Crisis Continuum: Prevention to Intervention

1
Crisis Continuum Prevention to Intervention

• NAMI North Carolina
• 2008 Annual Conference

2

• Service Definitions approved by CMS 2006
• New services start March 2006
• Focus on Person Centered Planning
• Recovery model of care

3
Recovery Model of Care

• Long term commitment, not a short term
  intervention
• Engage consumers- Person Centered Planning-
  individualized and dynamic
• Consumer Empowerment and Responsibility
• Measure outcomes

4
Prevention

• Crisis Plan
• Anticipate a crisis
• Natural/Community Supports
• First Responder

5
Crisis Services

• Mobile Crisis Teams- grant funded 9 teams since
  2005 additional funding 5.7 million to expand
  to 30 teams state wide
• Walk-In Clinics and Immediate Aftercare- funding
  for 30 psychiatry positions, supports, and
  telepsychiatry connections 6.1 million located
  throughout the state

6
Crisis Services

• START Model for DD crisis services- 1.8 million
  for six teams state wide
• Increase ADATC capacity for detox treatment in
  all ADATC facilities
• Facility Based Crisis Programs
• 23-hour Crisis units

7
Crisis Services

• Support New Community Hospital Inpatient
  capacity- 8.1 million
• Plan increase of 75 beds in community settings
• State Facilities- add additional 107 positions to
  enhance staffing- 7.2 million

8
Telepsychiatry

• Expand the available workforce
• Medicaid Policy and Procedures per PAG
• Guidelines developed by workgroup
• Billing codes and rates on website
• Developing listserv for support to providers
  interested in telepsychiatry and Q/A
• All above located on website
• State contract with ECU for TA support to
  providers

9
Integrated Care

• Integration of Behavioral Health and Primary
  Care- iCareNC.org
• Co-location models of care- 40
• Reverse co-locations models- 4
• Efforts to demonstrate improved quality of care
  and cost savings to support inclusion in medicaid
  payment

10
Veterans Initiative

• Govenors Taskforce on Returning Veterans Harold
  Kudler,MD- VA Michael Lancaster, MD- DMH
• 800 returning vets/month in NC 51 Guard and
  Reserve
• 40 with MH conditions
• Training at 9 sites on PTSD/Depression completed
• Training on TBI to begin in Fall