Mount Pleasant Center
Overview
Mt. Pleasant Center is a Michigan Department of Community Health-operated intermediate care facility for persons with developmental disabilities. The center serves individuals throughout Michigan. Admissions are temporary and are for the shortest duration beneficial for the individual. The role of the center continues to evolve as the dynamics of the public mental health system change. Previously the center functioned as a custodial home for people with mental retardation with varying lengths of residence, including permanent placements. Currently, admission to the center is only considered when all local resources and lesser restrictive residential or treatment options have been thoroughly explored and are not available.
Referrals made to the Mt. Pleasant Center are based on criteria developed by the Michigan Department of Community Health. Admissions and discharges may only occur through the center's alliance with Michigan's Community Mental Health Service Providers (CMHSP). The admission and placement system is referred to as a single-entry, single-exit model.
The Mt. Pleasant Center subscribes to the person-centered planning process which is designed to enable residents to acquire, improve and maintain skills leading toward greater independence, promoting effective coping skills, and ultimately enhancing potential for community living. Residents admitted to the center participate in the development of an individual plan of service, utilizing the person-centered planning process. This assures that continuous active treatment is provided. Person-centered planning is a program methodology that involves the resident, guardian, family members, friends and center staff in developing supports, services and treatment, focusing on personal choices and freedoms.
Upon admission and annually thereafter, the residents' individual plans of service and progress toward goals are reviewed at an interdisciplinary team conference. Staff and residents, along with family members, guardians, friends, and staff of Community Mental Health Service Program discuss the residents' development and recommend modifications to the individual plan of service.
Mission & Purpose
The mission of the Mt. Pleasant Center, an agency of the Michigan Department of Community Health, is to empower individuals to achieve independence and personal aspirations.
The purpose of the Mt. Pleasant Center is to provide short-term residential-based supports and services to people with a developmental disability until a viable community option is available.
Operating Values
We believe in the inherent individual human capacity and potential for growth. We accord all individuals respect and basic human dignity, with recognition and acceptance of the cultural, developmental and personality differences of each person.
We subscribe to the development and implementation of an individual plan of service. We utilize the person-centered planning process through partnerships with community mental health service programs, guardians, families, and others, to meet the needs of the residents and empower them to make appropriate choices.
We encourage new ideas and innovations through utilization of continuous quality improvement to achieve both our mission and purpose.
We believe in providing an environment that promotes the health and safety of all residents, staff, visitors, and community at large.
We believe that employees are our most important resource and we recognize their inherent self- worth and professional development.
We are committed to efficiently serving the public trust and aggressively promoting public confidence.
Mt. Pleasant Center's Practice of Person-Centered Planning
Background Information
The Michigan Mental Health Code establishes the right for all individuals to have their Individual Plan of Service (IPOS) developed through a person-centered planning (PCP) process regardless of age, disability or residential setting. The IPOS may include a treatment plan, support plan or both. In the past, Medicaid or other regulatory standards established how the process of a treatment or support plan were developed. These standards drove the planning process through requirements regarding the types of assessments to be completed and the professionals to be involved. Person-centered planning departs from this approach. Person-centered planning empowers the individual to direct the planning process with a focus on what he or she wants and needs.
Professionally trained staff play a role in the planning and delivery of treatment and may play a role in the planning and delivery of supports. However, the development of the treatment or support plan, including the identification of possible services and professionals, is based upon the expressed needs and desires of the individual.
The Mt. Pleasant Center supports a family or natural support approach to service delivery. This approach recognizes the importance of the family and community and the fact that supports and services will impact all components of the individual's life. Therefore, family, friends and community supports are the focus of service planning and family members are integral to the planning process and its success.
The Michigan Department of Community Health and Mt. Pleasant Center's Implementation of Person-Centered Planning
A comprehensive functional assessment, a pre-person-centered planning meeting, is completed within the 21 days after admission and if necessary within 365 days thereafter. The person-centered pre-meeting is a time when the individual, case manager and other identified persons come together to discuss things such as:
- Who is to be invited?
- What areas or topics the individual would like to discuss?
- What areas or topics are off limits?
- What are the individual's hopes, goals, and dreams?
- Who should facilitate the person-centered planning meeting?
- Which comprehensive evaluations are needed?
- What barriers exist for the individual in achieving his or her goals and dreams?
- Where will the person-centered planning meeting take place?
