BERKELEY COMMUNITY MENTAL HEALTH

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BERKELEY COMMUNITY MENTAL HEALTH
BERKELEY COMMUNITY                  MENTAL HEALTH
         CENTER STRATEGIC VISION

           JULY 2019-JUNE                      2021

            APPROVED   BY THE BOARD OF DIRECTORS
I

                          MAY 2019

                                     Chairperson, Board of Directors

                                     Date
BERKELEY COMMUNITY MENTAL HEALTH
VISION
We see ourselves as the leader of exceptional, effective, compassionate carefor all of our community's citizens.

We see ourselves as a Community Mental Health Center that is adaptive and nimble in the midst of a shifting Mental
Health Carelandscape.

We see ourselves as a Mental Health Center without walls that functions as a partner with all local community
resources to serve our clientele.

We see ourselves as a Community Mental Health Center that responds wisely and proactively as our community
changes in the early 21st century.

We see this Strategic Vision to be an outline of our current needs and goals. Therefore, to be meaningful it must be
responsive to the unforeseen challenges of the future and will be revised as needed in light of new information and
knowledge.

OUR MISSION

The staff of the Berkeley Community Mental Health Center, in partnership with clients, families and their diverse
communities, will support the recovery of citizens with mental illness.

OUR PRIORITIES

BCMHCgives priority to adults and children and their families affected by serious mental illnesses and significant
emotional disorders. We are committed to eliminating stigma and promoting the philosophy of recovery, to
achieving our goals in collaboration with all stakeholders, and to assuring the highest quality of culturally competent
and evidence-based services possible.
BERKELEY COMMUNITY MENTAL HEALTH
OUR VALUES

I RESPECT FOR THE      INDIVIDUAL

Each person is treated with respect and dignity, and is a partner in achieving recovery. We commit ourselves to
services that:

     •   Honor the rights, wishes and needs of each individual
     •   Promote each individual's quality of life
     •   Focuson each individual's strengths in the context of his/her own culture
     •   Foster independence and recovery
     •   Demonstrate the value of family inclusion and the benefits of strong family support

I SUPPORT    FOR LOCAL CARE

We believe that people are best served in or near their own homes or the community of their choice. We are
committed to the availability of a full and flexible array of coordinated services in Berkeley County, and to services
that are provided in a healthy environment. We believe in services that build upon critical local supports: family,
friends, faith communities, healthcare providers, and other community services that offer employment, learning,
leisure pursuits, and other human or clinical supports.

I COMMITMENT       TO QUALITY

BCMHC is and will continue to be an agency worthy of the highest level of public trust. We provide treatment
environments that are safe and therapeutic, and work environments which inspire and promote innovation and
creativity. We hire, train, support, and retain staff who are culturally and linguistically competent, who are
committed to the recovery philosophy, and who value continuous learning and research. We provide services
efficiently and effectively, and will strive always to provide interventions that are scientifically proven to support
recovery.

I DEDICATION     TO IMPROVED PUBLIC AWARENESS AND KNOWLEDGE

We believe that people with mental illnesses, trauma victims, and others who experience severe emotional distress,
are often the object of misunderstanding and stigmatizing attitudes. We work with employers, sister agencies, and
 public media to combat prejudice born of ignorance about mental illness. We expect our own staff to be leaders in
the anti-stigma campaign.
BERKELEY COMMUNITY MENTAL HEALTH
STRENGTHS,                           CHALLENGES,                            &
OPPORTUNITIES

STRENGTHS

•   BCMHCemploys a diverse, experienced, talented, and expert staff in a variety of disciplines
•   The team of BCMHCdemonstrates grit and perseverance
•   Recovery-based philosophy of care
•   Integrated teams support each other
•   The BCMHCSchool-Based Program is stronger and further-reaching than ever
•   Highest-rated Individual Placement Servicesteam in the state
•   Expanding Emergency Mobile Crisis Program and collaboration with statewide CCRIteams
•   Exceptional relationships with local probate court, law enforcement and emergency services agencies
•   Comprehensive accessto care facilitated by our partnerships with Clinical Care Coordinators
•   Same day accessallows near-immediate accessto care for any member of the community
•   Fidelity to our Clients' Rights and Confidentiality
•   Consistently fiscally responsible

