GEORGIA CRISIS RESPONSE SYSTEM-

DEVELOPMENTAL DISABILITIES

Charles Ringling

DBHDD

Region 5 Coordinator/

RC Team Leader

Goals of the GCRS-DD

To provide time-limited home and community based crisis services that support individuals with developmental disabilities in the community

To provide alternatives to institutional placement, emergency room care, and/or law enforcement involvement (including incarceration).

Behavior Related Crisis

An individual with developmental disabilities and a behavior related crisis

Presents a substantial risk of imminent harm to self or others; AND

Is in need of immediate care, evaluation, stabilization or treatment due to the substantial risk; AND

Is someone for whom there currently exists no available, appropriate community supports to meet the needs of the person.

Developmental Disability

For individuals currently on planning list or receiving DD services

Diagnosis of intellectual disability prior to age 18 or

Diagnosis of closely related developmental disability prior to age 22 years

For other individuals

Screening indicative of a developmental disability

Responsibilities of Crisis Response System Providers

Must develop and maintain detailed description for onsite operations

On-Site Stabilization, including intensive home

supports and professional consultation

Referral and/or transport to intensive out-of-home crisis supports

Referral to hospital emergency department

Accessing the Crisis Response System

Available 24/7, 365, statewide.

Call the Georgia Crisis & Access Line (GCAL) @ 1-800-715-4225

A telephone triage is completed. If possible the crisis is resolved by GCAL.

Mobile Crisis Team Dispatch

If GCAL is unsuccessful in resolving the crisis through telephonic crisis intervention they

Document need for face-to-face intervention and Dispatch a mobile crisis team

Immediately contact the support coordination agency and the DD service provider, if applicable

Mobile Crisis Team Requirement

Respond and arrive on site within 1 ½ hours of the GCAL dispatch.

Address the crisis situation to mitigate any risk to health and safety to the individual and/or others.

Rule out any medical causes that might be

contributing to the crisis prior to recommending any intensive crisis supports involving behavioral interventions.

Mobile Crisis Teams

Mobile Crisis Team members are responsible for completing a comprehensive assessment of the current crisis situation.

This assessment process shall include interviews with

the individual, care providers and/or family members,

Observation of the current environment, and review of behavior and individual support plans.

The LCSW on the team is responsible for ensuring that the assessment process is thorough and complete.

Mobile Crisis Teams

When the Mobile Crisis Team completes services in the home, the LCSW or a designated Social Worker (MSW) completes a written discharge plan that shall minimally include:

Summary of precipitating events Clinical interventions Response to clinical interventions Recommendations for continued interventions Referral for additional supports (if applicable)

Criteria to receive Intensive In-Home Supports

Mobile team unable to mitigate crisis in reasonable time

OR Crisis resolved but environment or individual’s lack of

skills make another crisis imminent

AND Caregiver or provider staff not capable of providing

necessary intervention and protection for individual or others in the home AND

Intensive supports will allow individual to avoid institutional placement

Intensive In-Home Supports

Services include but not limited to:

Implementation of behavior intervention strategies, safety plans, or behavior plans

Provision of one-to-one support Modeling of interventions with family or provider staff Assistance with environmental adaptations Accompanying individual to appointments related to

crisis response

Criteria to receive Intensive Out-of-Home Supports

All of the Intensive in-home supports criteria

AND

The safety of others living in the home cannot be maintained through Intensive In-Home Supports

OR

Extensive environmental modifications are needed as a result of the crisis and the individual cannot reside in home during that time

Intensive Out- of-Home Support Requirements For Crisis Support Homes

Intensive Out-of-Home Supports are provided by Crisis Support Homes, serving no more than four adult individuals simultaneously.

Individuals ages 10-17 receive out-of-home crisis support services in Temporary and Immediate Support (TIS) homes.

Discharge Planning

Begins at time of initial assessment and continues throughout utilization of the Crisis Response System.

Process includes collaboration with all applicable parties, family members/caregivers, providers, Support Coordination Agencies, Planning List Administrators, Regional Intake and Evaluation (I & E) Teams.

Who to contact

Georgia Crisis & Access Line:

1-800-715-4225