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Crisis Residential Best Practices Toolkit

Crisis Residential Best Practices Toolkit. November 17, 2016. Welcome. Agenda Review Purpose Roll Call Project and Survey Responses Determine Contents of Best Practices Toolkit Review Project Plan and Timeline Adjourn. Why We’re Here.

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Crisis Residential Best Practices Toolkit

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  1. Crisis Residential Best Practices Toolkit November 17, 2016

  2. Welcome • Agenda • Review Purpose • Roll Call • Project and Survey Responses • Determine Contents of Best Practices Toolkit • Review Project Plan and Timeline • Adjourn

  3. Why We’re Here • Create a resource for Crisis Residential providers promoting best practices and shared experiences with operating crisis homes • Establish a community of providers for support, empathy, and encouragement • Advocacy for Crisis Residential Services Scope: Crisis Residential Services in the USA (and neighboring countries). These services go by many different names (Crisis Residential Unit, Crisis Stabilization Unit, Crisis Respite, etc.), but refer to a short-term, community-based, homelike setting with multi-day lengths of stay, often serving as a stepdown from, or alternative to, psychiatric hospitalization.

  4. Toolkit Participants • Access Services (IA) • Access: Supports for Living (NY) • American Association for Emergency Psychiatry • Arizona State Hospital (AZ) • Bert Nash Community Mental Health Center (KS) • Burke (TX) • Candeo (IA) • The Center for Health Care Services (TX) • The Center for Health Care Services (TX) • COMCARE of Sedwick County (KS) • Common Ground (MI) • Community Reach Center (CO) • Crisis Intervention & Recovery Center, Inc. (OH) • Crisis Response Center and Connections AZ (AZ) • Downtown Emergency Services Center (WA) • Dupage County Health Department (IL) • Easter Seals of Iowa (IA) • Firelands Counseling & Recovery Services (OH) • Frontier Health (TN) • Hegira Programs (MI) • Hope Network (MI) • Human Development Services of Westchester (NY) • Kitsap Mental Health Services (WA) • Maine Behavioral Healthcare (ME) • Mental Health Center of Denver (CO) • Mental Health Cooperative (TN) • MHMR Tarrant (TX) • Mosaic Community Services (MD) • Netcare Corporation (OH) • Network180 (MI) • New Alternatives (CA) • New River Valley Community Services (VA) • Pathways Behavioral Health (TN) • PEOPLe, Inc. (NY) • Polk County Health Services (IA) • Presbyterian Medical Services New Mexico (NM) • Region 4 MHS (MS) • Region 6 Life Help (MS) • RI International (AZ) • River Edge Behavioral Health Center (GA) • Riverbend Community Mental Health (NH) • Rosecrance Ware Center (IL) • START Programs (CA) • The Harris Center for Mental Health and IDD (TX) • The Progress Foundation (CA) • Turning Point (IA) • Universidad Latina de Costa Rica • Wisconsin Department of Health Services (WI)

  5. Group Make-up • 50 participants • 20 states +Costa Rica

  6. Group Make-up • Client owned homes (HCBS funded) • Observation Beds • Mobile Crisis and Inpatient Services as well • 16 bed withdrawal management • IDD/MH high acuity, challenging behaviors, autism

  7. CR Best Practices Toolkit: Topics

  8. CR Best Practices Toolkit: Topics • Additional Ideas: • Style of Treatment (Medical vs. Social model) • Payment methods and sustainability • Understanding suicide screening and managing non-suicidal self-injury; Intervention protocols • Vetting of programs

  9. Project Participation

  10. Project Plan: Structure • Conference Calls • 3rd Wednesday of the month beginning in December • Information Requests • Sent by the 1st Wednesday of each month • Submissions will be compiled and then reviewed during the conference call that month

  11. Project Plan & Timeline • Content Example • Home Environment (Dec. 2016) • Safety • Trauma-Informed • Mental, Spiritual, and Emotional Considerations • Milieu Structure • Approximately 15 topics • 1-2 topics/month = 9-12 months to complete • Projected Completion: December 2017 • Finished product will be an electronic document available publicly

  12. Project Plan: Contributors Meeting Facilitation: Travis Atkinson / Lyndsay McGarry Meeting Minutes: Mallory Tanis / Lyndsay McGarry Content Inquiries: Myranda Green / Charlene Cobb Monthly Conference Calls: 25 Content submission of policies/procedures/practices: 16 Review and editing of best practice drafts: 18 State policy or best practices research: 11

  13. Questions? • Questions about: • Content • Structure • Engagement • …anything?

  14. Next Steps Next Conference Call: Wednesday, December 14th @ 2pm EST/11am PST Group Listserv: CrisisResidentialNetwork@TBDSolutions.com Website: www.CrisisResidentialNetwork.com Questions: TravisA@TBDSolutions.com

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