Mobile Crisis Teams

Reporting

Settlement Agreement Provision

ii. Mobile crisis teams

A.   Mobile crisis team members adequately trained to address the crisis shall respond to individuals at their homes and in other community settings and offer timely assessment, services, support, and treatment to de-escalate crises without removing individuals from their current placement whenever possible.

B.   Mobile crisis teams shall assist with crisis planning and identifying strategies for preventing future crises and may also provide enhanced short-term capacity within an individual’s home or other community setting.

C.   Mobile crisis team members adequately trained to address the crisis also shall work with law enforcement personnel to respond if an individual with ID/DD comes into contact with law enforcement.

D.   Mobile crisis teams shall be available 24 hours per day, 7 days per week and to respond on-site to crises.


Reports

Compliance Indicators

Compliance Indicators III.C.6.b.iii.B, III.C.6.b.iii.D, III.C.6.b.iii.G.

III.C.6.b.iii.B

CRISIS STABILIZATION:

The Commonwealth will establish and have in operation by June 30, 2019 two Crisis Therapeutic Home (CTH) facilities for children and will provide training to those supporting the child to assist the child in returning to their placement as soon as possible.

DBHDS will utilize waiver capacity set aside for emergencies each year to meet the needs of individuals with long term stays in psychiatric hospitals or CTHs.

DBHDS will increase the number of residential providers with the capacity and competencies to support people with co-occurring conditions using a person-centered/trauma-informed/positive behavioral practices approach to 1) prevent crises and hospitalizations, 2) to provide a permanent home to individuals discharged from CTHs and psychiatric hospitals. 

86% of individuals with a DD waiver and known to the REACH system who are admitted to CTH facilities and psychiatric hospitals will have a community residence identified within 30 days of admission.

III.C.6.b.iii.D

86% of individuals with a DD waiver and known to the REACH system admitted to CTH facilities will have a community residence identified within 30 days of admission. This indicator is also in III.C.6.b.iii.B.

III.C.6.b.iii.G

The Commonwealth will establish and have in operation by June 30, 2019 two Crisis Therapeutic Home (CTH) facilities for children. This indicator is also in III.C.6.b.iii.B.

To address the CTH stays of adults beyond 60 days, DBHDS will establish and operate two transition homes by June 30, 2019.

The Commonwealth will implement out-of-home crisis therapeutic prevention host-home like services for children connected to the REACH system who are experiencing a behavioral or mental health crisis and would benefit from this service through statewide access in order to prevent institutionalization of children due to behavioral or mental health crises.

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