CCS Mental Health Services

Transcription

1 CCS Mental Health Services Catholic Community Services Family Preservation Nolita Reynolds, MA, LMHC, CMHS Clinical Director, Pierce County

2 Mental Health Services Overview FAST MH Referred by RSN (Optum) Any insurance Up to: 90 days length of service (LOS) Average: 50 referrals, 20 new/month WISe Families & Community partners can selfrefer Peers! (Parent & Youth Partners) Must be Pierce County Medicaid Average: LOS,14 months 10 new/month CRISIS TEAM Referrals: Community, Hospitals, Families, Schools Approximate LOS:72 hours Average referrals/month

3 Youth CRISIS SERVICES Population served: youth under 18 years Youth referred via the Pierce County Crisis line (Proto-Call) Clinician s provide a face to face evaluation to the community, school, ER s, or family home within 2 hours. Clinician s partner with the family and ER staff to develop a strategies to SAFELY bring crisis resolution. Written Safety Plan may include family/community supports, lock boxes & alarms, CCS staff in the home, etc. Referral for additional intensive services Psychiatric services (as needed!) Interventions can run from 1 hour to around 72 hours. Pierce County Crisis Line

4 FAST Pierce County Youth up to age 21. Rapid & intensive response to youth/families in immediate need. Alternative to hospitalization - meeting criteria for hospitalization (current harm to self, others) Up to 90 days for crisis stabilization and transition Other critical issues related to safety and key life areas Connect families to ongoing community support & increased family connection.

5 FAST Target population/criteria - youth residing in Pierce County presenting in crisis The functioning of the child or family are severely impacted due to: Family conflict Severe emotional behavioral problems Child safety/protection issues Placement disruption or abandonment Discharge from a facility/institution w/o a living arrangement

6 FAST Components: Six hour response time (maximum) 24/7 availability Placement prevention Peer Supports key component (Parent & Youth Partners) Immediate relative /natural support search Comprehensive & Ongoing family strengths and needs assessment Concurrent planning with involved and necessary others (relatives, neighbors, friends, school, caseworkers, GALS, probation/parole, community therapists and physicians.

7 What Does It Look Like From First Response to Hospital Diversion Staffing: CCS Team FAST Clinicians Peer Support, Parent & Youth Partners Behavior Support & Family Support Specialists, Psychiatrists and ARNP s Crisis Respite available through Licensed Treatment Foster Homes Supervision

8 Mobile Crisis and FAST After listening, discuss options Educate family re hospital admission Discuss alternatives Suggest some potential strategies for safety (describe services) Reach agreement with family Communicate with ED staff (safety strategies) Reach agreement with family and ED

9 What Does It Look Like Begin initial safety planning (prior to leaving ED if applicable) Home safety assessment; identify safety improvements needed (lockboxes, home sweep, overnight, CCS staff) Finalize Safety Plan at home: all safety plans developed with youth/family! Effective safety plans assist and reassure communities and schools so they can support children and families in less restrictive ways. Safety plans must be communicated to family members, team members, agency professionals, supervisors and for those with a history of crises -- hospital ER s and police as needed. Safety plans can provide a sense of confidence for the youth and family while providing tools and strategies Effective Safety Plans are individualized, and include both proactive and reactive strategies (bring in his dog, let her walk outside with music, give her a camera and take her outside, etc.)

10 *** SAFER *** Safety Assessment Suicidal ideation, Suicidal behavior -- Ask Do you feel like hurting yourself? Is there a Plan? Timeframe? Access to means pills, sharp objects, ropes/ties, heights Firearms access to guns (use lockbox and remove from home) Ever tried before? (assess history) Risk/Rescue high risk, low rescue or low risk high rescue? *** FACED WITH GUILT *** (See RED card)!!! SUPERVISION is essential and critical to ensuring safety!!!

11 What helps us be successful? An agency that is FLEXIBLE, supportive, prepared to do whatever it takes Recruit Adventurous Staff Staff are responsive to families in crisis; available to families in need Leadership that is just as responsive and available to staff and families Flexibility, Creativity, Openness What would it take? What if.? A team approach, We re in this together Solution-focused thinking and attitude Strengths based problem solving is encouraged and rewarded Community: outreach, collaboration, partnership with other agencies

12 WISe (WRAPAROUND) Consumer driven community based alternative to hospitalization Team based process driven by youth and family voice Ongoing assessment, planning, action, and evaluation with team. This wraparound goes beyond facilitation with a complement of intensive, flexible, and responsive services that happen in home and community settings: 24/7, natural & community supports.

13 Other Services: PCJC Pierce County Juvenile Court Brief Mental health assessment Transition from detention to the community Resources & Referral CLIP Long Term Inpatient Transition and Diversion PEER Bridger Peer driven short-term inpatient transition Health Home Services care coordination for complex medical issues

14 Questions?? For more information: Nolita Reynolds, MA, LMHC, MHP, CMHS Clinical Director, Pierce County Family Preservation Northend, Tacoma Office Catholic Community Services (main) (cell) Tiffany Radonich, MA, MHP, CMHS, DD (MH Spec.) Clinical Manager, Pierce County Family Preservation Northend, Tacoma Office Catholic Community Services (main) (cell)