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Crisis Continuum: Prevention to Intervention

Crisis Continuum: Prevention to Intervention. NAMI North Carolina 2008 Annual Conference. Service Definitions approved by CMS 2006 New services start March 2006 Focus on Person Centered Planning Recovery model of care. Recovery Model of Care.

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Crisis Continuum: Prevention to Intervention

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  1. Crisis Continuum: Prevention to Intervention NAMI North Carolina 2008 Annual Conference

  2. Service Definitions approved by CMS 2006 • New services start March 2006 • Focus on Person Centered Planning • Recovery model of care

  3. Recovery Model of Care • Long term commitment, not a short term intervention • Engage consumers- Person Centered Planning- individualized and dynamic • Consumer Empowerment and Responsibility • Measure outcomes

  4. Prevention • Crisis Plan • Anticipate a crisis • Natural/Community Supports • First Responder

  5. Crisis Services • Mobile Crisis Teams- grant funded 9 teams since 2005; additional funding $5.7 million to expand to 30 teams state wide • Walk-In Clinics and Immediate Aftercare- funding for 30 psychiatry positions, supports, and telepsychiatry connections; $6.1 million located throughout the state

  6. Crisis Services • START Model for DD crisis services- $1.8 million for six teams state wide • Increase ADATC capacity for detox treatment in all ADATC facilities • Facility Based Crisis Programs • 23-hour Crisis units

  7. Crisis Services • Support New Community Hospital Inpatient capacity- $8.1 million • Plan increase of 75 beds in community settings • State Facilities- add additional 107 positions to enhance staffing- $7.2 million

  8. Telepsychiatry • Expand the available workforce • Medicaid Policy and Procedures per PAG • Guidelines developed by workgroup • Billing codes and rates on website • Developing listserv for support to providers interested in telepsychiatry and Q/A • All above located on website: • State contract with ECU for TA support to providers

  9. Integrated Care • Integration of Behavioral Health and Primary Care- iCareNC.org • Co-location models of care- 40 • Reverse co-locations models- 4 • Efforts to demonstrate improved quality of care and cost savings to support inclusion in medicaid payment

  10. Veteran’s Initiative • Govenor’s Taskforce on Returning Veterans Harold Kudler,MD- VA Michael Lancaster, MD- DMH • 800 returning vets/month in NC; 51% Guard and Reserve • 40% with MH conditions • Training at 9 sites on PTSD/Depression completed • Training on TBI to begin in Fall

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