Pandemic's Impact On COMBAT-Funded Agencies

UPDATED THURSDAY, MARCH 26, 2020 • 4:44 P.M.
COMBAT will be posting information as promptly as possible as it receives from agencies.


AdHoc Group Against Crime


Effective March 17, AdHoc staff is working remotely to continue to provide our clients with high-quality services and support. AdHoc’s remote office hours will be from 10:00 AM - 4:00 PM Monday through Friday. As always, our 24-HR Community Helpline (816-861-5500) will remain active.

For clients receiving counseling services, in-home therapy is suspended for 30 days. The therapist will continue to see clients at their select offices and will provide therapy to those who qualify for counseling over the phone. Other programs provided in schools and jails have been suspended for 15 days. Those who are court-ordered for Cognitive Behavior Intervention (Thinking for a Change), appointments will be rescheduled for the week of April 6. Caring for Crime Survivors Program will be coordinated through the Jackson County Prosecutor's Office. 


ArtsTech

ArtsTech is closing our building until March 29, 2020. However, staff and youth will continue to conduct programming, both remotely and virtually. ArtsTech has implemented a healthy lifestyle virtual program with our youth that we will share on a weekly basis. We are planning as if the city-wide quarantine will last for two weeks or two months. As the coronavirus crisis continues, we will evaluate our efforts and take the lead from our health and government experts. artstech-kc.org 


Blue Springs School District


Similar to other area school systems, all of our collaborative districts are holding students out of classes through April 3 and are scheduled to return on April 6.  In the interim, preparations are being made for the possibility of online learning, if this should become necessary.  Regarding individual student services with the Prevention Services and Drug Abatement Coordinator, skype and/or teleconferencing options are being discussed and considered. At this point, everything is very fluid as things are evolving with the COVID-19 virus, but all decisions are being made in light keeping students and families safe.


Bridge Leadership Academy


Bridge Leadership Academy has taken preventative and repsonsive actions to proactively address the Coronavirus pandemic.... Bridge has launched an online portal to continue to engage students and maintain our work that enhances students for success and in the upcoming weeks, we will do everything we can to serve students.


Chamber of Commerce of Greater Kansas City Foundation


The Greater Kansas City Chamber of Commerce through the Chamber of Commerce of Greater Kansas City Foundation continues to work on initiatives to help reduce violent crime in the Kansas City regionwhich includes reducing recidivism rates through economic opportunities for returning citizens. The KC Chamber will continue its Workforce Opportunities for Returning Citizens program during the 2020 calendar year. The health and safety of our members is the KC Chamber’s number one priority. In response to the coronavirus outbreak, we are postponing scheduled initiative programming to the summer and fall months of 2020. The updated scope of work for the WORC initiative includes:

WORC Initiative Employer Engagement
The KC Chamber has recruited eight member businesses to participate in the WORC pilot program andcoordinate with non-profit agencies serving returning citizens to fill open job opportunities. Employers that are participating in the program in 2020 include:

• Boulevard Brewing, Co.
• Jacobson Holding, TransAm Trucking
• Evergy
• Menlo ITC
• Hampton Inn and Suites in the Crossroads
• Holiday Inn on the Plaza
• JE Dunn
• Turner Construction

Employer Education Program
The new proposed timeline for the employer education series:

• WORC orientation with employers and non-profit agencies – June 2020
• Re-entry simulation in coordination with the Kansas City Metropolitan Crime Commission – June
2020
• Understanding Probation and Parole – July 2020
• Roundtable with Returning Citizens – August 2020
• Tour of the Kansas City Re-entry Center – August 2020
• Best Practices and Community Resources – September 2020
• Liability and Insurance Resources around Hiring Returning Citizens – September 2020
• Pilot Program Debrief – October 2020

Certification Component
The KC Chamber will convene a series of meetings with WORC pilot program employers to understandthe training and employable skills that returning citizens should have upon entry into the workforce.These meeting will help guide the training programs offered to returning citizens to develop a regionalstandardized certification program to ensure returning citizens are “work ready.”

Returning Citizen Hiring Toolkit
The KC Chamber will hold a series of meetings with the Society of Human Resource Managers of Kansas City (SHRM) to develop a regional toolkit for hiring returning citizens. This guide will be based on existing SHRM resources on fair hiring policies. The toolkit is scheduled to be deployed in the first quarter of 2021.

Evaluation
The KC Chamber will work with non-profit agencies and WORC pilot employers to track returning
citizens through the hiring process. The KC Chamber will continue to work towards achieving its stated metric goal of having twenty returning citizens hired through the WORC program in 2020.


Child Abuse Prevention Association (CAPA)


CAPA’s two offices are officially closed until April 3. Counseling intakes for new families are on hold. Currently enrolled families have the option to receive sessions via phone and secure video-conferencing. Families who participate in home visiting will also receive services by phone.