CHAllENGES

•   Crosstraining of personnel to expand clinical capacity for newly admitted and established clients.
•   Identifying additional sources of revenue from state and grants to expand Center functions and keep pace
    with county growth.
•   Creative solutions to balancing efficiency with opportunities to foster skill/knowledge/ability development and
    team structure.
•   Expanding strategies to continue staff development and use of Evidence-BasedPractices.
•   Recruiting and retaining qualified medical and clinical staff; cost effective treatment requires effective and
    established staff.
•   The Center's current hours of operation may not be flexible enough to meet the needs of 21st Century
    Berkeley County.
•   The area's client-base is changing in demographic and economic status: Millennials, IT/Hi-Tech Industry, and
    Auto/Airline Industry.
•   Staffing patterns and staff tenure/longevity.
•   County lacks an efficient mass-transit system
•   Academic year off-months during impact School-based program effectiveness
•   The breadth of geography and often-insular culture of rural Berkeley County impedes efforts to reach all of
    our community.
•   Center IT tools and processesare products of DMH Office of Information Technology.
BERKELEY COMMUNITY MENTAL HEALTH
•   Community     partner awareness oftheir   roles and opportunities     for participation   in and support of client
    services.
•   Integrating   BCMHC deeper into our community      (Healthcare,     law Enforcement,      Social Services, Education
    System, etc.) as a knowledgeable,    trusted, and respected ally and provider

OPPORTUNITIES

•   Explosive population growth in Berkeley County-State estimates predict an increase of 20% over the next
    decade.
•   Support and grant-funded opportunities for Behavioral Health Homes at the State and Federal levels
•   Rapid diversification of the Berkeley county economy into Information Technology, Automotive and Airline
    Manufacturing industries
•   At the National level, greater funding for and citizen awareness of factors affecting Mental Health Care
•   local Healthcare providers seek reliable resources for their patients with mental illness
•   Expansion of School-Basedservices to the remaining schools not presently served by BCMHC
•   Greater collaboration with law Enforcement for Mobile Crisis program expansion
•   Governor's Office advocacy for treatment and initiatives to reduce the rate of Criminal Domestic Violence in
    South Carolina
•   Collaboration with Charleston/Dorchester Mental Health Center on the development of their Crisis
    Stabilization Program
•   Development of Information Technology tools that assist the treatment of Mental Illness and improve access
    to care for those affected by it

GOALS THAT SUPPORT THIS VISION

GOAL 1: RETAIN,         RECRUIT AND DEVELOP EXCEPTIONAL                       STAFF.

GOAL 2: IMPROVE          ACCESS AND EFFICIENCY OF SERVICES TO ALL CLIENTELE.

GOAL 3: EXPAND          BCMHC'S        PRESENCE IN THE BERKELEY COMMUNITY.
BERKELEY COMMUNITY MENTAL HEALTH
STRATEGIC OBJECTIVES

I GOAL   1: RETAIN, RECRUIT AND DEVELOP EXCEPTIONAL STAFF.

 1.1 Expand the Collaborative Training Committee efforts to provide at least four evidence-based practice trainings
     that offer CEU/CMEsannually.

 1.2 Strengthen relationships with higher learning institutions from which we draw applicants by developing a
     dedicated liaison to these schools. Measured by providing supervision/preceptorship to at least 4 medical
     and/or clinical students each academic year.

 1.3 Expand efforts for cross-training employees within their disciplines to increase Center efficiency.

 1.4 Expand the Peer Support Program, to include: determining what factors indicate the need for an additional
     Certified Peer Support Specialist, and strategies to ensure every client, Adult or Child & Adolescent can have
     accessto a Certified Peer Support Specialist.

