HOPE Central Region

Client Consent

Eligible individuals must consent to participation before becoming a HOPE Consortium client.
To be eligible, an individual must:

  • Be 18 years of age or older
  • Reside in Forest, Iron, Oneida, Price, or Vilas county or Forest County Potawatomi, Lac du Flambeau, or Sokaogon Chippewa tribal community
  • Have a diagnosis of an opioid and/or methamphetamine use disorder

Consent Form

The HOPE Consortium consent process is facilitated by two documents. The first is a one page fact sheet briefly describing the benefits and risks to the client associated with participation in the HOPE Consortium program. The second is the HOPE Consortium Consent Form and describes in detail eligibility for participation, the purpose of the HOPE Consortium, benefits to the client, potential risks to the client, and where to turn for questions or additional help.

One Page - Client Fact Sheet     HOPE Consortium Consent Form


Release of Information

In addition to the consent form, clients must also sign an annual HOPE Consortium Release of Information (ROI), which allows providers to access client data via the REDCap health information exchange platform. The HOPE Consortium ROI is specific to sharing of data entered into the REDCap database and does not take place of routine released put in place between treatment providers sharing care of a patient.

An annual date for ROI update is selected for the entire HOPE Consortium and all clients will be asked to re-sign an ROI at this time, even if it has been less than a year since original signature. Next scheduled ROI update: December 2021

Release of Information (ROI)

Consent Process

HOPE Consortium partners are responsible for establishing a local process for explaining the program to potential clients and getting signature on the HOPE Consortium Consent Form (see page 5). The last page of the Consent Form must be signed and dated by the client, with printed name of the client and date of birth provided for identification purposes. The individual presenting the material to the patient must also sign, date, and provide printed name. After signature, the signed last page of the consent form must be scanned and uploaded into the HOPE Consortium REDCap system. The original document will be kept on file with other AODA records at the HOPE partner organization.

Consent Process     Complete Enrollment Packet


Care Coordination

Best Practices: Care Coordination
To be eligible for care coordination services through the HOPE Consortium, individuals must have a diagnosis of an opioid and/or methamphetamine use disorder, be 18 years of age or older, and reside in the HOPE Consortium service area. In addition, clients must consent to participation in the HOPE Consortium and be receiving substance use disorder treatment services (e.g., AODA counseling) from an area provider. Care coordination services are available to all HOPE Consortium clients at no cost to the individual or his or her insurance and should be offered to, but not required of, any eligible individual. Services are provided using the coordinated services teams (CST) model described below.

Referrals

Providers and/or agency staff may refer clients to the HOPE Consortium care coordinators:

REDCap

1.       Click the “Refer to Care Coordination” button on the patient dashboard

2.       Enter the indicated information

3.       Upload signed release

4.       Click “Submit” to send referral

Fax

Complete Referral Form  

Fax completed form and signed release to 715-358-7375

Releases Clients may sign a standard agency release to HOPE Consortium Care Coordinators or complete the HOPE Consortium Care Coordination Release of Information Authorization.
Timeline Care coordinators will contact referred clients following assignment of new referrals on a weekly basis.
 

Collaborative systems of care known as CSTs are designed to address complex behavioral health needs and support community-based options for care. Such teams consist of family members, services providers, and others that work to carry out a coordinated service plan.

All collaborative care systems rely on a shared set of core values, including:

  • Consumer involvement
  • Family-centered
  • Build on natural and community supports
  • Strength-based
  • Unconditional care
  • Collaboration across systems
  • Team approach across agencies
  • Ensuring safety
  • Gender/age/culturally responsive treatment
  • Self-sufficiency
  • Education and work focus
  • Belief in growth, learning, and recovery
  • Outcome oriented

The wraparound model of care that is established by the CST is not a specific treatment, but rather provides a structured, individualized, team planning process to promote positive outcomes. The CST helps an individual to refine and improve his or her problem solving skills, coping skills, and belief in his or her ability to complete tasks and reach goals. Although originally developed for children with complex behavioral problems, CSTs have been successfully used to support recovery in the context of substance use disorders in the HOPE Consortium service area for nearly 20 years.

Upon initial contact, basic information about the participant is collected using the Initial Contact Form, which walks the participant through eligibility criteria, demographic information, high level treatment objectives, information about drug(s) of choice and frequency of use, and services involved. Within 30 days of enrollment, an in depth collaborative systems of care summary of strengths and needs is completed. The 13 page strengths and needs evaluation captures information regarding the participant and his or her immediate family members and rates numerous categories important for the provision of collaborative, coordinated care, including crisis situations, trauma history, living situation, family, basic needs/financial, mental health, medical, alcohol and other drug abuse (AODA), social and recreational, cultural, spiritual, educational/employment, legal, and miscellaneous. For each category, a rating is assigned on a scale from 0 (No problem – no action needed) to 3 (Severe problem – help is needed now). The potential for team members to assist in the area and whether the area is a goal of the participant is also noted. In addition to the detailed form, a one page summary of strengths and needs, including numerical ratings, is generated. For additional information regarding these tools, please see Collaborative Systems of Care Summary of Strengths & Needs and Summary of Strengths and Needs. Each time a HOPE Consortium client’s strengths and needs are assessed, the care coordinator enters ratings into the REDCap database for each domain.

Using information captured about strengths and needs and recommendations from team wraparound meetings, the care coordinator generates and maintains a service plan for each goal. The service plan details tasks and activities related to a particular goal and assigns a responsible person and target date for completion. Open, close, and review dates are recorded as is associated cost.

Care coordinators also assess quality of life for all clients at baseline and every 6 months thereafter using the WHOQOL-BREF if assessment has not already been completed elsewhere. Results are entered into the REDCap database each time the questionnaire is completed.


To download a pdf version of HOPE Consortium Best Practices – Care Coordination, click the button below:

Best Practices - Care Coordination Guidelines

Patient Satisfaction Survey

HOPE Consortium clients are invited to complete the Patient Satisfaction Survey below at any time. Agencies should administer the survey via paper and check the appropriate box in the upper right hand corner to indicate where the survey was administered. Completed surveys can be returned to Family Health Center of Marshfield, Inc., Attn: Rachel Stankowski, 1000 N. Oak Ave (1R4), Marshfield, WI 54449.

Scan and send via email to familyhealthcenteroutreach@marshfieldclinic.org

Download Patient Satisfaction Survey

REDCap

To facilitate required data collection and communication between HOPE Consortium providers, the HOPE Consortium has developed a REDCap-based health information exchange platform.

A health information exchange is not an electronic health record and does not contain detailed information regarding client treatment. Rather, it provides a venue for the collection of data required by the funder while also allowing for brief communication among HOPE Consortium partners despite differences in local processes and record keeping practices.

    • For an overview of the HOPE Consortium Health Information Exchange, including information about why REDCap is used for this purpose and how data are protected, please click the button below.
Health Information Exchange Overview
    • HOPE Consortium providers with REDCap access can use the REDCap Login button to access the health information exchange.

    • For instructions for REDCap use, please access the User Manual below and note the video tutorials on the left side of the screen after logging in.
REDCap User Manual

 

Upcoming Events