Diapers and other needed supplies will be dropped off at homes without any further contact.

Lastly, parenting education as well as all school-based education, prevention and treatment services have halted until school resumes.


Child Protection Center


As of March 16, the Child Protection Center is implementing an alternative work schedule in response to COVID-19. Each week, there will be one forensic interviewer, one family advocate and one support staff working in-office for the entirety of the week to minimize exposure to each other, clients and MDT partners, and to hopefully ensure continued services should some members of our staff have to be quarantine. 

Staff working out of the office will be responding to calls and emails as quickly as possible but may have limited access to documents/files/information they would have had access to in-office. Staff working from home are (this is the short list): writing reports, conducting client follow-up calls, setting up and facilitating case reviews via Zoom, uploading client case information to web based database systems and our therapy team is currently working to find the best method to provide telemedicine services that are HIPPA compliant. 
 

Comprehensive Mental Health Services, Inc.


Beginning Thursday, March 19, Comprehensive Mental Health Services will no longer have Walk-In (Open Access) visits at any of our locations, and on-site services will be temporarily suspended. We are not closed. We will continue to field scheduled appointments through phone calls and video conferencing and will respond to urgent and emergencies as needed.

We are committed to meeting the behavioral health and substance use needs of our community while at the same time doing our civic duty to respond to the COVID-19 crisis,  according to the best guidelines available.

Please contact your primary service provider with questions and to maintain your scheduled appointments. You may also call our main number 816-254-3652.  If you are experiencing a mental health crisis, please call 1-888-279-8188.


Cornerstones of Care


The following plans have been in effect since last week and are in effect, with regular monitoring, through April 5, 2020. Cornerstones of Care has an infectious disease steering team that is meeting (remotely) at least once each day at 8:00 a.m. to review, plan, revise and act regarding ongoing program and service operations. The agency has taken an approach that empowers our associates to utilize technology as a resource, but continue in-person support on a case-by-case exception basis. We will continue to assess if additional changes are necessary to our practices during this time.  

Regarding Outpatient/In-Home services we offer:

• We continue accepting new referrals for the services

• Follow the direction of each court on hearings

Telehealth as a platform and service provision modality is not new to us as an agency. We have armed our associates with guidance that has flexibility in the mechanism utilized to support our clients and balance our associate safety with the safety and risk of our clients and families. At a high level, the guidelines we have given our client-facing associates is that video and/or phone technology should be utilized as the primary service provision method, but on a case-by-case basis exceptions can be made for face-to-face service provision. All of our associates know to take proper precautions and screen those they are to be face to face with. 

Telehealth utilization has been encouraged by the Department of Health and Human Services and Missouri Medicaid. Guidance went out giving permission to use Face Time, Facebook Messenger, Skype or Google Hangouts for video services. We should not use Facebook LIVE, Twitch, Tik Tok or other similar apps. Our HIPPA compliant platform is Zoom and the guidance we gave our associates was that Zoom should always be a first resort, but if not available/possible, then move on to other platforms freely and confidently. 

We document conversations and verbal consent with participants regarding how therapeutic impressions could be impacted by using tele-health rather than face-to-face interaction.

Regarding the Substance Use services we offer to clients in our facilities:

• PPE and sanitation supplies are on campus and amounts are regularly monitored

• No more than 15 people in the same place, inside or outside 
>> Limit time large groups of youth spend in common areas
>> Meals provided in dorms

• Continue to accept referrals

• We continue to admit on a case-by-case basis

• Cease all visitors to campus (mentors, parents, guardians, case managers, treatment team members, volunteers, etc.)
>> Individual exceptions for legal guardians only can be made on a case-by-case basis. 

• Cease all in person home passes for youth
>> Utilize video or phone technology for parents/guardians/relatives and others to interact with the client
>> Increase the number of contacts for youth via technology
>> Individual exception requests shall be brought to the program and regional director for review.

• Cease all group excursions into the community

• On campus schools will follow the same physical closing patterns as the host districts (Gillis - Kansas City and Ozanam- Grandview)
>> If feasible, school software technology will be leveraged to continue education of clients

• Continue in-person individual therapy and therapy groups to youth on campus

• Continue expressive therapies

• Continue Substance Use services

• Provide family therapy by phone or via video technology

• If youth has a planned discharge in next 30 days, work with team to determine appropriate next steps.

• Conduct treatment reviews via phone or video technology

• Participate in all other case related reviews/meetings via phone or video technology

• Make youth available for court hearings as directed by the individual court

• Continue to utilize telehealth for health related needs

• Cease dental appointments off campus

• Isolate sick or exposed youth from other youth per our own Emergency Management Plans and Continuity of Care Plans


Crittenton Children's Center (St. Luke's Hospital)


During this COVID-19 outbreak, Crittenton continues to be open. On the Hospital and Residential programs we've made many changes such as screening everyone who presents at the facility. We're restricting visitors, practicing social distancing, not having outings for Residential patients. School will be done on the units. Therapists will be doing Family Therapy remotely.

