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Tia Burroughs Clayton, MSS
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Alyson Ferguson, MPH
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Vice President of Learning & Community Impact

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Director of Learning & Community Impact

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Tyrone Quarterman, BA, MPH Candidate
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Georgia Kioukis, PhD
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Percensys CORE Learning

Percensys CORE Learning

Percensys CORE Learning Logo

Program Website
Year:
2017
State:
North Carolina
Winner Status:
Applicant
Program Type:
Training and Skill Building
Target Population:
Providers and Caregivers
Setting:
Online Community/Tool

Program Description

Percensys CORE Learning (PCL) specializes in the development of treatment planning and service delivery resources designed to enhance the outcomes of community-based mental health services. Included in the CORE Learning System is a library of over 520 recovery-oriented, skill-building intervention activities, a collection of treatment planning resources and a variety of professional toolkits. The CORE system eases treatment planning, delivery and documentation for the mental health professional while fostering engagement and empowerment among service recipients. CORE benefits provider agencies as the system increases quality of documentation and audit preparedness. CORE resources are contained in a web-based application, which is accessible to licensed users 24/7 and is mobile friendly. CORE treatment planning resources respect individuals as unique persons instead of being defined by mental health diagnoses. Working together, the professional and individual explore strengths, needs, goals and barriers to recovery. From here, the professional and individual use CORE’s innovative system to prioritize the selection of activities. All of the over 500 intervention activities are culturally competent, experience-based and evidence-informed. Activities are written for children, adolescents, parents and adults. The library also includes a module to address co-occurring physical health conditions and hundreds of our activity handouts are translated into Spanish.

Creativity

PCL partners with clinical content experts from around the country to continually develop interventions that meet the needs of individuals served, mental health professionals and provider agencies. Interventions are written with plain language, are highly interactive and reflect best practice learning principles. CORE has the benefit of being applicable in both high and low-tech settings. All resources can be viewed on mobile devices, but the materials are also designed to be printed and provided as educational materials. Furthermore, instead of being a tech-centric tool that pulls the individual away from human connection, CORE activities emphasize building rapport between the professional and the individual. Included in the CORE application are professional toolkits to offer practical guidance in areas specific to mental health service delivery, examples of these include: Managing Ambivalence, Building Positive Rapport and a collection of Physical Health toolkits containing educational materials on various co-occurring physical health conditions.

Leadership

The roots of CORE are grounded in direct service delivery. Born from the desire of a service provider that sought to enhance its services, development of CORE included direct service staff including Peer Support Specialists, Paraprofessionals, licensed and supervising clinicians, quality improvement and compliance professionals, educational consultants and experts on the implementation of Medicaid funded mental health recovery programs. We believe CORE can make a positive impact on the lives of individuals living with severe and persistent mental illness. In addition to access to the CORE application, agencies that license with us receive consultation, training and 24/7 support. We also maintain a social media presence on Facebook, YouTube, Twitter and through our blog. Using these outlets, we work to disseminate information about CORE while also sharing and spreading inspiring messages related to mental healthcare.

Sustainability

PCL currently has agreements with 20 agencies in New Mexico, North Carolina, Arizona, Utah, California, Ohio and Texas. A number of these agreements extend into June of 2018 and we are confident of our prospects to renew contracts that expire this fiscal year. CORE is widely implemented in New Mexico where the Child, Youth and Families Department has contracted with PCL since 2012 to support rehabilitative services offered by their network of providers. Despite a state budget crisis that directly impacted mental health funding, the services offered by CORE were so valued that the state opted to extend our contract through funding provided by a SAMHSA System of Care grant. To sustain implementation we frequently engage our stakeholders to gather feedback, provide support and to understand their evolving needs. This engagement informs our clinical development and technology enhancement projects to ensure meaningful expansion of resources that most benefit our users.

Replicability

PCL System is successfully replicated in Arizona (2010), New Mexico (2012), Texas (2013), Utah (2013), California (2015) and Ohio (2016). Replication/implementation strategies include: 1. PCL offers pre-implementation consultation and planning services. We encourage the involvement of practice purveyors (CORE Champions), early adopters and members of administrative/clinical leadership to facilitate meetings to plan and execute process and performance implementation tasks. 2.) PCL provides in-person and/or web-based trainings to service staff/supervisors at initial implementation and supportive trainings thereafter. In addition, PCL provides agencies with self-directed and paced training resources for integration into their own training protocols. 3.) PCL facilitates “user-forums” throughout implementation to support sustained implementation. During forums we discuss implementation successes and setbacks, offer guidance, solutions and practice strategies. To evaluate practice performance, PCL does not prescribe/require use of a system specific fidelity tool, but acknowledges agencies’ discretion to choose performance tools that are most appropriate for their respective treatment models.

Results/Outcomes

The implementation of outcomes data projects allowed us to better understand how CORE positively impacts provider agencies, mental health professionals and individuals served. Based on the results from these projects, we have observed that the use of CORE results in an increase of skill development among service recipients, greater structure and more goal oriented sessions, improved relevance and detail in service notes produced by direct service staff, and a decrease in provider agency non-compliance with rules/regulations. Direct reports from professionals utilizing CORE acknowledge the system as a time saving tool that serves as a great record for measuring client improvement. Another commonly noted benefit is the way in which our system helps the individual served identify their barriers and ultimately work with professionals to facilitate their recovery. In addition to this past data, we are continuing to work with agencies to gather further knowledge and testimony from our users.