Provider Spring Meeting 2012 Sirrilla D. Blackmon, MSW, LCSW, LCAC Deputy Director Provider & Community Relations, Certification/Licensure Division of.

Provider Spring Meeting 2012

Sirrilla D. Blackmon, MSW, LCSW, LCAC

Deputy Director

Provider & Community Relations, Certification/Licensure

Division of Mental Health & Addiction

Continuum of Care

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Continuum of Care Committee

The Continuum of Care Committee is comprised of the following Stakeholders:

•Community Mental Health Centers•Managed Care Providers•Addiction Providers•DMHA Staff•Indiana Council of Community Mental Health Centers

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IC 12-7-2-40.6 Continuum of Care Sec. 40.6 (a) “Continuum of Care” means a range of services:

Defined by the division in rules adopted under IC 4-2-22 to provide a comprehensive continuum of care by a community mental health center or other provider; and

Based on recovery focused models of care and that are intended to meet the individual treatment needs of the behavioral health consumer. (b) the continuum of care may include the following services:

(1) Wellness programs(2) Engagement Services.(3) Outpatient and Inpatient services.(4) Rehabilitative and habilitative services(5) Residential care and supported housing(6) Acute intensive services.

All services must support prevention and treatment of mental health and addiction for all populations.

As added by P.L. 40-1994, Sec. 10. Amended by P/L/ 143-2011, SEC.5.

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Continuum of Care

Continuum of Care Comparison

440 IAC 9-1-6 IC 12-7-2-40.6

Individual Treatment Plan 24 Hour Crisis Intervention Case Management Acute Stabilization Day Treatment for Adults Services to prevent

unnecessary and inappropriate treatment and hospitalization and deprivation of a person’s liberty

Residential services for individuals with psychiatric disorders

Residential services for individuals with psychiatric disorders

Safety NetEngagement Outpatient

ServicesCommunity,

Recovery and Resilience Supports

Acute Intensive Services

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Continuum of Care Comparison440 IAC 9-1-6

•Residential services for adults with addictions• Residential services for SED or addicted children• Case Management• Outpatient Services• Medication evaluation and monitoring• Family support

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Safety NetThe safety net consists of services available to all persons within Indiana regardless of payer

source.

Services include: Behavioral health crisis servicesRisk screening Clinical needs assessment Resolution and/or referral

Services are available 24/7 and include:ScreeningAssessmentReferral to SOF

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Safety Net

Community Mental Health Center Continuity of Care Risk Screening Gatekeeper

Addiction Service Provider Continuity of Care

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Engagement Services

Are targeted to individuals who are at risk for behavioral health disorders.

Include activities to reengage persons who are no longer participating in the treatment process but continue to be at risk for behavior health disorders.

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Engagement Services

Community Mental Health CenterHolistic Assessments (assessments reflect all life domains including trauma and special needs) Service Planning (including crisis)Consumer/Family Education Screening for both mental health and addiction across lifespan

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Engagement Services

Addiction Service ProvidersHolistic Assessments (assessments reflect all life domains including trauma and special needs)Screening for both mental health and addiction across lifespan

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Outpatient Services

Outpatient treatment services may consist of a combination of:

therapeutic interventions that utilize evidence based practice, where available, and promote the achievement of the individual's recovery goals.

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Individual

Group Family

Outpatient Services

These services could occur in any community or a clinic-based setting.These may include service models that provide a comprehensive, coordinated, and a set of structured therapeutic interactions that may vary in composition and level of intensity according to the recovery goals of the consumer.

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Outpatient Services

Community Mental Health Center

Individual Evidence Based Therapies Group Therapy/ Family therapy Addiction Counseling (Individual) Addiction Counseling (Group) Individual Therapy Multifamily Counseling

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Counseling

Psychotherapy

Individual

Group

Outpatient Services

Community Mental Health Center

Psychotropic MedicationsMedication Training and SupportMedication Training and Support (group)Medication ManagementPharmacotherapyPharmacological Management

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Outpatient Services

Community Mental Health Center

Laboratory Services Substance Abuse Intensive Outpatient Services (must provide or make provision for)

Community Based Services

Ambulatory detoxification (must provide or make provision for)

Behavioral Health Level of Need Redetermination

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Outpatient Services

Addiction Service Provider

Counseling/Psychotherapy, Individual and Group Individual Evidence Based Therapies Group Therapy/ Family therapy Addiction Counseling (Individual) Addiction Counseling (Group) Individual Therapy Multifamily Counseling Laboratory Services Substance Abuse • Intensive Outpatient Services (must provide or make provision for) Ambulatory detoxification (must provide or make provision for) Behavioral Health Level of Need Redetermination   

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Community, Recovery, and Resilience Supports

Person-centered and self directed support activities that build upon the strengths and resilience of individuals, families and communities to obtain and sustain health, wellness and recovery.

These services may compliment outpatient services or may stand alone to assist the individual in integration within the community. These may include emerging practices and may vary in composition and level of intensity according to the recovery goals of the consumer.17

Community, Recovery and Resilience Supports

Community Mental Health CenterHousing support services Peer/Caregiver Support Peer Recovery Services Skills Training and Development Case ManagementAddiction Service ProvidersHousing Support Services Peer/Caregiver Support 18

Acute Intensive Services The provision of services that accomplish rapid

assessment, intervention, stabilization and management of symptoms of psychiatric/addiction crisis.

Community Mental Health Center & Addiction Service Providers

Crisis Intervention Inpatient Services (must provide or make provision for) Detoxification Inpatient (must provide or make provision for)

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Next Steps for DMHA

Incorporate the new continuum into the affected rules

Rule Promulgation Process

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Thank You

If you have any questions regarding certification or licensure please feel free to contact us at 317-232-7800.

Sirrilla Blackmon, Deputy Director of Provider and Community Relations, Certification/Licensure [email protected] Tonja Thompson ,Assistant Deputy of Certification and [email protected]