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Access Task Force Report

Access Task Force Report. Presentation to House Health, Welfare and Institutions General Assembly Building September 6, 2007. What the system looks like now. TRIAGE Crisis response/Resolution & Referral. JAIL. Crisis Stabilization & Referral. Non-emergency & clinical support services.

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Access Task Force Report

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  1. Access Task Force Report Presentation to House Health, Welfare and Institutions General Assembly Building September 6, 2007

  2. What the system looks like now... TRIAGE Crisis response/Resolution & Referral JAIL Crisis Stabilization & Referral Non-emergency & clinical support services Report to HWI – September 2007

  3. What it should look like Emergency Psychiatric Services Center Anytown, Virginia Inpatient/ State Facility Report to HWI – September 2007

  4. Background • Inability to access community based, private and public mental health services • Large volume of Temporary Detention Order (TDO) hearings • Unnecessary arrest and incarceration of individuals affected by psychiatric illness • Inappropriate use of hospital emergency rooms • Untreated individuals in distress or at risk Report to HWI – September 2007

  5. Four Decades of Study… Previous Commissions have studied and recommended changes for the Commonwealth’s Mental Health System

  6. Consensus Recommendations from MHMRSAS Legislative Studies (1949-2000)

  7. Solutions will be found in … Resources Law Reform Service Capacity Report to HWI – September 2007

  8. The Three Legged Stool • Law Reform • the statutory framework for delivering mental health services • State and local policies governing care provided by public and private agencies and providers • Service Capacity • the continuing need for private and public community- based services accessible by all Virginians • Resources • funding (SGF, local funds, Medicaid/Medicare and other insurance, SSDI, Auxiliary Grant support, etc.) Report to HWI – September 2007

  9. Conceptual Model • Capacity Components necessary to improve access to other private and public community based services Early Intervention and Treatment services Crisis Response Services Intensive Support Services Report to HWI – September 2007

  10. Capacity Components Early Intervention and Treatment services (Crisis Avoidance) • Outpatient Counseling • Outpatient Psychiatry • Open referral to one#for all services • Education • Advance Directives • In-home or community respite • Linkages with other agencies Report to HWI – September 2007

  11. Capacity Components Crisis Response Services • Crisis Intervention • Crisis Stabilization • Inpatient Acute Care • Urgent care • Crisis Intervention Teams (CIT) • Non criminal justice transportation • Peer and natural supports Report to HWI – September 2007

  12. EMERGENCY MENTAL HEALTH CONTINUUM CRISIS, ACCESS & RECOVERY INTERVENTION STABILIZATION REFERRAL ASSESSMENT ARRAY OF COMMUNITY RELEVANT SERVICES AND CENTERS DISPOSITION COMPETENT SYSTEM: ATTITUDE KNOWLEDGE SKILL Report to HWI – September 2007

  13. Capacity Components • Case Management • Psychiatry/Medication and treatment • Intensive Outpatient • In Home Crisis Management • Aggressive Engagement Services (PACT/ICT/ICM) • Day Treatment/Psychosocial Intensive Support Services Report to HWI – September 2007

  14. Capacity Components • Job Training and placement • Aggressive linkage with SUD services • Intensive Home Based services (MH supports) • Housing supports • Peer Support services Intensive Support Services (cont.) Report to HWI – September 2007

  15. Proposed Mandated Services – All Both Adult Report to HWI – September 2007

  16. Va. Code Ann. § 37.2-500 • Purpose; community services board; services to be provided • The core of services provided by community services boards within the cities and counties that they serve shall include emergency servicesand,subject to the availability of funds appropriated for them, case management services. The core of services may include… Report to HWI – September 2007

  17. Proposed Revisions • Purpose; community services board; services to be provided • The core of services provided by community services boards within the cities and counties that they serve shall include emergency, crisis stabilization, case management, outpatient, respite, in-home, residential and housing supportservices. The core of services may include a comprehensive system of inpatient, prevention, early intervention, and other appropriate mental health, mental retardation, and substance abuse services necessary to provide individualized services and supports to persons with mental illnesses, mental retardation, or substance abuse. Report to HWI – September 2007

  18. Policy and Resource Issues • Health care insurance • Private and public • Benefits and reimbursement parity • Medicaid Eligibility • 80% of FPL versus 100% of FPL • Role of DMHMRSAS • Facilities versus communities Report to HWI – September 2007

  19. Action Plan Report to HWI – September 2007

  20. Action Plan (cont.) Report to HWI – September 2007

  21. Action Plan (cont.) Report to HWI – September 2007

  22. Questions ? Contact Info: Charles A. Hall, Executive Director Hampton-Newport CSB chall@hnncsb.org Phone: (757) 245-0217

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