00:45:22 Lesley Cottrell: While you consider the case, gather your thoughts on: 1) what pieces of the case would support institutionalization, if any? 2) what alternative pieces of information should be gathered before making a decision? 3) what resources should be considered when deciding next steps? 00:46:53 Colleen Lillard: With this case in particular, this man had a significant trauma history 00:47:23 Lesley Cottrell: Replying to "With this case in pa..." Yes - many things going on in different aspects of his life. 00:53:07 Julianna Hayden: Is it possible to administer medications by injection - just to eliminate the possibility of vomiting them up. This wouldn't solve the community living situations, but could potentially serve to make him more compliant with other treatments. 00:54:03 Darla Rush: Was his personal traumas addressed properly or was his behaviors as a result of his traumas more the focus of corrective treatment? 00:56:42 Darla Rush: I agree with Gillian 00:57:05 Donna Cooke: I agree with Gillian. 00:58:29 Colleen Lillard: WV’s resources for slow transitions are very difficult to find and when you add sexual behaviors and an IDD diagnosis, it becomes even harder. 00:58:54 Colleen Lillard: Once forensic jurisdiction ends, we must release the patient unless he meets inpatient civil commitment criteria 00:59:17 Darla Rush: I believe it is an entitlement but only if you are capable of being integrated. This patient was obviously not capable of being in the community. 01:00:29 Darla Rush: Sometimes there is no answer and the patient must simply remain institutionalized. There is nothing wrong with that either. 01:01:47 Donna Cooke: The exposure to potential liability is huge. 01:03:40 Lesley Cottrell: And thank you all for sharing your thoughts on all sides of this discussion! It is important we get that to really talk about all of this. 01:04:11 Melina Danko: Is the Home of Your Own program still in existence? I haven't seen that for a while. Has it been renamed? 01:04:24 Kelly King: Problem 1: Providers get to cherry pick individuals and there is no obligation for them to be accepted. Problem 2: staff/ DSPs do not have the skill set to deal deal with these challenging behaviors Problem 3: the individual has rights that create problems in keeping the individual safe 01:04:59 Colleen Lillard: Increasing communication between hospitals, forensic services, and community providers is definitely an area that could be improved. 01:05:22 Amy Ingles: Reacted to "Problem 1: Provide..." with πŸ‘ 01:06:32 Lesley Cottrell: Knowing there are many factors in this….where would you start? 01:06:39 Lesley Cottrell: Reacted to "Increasing communica..." with πŸ‘ 01:06:44 Lesley Cottrell: Reacted to "Problem 1: Providers..." with πŸ‘ 01:07:01 Julianna Hayden: Reacted to "Increasing communica..." with πŸ‘ 01:09:00 Kelly King: Start: Strong behavioral support, FBA, training staff to genuinely support the individual, take restrictions to the human rights committee, occupy individual with other positive things in safe environments while tackling behaviors, 01:09:09 Lesley Cottrell: Reacted to "Start: Strong behavi..." with πŸ‘ 01:09:25 Heather Merritt: Reacted to "Start: Strong behavi..." with πŸ‘ 01:09:35 Melina Danko: Could you please share that Bill #? 01:09:46 Julianna Hayden: Reacted to "Could you please sha..." with πŸ‘ 01:10:08 Kelly King: Waivers don’t move out of state however, leaving individuals to start the wait train again. 01:10:11 Ashley Quinn: Replying to "Is the Home of Your ..." There is a Homeownership program. I'm not sure if it's exactly the same - www.wvhdf.com 01:10:16 Lesley Cottrell: Reacted to "There is a Homeowner..." with πŸ‘ 01:10:28 Lesley Cottrell: Reacted to "Waivers don’t move o..." with πŸ‘ 01:11:04 Kelly King: 70 beds in congregate settings and how does that align to the final rule and keeping individuals in the community? 01:11:12 Lesley Cottrell: Reacted to "70 beds in congregat..." with πŸ‘ 01:11:51 Lesley Cottrell: Training, salaries, existing facilities, respite?? What else am I missing? 