Assessment Diagnostic Evaluation Planning Tool (ADEPT)
The ADEPT is a uniquely designed tool kit that integrates both evidence based data driven decision making with the recovery model, in order to drive clinical practice habits and increase positive client outcomes.
The tool currently includes several pieces that are being piloted within the Geriatric Division of FSA:
- The World Health Organizations Quality of Life (WHOqol) Measure – which has been piloted at FSA on 76 consumers and proven sensitive to detect change in difficult to measure populations
- The Community Living Skills Scale(CLSS)
Client Portals for the implementation of the ADEPT:
Recent supplemental funding to the RISP will allow the Innovations of Care project to integrate pieces of the ADEPT on Touch Screen Inventory Portals that will allow clients access to their own medical records and allow for on-going measurement throughout the course of treatment. Currently the Client Urgency Scale, diagnostic screeners and outcome measures are being targeted for KIOSK use. Special consumer docents will be hired to usher clients through the process.
Prevention and Recovery in Early Psychosis (PREP)
Multiple studies show that, in psychosis, longer delays between symptom onset and treatment are correlated with poorer outcomes across a range of outcomes, including remission. The PREP project was designed to provide early diagnosis and rigorous, evidence-based treatment of schizophrenia for young adults ages 15-24. PREP integrates a number of closely-supervised treatment modalities, including: Strength-Based Care management, McFarland’s Multi-Family Group education and support, educational/vocational assistance, algorithm-based medication management, cognitive behavioral therapy, and computer-based cognitive remediation techniques derived from cutting-edge brain plasticity research. The Felton Institute and UCSF are partnering to closely monitor, document and analyze client outcomes in this innovative and unprecedented treatment program. The PREP collaboration is comprised of FSA-SF, the University of California at San Francisco Prodrome Assessment Research and Treatment program (UCSF PART), and the Mental Health Associations of San Francisco (MHA-SF) and Alameda (MHAAC), who conduct outreach and education. PREP has been in operation since January 2008, and was recently funded by both San Francisco and Alameda County’s Mental Health Services Act Prevention and Early Intervention fund.
The Felton Institute offers licensing, training, certification, and support in its award-winning client management data system, the Cloud-based Integrated Reporting and Charting Environment, or CIRCE.
CIRCE is a custom human services case management program that allows service providers to manage client data in one easily-accessed, secure, HIPAA-compliant, web-based platform. CIRCE is designed to track the specific data points required for good clinical practice, including client diagnosis, strength-based needs assessment (ADEPT), care planning, documentation of progress, and targeted outcomes. CIRCE can pre-populate forms, saving administrative time, and all documentation is stored in a secure web-based environment, eliminating the need for paper forms and making information-sharing between clinicians easy and safe.
A thorough analysis has shown that CIRCE provides users with several advantages, both clinical and administrative:
- CIRCE streamlines the reporting process, enabling clinicians to spend less time on paperwork and documentation and more time caring for clients.
- With CIRCE, information collection is more consistent and aligned with the Department of Public Health for easier reporting; time spent reconciling billing problems with funders is significantly reduced and the agency is less likely to lose funding due to chart error or lost documentation.
- CIRCE’s Dashboard displays provide easy access to operational and client data so managers can quickly track individual client outcomes as well as program and clinician productivity.
- CIRCE allows reports to be easily generated for billing, reporting, marketing and fundraising purposes. Productivity reports and other printed materials can be produced with just a few clicks in minutes, not days, weeks or months.
Innovations in Care
Formerly known as CATALAC, Innovations in Care is a community-academic research partnership to bring evidence-based practices (EBP) to community-based mental health outpatient programs. Funded by a prestigious Research Infrastructure Science Project (RISP) grant by the National Institute of Mental Health (NIMH), all three Innovations In Care research pilots are designed to enhance both clinical and research infrastructure for programs serving low-income and minority older adults. Innovations In Care will also help develop software tools that may be adopted and replicated at similar agencies.
Dr. Patricia Arean, a Felton Institute faculty member and a Professor of Psychology at UCSF, directs the Innovations in Care partnership, along with Bob Bennett, FSA’s CEO and Melissa Moore, the Director of the Felton Institute. The main agenda of the partnership is to implement evidence-based practices on the front lines of community mental health – providers of geriatric services get top-of-the-line training and researchers are provided with a diverse client base for community-based research.