The document provides information about the Mental Health Recovery Center of Clinton & Warren Counties, including: - It was previously known as the Mental Health Recovery Center of Clinton County and now serves both Clinton and Warren Counties. - The center's mission is to support the communities through prevention, intervention, treatment, rehabilitation and asset building services to achieve recovery from mental illness, alcoholism, and drug addiction. - Services provided in Warren County include crisis services, psychiatric services, case management, vocational rehabilitation, housing support, and residential services.

1. The Mental Health Recovery Center of Clinton & Warren Counties aka “The Center” Changing the Way Services to People with Severe Mental Disabilities (SMD) are Delivered in Our Communities

2. 975 Fujitec Drive - Lebanon

21. The Intensive Residential Rehabilitation (IRR) Facility “ Much More than Maintenance in the Community …”

28. Example #1: Master Functional Assessment Environment: Intensive Residential Rehabilitation Facility The Master Functional Assessment is completed within the first 3 months of client admission to the IRR facility. The Assessment consists of required behaviors to successful in the IRR environment and the skills underlying each behavior. Each skill listed has a corresponding Skill Evaluation Package and Lesson Plan. The four required behaviors are: (1) Manage Personal Budget, (2) Perform Household Chores, (3) Get Along with Others, and (4) Maintain Health & Safety. Comments: Individualized Skill: Individualized Skill: Monitoring Budget Evaluating Decisions Creating a Spending Plan Skills Programming Direct Skills Teaching Performance Prompted Spontaneous Use # or % day/wk/mo Needed: # or % day/wk/mo If Deficit, indicate Type of Intervention Needed Deficit (-) Strength (+) Critical Skills REQUIRED BEHAVIOR #1: MANAGE PERSONAL BUDGET

29. Example #2: EVALUATION MODULE FOR CREATING A SPENDING PLAN Summarize response  income and expenses identified?  expenses prioritized?  payments scheduled? Observer says : Please list income and expenses, prioritize expenses and schedule payments. If the person does not Create a Spending Plan by listing, prioritizing and scheduling items, then Summarize response  income and expenses identified?  expenses prioritized?  payments scheduled? Observer says : Please record the amount of money you are allocating to pay for items and services. If person does not Create a Spending Plan, then Summarize response  income and expenses identified?  expenses prioritized?  payments scheduled? Observer says : Please Create a Spending Plan now. If person does not Create a Spending Plan, then Summarize response  income and expenses identified?  expenses prioritized?  payments scheduled? Observer says : I’d like you to Create a Spending Plan for yourself by anticipating your financial situation for next month. Use these worksheets to help you. OBSERVER LOG SCRIPT

31. IRR Teaching Kitchen

33. IRR Living Room

37. IRR: Fiscal Reallocation through System Performance (-3) 2 5 Avg. Admissions per Month State Hospital Admissions (-96) 186 282 Avg. Bed Days per Month State Hospital Bed Days (-43) 6 49 Avg. # per Month SMD on Community Probate (-62) 12 (10% of all calls) 74 (21% of all calls) Avg. # per Month Hotline Calls Deemed “Immediate Crisis” (-238) 122 360 Avg. # per Month Total Hotline Calls Rec’d Monthly Net Change SFY 2008 SFY 2007 Measure Indicator