Mercy Maricopa Integrated Care

Transcription

1 Mercy Integrated Care Community Stabilization Matrix 05/08/2015

2 Community Stabilization Matrix Index of Services Provided Service Provided Provider Page where found Access Point Community Bridges, INC. (CBI) 9 Child Crisis Hospital Team Jewish Family & Children s Services (JFCS) 6 Crisis Hotline EMPACT 5 Crisis Follow-up calls Crisis response Network (CRN) 1 Crisis to Wellness CRN 3 Crisis Transition Navigator EMPACT 4 Connect to Care CRN 2 Department of Child Services (DCS) Stabilization CRN, EMPACT 2, 5 H3 Navigators (Homelessness) CBI 7 H3 Veterans Navigator CBI 9 Military Crisis transition Navigator EMPACT 4 Mobile teams CRN, EMPACT, CBI 1, 4, 6 MOS Navigators CBI 7 Nurseline CRN 3 Persistently Acutely Disabled (PAD) Screening EMAPCT 5 MMIC Supportive Housing Navigators CBI 7 TIP Veteran Navigator CBI 9

3 Community Stabilization Matrix Index of Services Provided Service Provided Provider Page Where Found Transition Point CBI 8 Veteran Liaison CBI 9 Warmline CRN 3

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5 Crisis Response Network, Inc. Community Stabilization Matrix Service Provided Brief Service Description Location/Area Served Contact Information Population Served/Eligibility Requirements Capacity Website Crisis follow up calls Mobile Teams Follow up call is completed within 24 hours of initial crisis in order to provide support or connect to community resources. CRN dispatches mobile teams based on triage/risk assessment and caller/stakeholder need. CRN manages transmission of clinical and risk information to and from mobile teams; CRN captures data and generates reports used by MMIC, mobile teams and stakeholders with intended outcome of improving crisis service provision. And Pinal with zip codes of 85120, 85140, and And Pinal with zip codes of 85120, 85140, and T19/NT19 SMI, GMHSA, and Children T19/NT19 SMI, GMHSA, and Children 4 million 4 million Page 1

6 DCS Stabilization CRN acts as referral point for DCS requests. CRN manages transmission of clinical and risk information to and from mobile teams; CRN captures data and generates reports used by MMIC, DCS, mobile teams and stakeholders with intended outcome of improving crisis service provision T19/NT19 Children Varies Connect to Care CRN acts as referral point for Connect to Care requests. CRN manages transmission of clinical and risk information to and from mobile teams; CRN captures data and generates reports used by MMIC, mobile teams and stakeholders with intended outcome of improving crisis service provision. Hospitals with whom the Connect to Care program has contracts T19/NT19 Adults Varies Page 2

7 Nurseline Crisis to Wellness Warmline CRN staffs LPN s available 24/7/365 for medical and health and wellness concerns. CRN completes outbound calls to recipient and clinical team, participates in staffings, and captures data/generates reports. Intended outcome is to reduce frequent utilization of the crisis services, connect recipients to services and community/natural supports and improve overall wellness. Duration of services is no more than 60 days. Recipients can repeat the program. CRN provides telephone support by certified peer support specialists with intended outcome of promoting recovery. Duration of services is 8-12 hours 365 days per year. And Pinal with zip codes of 85120, 85140, and Hospitals with whom the Connect to Care program has contracts And Pinal with zip codes of 85120, 85140, and T19/NT19 SMI Adults Varies T19/NT19 Adults (SMI & GMHSA) T19/NT19 Adults (SMI & GMHSA) Varies Varies Page 3

