Business Plan

· Assertive Community Treatment:

The Assertive Community Treatment (ACT) teams provide comprehensive, community-based, psychiatric treatment, rehabilitation, and support to persons with serious and persistent mental illness. Act clients often have co-occurring problems with addiction, homelessness, criminal justice involvement, physical illness, and violent victimization. ACT teams embrace the nationally established evidence based practice model for act and achieve a high level of fidelity to the model. Teams are composed of a psychiatrist, nurse, licensed team supervisor, a peer support specialist, and rehabilitation support staff. Staff may develop sub-specialties in group services, substance abuse treatment, forensic services, parenting interventions, and vocational rehabilitation. ACT teams have small caseloads and work as a tight knit interdisciplinary unit to create opportunities for growth and recovery.

· Community Support TREATMENT:

We will provide comprehensive and integrated mental health services for clients who have mental health problems and may have co-occurring problems of addiction, homelessness, medical illness, and violent victimization. Integrated clinical services include diagnostic assessment, community support, care coordination, therapy, and liaison with psychiatric services.

Community Support Specialists will provide direct care and coordinate services to help clients achieve their recovery goals.

· Crisis Services:

The Waterfront Community Connection Crisis Service Team is responsible for providing comprehensive crisis services after 5 pm, on weekends, and holidays to all clients receiving services at The Waterfront. This allows us to respond to crises as they happen, ensuring the safety of all our clients. Our main goals are to prevent crises, stabilize emergent situations, and reduce use of city emergency services such as 911 or hospital emergency rooms. The Crisis Service Team currently consists of trained mental health clinicians, supervised by a licensed clinical supervisor.

· Day Rehabilitation Services program:

The Day Rehabilitation Services Program (DSVCP) is a skills training and motivation enhancement program that supports participants in their efforts to change lifestyle, overcome obstacles, recover their lives, and experience empowerment. We believe people with a serious mental illness can recover and are capable of living independent, satisfying lives. Central to that process is the development of skills that will empower the individual to make positive life choices. Program participants work together in a variety of activities to gain or rebuild confidence and the skills necessary for living independently. Participants can expect integrated care with their treatment teams within and outside of The Waterfront.

· Outpatient Behavioral Health Clinic:

The Outpatient Behavioral Health Clinic (OBHC) is an interdisciplinary team that serves as the main access point for adult services, and provides psychotherapy and low-intensity community support for individuals who are seeking assistance with addressing life stressors, managing mental health symptoms more effectively, or healing from trauma. Recognizing that clients need a diverse spectrum of support, the OBHC uses a patient-centered approach to treatment planning and program referral, and lengthens the enrollment and engagement process to better match individuals with programs, interventions, and the appropriate level of care.

· Supported Employment:

Supported employment is an evidence-based program encompassing recovery principles and recognizes that employment can be an integral part of a person’s recovery. Employment Specialists develop relationships with community business owners and hiring managers to help the client become employed in the job of their choice. Working together, employment specialists and program participants develop an individual work plan, create a resume, and practice interviewing skills. Employment Specialists coordinate with the participant’s treatment team; provide job coaching, and on-going support to assist the individual in maintaining employment.

INTEGRATED CARE SERVICES:

· Health Homes

Health Homes is an integrated model of care addressing an individual’s behavioral and physical health needs. The health home team includes nurse care managers, a primary care liaison, and care coordinators who work together to meet each clients' physical and mental health needs, as well as psychosocial goals. The teams work with a individual and their network, including family members and medical providers, to help clients improve self-management of chronic illness and promote total wellness. Comprehensive care management, care coordination, transitional care, health promotion, individual/family support, and accessing resources via referrals are the six services that comprise the Health Home Service Delivery Model.

· PSYCHIATRY CLINIC

The Community Connections Psychiatric Clinic provides access to Board Certified psychiatrists and nurses. The clinic provides integrated psychiatric care to all interested Community Connections clients (adults, children, and youth) and works closely with their treatment teams. Services provided in the clinic include assessment, medication management, lab work, and nursing services. Psychiatrists and nurses working with the Assertive Community Treatment teams often meet clients in the community.

HOMELESSNESS & HOUSING:

· The Waterfront…we want to support individuals and families with establishing and maintaining safe and affordable homes as a part of their whole health recovery. We want to be the leader in Jefferson County as an effort to develop and implement effective Coordinated Assessment and Housing Placement processes.  We want to connect with government partners and local coalitions of community providers to expand the availability of housing resources, especially for the city’s most vulnerable individuals and families. In all of these activities, we demonstrate a comprehensive understanding and commitment to the states strategic plan to end homelessness.

We want to offer a comprehensive range of outreach and residential supportive services to promote housing stability and prevent homelessness – especially with people experiencing mental illness, addiction, and trauma.

Our Homeless Services Program will provide outreach to women and men living outside and “in reach” to those staying in emergency and transitional shelters. We want to offer extensive navigation assistance (e.g., obtaining identification, completing applications, mitigating housing barriers, etc.).

