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Mental Health

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Audience:

The Pennsylvania Department of Human Services is excited to announce the Second Annual Pediatric Capacity Building Institute (PCBI). PCBI is geared toward professionals across child-serving systems that are interested in learning more about how to support young people with complex needs and their families in PA and in initiating system change.

Purpose:

The PCBI offers a unique nine month, in person, multi-disciplinary, interactive learning opportunity across the entire service partnership. The Institute’s overall goal is to increase the administrative and clinical capacity across all systems to better support these youth and their families. The PCBI curriculum will accomplish this by promoting and strengthening:

  • Clinical knowledge and understanding among participants from local, regional, and state government;
  • Clinical expertise of providers – specific to individuals with both mental/behavioral health and developmental disabilities;
  • Engagement of those with lived experience;
  • Local, regional, and state understanding of complex needs planning (organizing/facilitating/philosophy of approach);
  • Each system’s understanding of other system’s available resources, processes, setting/service types, rules, and funding; and
  • Networking across systems and regions.

The Institute will also encourage participants to explore ways to improve and change their local systems of support for children and their families. Individuals who have completed prior institutes have used this new knowledge to strengthen existing programs and create fresh approaches that achieve the best results.

PCBI will approach these objectives from an individual and systemic perspective through training, integration of knowledge into practice, and opportunities to build a statewide cohort to work together to effect change and build capacity.

Requirements:

The Pediatric Capacity Building Institute emphasizes the participation and collaboration of all participants. Structured group work participation and 100% attendance are required. Only the confirmed participant can attend PCBI; no substitutions are permitted after confirming attendance.

Interest Survey: To be considered for participation in Year 2 PCBI, please complete and submit this interest survey by October 9, 2024. Participants will be notified of their status by November 1, 2024, via email.

Discussion:

PCBI will be facilitated by two Co-Directors: Jonathan McVey, Special Assistant to the Secretary of the PA Department of Human Services and Paul DiLorenzo, ACSW, MLSP, a consultant to the Department. PCBI participants will hear from a variety of seasoned and successful speakers and practitioners who are implementing practical approaches to complex situations. The format of all sessions is designed to be highly interactive.

PCBI also strives to incorporate the lived experience of these children and families to ensure that supports and services offered are meeting the needs of families across PA. Finally, PCBI participants will join a growing network of individuals who are exploring fresh pathways to supporting children and families who are attempting to manage highly complicated situations.

The curriculum includes topics such as:

  • Infant Mental Health & Child Development
  • Trauma / Vicarious Trauma
  • Resiliency
  • Cross System Knowledge & Multisystem Planning
  • Change Management
  • Education in Non-educational Settings / Early Intervention
  • Psychiatric Diagnosis / Psychopharmacology
  • Communication / Sensory Needs
  • Diversity and Culturally Competent Support
  • Therapies / Services / Programming / Evaluation / Assessment
  • Understanding the Child and Family – Biopsychosocial Approach
  • Relational Health and Permanency Session Information, Requirements, and Confirming

Session Information, Requirements, and Confirming Attendance:

PCBI will accept 50 participants for the Year 2 Cohort. As such, each interested person must submit an interest survey by October 9, 2024. Participants will be notified of their selection status by November 1, 2024.

PCBI will meet once a month for nine months between March 2025 and November 2025, with one backup session reserved in December 2025. Each month, there are consecutive two-day sessions, in person, in Harrisburg.

The specific dates, times, and location are provided below. Participants, who are selected, will be required to register and submit a registration fee. The registration fee for the Pediatric Capacity Building Institute will be approximately $600 to $900 (we are waiting for an initial estimate), which must be paid prior to the first session in March. As a part of your paid tuition, coffee and a breakfast snack each morning, lunch, and an afternoon coffee break with snacks will be provided. Dinner will be on your own.

2025 Session Dates:

  • 3/12 – 3/13
  • 4/9 – 4/10
  • 5/14 – 5/15
  • 6/11 – 6/12
  • 7/9 – 7/11
  • 8/13 – 8/14
  • 9/10 – 9/11
  • 10/8 – 10/9
  • 11/12 – 11/13
  • 12/10 – 12/11 – Back up

Daily Schedule:

  • Session Day 1: 10:00 am – 4:30 pm
  • Session Day 2: 8:30 am – 2:30 pm

Location:

Weather permitting, all sessions are held in person at the Pennsylvania Training and Technical Assistance Network (PaTTAN) at 6340 Flank Drive Harrisburg, PA 17112. In the event of inclement weather affecting a session, a virtual option will be made available.

Hotel Reservations:

Participants can reserve a room using the list of local hotels found on PaTTAN’s website. No group rate is available.

Informational Webinar:

An informational webinar outlining the Pediatric Capacity Building Institute Informational was held on September 12, 2024. View the recording on the DHS website.

More information can be found here.

Please email DHS if you have any questions.

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Legislation for Telehealth Flexibilities Introduced:
HB 2560 To Address Psychiatry Time Requirements and “4 Walls”

RCPA is pleased to announce that yesterday, September 10, State Representative Tina Pickett (R-District 10) introduced House Bill 2560, which was referred to the House Health and Human Services Committee. The legislation is focused on addressing two critical telehealth considerations, including an update of the outpatient psychiatric outpatient time requirements and the Federal Medicaid payment standard known as the “4 Walls.” The latter would abrogate DHS 55 Pa. Code § 1153.52 Payment Conditions for Various Services and 55 Pa. Code § 5200.52 Treatment Planning. By addressing the “4 Walls” requirement, telehealth services by a practitioner can be delivered outside the physical outpatient clinics and will be categorized under licensed mobile mental health services.

