Crisis stabilization means direct, intensive intervention to individuals who are experiencing serious psychiatric or behavioral problems, or both, that jeopardize their current community living situation. This service shall include temporary intensive servicesv and supports that avert emergency psychiatric hospitalization or institutional placement or out-of-home placement. This service shall be designed to stabilize recipients and strengthen the current living situations so that individuals can be maintained in the community during and beyond the crisis period. Crisis Stabilization services are direct mental health care to non-hospitalized individuals (of all ages) experiencing an acute crisis of a psychiatric nature that may jeopardize their current community living situation or which puts them at risk of psychiatric hospitalization.
. The goals are:
• To avert hospitalization or re-hospitalization;
• To provide normative environments with a high assurance of safety and security for crisis intervention;
• To stabilize individuals in psychiatric crisis; and
• To mobilize the resources of the community support system, family members, and others for ongoing maintenance, and rehabilitation. To qualify for this service, individuals must demonstrate a clinical necessity for the service arising from a condition due to an acute crisis of a psychiatric nature that puts the individual at risk of psychiatric hospitalization. Individuals must meet at least two of the following criteria at the time of admission to the service:
1.Experiencing difficulty in maintaining normal interpersonal relationships to such a degree that they are at risk of hospitalization or homelessness or isolation from social supports.
2.Experiencing difficulty in activities of daily living (ADLs) such as maintaining personal hygiene, preparing food, and maintaining adequate nutrition, or managing finances to such a degree that health or safety is jeopardized.
3.Exhibiting such inappropriate behavior that immediate interventions by mental health, social services, or the judicial system are necessary.
4.Exhibiting difficulty in cognitive ability (e.g., the individual is unable to recognize personal danger or recognize significantly inappropriate social behavior).
NPYS will have 24/7 capability to respond to referrals and complete a screening within a 2-hour time frame of taking the referral call. A designated NPYS staff member will complete the client screening asking the client or the referral source questions about the client current condition. Upon the screening being completed, a Clinician (Licensed Mental Health Professional) will be dispatched to assess the client at their location; additionally, a Psychiatrist will be contacted as well to ensure coordinated care for the client. All assessments must be completed must be completed by a licensed level professional (LMHP or LMHP-E). The initial face to face assessment will be performed by an LMHP or LMHP-E in the individual’s home. The LMHP or LMHP-E will work with each client and his/her family members to develop and implement a complete plan for stabilization, recovery, and ongoing support. Psychiatric services will be performed within 72 hours (medication reviews/adjustment, ensure acuity levels are within acceptable limits for community safety) by either psychiatrist that is a NPYS staff member or contracted with the agency to perform services. Treatment plans (Individualized Service Plans) will be updated based upon each client’s progress and treatment needs. Our services are in place to assist individuals in maintaining their optimal level of functioning. Additionally, we will utilize interventions, techniques, and modalities to aid individuals in alleviating symptoms that impede their growth; and to provide efficient and quality services at the best level of care. Specific services offered are:
Consumers will receive in-depth education regarding supports
Review and update of the treatment/recovery and discharge plan with the individual, other approved family/supports, and the Case Manager every 90 days or more often as needed
Provide service coordination and case management activities, including coordination or assistance in accessing medical, psychiatric, psychopharmacological, psychological, social, education, housing, transportation, or other appropriate treatment/support services as well as linkage to other community services identified in the treatment/rehabilitation/recovery plan
Develop and implement strategies to ensure the individual becomes engaged and remains engaged in other necessary treatment services as recommended and included in the treatment/rehabilitation/recovery plan
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Provide therapeutic support and intervention to the individual in time of crisis and work with the individual to develop a crisis relapse prevention plan
The service provider must notify or document the attempts to notify the primary care provider of the member’s receipt of community mental health rehabilitative services.
An Individual Service Plan (ISP) must be developed or revised within 10 business days of the approved service-specific provider assessment or reassessment.
Contract Services
NPYS has contracted with a psychiatric outpatient agency to be available to see clients who come into NPYSs care within a streamlined timeframe to ensure quality of care to each individual that we service.
Admissions Criteria
Individuals qualifying for this service must demonstrate a clinical necessity for the service arising from an acute crisis of a psychiatric nature that puts the individual at risk of psychiatric hospitalization.
Individuals must meet at least two of the following criteria at the time of admission to the service:
Experience difficulty in establishing or maintaining normal interpersonal relationships to such a degree that the individual is at risk of psychiatric hospitalization, homelessness, or isolation from social supports;
Experience difficulty in activities of daily living such as maintaining personal hygiene, preparing food, and maintaining adequate nutrition, or managing finances to such a degree that health or safety is jeopardized;
Exhibit such inappropriate behavior that immediate interventions by the mental health, social services, or judicial system are necessary; or
Exhibit difficulty in cognitive ability such that they are unable to recognize personal danger or significantly inappropriate social behavior.
If an individual has co-occurring mental health and substance use disorders, integrated treatment for both is allowed as long as the treatment for the substance abuse condition is intended to positively impact the mental health condition. The impact of the substance abuse condition on the mental health condition must be clearly documented in the assessment, treatment plan and progress notes.
Prior to treatment there must be a service-specific provider assessment which clearly documents the need for service and the anticipated duration of need.