8 EMPACT Community Stabilization Matrix Service Provided Brief Service Description Location/ Area Served Mobile Crisis Team Crisis Transition Navigator Community based Crisis Intervention Services Crisis Transition Navigation for: AHCCCS Enrollment, Behavioral Health Services including Psychiatric, Housing, Employment, Substance Abuse Treatment, Transportation, LGBTQ resources La Frontera EMPACT-SPC 618 S. Madison Dr. Tempe, AZ W Olive Ave Ste 194 Glendale, AZ Contact Information (EMPACT Crisis Line) Crisis Line Referrals: Crisis Hotline: Navigator Services: Patrick Scullion, Crisis Transition Navigator patrick.scullion@lafronteraempact. Phone: Fax: Population Served/ Eligibility Requirement s T19/NT19 SMI, GMHSA, Kids T19/NT19 SMI, GMHSA Capacity 24/7 Availabil ity; 11 Teams 7 Days a week; 9 a.m.-7 p.m. Website Military Crisis Transition Navigator Veteran housing, Veteran Benefit connections and VA System: AHCCCS Enrollment, Behavioral Health Services including Psychiatric, Housing, Employment, Substance Abuse Treatment, Transportation, LGBTQ resources Navigation Statewide Rally Point Crisis Line: rally4u (24/7) Referrals: La Frontera EMPACT-SPC 618 S. Madison Dr. Tempe, AZ Crisis Hotline: Navigator Services: Patrick Scullion, Crisis Transition Navigator patrick.scullion@lafronteraempact. P: Fax: T19/NT19 SMI, GMHSA 4 Days a week 9 a.m.- 7 p.m. taz. Page 4

9 DCS Stabilization Crisis Intervention and Stabilization for children in the DCS system La Frontera EMPACT-SPC 618 S. Madison Dr. Tempe, AZ La Frontera EMPACT- SPC Cira Villa, DCS Stabilization Coordinator (480) Title 19; XXI 7 days a week; 9 a.m. 7 p.m. Rapid Response Persistently and Acutely Disabled Screening (PAD) Priority clinical Interventions for children in DCS Custody Screening process prompted by applications completed for Non-Emergent Petitions 4425 W Olive Ave Ste 194 Glendale, AZ La Frontera EMPACT-SPC 618 S. Madison Dr. Tempe, AZ W Olive Ave Ste 194 Glendale, AZ La Frontera EMPACT-SPC 618 S. Madison Dr. Tempe, AZ La Frontera EMPACT- SPC Coreen Talbot-Rapid Response Coordinator (480) La Frontera EMPACT-SPC All children in DCS Custody regardless of status or eligibility All community members within 7 days a week; 9 a.m. 7 p.m 5 days a week; 9 a.m. 7 p.m. Crisis Hotline Community Crisis Line providing phone intervention and connection to resource for Mobile Dispatch 4425 W Olive Ave Ste 194 Glendale, AZ La Frontera EMPACT-SPC 618 S. Madison Dr. Tempe, AZ La Frontera EMPACT-SPC Statewide primary on Resources 24/7/ Page 5

10 Jewish Family & Children s Service (JFCS) Community Stabilization Matrix Service Provided Brief Service Description Location/ Area Served Contact Information Population Served/Eligibility Requirements Capacity Website Child Crisis Hospital Team >Addresses children, youth & their families who appear in local ERs w/bh issues but don t meet inpatient care criteria. >Provides in-home support & crisis stabilization services to assist children & adolescents to remain at home. - GSA6 Phone: Fax: Contact: Patti Ritchie, Director or--- Patti.Ritchie@jfcsaz. T19 Children Varies Page 6

11 Service Provided Brief Service Description Location/Ar ea Served Community Bridges Inc. Community Stabilization Matrix Contact Information Population Served/Eligibility Requirements Capacity Website Mobile Crisis Team H3 Navigators (City focus) Community outreach to homeless individuals, supportive services for chronically homeless. Independent living skills education, linkages to MH/SA services. Metro Phoenix Area Chandler, Mesa T19/NT19 SMI, GMHSA, Kids Homeless, GMH, SMI Varies Varies MOS Navigators MMIC Supportive Housing Navigators Outreach, ongoing support in rapid rehousing, linkages to mainstream benefits, pcp assignment, employment, independent living skills education educational resources, linkages to SA/MH, develop community support networks Assistance with independent living skills education, linkages to community supports, peer supports, staffing with clinical teams members. MOS Adult males residing in MOS, GMH, T-19, N- T19 Phoenix metro area Adults, SMI, T-19, N-T19 Varies Page 7