Employees have a whole set of prevention precautions as well. Of course, we're cleaning and sterilizing, and everyone is engaging in frequent hand washing. We are taking employee and patient temperatures daily. We have a quarantine unit if it ends up being needed. So far we have no presumptive or suspected cases. We are working with all the Saint Luke's Hospital directives and feel confident in our efforts to keep patients and staff safe. 

In the Intensive Outpatient program COVID-19 screening and sanitizing processes are being done, like the rest of the facility. We are accepting new patients, but are not seeing new patients on-site though. Instead, Assessments are being down (groups and individuals) remotely via Webex (like Skype, but HIPPA compliant). Clients will be provided written work attached to their Webex email invites. They'll complete and scan them back to Crittenton. If they have no scanner they can take pictures with their phones and email them. We'll be attending online 12-step meetings too. All clients seem to be excited to give this remote therapy a whirl. We'll keep taking things one day at a time. 


First Call


After careful consideration, First Call Alcohol/Drug Prevention & Recovery will temporarily move to remote service delivery via teleconferencing and HIPPA-compliant videoconferencing. 

Direct services at 9091 State Line Road, Kansas City, will be temporarily paused as a necessary precaution for containing the spread of COVID-19. This change in First Call's mode of service delivery is effective immediately and will continue through March 31, 2020, at which time we will reassess the situation.

All First Call clinical and prevention services will continue uninterrupted. First Call's Crisis Call Line will also remain in operation 24 hours a day, seven days a week. Individuals and families needing help with a substance use issue and/or referral to treatment should continue to call 816-361-5900.


FosterAdopt Connect


FosterAdopt Connect is addressing the COVID-19 virus by moving all staff to a work from home plan as of Wednesday 3/18.  We will continue to be responsive to your emails during the length of this protective social distancing measure. We currently anticipate returning to our offices on April 1, 2020, however that is subject to change if conditions warrant it.


Healing House, Inc.


At Healing House we provide recovery housing to nearly 200 residents. We  have modified our normal operations to provide extra protection to our consumers. 

1) We have suspended all large group meetings. Residents are holding meetings in the individual houses.

2) We have closed our dining hall. Meals are being delivered to the residents in their houses.

3) We have suspended outside visitors until further notice.

4) Temperatures are taken daily, along with special precautions instituted for hand washing and use of sanitizer when residents leave and return to the building.

5) These same precautions are in place when individuals come for the currently reduced services at the Recovery Community Center.


High Aspirations


The staff is in the office during the week, but since our population of boys and young men we serve are over the amount recommended by the State of Missouri for social distancing, we are doing online meetings this Saturday, March 21 and next Saturday, March 28. High Aspirations will be using to Zoom to conduct these online video meetings. Among the topics this Saturday: "Further discussion about the Coronavirus (COVID-19)."


Metropolitan Organization to Counter Sexual Assault


Our offices are temporarily closed through March 27, but WE ARE STILL HERE FOR YOU!

• Individuals can access support through our 24 hour crisis line (816-531-0233 or 913-642-0233). In addition to our crisis line staff, we also have licensed therapists available to provide more in-depth services via phone if needed. 

• Staff are available during regular business hours to respond to emails and phone calls.

• Counseling will transition to telephone sessions, as possible. For child clients, support will be provided to parents/caregivers via phone.

• All advocacy will be done over the phone(hospital, law enforcement and court) with prompt follow up support.

• Education and prevention activities are suspended. Staff are exploring online platforms to continue supporting schools and students.

• Public events and outreach- are canceled.


Reconciliation Services


Reconciliation Services remains open at this time.  We offer to-go meals Monday-Friday, 11:00 am. - 2:00 p.m. And we are still servicing those in need of ID/Document assistance—demand has increased for ID and Documents—utility assistance, rent assistance and prescription assistance through Kansas City Medicine Cabinet.

We have stopped in-person group therapy and are looking into options to provide this remotely.  We are also moving to teleconferencing for therapy. We have changed procedures internally to increase hygiene, including but not limited to wiping down desks/surfaces daily, encouraging increased hand washing, practicing social distancing, and limiting staff in the office. We also implemented daily temperature checks for all staff and clients entering the building along with a questionnaire. 

Reconciliation Services provided COMBAT a copy of the questionnaire in the hopes it might be useful for other agencies.

»  Download COVID-19 Questionnaire 


ReDiscover


ReDiscover cares about our clients and the people who work for us. We are monitoring the COVID-19 situation and making modifications as
recommended by the Missouri Department of Health and the CDC. Effective Wednesday, March 18, we will be modifying our services.