OUTPATIENT ADDICTION SERVICES:

· The Waterfronts Outpatient Addiction Services (OAS) will be an ARC/DBH approved substance use treatment provider. Recognizing the complexity of addiction, OAS utilizes Community Connections' expertise in mental health and trauma recovery to provide sophisticated clinical services geared toward empowering clients. Clients will be able to discover the roots of their substance addiction and how they can attain sustained recovery to meet their goals. Addiction and recovery are not just about a substance, but about a complex person with multiple concerns including the impact of mental health symptoms, developmental traumas, family relationships, environmental factors, and other obstacles to recovery. OAS will incorporate a holistic approach to recovery. We will teach relapse prevention skills, emphasize lifestyle modifications, and encourage network and family involvement. OAS will provide person-centered and curriculum-based treatment and a diverse staff that brings a wide range of life experience, work experience, and education to the recovery process.

Group topics:

· Recovery from Trauma

· Cravings, Highs, and Chemical Dependency

· Mental Health and Substance Abuse

· Addiction Runs in the Family

· Learning to Love Yourself

· Stress Reduction and Soothing

· Values, Goals, and Meaning

· Building Healthy Relationships and Supportive Networks

· Coping Skills

· Finding Motivation

· Learning Your Triggers

Our Services:

· Comprehensive Diagnostic Assessments

· Individualized Treatment Planning

· Individual Addictions Counseling

· Group Addictions Counseling

· Group Psychoeducation

· Case Management

· Crisis Intervention

· Clinical Care Coordination

Interested in Enrolling?

To get authorized for treatment, obtain a referral by visiting the DBH Assessment And Referral Center (ARC), located at _________________ No appointment is necessary. Hours of operation are Monday through Friday, 7:00 a.m. To 6:00 p.m. The Behavioral Health Center phone number is XXX.XXX.XXXX after getting your referral; contact TWF for an intake appointment at xxx.xxx.xxxx.

Begin receiving services and start your recovery journey!

enrollment checklist: 

· Jefferson County Resident

· Arkansas Medicaid recipient

· At least 18 years old

· The Center for Families and Children

Youth Centered   Family Focused   Community BASED

The Waterfront Community Connection will be pleased to offer services to children and youth who suffer from mental illness, substance abuse, or a history of trauma. Our goal is to provide high quality, clinical mental health services focused on the strengths of each individual child and family. Family support and skill building will be offered through individual, group, and family-based interventions. We will utilize the focus and creativity of the entire team to develop flexible and targeted interventions. Problems are recognized in their proper context and addressed through collaborative partnerships with families and their formal and informal support networks.

What to Expect:

· Comprehensive Assessments

· Individual Treatment Planning

· Community-Based Services

· Collaboration and Teaming

· Culturally Competent and Well-Trained Staff

· On-Call Crisis Services

· Evidence-Based Program

Our Services:

· Community-Based Intervention

· Individual Psychotherapy

· Psychiatric Services

· Groups

· Family-Based Services

Interested in enrolling?

If you are interested in receiving services at the center for families and children or have questions about our services, please come to an information session. You can sign up for our next session by visiting our calendar. Your child does not need to attend the information session.

Enrollment Checklist:

· Jefferson County resident

· Between 6 and 17 years old

· Arkansas Medicaid Recipient 

· Significant behavioral problems in one or more of the following areas: home, school, peers, or community

· HEART

The Healing, Empowering, Advancing and Recovering, Together (Heart) program is an innovative 5-year project that will be funded by SAMSHA to grow their national child traumatic stress initiative. HEART’S ambitious mission is to improve early access to integrated high-quality behavioral health and trauma specific treatment for children, youth, and their families. The goal of the program is to disrupt the transmission of intergenerational trauma. Family peers and clinicians will develop and implement creative strategies to provide coordinated services that will allow for integrated child and adult services. HEART will utilize Community-Based Intervention and Family Team Meetings, with trauma-specific evidence based practices offerings: Trauma Focused Cognitive Behavioral Therapy for 1:1 child-specific recovery work, Strengthening Families Coping Resources for multi-family group recovery work, and Trauma Recovery and Empowerment for adult women’s recovery work.

· Peer Empowerment & Advancement

Peer services will play a crucial role in helping to advance wellness and recovery for clients living in the community. Peers are uniquely suited to use their own experience and personal knowledge to engage clients in treatment and recovery. Additionally, peer staff will help guarantee that our clients' voices are heard to help inform and shape agency practices and policies.

Our peers will be utilized in several ways across the agency. Some are employees; others are participants in grant-funded programs. Some will serve as interns and still others act as volunteers. In every case, peers help clients understand how to take charge of their own treatment, how to cope with crises, and how to navigate an often-confusing health care system.

If you have questions about peer services, please contact the Manager of Peer Services at The Waterfront Community Connection Community Connection at XXX.XXX.XXXX. If you are interested in becoming a peer staff member, please check our current job listings. If you are interested in learning about our internship program, please visit Intern with Us.

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