On a parallel track, the Center for Medicare and Medicaid Services (CMS) has proposed a final rule exception that would eliminate the “4 Walls” requirements among several other actions. On September 9, 2024, RCPA submitted comments regarding the Medicaid Clinic Services 4 Walls Exceptions on behalf of our membership in support of the proposed exception to eliminate this Medicaid standard.

Additionally, the bill requires that providers who want to deliver telehealth services 100% must maintain a written agreement with a geographically proximate outpatient psychiatric clinic that operates a physical facility and provides in-person services at the outpatient psychiatric clinic within 40 miles or 60 minutes travel from the residence of the individual receiving services AND that the written agreement must include a provision that a referred individual must be seen by the geographically proximate outpatient psychiatric clinic within 10 days of the referral.

Finally, the bill addresses the required 50% psychiatric in-clinic time requirements of 55 Pa. Code Chapter 5200 for Psychiatric Outpatient Clinics. The proposed legislation outlines that required psychiatric time may be provided in person or by the use of telebehavioral health technology by psychiatrists, as specified by department regulations. Advanced practice professionals may also provide a portion of the psychiatric time, as specified by department regulations, either in person or by the use of telebehavioral health. Onsite supervision requirements can be performed by either a psychiatrist or an advanced practice professional. Lastly, the legislation permits DHS to issue waivers to fully remote providers so they can serve patients covered by private insurance.

The introduction of the bill represents a unified effort with OMHSAS, our partners in the Pennsylvania General Assembly, and stakeholders across the Commonwealth to enhance our system’s capacity to deliver services to those most in need. We ask that you join us in working with your legislators to pass this critical legislation.

RCPA will continue to update members as the legislation advances. If you have any questions, please contact RCPA COO and Mental Health Director Jim Sharp.

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RCPA understands that it’s important to recognize those in health and human services who go above and beyond in their fields. That’s why, in addition to hosting the many workshops as well as keynote and plenary sessions, we are excited to present the following awards during our Wednesday Association Awards luncheon. RCPA is thrilled to honor and recognize these individuals for their dedicated commitment to health and human services.

Representative Eric Nelson: 2024 Legislator of the Year Award
For Consistent Support and Advocacy in Human Services
Mike Hopkins: 2024 Lifetime Achievement Award
For Dedication and Commitment to the Human Services System in PA 
Kim Sonafelt: 2024 Outstanding Leadership Award
For Your Leadership, Innovation, and Commitment to Excellence

Register today to attend the luncheon and more! Contact Carol Ferenz, Conference Coordinator, or RCPA with any questions. We look forward to seeing you at the Hershey Lodge!

 Register to Attend the 2024 RCPA Conference!

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An excerpt from Pennsylvania’s Suicide Prevention Month Guide Start the Conversation:

September is Suicide Prevention Month, with the week of September 8–14 identified as National Suicide Prevention Week. September 10 is recognized as World Suicide Prevention Day in countries around the world. This year marks the beginning of a new three-year theme focused on changing the narrative on suicide, which involves moving beyond awareness to starting conversations and taking action. Across sectors and settings, changing the narrative requires both culture and systemic change to provide meaningful education, advocate for resources, and prioritize suicide prevention in an ongoing way.

Read the Start the Conversation guide to learn how to speak with others about suicide prevention as well as gain access to toolkits and resources.

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The 2024 RCPA Conference Embracing Challenges, Empowering Success will be certain to educate and inspire all attendees when it comes to thinking about the challenges in health and human services. Online registration closes next Friday, Sept. 13, meaning time is running out on reserving your seat and seeing our impressive lineup of speakers. View our keynote and plenary speaker schedule below, which promises a wide variety of topics and lively discussions.

Tuesday, Sept. 24:

  • Listen to a Pennsylvania State of the State from DHS Secretary Val Arkoosh, which will touch on key topics such as performance-based contracting and telehealth.

  • Learn about data modernization and implementing AI/ML-enabled Cloud technology with Carlos Rivero of AWS.

Wednesday, Sept. 25:

  • Hear from Lee Yaiva of Scottsdale (AZ) Recovery Center as he openly speaks on addiction treatment and navigating recovery as a Native American.

  • Raise your awareness of human trafficking and its impacts with Amy Thurston and Melissa Knechel of Hope Inspire Love.

Thursday, Sept. 26:

  • Fan favorite Michael Cohen returns to declare how employers can set themselves apart by going above and beyond the status quo.

  • National updates will be provided from RCPA’s Association Partners the National Council for Mental Wellbeing and ANCOR, featuring Reyna Taylor and Donna Martin, respectively.

Friday, Sept. 27:

  • Craig Dietz, who was born without limbs, will round out our conference on a high, humorous, and heartening note with tips on finding your inner potential and challenging yourself.
Register Here for the 2024 RCPA Conference 

Contact Carol Ferenz, Conference Coordinator, or RCPA with any questions. We look forward to seeing you at the Hershey Lodge!

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