OMHSAS remains committed to developing a consumer-driven, recovery-oriented mental health service system by continuing to reduce the use of state psychiatric inpatient services. CHIPP funds support individuals discharged from state hospitals by creating community-based services and supports. Counties receiving an annual allocation for CHIPP funding, as a categorical or as part of their Human Services Block Grant, are required to comply with these guidelines, which replace the CHIPP guidelines issued in 1999.
Community Hospital Integration Projects Program (CHIPP) Guidelines – July 2013
Projects Program (CHIPPs) is a state initiative, in partnership
with local county mental health agencies that enables the discharge
of people served in Pennsylvania state hospitals who have extended
lengths of stay and/or complex service needs to less restrictive
community-based programs and supports. CHIPPs was designed to
develop the needed resources for successful community placement
of individuals that include case management services, residential
services and rehabilitation/treatment services. It was created
to build local community capacity for diversionary services to
prevent unnecessary future hospital admissions.
CHIPPs is dependent on the involvement of the consumer and family
in the design, implementation and monitoring of individual Community
Support Plans. CHIPPs was built upon Community Support Program
principles that require consumers, family members and persons
in recovery be involved in the decision making process. The County
submits proposal to state for CHIPP discharges as part of annual
plan. Assessments (Family, Clinical and Peer) are completed with
people identified for likely CHIPP discharge. The County then
submits CHIPP budget to state for approval. The County works with
local area provider agencies to begin the discharge process and
identify best match of consumers. State hospital beds are closed
as people are discharged and the State transfers state hospital
funds to the county budget to support those discharged. CHIPP
funding is annualized. The entire process takes approximately
12 months to complete.
Facts about CHIPPs
- Started in fiscal year 1991/92.
- from 6/30/1991 to 8/1/2007 the hospital census has gone from
6,611 to 1,977. A 70% decrease in the number of state hospital
- Admissions declined from 4,682 to 1,000 during this same period.
- More than 80% of the state MH budget is now spent on community
- More than 2,500 state hospital beds have been closed since
1992 including the closure of 3 hospitals.
- Builds local community capacity and infrastructure.
- Minimizes the need for new revenues to support people with
Serious Mental Illness.
- Initially, 4 people could be served in the community with the
funds needed to support 1 person in a state hospital.
- 3,007 individuals have been discharged into the community through June 30, 2011. This includes CHIPPs, SIPPs, and Jimmies. Funding totals $260.2 million to support these discharges
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Pennsylvania OMHSAS Community Integration Project - Final Report
on Community Integration
The UPENN Collaborative on Community Intgeration is the Rehabilitation
Research and Training Center (RRTC) devoted to promoting community
integration for individuals with psychiatric disabilities. The
Office of Mental Health and Substance Abuse Services partners
with the UPENN Collaborative on various projects such as County
Community Integration projects and the Certified Peer Specialist
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