The case manager (CSM) works with the individual in sending out the invitations to those identified by the individual for attendance.
At the person-centered meeting the individual, with the support of the CSM and facilitator, presents a summary of the issues identified at the pre-meeting. Participants assist in creating an open atmosphere to discuss the individual's dreams, goals, and strengths. Barriers to and strategies for accomplishing the individual's identified needs, wants, goals and dreams are addressed using and incorporating the Mt. Pleasant Center values and principles. In addition, individuals being served get opportunities to provide feedback on how they feel about the services, support or treatment they are receiving and their progress toward attaining valued outcomes.
Objectives are developed that lead toward the completion of the goals identified by the individual and their support team. These objectives are included in the plan and are stated in positive and measurable terms. Upon completion of the meeting, the individual's CSM reviews and summarizes the desired services that the individual developed for him or her self. Within the next 21 days the CSM writes the plan, discusses the plan with the individual and distributes the plan to supporting entities. The PCP process does not stop after the meeting. Each individual is encouraged to meet with the treatment team to discuss changes they feel are appropriate. Revisions to the plan can be made at any time. The plan is reviewed with the resident at his or her request or a minimum of every 90 days.
Click here for more information on Person-Centered Planning
Residential Services
The Residential Services division provides management of on-site living environments and direct-care programs, as well as medical, psychiatric, and psychological treatment components.
Initially, a comprehensive function assessment is completed and an individualized plan is developed using the principles of person-centered planning. Residential treatment programs provide services to residents with a variety of characteristics and needs. The center also serves individuals with severe physical disabilities requiring ongoing medical attention. From the date of admission, it is the goal of the center to assist persons to return to the community in the least restrictive setting possible.
Persons whose diagnosis includes developmental disability and mental illness (dual diagnosis) receive psychiatric support services, and specialized counseling services. Behaviorally involved residents receive individualized treatment programs reinforcing the center's philosophy of promoting positive behaviors.
Direct care staff persons are assigned to the residential units and provide constant reinforcement, support and assistance. Skills training intended to promote independence is incorporated into each resident's activities for daily living routine and accomplishments are monitored by direct care staff.
Psychology and case management staff work closely with the residents in assessing and addressing needs, choices and personal freedoms. Active treatment and involvement of the residents in a normal rhythm of daily activities and opportunities are of primary importance to center staff. All residents are offered complete medical services, including physician, psychiatric, and nursing staff, in addition to contractual services with community hospitals for emergency treatment and complex medical procedures.
Activity Services
This division provides activities training, recreation and social interactive skill development as well as educational, pre-vocational and vocational training.
The Activity Services unit is located away from resident apartments and provides assistance in gaining or refining social and behavioral skills generally associated with a work, educational, or leisure environment.
Education programs occur in the Activity Services building and residential buildings. Some residents receive educational training through cooperative relationships with community resources.
Residents also participate in clinical support programs such as speech, occupational, physical, and recreational therapy.
Residents also benefit from paid work experiences as well as vocational and technical training programs offered through the Mt. Pleasant Center and Mid-Michigan Industries (MMI). The center provides on-grounds work opportunities in the areas of landscaping and grounds work, domestic services, and laundry. MMI offers job placement, community employment, and productivity enrichment training on-grounds and at MMI.
Activity therapy staff interact daily with residents through innovative programs such as pre-vocational, arts and crafts, and horticulture activities. Afternoon and evening programs offer residents leisure activities that promote social interaction.
Admissions Criteria & Procedures
There are of two types of admissions to the Mt. Pleasant Center, administrative and judicial. Administrative admissions begin with a request by the individual or a legally empowered guardian for services. The local Community Mental Health Services Provider (CMHSP) must first process a request for services. CMHSPs are the primary mental health service providers for citizens of Michigan. The CMHSP assesses each individual's needs and determines appropriateness of community resources. An administrative admission referral by the CMHSP to the Mt. Pleasant Center is made when an individual requires a more structured treatment program than a community setting. The individual or guardian must consent and the center director or designee must give approval before the admission can take place. All individuals receiving services at the Mt. Pleasant Center must have a primary diagnosis of developmental disability or mental retardation.
Judicial admissions for treatment services involve orders by a court specific to an individual's legal circumstances. Specific information and criteria regarding judicial admissions can be found in chapters five and ten of the Michigan Mental Health Code.