• ReDiscover is not closing. We are here for you via phone.

• We will be providing as many services as possible through telehealth and working with clients to coordinate care.

• ReDiscover staff who can work remotely have been asked to do so to help reduce exposure.

• Please call our business line at 816-966-0900 if you have questions, need to speak to someone during normal business hours, or need to schedule an appointment.

• Please call our crisis line at 888-279-8188 if you are experiencing an emergency.


Sisters In Christ

fSisters In Christ is currently following the most current protocol and practice issued by the Center of Disease Control (CDC) and SAMHSA (Substance Abuse and Mental Health Service Administration).  Each of our Recovery Homes was supplied with appropriate sanitation supplies for disinfectant purposes, as well as an adequate food supply sufficient for several weeks. We held an all-inclusive house meeting to review, explain and provide necessary information and awareness to assist the ladies in their understanding of the COVID-19 situation and the seriousness of the precautionary measures we have implemented. It is our goal to give the ladies updated information and the safest environment possible. 


Welcome House, Inc.


Welcome House, a sober-living facility for men 21 and older, is open and operating.

We continue to monitor the updates, recommendations and directives of local officials and the CDC.  Here are the interventions we are working on (or have already implemented):

• Increased cleaning and sanitizing of all public areas and equipment (both the number of individuals performing these functions and the frequency)

• Altered meal service to "limited number of resident" shifts and eliminated all self-service options

• Suspended all "large group" recovery meetings including the monthly All House meeting and now are offering smaller, more frequent AA/NA meetings throughout the day and evening

• Suspended the outside meeting requirement and transportation to outside recovery meetings (most of these are shut-down now anyway)

• Closed the basement floor resident rooms (relocating existing residents to the upper two floors) to provide an area for quarantine if necessary

• Suspended all discretionary/ non-essential program activities

• Closed the facility to all non-residents, volunteers and visitors

• Suspended all overnight passes and discouraging all avoidable off-campus appointments/ excursions

• Suspended the requirement for unemployed residents to be out-of-the-house, off of the property and looking for work during the day

• Now require all residents to notify the professional staff immediately should they become symptomatic

• Creating an alternative staffing model and plan for Professional staff that maintains and accommodates program requirements

• Ordering additional UA tests, BA tips, toilet paper, cleaning supplies and soap and hand-sanitizer now (before supplies get low)


Youth Ambassadors

Youth Ambassadors implemented an all-staff -work from home plan March 7.  Also, as a precaution, the administrative office underwent a deep clean and sanitation of all desks, floors and surfaces.

Although we are no longer physically in the office, we continue to be responsive to emails and telephone calls during this period of social distancing. We do not have an anticipated date to reopen the administrative office.

The administrative staff, with support of Rockhurst University work study and UMKC practicum students, conducted an emergency technology availability and needs assessment to identify gaps in resources among our program population, relative to moving programming to a virtual work environment.  We are working feverishly to fill gaps that prohibit participation of some ambassadors in a virtual environment. 
 
Additional programming updates:

• Provision of vetted COVID-19 updates to Youth Ambassadors 

• Decision to continue 21st Century Life and Job skills, Writing, Art and Health via virtual platform 

• Certified teaching staff and industry experts engaged to transition spring curriculum to a virtual eLearning platform 

• Programming moved to the virtual platform with minimal disruption to Youth Ambassadors

• We are leveraging Zoom, Google Hangout, and other technologies to engage Youth Ambassadors in Trauma Informed Yoga. 

• Increased engagement of our contracted licensed clinical child psychologist to provide mental health support

• Offering virtual group therapy as well as individual therapy 

• Strategic planning of future programming components concentrating on market value added skills in virtual environments

• Proactively communicating our COVID-19 action plan with valued stakeholders

As with many agencies, our work plan is fluid and subject to change as conditions warrant. Thank you for your continued support and positive thoughts during this uncertain and trying time. 


Youth Courts (Eastern Jackson County & Independence)


Youth Court staff have spent the last several days preparing to present all of our program options online or by phone or video conference.  Both Youth Court offices are still open during regular hours, but the buildings are closed to the public. The updated Youth Court procedures are listed below.

Eastern Jackson County Youth Court: All juvenile court arraignments will now be held by phone or video conference until further notice.  The required educational classes will be held through the Zoom online platform and all families will be sent a link to participate. Alternatives for students to complete educational community service options can be found on the court website at Ejcyc.com

Contact the office at 816-541-8017 ext. 72235 or by email at ejcyc@jacksongov.org.  

Independence Youth Court: All juvenile court arraignments will now be held by phone or video conference until further notice.  The
required educational classes will be held at the Zoom online platform and all families will be sent a link to participate. Alternatives for students to complete educational community service options can be found on the court website at Independenceyc.com.

Contact the office at 816-325-7750 or by email at youthct@indepmo.org.




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