1.5 Provide all clinical staff with ethics/legal trainings regarding family court cases.

1.6 Resolvethe gap in treatment team attendance/availability for School Basedstaff

1.7 Participate with DMH leadership and local and state partners to expand qualified providers list to include
    PhysicianAssistants.

1.8 Implement a strategic growth subcommittee to evaluate and plan for risks, trends, and opportunities for Center
    growth in the areas of finance and workforce.

1.9 Continue existing efforts to cultivate a trauma-sensitive work environment by ensuring 100% of new staff are
    trained in this model annually and staff communication structures are in place.

1.10 Through use of licensed supervisors and supervision groups, increase number of licensed clinical professionals
    in the Center by 10% during the life of this plan.

1.11 Cultivate an environment of Staff Wellness by incorporating at least two health-enriching staff activities every
    year.
BERKELEY COMMUNITY MENTAL HEALTH
I GOAL   2: IMPROVE ACCESS AND EFFICIENCY OF SERVICES TO ALL CLIENTELE.

2.1 Develop the Center's website to be more informative, modern, and useful for the Berkeley Community and our
    clients.

2.2 Develop a process for effectively integrating and utilizing the Level of Care system with the Center's clientele, to
    include staff education on its use. (Measured by review of service utilization by level of care and Center
    adherence to DMH recommended LOCguideline.)

2.3 Develop a continuity of care procedure that incorporates the level of Care system which is consistently applied
    to disengaged clientele.

2.4 Identify trends in service time utilization and revise or expand Center hours of operation to increase accessto
    services and customer satisfaction during non-traditional business hours/days.

2.5 Collaborate with Berkeley County School District to achieve the Department's goal of embedding a mental health
    clinician in every school by 2022.

2.6 Determine strategies and implement at least one to utilize current, available technology (tablets, apps, website,
    etc.) to improve customer service experience with the Center.

2.7 Participate in statewide Zero Suicide initiative: train staff in methods, complete Center self-assessment, and
    implement an action plan based on assessment recommendations to uniformly identify and intervene with at-
    risk patients. (To be measured by emergency services contacts per day and outcomes.)

I GOAL   3: EXPAND BCMHC'S PRESENCE IN THE BERKELEY COMMUNITY.

3.1 Identify at least one community partner to establish an Employee Assistance Program contract.

3.2 Identify at least two alternate sites in which to embed existing clinicians to increase accessto services.

3.3 Identify relevant community partners and nurture these relationships to increase client referrals by 10%

3.4 Remain fiscally solvent by ensuring expenditures do not exceed revenues during the timeframe of this plan.

3.5 Collaborate with Berkeley County School District to provide at least one trainings/in-services concerning Mental
    Health Treatment annually.

3.6 Collaborate with local primary care providers to increase accessto primary care and dental care needs for Center
    patients by 5% each year.
BERKELEY COMMUNITY MENTAL HEALTH
STRATEGIES
Based on the effectiveness of the previous 2016-2019 Strategic Vision's implementation process, the current
Strategic Vision will be carried out by appointed personnel of the Center, determined chiefly by the Quality
Improvement Team (QIT). Small performance improvement workgroups, composed of any appropriate members of
the Center staff, will be established to identify and implement time-limited tasks, as determined by the workgroup,
which are necessaryto accomplish each objective and goal. Workgroups will be chaired by a member of the QIT who
will be responsible for providing regular updates to the QIT concerning the status of the workgroup's progress
towards achieving its objectives.

As new information and knowledge becomes available, objectives and/or goals that no longer serve the broader
vision of the Center will be revised or discontinued and replaced by more meaningful objectives and/or goals. The
intent of this Strategic Vision is to swiftly effect beneficial changes for the Center; objectives or efforts which are
determined to be too ineffective to create meaningful progress for the Center or too stymied in momentum will be
considered for elimination from the Strategic Vision at any time by the QIT.

