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The Crisis Solutions Initiative
… building a crisis services continuum to match a continuum of crisis
intervention needs
Dave Richard Deputy Secretary of Behavioral Health and Developmental Disabilities Services Update to the Crisis Solutions Coalition July 28, 2014
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Reviewing our Charge
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N.C. DEPARTMENT OF HEALTH AND HUMAN SERVICES
Crisis Solutions Initiative Challenges • Recommend & establish community partnerships to strengthen the
continuum of care. • Promote education & awareness of alternative community resources to
the use of emergency departments. • Make recommendations related to data sharing to help identify who, when
and where people in crisis are served, and what the results of those services are.
• Create a repository of evidence-based practices and provide technical assistance to LME/MCOs, providers, & other partners on how to respond to crisis scenarios.
• Recommend legislative, policy & funding changes to help break down barriers associated with accessing care.
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N.C. DEPARTMENT OF HEALTH AND HUMAN SERVICES
The Crisis Solutions Coalition December 9, 2013
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The Crisis Solutions Coalition Priorities 1. Fund, define, and monitor 24/7 Walk-in Crisis Centers as alternatives to
divert unnecessary ED visits AND as jail diversion sites for CIT officers 2. Provide training and support for all involved system partners – 911
responders, EDs, Providers, Consumers and Families, etc. 3. Re-work Mobile Crisis Teams 4. Fund the WHOLE service continuum -- Peer Support, Case management,
Jail in-reach, EMS diversion, etc. 5. More inpatient beds are needed 6. Utilize our collective data 7. Treat the whole person – integrated care 8. EDs will continue to have a role and should be prepared to do so 9. Focus on prevention strategies like Psychiatric Advance Directives & MH
First Aid
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N.C. DEPARTMENT OF HEALTH AND HUMAN SERVICES
Initiative Status Update • Discovery of promising practices
– Site visits – Surveys – Research – Workgroups
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N.C. DEPARTMENT OF HEALTH AND HUMAN SERVICES
Critical Time
Intervention
Supports for Individuals with I/DD
Magistrate Training
Psychiatric Advance Directives
Recovery Oriented Systems of Care Peer Support
Services
Expert Guest Speakers
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N.C. DEPARTMENT OF HEALTH AND HUMAN SERVICES
Local Crisis Coalition & LME-MCO Meetings
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N.C. DEPARTMENT OF HEALTH AND HUMAN SERVICES
Visits to Providers
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N.C. DEPARTMENT OF HEALTH AND HUMAN SERVICES
Update on the Coalition’s Priorities 1. 24/7 Walk-in Crisis Centers
– BH Urgent Care Providers workgroup • Refining & defining levels of “walk-in” services • Next steps – Invite LME-MCO partners to join
2. Provide training and support for all involved partners – LME-MCOs have many ongoing efforts dedicated to 1st
responder and community education – Centralized website as a resource:
www.CrisisSolutionsNC.org
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N.C. DEPARTMENT OF HEALTH AND HUMAN SERVICES
Update on the Coalition’s Priorities 3. Re-work Mobile Crisis Teams
– January 2015 Practice Improvement Collaborative in planning • Focus on state-of-the-art Mobile Crisis models • Host nationally known experts • Develop consensus vision for broad based change
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N.C. DEPARTMENT OF HEALTH AND HUMAN SERVICES
Update on the Coalition’s Priorities 4. Fund the WHOLE service continuum
– MH & SA Block Grant funds – $6.1 million • BH Urgent Care, EMS diversion service, Peer operated
hospital diversion, Group Home Employee Skills Training, Critical Time Intervention, Recovery Centers, MH First Aid, Innovative Technologies
– Legislative interest in funding BH Urgent Care & Facility Based Crisis (inc. for youth) • Pending final budget
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N.C. DEPARTMENT OF HEALTH AND HUMAN SERVICES
Update on the Coalition’s Priorities 5. More inpatient beds are needed
– Legislative report 6. Utilize our collective data
– Ongoing Data workgroup with diverse stakeholders • Resulted in demos and negotiations about sharing of
NC DETECT data • Continued efforts to refine data gathering and analysis
7. Treat the whole person – integrated care
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N.C. DEPARTMENT OF HEALTH AND HUMAN SERVICES
Update on the Coalition’s Priorities 8. A continued role for EDs 9. Focus on prevention strategies
– MH First Aid and Youth MH First Aid taking off! – Initiated conversation with partners about promoting
Psychiatric Advance Directives
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Crisis Services Continuum
Prevention
Early Intervention Response
Stabilization
Mobile Crisis Team CIT Partnership EMS Partnership 24/7 Crisis Walk-In Clinic Hospital Emergency Dept.
Non-Hospital 23 hour Observation Facility Based Crisis Non-hospital Detox Hospital Units Community (including 3-way beds) State Psychiatric & ADATC
LME/MCO Care Coordination Critical Time Intervention
Transition Supports
Psychiatric Advance Directives WRAP Person Centered Crisis Planning Family & Community Support
Peer Support & Respite Services Same Day Access Program Outpatient Provider LME-MCO Access Center Primary Care Physician MH First Aid