Gov. John Hickenlooper and Colorado Department of Human Services Executive Director Reggie Bicha today introduced a plan to redesign and strengthen Colorado’s mental health services and support system. The plan is called “Strengthening Colorado’s Mental Health System: A Plan to Safeguard All Coloradans.”
“For the past five months, in response to the Aurora shooting, we have been working to expand mental health care and services across Colorado,” Hickenlooper said. “No single plan can guarantee to stop dangerous people from doing harm to themselves or others. But we can help people from falling through the cracks. We believe these policies will reduce the probability of bad things happening to good people.”
Five key strategies form the plan:
Provide the right services to the right people at the right time. Align three statutes into one new civil commitment law. This alignment protects the civil liberties of people experiencing mental crises or substance abuse emergencies, and clarifies the process and options for providers of mental health and substance abuse services (requires legislative change). Authorize the Colorado State Judicial System to transfer mental health commitment records electronically and directly to the Colorado Bureau of Investigation in real-time so the information is available for firearm purchase background checks conducted by Colorado InstaCheck (requires legislative change).
Enhance Colorado’s crisis response system ($10,272,874 budget request). Establish a single statewide mental health crisis hotline. Establish five, 24/7 walk-in crisis stabilization services for urgent mental health care needs.
Expand hospital capacity ($2,063,438 budget request). Develop a 20-bed jailed-based restoration program in the Denver area.
Enhance community care ($4,793,824 budget request). Develop community residential services for those transitioning from institutional care. Expand case management and wrap-around services for seriously mentally ill people in the community Develop two 15-bed Residential Facilities for short-term transition from mental health hospitals to the community. Target housing subsidies to add 107 housing vouchers for individuals with serious mental illness.
Build a trauma-informed culture of care ($1,391,865 budget request). Develop peer support specialist positions in the state’s mental health hospitals. Provide de-escalation rooms at each of the state’s mental health hospitals. Develop a consolidated mental health/substance abuse data system
To fund this plan, the governor is asking the General Assembly to approve $18.5 million in the FY 2013-14 budget.
Statewide Crisis & Access Line
Single Point of Entry concept led to GCAL
Hurricane Katrina in 2005
Scheduling, Dashboards and Analytics
Crisis Response Center Tucson
2006 community bond packages $54 million
CPSA and University Physician’s Hospital
Co-located Call Center, Stabilization and more
Phoenix’s Full Array of Services
Peer Warm-line, Crisis Line & Mobile Crisis
24/7 Outpatient & Co-located Residential
Detox, Crisis Stabilization & Psych Inpatient
Above, Community Bridges
Keeping Individuals from
Falling through the Cracks
Individuals walk out of an Emergency Department
“Against Medical Advice,” for example, and crisis
services shift their focus away to others.
If US airports
settled for a
would be 300
Two Key Principles of Safety
Goal #1: always
know where the
aircraft is and
Goal #2; verify the
occurred and the
airplane is safely
in the hands of
Modifying the Milbank Continuum
for Crisis Coordination
“Flight 93” chronicled the heroic passengers of a
hijacked plane. It also gave an up close view of the
way air traffic control works to ensure the safety of
nearly 30,000 commercial flights… per day!
Crisis Access, LLC has modified the Milbank
collaboration continuum (original citation Doherty,
1995) for the purposes of evaluating crisis system
community coordination and collaboration (see
The Five Components of a
Level 5 Crisis System
For a crisis service system to provide Level 5 “Close
and Fully Integrated” care, it must implement an
integrated suite of software applications that
employ online, real-time, and 24/7:
Open Minds Planning & Innovations 2014