The service-specific provider assessment must be completed by a Licensed Mental Health Provider (LMHP), LMHP Supervisee or Resident, a certified pre-screener, or a QMHP-A, QMHP-C, or QMHP-E.
If the service-specific provider assessment is done by anyone other than an LMHP, an LMHP must review and approve the assessment within 72 hours.
. The goals are:
• To avert hospitalization or re-hospitalization;
• To provide normative environments with a high assurance of safety and security for crisis intervention;
• To stabilize individuals in psychiatric crisis; and
• To mobilize the resources of the community support system, family members, and others for ongoing maintenance, and rehabilitation. To qualify for this service, individuals must demonstrate a clinical necessity for the service arising from a condition due to an acute crisis of a psychiatric nature that puts the individual at risk of psychiatric hospitalization. Individuals must meet at least two of the following criteria at the time of admission to the service:
1.Experiencing difficulty in maintaining normal interpersonal relationships to such a degree that they are at risk of hospitalization or homelessness or isolation from social supports.
2.Experiencing difficulty in activities of daily living (ADLs) such as maintaining personal hygiene, preparing food, and maintaining adequate nutrition, or managing finances to such a degree that health or safety is jeopardized.
3.Exhibiting such inappropriate behavior that immediate interventions by mental health, social services, or the judicial system are necessary.
4.Exhibiting difficulty in cognitive ability (e.g., the individual is unable to recognize personal danger or recognize significantly inappropriate social behavior).
NPYS will have 24/7 capability to respond to referrals and complete a screening within a 2-hour time frame of taking the referral call. A designated NPYS staff member will complete the client screening asking the client or the referral source questions about the client current condition. Upon the screening being completed, a Clinician (Licensed Mental Health Professional) will be dispatched to assess the client at their location; additionally, a Psychiatrist will be contacted as well to ensure coordinated care for the client. All assessments must be completed must be completed by a licensed level professional (LMHP or LMHP-E). The initial face to face assessment will be performed by an LMHP or LMHP-E in the individual’s home. The LMHP or LMHP-E will work with each client and his/her family members to develop and implement a complete plan for stabilization, recovery, and ongoing support. Psychiatric services will be performed within 72 hours (medication reviews/adjustment, ensure acuity levels are within acceptable limits for community safety) by either psychiatrist that is a NPYS staff member or contracted with the agency to perform services. Treatment plans (Individualized Service Plans) will be updated based upon each client’s progress and treatment needs. Our services are in place to assist individuals in maintaining their optimal level of functioning. Additionally, we will utilize interventions, techniques, and modalities to aid individuals in alleviating symptoms that impede their growth; and to provide efficient and quality services at the best level of care. Specific services offered are:
Consumers will receive in-depth education regarding supports
Review and update of the treatment/recovery and discharge plan with the individual, other approved family/supports, and the Case Manager every 90 days or more often as needed
Provide service coordination and case management activities, including coordination or assistance in accessing medical, psychiatric, psychopharmacological, psychological, social, education, housing, transportation, or other appropriate treatment/support services as well as linkage to other community services identified in the treatment/rehabilitation/recovery plan
Develop and implement strategies to ensure the individual becomes engaged and remains engaged in other necessary treatment services as recommended and included in the treatment/rehabilitation/recovery plan
31
Provide therapeutic support and intervention to the individual in time of crisis and work with the individual to develop a crisis relapse prevention plan
The service provider must notify or document the attempts to notify the primary care provider of the member’s receipt of community mental health rehabilitative services.
An Individual Service Plan (ISP) must be developed or revised within 10 business days of the approved service-specific provider assessment or reassessment.
Contract Services
NPYS has contracted with a psychiatric outpatient agency to be available to see clients who come into NPYSs care within a streamlined timeframe to ensure quality of care to each individual that we service.
Admissions Criteria
Individuals qualifying for this service must demonstrate a clinical necessity for the service arising from an acute crisis of a psychiatric nature that puts the individual at risk of psychiatric hospitalization.
Individuals must meet at least two of the following criteria at the time of admission to the service:
Experience difficulty in establishing or maintaining normal interpersonal relationships to such a degree that the individual is at risk of psychiatric hospitalization, homelessness, or isolation from social supports;
Experience difficulty in activities of daily living such as maintaining personal hygiene, preparing food, and maintaining adequate nutrition, or managing finances to such a degree that health or safety is jeopardized;
Exhibit such inappropriate behavior that immediate interventions by the mental health, social services, or judicial system are necessary; or
Exhibit difficulty in cognitive ability such that they are unable to recognize personal danger or significantly inappropriate social behavior.
If an individual has co-occurring mental health and substance use disorders, integrated treatment for both is allowed as long as the treatment for the substance abuse condition is intended to positively impact the mental health condition. The impact of the substance abuse condition on the mental health condition must be clearly documented in the assessment, treatment plan and progress notes.
Prior to treatment there must be a service-specific provider assessment which clearly documents the need for service and the anticipated duration of need.
The service-specific provider assessment must be completed by a Licensed Mental Health Provider (LMHP), LMHP Supervisee or Resident, a certified pre-screener, or a QMHP-A, QMHP-C, or QMHP-E.
If the service-specific provider assessment is done by anyone other than an LMHP, an LMHP must review and approve the assessment within 72 hours.
