Scattergood Foundation

Advancing Innovative Strategies for Change in Behavioral Health

Rick Vanstory Resource Center

Name of Innovative Program: 
Integregrated Health and One Stop Services in a Peer Faciliated Program
Sponsoring Organization
Rick Vanstory Resource Center
Name of Innovative Program Lead: 
Allen Conover
E-mail Address of Innovative Program Lead: 
allen@rvrcde.org
Physical Address of Innovative Program: 
500 W. 2nd Street, Wilmington, Delaware 19801
Project Description: 

RVRC is a mental health, peer-facilitated, non-profit agency.  Our mission is to provide comprehensive services to homeless individuals with mental health and/or co-occurring disorders. Our one stop services model utilizes both peers and professional degree personnel. Our Chief Executive Officer and founder is a peer specialist with extensive knowledge on mental health issues. RVRC has established essential partnerships that ensure the delivery of onsite behavioral health services. We utilize the services of a Nurse Practitioner via our partnership with the University of Delaware, School of Nursing; a Licensed Practical Nurse to distribute and monitor medication via our partnership with Kirkwood Pharmacy; and certified and licensed drug and alcohol and mental health counselors via our partnership with SODAT of Delaware. RVRC recently entered into n arrangement with Brandywine Counseling Inc. to offer full medical assessments and an integrated care model through the use of a community-based nurse, and medical care managers. Medically trained personnel will conduct wellness and behavioral screenings, including diabetes, hypertension, vision, nutrition, HIV, TB and hepatitis. Our unique one stop design prioritizes behavioral health issues and supportive services to address our consumers needs via engaging them in mental health, drug and alcohol, housing  and related social services programs.   

Creativity and Innovation: 

RVRC is the premier provider of peer focused services in the local community. Our strategy involved extensive outreach; intense case-management; a day services program; an emergency shelter program; drug and alcohol and mental health support and housing assistance. Our desire was to provide our members with quality services while recognizing obstacles and limitations imposed on our homeless, mental health population. Subsequently, we worked endlessly to develop a One Stop service delivery center rather than rely on the traditional referral system which often resulted in empty and/or non-productive referrals. Today, RVRC has a One Stop service model that provides numerous onsite services to address behavioral health issues via an integrated health care approach including a Nurse Practitioner; a Wellness Center/Pharmacy; Certified drug and alcohol and mental health counselors; and community wellness advocates that offer full medical assessments, screenings and testing via a community-based nurse, and medical care managers.

Leadership: 

The CEO and founder of RVRC charged management and case-management personnel to thoroughly review intakes, assessments and person-centered plans to determine if the identified needs of our members were being meant in a timely and effective manner. Based on his personal observations and feedback from personnel, it became clear that there was an ever emerging need for a focus on behavioral health and medical issues for homeless individuals with mental health issues. It seemed that behavioral health and medical issues were secondary to interpersonal and related issues.  As a result, he reached out to several agencies encouraging partnerships to develop a One Stop service model that would address behavioral health, medical, housing, drug and alcohol, and related social and human service issues at one location. These partnerships developed quickly and to date RVRC operates a full scale integrated health behavioral health care and social services program.

Sustainability: 

RVRC was initially funded to provide outreach services to homeless individuals with mental health\co-occurring disorders. The work was done on a volunteer basis along with a stipend by the current CEO\Founder and a few dedicated peers via a $9,000 grant through the Delaware Division of Substance Abuse and Mental Health (DSAMH). The success of the program and a need to enhance peer services resulted in a huge increase in RVRC’s budget. RVRC’s budget for peer services has increased to $900,000 annually over a five (5) year period. RVRC has been recognized by numerous agencies for their success and subsequently secured additional funding from DSAMH and Federal funding (5 year contract) to manage the Projects for Assistance in Transition from Homeless (PATH) project; Delaware Criminal Justice Council (3 year contract) to implement an offender re-entry project; and Delaware Department of Correction, to implement a Pre-Trial Supervision Project (3 year contract).

Replicability: 

RVRC administrative and management personnel were initially focused on securing grants and contracts to provide and/or to enhance client behavioral health care services. We reviewed our population’s needs along with existing data and a growing body of literature that focused on behavioral health and medical issues as the primary focus of our consumers. We concluded that our efforts should focus on establishing partnerships with agencies that offered these services to the population of focus rather than funding endeavors. Subsequently, we were able to accomplish our goal to provide integrated health care practices within our facility via our partnerships.  Duplication and replicability of our proposed One Stop service design is attributed to collaboration and shared values or mission statements among our partners. Any effort to duplicate our design is grounded again in collaboration and partnership with credible and established service oriented agencies rather than the acquisition of additional funding. 

Results/Outcomes: 

RVRC utilizes the services of a data coordinator to capture program data across all project lines. Our day services program records the number of clients that sign in on a daily basis and the number of services each client participates in while at the facility e.g. computer lab, GED, employment assistance, housing assistance, etc. We also capture the number of emergency shelter clients served and length of stay along with housing, employment and related goals accomplished prior to transitioning to the community. The Projects for Assistance in Transition from Homelessness (PATH) contract, Criminal Justice Council and Department of Corrections contracts have built mandates for reporting. Outcomes are recorded and managed via an excel spreadsheet. These reports are submitted monthly, quarterly and annually.  All outcomes must be related to programmatic efforts. The PATH, CJC and DOC projects are data driven and require extensive data management and analysis both qualitative and quantitative.

Nomination Tags: 
Access
Quality
Cost Savings
Diversity
Integration of Behavioral Health and Physical Health
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