APPENDICES
Appendix A: BCMHCStrategic Vision Performance Matrix

Appendix B: Strategic vision 2019-2021 Progress Map
BERKELEY COMMUNITY MENTAL HEALTH
SV    OBJ                                                                                      Estimated Target   Required Staff
             Priority     Workgroup                   Objective                  Purpose
Goal   ID                                                                                             Date         Members'   Input

                                             Strengthen relationships with
                                           higher learning institutions from                                        Professional
                                              which we draw applicants by                                           Development
                                           developing a dedicated liaison to                                        Coordinator,
  1    1.2     Low        Recruitment         these schools. Measured by          Access           June 2021          Medical
                                                       providing                                                      Director,
                                            supervision/preceptorship to at                                          Executive
                                             least 4 medical and/or clinical                                          Director

                                               Expand the Peer Support
                                                  Program, to include:
                                              determining what factors
                                                indicate the need for an
                                           additional Certified Peer Support   Effectiveness/                       Peer Support
  1    1.4     Low      Center Expansion                                                           Dec 2021
                                             Specialist, and strategies to      Satisfaction                         Supervisor
                                             ensure every client, Adult or
                                             Child & Adolescent can have
                                               accessto a Certified Peer
                                                   Support Specialist.
Resolvethe gap in treatment                                              School Based
1   1.6    High   Staff Development   team attendance/availability for         Effectiveness         Sep 2019     Director, 01
                                            School Basedstaff                                                      Director

                                        Implement a strategic growth
                                       subcommittee to evaluate and                                                Executive
                                          plan for risks, trends, and                                             Director, 01
                                                                           Access/Effectiveness/
1   1.8    High   Center Expansion    opportunities for Center growth                                Aug 2019   Director, Clinical
                                                                           Efficiency/Satisfaction
                                                                                                                   Managers,
                                         in the areas of finance and
                                                                                                                Medical Director
                                                  workforce.

                                           Through use of licensed
                                         supervisors and supervision
                                         groups, increase number of                                                Licensed
1   1.10   Low         Training                                                Effectiveness         Jun 2021
                                      licensed clinical professionals in                                          Supervisors
                                        the Center by 10% during the
                                               life of this plan.
Develop the Center's website to                                 IT Director, Be
                                          be more informative, modern,                                   Well Committee,
2   2.1   Low    Information Technology                                        Efficiency     Jun 2020
                                            and useful for the Berkeley                                      QIT, Peer

                                                                                                           QI Director,
                                                                                                             Clinical
2   2.3   Low         Patient Care                                            Effectiveness   Jun 2020      Managers,
                                                                                                           Engagement
                                                                                                            Specialist
                                                                                                                  7f!£'

                                             Collaborate with Berkeley
                                          County School District to achieve                                 Executive
2   2.5   High      Center Expansion         the Department's goal of          Efficiency     Jun 2021   Director, School
                                            embedding a mental health                                    BasedManager
                                                          school by 2022.
Participate in statewide Zero
                                      Suicide initiative: train staff in
                                     methods, complete Center self-
                                     assessment,and implement an
                                    action plan based on assessment                                          Executive
2   2.7   High       Training                                                 Effectiveness       Sep 2019
                                     recommendations to uniformly                                             Council
                                     identify and intervene with at-
                                      risk patients. (To be measured
                                     by emergency services contacts
                                                   and o~col11es.)

                                     Identify at least two alternate
                                    sites in which to embed existing                                         Executive
3   3.2   High   Center Expansion                                                Access           Jun 2020
                                     clinicians to increase accessto                                          Council

                                       Remain fiscally solvent by
                                     ensuring expenditures do not                                            Executive
3   3.4   High   Center Expansion                                               Effective         Jun 2021
                                      exceed revenues during the                                              Council
                                        timeframe of this an.

                                      Collaborate with local primary                                          Medical
3   3.6   High   Center Expansion   care providers to increase access      Effectiveness/Access   Dec 2019   Director, 01
                                     to primary care and dental care                                          Director
needs for Center patients by 5%
          each year.
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