Single Point of Accountability (SPA): Transforming Case Management
The Single Point of Accountability Initiative advocates changes in how mental health case management services are financed, supervised, and delivered. The name of the service has changed from "case management" to "service coordination." In addition, service coordinators now provide less direct support to consumers. Instead, they spend more time assessing, planning, coordinating, and convening/facilitating, as well as advocating for system improvements. Under Single Point of Accountability, service coordination has a more important role in the mental health system. Service coordination offers a career with upward mobility. Service Coordination is a recovery-oriented service which utilizes natural supports and seeks to assist the person served to achieve recovery. Service coordination strives to improve family connections and encourages full inclusion in the community including through employment, political action and/or other meaningful activity.
SPA in the News
Acronyms – To expand commonly used abbreviations
Indicators of Recovery-oriented Service Coordination
SPA Accomplishments
SPA Expectations
SPA Frequently Asked Questions
SPA Model
SPA Presentation
SPA Recommendations Report
Description of Service Coordination for Service Recipients
Fact Sheet on Service Coordination for Professional Staff
SPA Finance Committee
The Single Point of Accountability Finance Committee is developing a plan to fund the Single Point of Accountability program. This plan will increase salaries for service coordinators, pay for psychiatrists and therapists to attend treatment team meetings, and find ways to reward providers who help people in recovery to improve their quality of life. Finally, this committee is responsible for measuring whether this new way of doing service coordination is working.
Finance Committee Participants
Finance Committee Task List
Committee Documents
Salary Survey 2010 Report
Billing Clarifications
Cost Analysis Survey
Salary Survey 2010
Service Planning Agency Report
Service Planning Code - Memo
Service Planning Implementation Instructions
Service Planning Implementation Survey
SPA Findings
SPA Quality Committee (Allegheny County Coalition for Recovery)
The Quality Committee of the Allegheny County Coalition for Recovery has developed service-planning principles that encourage professionals and the people they work with to work together as partners. These principles are based upon the recovery philosophy. The Quality Committee is developing a universal recovery plan that will contain the goals and strategies from all the programs serving the person. The long-term goal of the committee is to develop a web-based repository for service plans with access to these plans being granted by the consumer to his/her partners in recovery.
Quality Committee Participants
Quality Committee Task List
Quality Committee-Minutes
Committee Documents
Adult Service Plan Structure
Indicators for Service Planning Principles
Service Planning Brochure
Service Planning Principles
Service Planning Terms
SPA Research Committee
The Single Point of Accountability Research Committee focuses on the evaluation of the Single Point of Accountability Initiative. The evaluation will focus on the perception of change by consumers, families and staff. Other data elements will include staff turnover, staff salaries, staff perceptions of training needs and changes in the frequency of services provided. The committee also provides technical assistance in the implementation of new assessment-of-needs-and-strengths tools.
Research Committee Participants
Research Committee Task List
Committee Documents
SPA Ethnographic Research Results 2010
Mentee Research Findings
SPA Objectives
Assessment and Service Planning Summit - Minutes
Assessment Tool Domain Comparison
Assessment Tool Summary
Consumer Base-line Study
Evaluation of SPA - DHS
Evaluation Studies of SPA
Mentee Research Findings
Recovery-promoting Relationship Scale
SPA Steering Committee
The Steering Committee oversees the transformation of case management services and the work of other Single Point of Accountability committees. It focuses on changes to the agency contracts and the different levels of service coordination. It communicates changes that are occurring to providers, consumers, and family members. The Steering Committee works to assure that adult service-coordination services are consistent with child service-coordination services.
Steering Committee Participants
Steering Committee Task List
Service Coordinators Supervisors Facilited Discussions
Q&A on SPA
Steering Subcommittees
Documentation
Documentation Guidelines
SPA Admin Work Group
Admin Service Coordination Survey Results
Contract Work Group
SPA Contract - All BH Agencies
SPA Contract - Service Coordination Agencies
Agency Monitoring of SPA Principles
SPA Monitoring Tool - FY 2009-10
SPA Monitoring Results - FY 2009-10
SPA Monitoring Tool - FY 2010-11
SPA Monitoring Results - FY 2010-11
SPA Monitoring Tool - FY 2011-12
Contingency Work Group
Contingency Funds Expectations
Referral Form Subcommittee
Universal Adult Service Coordination Referral Form
Universal Child Service Coordination Referral Form
SPA Workforce Committee
The Single Point of Accountability Workforce Committee is charged with improving the service coordination workforce through training, retaining workers, and recruiting qualified individuals to be service coordinators. The Workforce Committee realizes that developing a career ladder for service coordinators is an important part of retaining good workers. This career ladder will allow service coordinators to grow professionally and receive increased pay as they progress.
Workforce Committee Participants
Workforce Committee Task List
Committee Documents
Advanced Workshops for FY 2013
Convening-Facilitating Training
Convening Follow-up Concerns
Convening Training Results
Curriculums - Side-by-Side
Diagram on Training
Family-member Panel Discussion Themes
Layout of Training
New-Hire Training Summary
SC Training Needs Research Document
Training Survey
Training Survey Initial Results
Training Survey Grad Results
Workforce Subcommittees
Competency Work Group
Competency List
Recovery Competencies - NZ
Competency Hiring
Marketing Work Group
Marketing Plan for Recruitment of SC
SC Recruitment Poster (11" x 17")
SC Recruitment Mailer
Talking Points for Classroom Presentation
Mentor Training
Mentor Agreement (Mentor/Supervisor)
Mentor Course Announcement
Mentor Training Expectations
Mentor Syllabus
Adult Mentoring Manual
Mentored Service Coordination for Children and Adolescents: A Guide for Practitioners and Mentors
SPA Workforce Recruitment Workgroup
SC Performance Evaluation Format
Job Descriptions
Service Coordinator
Mentor
Service Coordinator Supervisor
Themes from SPA Service Coordinator Survey
Student Placement Subcommittee
SPA Student Field Placements
SPA in the News
Single Point of Accountability transforms OBH case management, earns national recognition
DHS News, May, 2011
Allegheny County SPA Initiative (DHS OBH and Family Services of Western Pennsylvania) wins the national 2011 Behavioral Health Pacesetter Award in support of direct care workers. April 2011
The Annapolis Coalition on the Behavioral Health Workforce announcement
Hitachi Foundation announcement
A Model for Progress
Bridges, University of Pittsburgh School of Social Work, Spring 2011
Partnership in Allegheny County Lifts Case Management as Profession
Mental Health Weekly, March 2010
OBH incorporates Single Point of Accountability for adult consumers
DHS News, April 2009
Allegheny County Department of Human Services, Office of Behavioral Health Launches New Case Manager Development & Retention Program
Open Minds, 2009
SPA Transformation of Case Management
CCBH, June 30, 2008
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