conference (TCC) and

      the Nenana Tribal Council. Important components of the TCC system to establish working

      relationships with would include, but not be limited to, Yukon-Tanana Subregion itinerant

      mental health and prevention counselors, Tribal Family and Youth Services, Old Minto

      Recovery Camp (re: consumers with a dual diagnosis), and case management.

16.   Standard #19: Pursue established plan for Mental Health Clinician to pass an acceptable

      licensing exam in October, 2001. Continue clinical supervision as contracted and agency

     efforts to hire a Clinical Supervisor.

17.   Standard #22: Establish a procedure to incorporate consumer input with evaluation of direct

      service providers.

18.   Standard #25: All orientation/training should provide information on cultural diversity and

      “potential work related hazards associated with serving individuals with severe disabilities.”

      Given the population of the RMHA service area, it is a priority to provide orientation/training in

      the area of cultural diversity.

 

Other Recommendations

 

1.Outreach/needs assessment could include Senior Citizens in order to assist in identifying mental health needs of elders in the communities served.

2. Evaluate scheduling options to minimize clinician driving time.

3. Employees who have earned a degree in a mental health field should post their degree

    credentials after their names in official agency business.

 

 

 

 

Closing

 

The team wishes to thank the staff of RMHA, their consumers, and the City of Nenana for their cooperation and assistance in the completion of this review. Special appreciation goes to Traci Wiggins, Keri Frazier, and Dallene Adams for their efforts. A process such as this can be very disruptive to the office environment and your hospitality was much appreciated by all of the team members.

 

The final draft of this report will be sent to Northern Community Resources for review.  You will receive the final report within approximately thirty days, including a Plan of Action form listing the Areas Requiring Response. You will then have an additional thirty days to complete the Plan of Action. The directions on how to proceed from there will be included in a cover letter you will receive with the final report and Plan of Action form.

                                                         

Once NCR has reviewed the completed Plan of Action, it will be sent to the DMHDD Quality Assurance Section.  The QA Section will then contact you to develop collaboratively a plan for change.

 

 

Attachments: Administrative and Personnel Checklist, Interview Form for Staff of Related Agencies (tallied), Report Cards (averaged)

 

 

 

 

 

 

 

 

 

 

 

 

NCR 8/00