Individual Outcomes

•Maintainstablecommunityresidence •Accessandengageresources •Decreasecrises

•Decreasebehavioralchallenges •Decreasementalhealthsymptoms •Decreasestatefacilityandhospitalutilization •Increasecommunityinvolvement

CommunityOutcomes

•Increasecrisisexpertiseincommunity •Implementandmaintaincommunitycollaborative •Utilizationofcommunityresources •Increasednaturalresources •Decreasestatefacilityandhospitalutilization

NCSTART withresultsinmind.

NCSTARTEast 888-962-3782NCSTARTCentral800-662-7119ext.8730NCSTARTWest 888-974-2937

STARTwasoriginallyfundedbytheMassachusettsDepartmentofMentalRetardationandoperatedbyGLMHRAunderthedirectionofDr.JoanBeasley.NCSTART,basedonMassachusettsSTARTmodel,representsacollaborationbetweenDr.Beasley,theNorthCarolinaDivisionofMH/DD/SAS,LMEsandproviders.

Systemic, Therapeutic, Assessment, Respite, and Treatment

Forpeoplewith developmentaldisabilities andco-occurringdisorders

TheNC STARTModelprovidespreventionandinterven-tionservicestoindividualswithdevelopmentaldisabilities andcomplexbehavioralneedsthroughcrisisresponse,train-ing,consultation,andrespite.Thegoalistocreateasupportnetworkthatisabletorespondtocrisisneedsatthecom-munitylevel.Providingcommunitybased,personcenteredsupportsthatenableanindividualtoremainintheirhomeorcommunityplacementisthefirstpriority.

The NC START PhilosophyServicesaremosteffectivewheneveryoneinvolvedincareandtreatmentactivelyparticipateintreatmentplanningandservicedecisions.(Thewholeisgreaterthanthesumofitsparts.)

Why use NC START?

NCSTARTservicesworkinconjunctionwithallotherServicesincludingcommunity-basedservices(CommunitySupport,TargetedCaseManagement,MobileCrisisManagement,CAP-MR/DD,traditional outpatient).Drivenbyaperson’sneeds,NCSTARToffers proactive,clinically-basedconsultationandtraining forcrisispreventionandintervention.

Role of NC START Team

Provideon-goingconsultationtoprovidersand/ orfamilies

Providesupportandtechnicalassistanceto MobileCrisisTeams

Createandmaintainlinkagesandrelationships withcommunitypartners

Coordinatesupportmeetingsandcrosssystems crisisplansforindividuals

Providetrainingandtechnicalassistanceto communitypartners

Crisis Support Continuum

Psychological,behavioralsupportandcrisis consultationtothetreatmentteamandprimaryserviceproviders.

Psychiatricconsultationtothetreatmentteam andprimaryserviceproviders.

Facilitatecommunicationacrossdevelopmental disability,mentalhealth,communityand familynetworks.

Clinical Support – Assessment & Treatment Planning

Conductfunctionalbehavioralassessmenttogatherinfor-mationforplan.

Developpreventionandinterventionplaninvolvingparents,caregivers,and/orproviders.

Facilitateemergencymeetingsamongservice providers,treatmentandcrisisteams,andfamilies.

Training and Consultation

Providetrainingtoproviders,familiesandothercommunitypartners.

Provideon-goingconsultationasneededto maintaincommunityplacement.

Collaboration

Accessandlinkfamiliesandproviderstocommunityservicesandsupports.

Workwithcasemanageronplanningforfutureneeds.

Maintainrelationshipswithcommunitypartnerstoenhanceabilityofcommunitytorespondtocrisis.

Short Term Respite

PlannedrespiteisavailabletoNCSTARTconsumerswholiveathomewiththeirfamilyandareunabletoaccesstradi-tionalrespiteduetobehavioralneeds.

Emergencyrespiteisavailableincrisissituationsthatcannotbeaddressedinthecurrentplacement.Theteammemberwillbegintransitionplanninguponadmission.

SeRvIceS AvAIlAble

NCSTARTreceivesreferralsfrommultiplesources,includingproviders,families,andcrisisservicesincludingMobileCrisisManagement(MCMTeams).Inthecase ofacrisisreferral,NCSTARTwillprovideimmediatetechnicalassistancetotheMCM,thefamily,andproviderinordertostabilizetheindividual.Within24hours,theNCSTARTteammemberwillbeginprocessofpreven-tionandinterventionplanningfortheindividual.Routinereferralswillbestaffedformeetingadmittancecriteriawiththeteamwithin24hoursanddisposition communicatedtoreferralagent.

Who is eligible for NC START?

NCSTARTservicesareavailabletopeoplewhoareatleast18yearsofageandwhohaveadevelopmentaldis-abilityandco-occurringmentalillnessorsignificantly challengingbehaviors.Servicesareprovidedbasedonindividualneeds,situationandassessment.Typesofser-vices include:

Emergency –asituationwhere,becauseofaperson’schallengingbehavioralissues,thereisaneedfor (1)immediatespecializedclinicalservicesor(2)crisis/respiteservice.

At Risk –Asituationwhereaspecificortime-limitedproblemresultingfrombehaviorsorsituationalfactorsdisruptsaperson’soptimalfunctioninginhis/herplaceofresidenceorhabilitationprogramandcausesthepersontobeatriskoflosinghis/herservices.

Short-Term Assistance–Asituationwhere24-hourlinkageandreferralservicesareneededforongoingservicesbythefamily/primarycaregivertoaddressa person’sbehaviororsituation.

WEST TEAmSPhone Number: (888) 974-2937Asheville 84CoxeAve.Suite1-B/Asheville,NC28801Concord 236LePhillipCourt,SuiteK/Concord,NC28025West House (Respite Home Site)247ChestnutGroveRd./Statesville,NC28625

CENTRAL TEAmSPhone Number: (800) 662-7119 ext. 8730Durham433WestMainSt./Durham,NC27701Greensboro 3405WestWendover/Greensboro,NC2740Central House (Respite Home Site)4008Highway56,Franklinton,NC27525

EAST TEAmSPhone Number- (888) 962-3782 New Bern 1404NeuseBlvd./NewBern,NC28560Wilmington503CovilAve.,Suite102/Wilmington,NC28403East House (Respite Home Site)605 Pine Tree Dr. / New bern, Nc 28560

SeRvIce AReA

Trainingcanbeathome,residence,orinadayprogram.Servicesarebasedonindividualneeds,situationandassessment.

NCSTARTdoesnotreplaceanyelementof thecurrentservicecontinuumbutworksinconjunctionwithallotherservicesincludingcommunitybasedservices(communitysupport,targetedcasemanagement,mobilecrisismanagement,CAPMR/DD,traditional outpatient)throughconsultationandtraining.