Admissions & Case Management Services
Admission and Case Management Services provide administrative oversight and management of resident admissions and record documentation. Admission staff coordinates services through Community Mental Health Service Program (CMHSP) referrals in accordance with Michigan Department of Community Health criteria. Residents admitted to the center must have a primary diagnosis of a developmental disability as defined in the Michigan Mental Health Code. The individuals may also have a secondary diagnosis of mental illness.
Each resident is assigned a case manager who facilitates the development and documentation of the individual plans of service. The case manager serves as a liaison between the resident and all individuals, including representatives from the CMHSP as well as other organizations providing services for the resident. The case manager serves a critical role in the development of the resident's person-centered plan and functions as a Qualified Mental Retardation Professional (QMRP). Federal standards for Intermediate Care Facilities for persons with Mental Retardation (ICF/MR) require the QMRP integrate, evaluate and coordinate effective active treatment programs for residents. Person-centered planning is the model used throughout this process.
Family & General Information
Visitation
Visitation by family and friends is encouraged. The Mt. Pleasant Center welcomes visitors every day of the year. All persons should stop first at the switchboard in the Administration Building and get a visitor's pass. If it is after-hours, visitors' passes can be obtained from the supervisor on duty in the resident's residential unit. While advanced notice is not required, it is encouraged. This is because residents at the center are involved in a number of activities, some of which may be in the community. Advanced notice will ensure the person being visited is present. Please contact the case manager, or in their absence, the switchboard operator.
Off-Grounds and Home Visits
The center encourages family and friends involvement including opportunities for off-grounds or home visits as clinically or legally appropriate. Home and community visits may be limited by the individual, his or her legally empowered guardian, a court order, or by the treatment team (if clinically contraindicated). The case manager should be contacted to discuss home or community visitation. In their absence, contact the switchboard operator, who will direct you to the unit director or shift supervisor. It is especially important to make arrangements in advance when planning to take an individual home or to other places in the community. This allows the person to prepare their belongings, and if necessary, secure medication.
Recipient Rights
Recipient Rights are particularly emphasized at the Center. Residents' rights are protected in accordance with the Michigan Mental Health Code (P.A. 258 of 1974, amended P.A. 152 1996). Residents and guardians receive information concerning their rights and are able to pursue resolution of rights complaints through a formal process with the Center's Right's Officer.
AIM
The Association for Interfaith Ministries (AIM) provides spiritual care for all residents. Services include: Sunday worship, worship in the community with a volunteer, friendship class in a community setting, and pastoral care in weekly sessions or in crisis situations.
Meet the Director
Ms. Cynthia Kelly is currently the acting Director of the Mt. Pleasant Center. She serves as the Director of Hospital and Center Operations for the Department of Community Health.
Key Contacts at the Mt. Pleasant Center
Phone (989) 773-7921 Fax (989) 772-5093 TDD (989) 772-4270
Click on the person's name to email them.
Cynthia Kelly, Acting Director (Director of Hospital and Center Operations)
(989) 773-7921, ext. 2051
Pat Mark, Administrator, Administrative/Fiscal Services
(989) 773-7921, ext. 2010
Vacant, Director of Residential, Habilitation & Technology Services
(989) 773-7921, ext. 4000
Jennifer Bigelow-Stanbaugh, Special Assistant to the Director of Residential Services/Casemanagement Services/
Acting Director of Activity Programs
Dr. James Dillon - Acting Director of Medical Services
(989) 773-7921, ext. 2052
Dawn Gilstad, Director of Food and Domestic Services
(989) 773-7921, ext. 2360
William Card, Director of Physical Plant Operations
(989) 773-7921, ext. 2320
Michelle Rivera, Unit Director - 610WL
(989) 773-7921, ext. 3300
Edward Jackson, Administrator of Nursing Services/Acting Unit Director - 611 WL
(989) 773-7921, ext. 3200
Deb Jackson, Unit Director - 405 WL
(989) 773-7921, ext. 4050
Vacant ,
Director Quality Improvement/Quality Assurance
(989) 773-7921, ext. 2157
Vacant - Director of Activity Programs
(989) 773-7921, ext. 2157
Vacant , Director of Training
(989) 773-7921, ext. 4029
Gary Moe, Director of Human Resources and Training
(989) 773-7921, ext. 2076
Michelle Sauter, Director of Admissions & Discharge
(989) 773-7921, ext. 2038
(989) 773-7921, ext. 4034
Ron Vredeveld, AIM
(989) 773-7921, ext. 4004
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