12 Transition Point 3-5 day service offering stabilization, brief intervention and transition services. Transition Point Facility is always open - seven days per week, 24 hours per day. At a minimum, TP is staffed with a Behavioral Health Technician (BHT) or Licensed Practical Nurse (LPN) and a Peer Support Specialist. Additionally during the day is staffed with a Transition coordinator to assist in coordination of care and discharge planning. Group treatment is facilitated daily by the Peer Support Specialist, Transition coordinator, RN and Behavioral health Clinicians from our Access Points. Individual therapy is available as the need is identified. East Valley, Avondale All 16 beds at each site Page 8

13 Access Point H3 Veteran Navigator Crisis Transition Navigators Veteran Liaison TIP Veteran Navigator These facilities operate as 24/7/365 outpatient programs which provide drop-in appointments for the general public, police, fire, hospital emergency rooms, urgent psychiatric centers, behavioral health providers and other medical professionals to assist individuals who are in need of psychiatric or substance use services not requiring the care of a Level I Sub-Acute. Housing support services, outreach, wrap around support, connection to VA, Peer Support Navigation, community outreach and linkages to community based supports Provides community outreach and education on CBI Veteran programs. Serves as a nexus for CBI Veteran specific programs Assistance with housing, support services, linkages to community based resources, East Valley, Avondale Phoenix metro All East valley: 36 beds Avondale : 26 beds Veterans: Nonconnected SMI members, T-19, N-T Adults, Nonconnected SMI members, T-19, N-T Veterans and Veteran Providers Veterans OEF/OIF Varies N/A 1:15 Page 9

14 Terros Community Stabilization Matrix Service Provided Brief Service Description Location/ Area Served Contact Information Population Served/Eligibility Requirements Availability Website Mobile Crisis Team Connect 2 Care Mobile behavioral health crisis intervention services Hospital Rapid Response and Community Connection Services GSA 6 ( and a small part of Pinal ) GSA 6 ( and a small part of Pinal ) (CRN Dispatch). Services are provided 24/7 Administrative Contact at Terros is Kim Jones (602) (CRN Dispatch). Services are provided 24/7 Administrative Contact at Terros is Patti Davis (602) All persons in a behavioral health crisis T19/NT19 SMI, GMHSA, Kids, Patients with Private Insurance, Patients Within Contracted Hospitals 11 mobile teams are up per day. Each team operates for 10 hours. Teams are predictively scheduled to meet community needs Clinicians are scheduled to correspond to average community needs vices/servicesoffered/crisis vices/servicesoffered/crisis

15 DCS Stabilization Supportive Services for children in out of home placements by DCS. Services provider for up to 90 days GSA 6 ( and a small part of Pinal ) (CRN Dispatch). Services are provided 24/7 Administrative Contact at Terros is Kim Sacra (602) Children who have been placed in an out of home placement as referred by DCS Staffing patterns to correlate to community need. No one is turned away vices/servicesoffered/crisis Special Assistance Team (D1) Crisis Transition Navigators (CTN) Mobile behavioral health crisis intervention services specific to children and adults with a Developmen tal Disability 14 day connective services for people who have recently been in a behavioral health crisis GSA 6 ( and a small part of Pinal ) GSA 6 ( and a small part of Pinal ) (CRN Dispatch). Services are provided 24/7 Administrative Contact at Terros is Adnan Alasadi (602) Administrative Contact at Terros is Steve Coty (602) All persons with a developmental disability who are currently in a behavioral health crisis All adults with a recently resolved behavioral health crisis requiring a mobile team or evaluation in a designated facility (UPC, CRU, RRC) One Mobile Team per day between the hours of 11:00 am 9:00 p.m., seven days a week 5 full time navigators. vices/servicesoffered/crisis vices/servicesoffered/crisis

16 Crisis Prevention and Support Team (D2) Mobile crisis prevention program. Focus in on skill development and enhancemen t over the course of days or weeks to decrease the likelihood of a significant behavioral health crisis GSA 6 ( and a small part of Pinal Referral process is through website at /assets/files/d2_refer ral_form.pdf Administrative Contact at Terros is Adnan Alasadi (602) All persons with a developmental disability who are at risk to have a behavioral health crisis 8 Full-time Staff operating 7 days per week sets/files/d2_referral_for m.pdf