Certified Community Behavioral Health Clinic (CCBHC): SUPPORTING

WESTCARE’S SYSTEM OF CARE2017 NAMI Nevada Conference

“Building Community Mental Health Capacity”

May 12, 2017

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Partnership is Essential

“coming together is a beginningkeeping together is progressworking together is success”

-Henry Ford

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CCBHC DEMONSTRATION: Major Changes In Service Delivery

• System of Care vs. System Silos• Increased Opportunity for Partnership• Credentialed and Knowledgeable Staff

Working in Collaborative Care Teams• Expansion of Reimbursable Staff Categories

(Peers, Community Health Workers)• Increased Community and Home Based

Services Including Mobile Crisis• Maximized use of telehealth to Improve

Accessibility & Alleviate Workforce Barriers• Improved Professional Development and

Growth Opportunities (extensive training and protocols)

The Vision: Certified Community Behavioral Health Clinics (CCBHC) and WestCare Vision Alignment

• Systems improve overall health by providing QUALITYcommunity-based mental health and substance use disorder treatment

• Systems advance behavioral health care to the next stage ofINTEGRATION with physical health care

• Assimilate and utilize evidence-based practices on a more CONSISTENT basis

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Availability & Accessibility Standards

• Access is required at times and places convenient for those served

• Prompt intake and engagement in services

• Access regardless of ability to pay (sliding scale fees) and place of residence

• Crisis management services available 24 hours per day

• CCBHCs must have clearly established relationships with local EDs to facilitate care coordination, discharge and follow-up, as well as relationships with other sources of crisis care.

• Accessibility also promoted via peer, recovery, and clinical supports in the community and increased access through the use of telehealth/telemedicine, online treatment services and mobile in-home supports

• Transportation support is provided to the extent possible5

Care Coordination: The “Linchpin” of CCBHC

• CCBHC coordinates care across the spectrum of health services, including physical and behavioral health and other social services

• CCBHC maintains electronic health records (EHR)

• For the Westcare CCBHC and ALL PARTNER SERVICES the Clinical Data Systems (CDS) electronic health record MUST be utilized

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CCBHC Care Teams

The CARE Team includes: • The consumer & families/caregivers• An interdisciplinary team composed of individuals who

work together to coordinate medical, psychosocial, emotional, therapeutic, and recovery support needs of consumers

Person and family centered treatment planning and care coordination activities are required

MDT’s with combined summaries are necessary7

CRISIS SERVICES

RISK ASSESSMENTSCREENINGDIAGNOSIS

TREATMENT PLANNING

OUTPATIENT MH AND

SUBSTANCESERVICES

Outpatient Primary Care monitoring

Psychiatric Rehab

Services

Community mental health

care for Veterans

Targeted Case Management

Peer, Family support and counseling

WC CCBHC9 Essential Services

CCBHC Services: 9 Essential Services

• Crisis mental health services• 24-hour help line• Activation of mobile crisis teams • Emergency crisis intervention services, and • Crisis stabilization

• Screening, assessment and diagnosis, including risk assessment

• Person and Family-centered treatment planning

• Direct provision of outpatient mental health and substance use disorder services

• Outpatient clinic primary care screening and monitoring of key health indicators and health risk

• Targeted case management

• Psychiatric rehabilitation services

• Peer support and counselor services and family supports

• Intensive, community-based mental health care for members of the armed forces and veterans, particularly those in rural areas

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WC CARE CARD Info Name PhotoDate of BirthUnique IdentifierWC Coordination PhoneEmergency Contact Advance Directive

Brief Instructions for Use

Certification Criteria-Scope of ServicesUnder the established criteria, the following services must be provided by a CCBHC or partnering agency:

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Must be provided directly by the CCBHC May be provided by CCBHC or Designated Collaborating Organization

• Crisis mental health services (24-hour mobile crisis teams, emergency crisis intervention services, crisis stabilization) 3 hour community response

• Screening, assessment, and diagnosis

• Patient-centered treatment planning that includes risk assessment and crisis planning

• Outpatient mental health and substance use services

• Outpatient primary care clinic screening and key health indicators/health risk monitoring

• Care management

• Psychiatric rehabilitation services

• Peer support, counselor services, family supports

• Intensive, community-based mental health care for members of the armed forces and veterans

Westcare Planned Enhancements:• Dedicated Community Educator/Liaison

• Capacity Building Teams Aligned and Mentored by Senior Staff• Revenue Maximization Team Continuous Quality Improvement• Telehealth & Web-based Learning• Quality • Outreach & Engagement• Clinical Integrity

• Medical Professionals Team (Face to Face & Telemedicine)

• Become a Peer Agency

• Off site re-location of peers to meet individuals where they are

• Telehealth Expansion using improved equipment

• Enrollers onsite0

• Expanded access points for individuals in their own community to meet accessibility standards (More Front Doors and More Community Engagement)

• Child and Family Engagement Centers 12

Impact of CCBHC

• Improved access to coordinated and integrated care for all ages

• Special focus on care for those with Serious Mental Illness (SMI), Serious Emotional Disturbance (SED), and chronic Substance Use Disorders (SUD)

• Expansion of person-directed, family-centered, trauma-informed and recovery oriented care that integrates physical and behavioral health care to serve the “whole person”

• Expanded and improved data collection

• Long-lasting and beneficial effects beyond the realm of Medicaid enrollees

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CRISIS CALL LINE

EMS

ER

Mobile CrisisCASE

MANAGER

CICRISK

ASSESSMENTLaw

Enforcement

Hospital

Residential IOP

CRISIS

CTC

Walk in

CIC

CTC ACUTE SA/MH

URGENTCARE

Intermediate

Low

Current Westcare Residential Services14

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