01:11:53 Kelly King: Research shows that our brains align to those we are around, how does that help to congregate people? 01:12:33 Kelly King: People live at their family homes for the most part because families have heard the terrible stories of abuse and neglect in facilities. 01:12:42 Lesley Cottrell: Reacted to "People live at their..." with ❀️ 01:12:55 Julianna Hayden: Yes, a lot of people with IDD needs live at home with family, but many of their caretakers are aging and the younger generations are not willing to take on the care 01:13:30 Emily Jordan: Housing Resource Home Loans | Home Buyer Education | Elkins, WV | HomeOwnership Center, Inc. (hocwv.org) 01:13:39 Lesley Cottrell: Individuals who are willing to open their homes for individuals are NEEDED. Need to recruit them, support them, etc 01:13:46 Lesley Cottrell: Reacted to "Housing Resource Hom..." with πŸ‘ 01:13:51 Julianna Hayden: Reacted to "Individuals who are ..." with πŸ‘ 01:13:56 Heather Merritt: Reacted to "Individuals who are ..." with πŸ‘ 01:14:00 Stephanie Thorn: Reacted to "Increasing communica..." with πŸ‘ 01:14:51 Kelly King: For families with loved ones like the individual you described - and worse - no provider wants these individuals and, while they may in fact have waiver funding that will pay for residential, there is β€˜no place like home” where living family will bear the issues like you have described. 01:15:07 Melina Danko: Reacted to "Housing Resource Hom..." with πŸ‘ 01:15:08 Tucker Riggleman: I know this doesn't necessarily directly help with a housing/living situation, but was this individual ever connected to Peer Recovery support for the substance use issues? 01:15:16 Nancy Lowe: This is so sad. 01:15:23 Jason Bowlick: Homeownership Program | WVHDF 01:15:25 Ashley Quinn: Reacted to "I know this doesn't ..." with ❀️ 01:15:44 Kelly King: Lifesharing exists in PA, but there aren’t a lot of provides and they wouldn’t have that much success in dealing with the challenging behaviors anyhow. 01:15:56 Melina Danko: Reacted to "Homeownership Progra..." with πŸ‘ 01:17:00 Lesley Cottrell: Replying to "This is so sad." Together we can push change. 01:17:08 Kelly King: Programs don’t meet with much success for individuals who are non-speaking, aggressive and self-injurious. This population is the forgotten fringe. 01:18:27 Kelly King: Training has to be much more than the ten questions, give the answers, check a box. Strong, regular oversight, processing the problems and adding more training is essential. 01:18:51 John Booton: Reacted to "Training has to be m..." with πŸ‘ 01:19:12 Kelly King: It similarly eats up all the time and resources of the families with whom they live who have little support. 01:19:23 Patricia Morgan: Please send my participation credentials to patricia.g.morgan@wv.gov 01:19:35 Darla Rush: Thank you for providing this training. 01:19:39 Amy Ingles: Reacted to "It similarly eats ..." with πŸ‘ 01:19:46 Heather Merritt: https://pbs.cedwvu.org/person-centered-planning/ 01:19:52 Kelly King: Also, families get NO guidebooks. Providers have organizations and families are the weak link. One has to wonder if theirs is intentional? 01:20:08 Amy Ingles: Reacted to "Start: Strong beha..." with πŸ‘ 01:20:36 Crystal Norman: Is there a way to list all of the resources shared in the chat sent 01:20:50 Darla Rush: Can you email all of those resources? 01:20:51 Teresa Brooks: I need a certificate please 01:21:00 Kelly King: Behaviorists are now funded internally by providers and often do a poor job 01:21:01 Mary Wilson: πŸ‘ 01:21:05 Julianna Hayden: I would like a certificate please 01:21:10 Darla Rush: I need a certificate, just repeating. Have a blessed weekend 01:21:12 Emily Jordan: I would like a certificate. Thank You 01:21:13 Mary Gibbs: I need a certificate :) 01:21:14 Patricia Babbitt: I need a certificate please 01:21:15 John Booton: Ty for the Bringing abut the conversation. 01:21:17 Elizabeth Leonard: certificate please, Elizabeth.leonard@courtswv.gov 01:21:20 Nancy Lowe: Thank you. I don’t feel so alone! 01:21:22 Elizabeth Leonard: thank you 01:21:23 Kelly King: Thank you! 01:21:24 Leonard Posey: I need a certificate of attendance.