Era of Crisis is Now - Open Minds Planning Innovation 2014-06


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David Covington presents on the opportunities in crisis services and future directions.

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    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.
  • Mental health and crisis intervention services feel an obligation to keep pressing forward, with great need in front of them, and a feeling they have neither the time nor resources to look back.

  • The success of aviation safety is just not complicated.
  • Era of Crisis is Now - Open Minds Planning Innovation 2014-06

    1. 1. The Era for Crisis Services is NOW DAVID COVINGTON, LPC, MBA— CRISIS ACCESS, LLC
    2. 2. “SB 82 [found] that 70% of people taken to ERs for psychiatric evaluation can be stabilized and transferred to a less intensive level of care. ” Investment in Mental Health Wellness Act of 2013
    3. 3. Department of Justice
    4. 4.  Legislative response to shooting death of family members by person with mental illness  Board of Directors four local CMHCs Joint Effort in St. Louis
    5. 5. Harris County MHMRA
    6. 6. Statewide Crisis & Access Line  Single Point of Entry concept led to GCAL  Hurricane Katrina in 2005  Scheduling, Dashboards and Analytics
    7. 7. Crisis Response Center Tucson  2006 community bond packages $54 million  CPSA and University Physician’s Hospital  Co-located Call Center, Stabilization and more
    8. 8. 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
    9. 9. 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.
    10. 10. If US airports settled for a 99.9% success rate for commercial flights, there would be 300 unsafe take-offs and/or landings… per day!
    11. 11. Two Key Principles of Safety Goal #1: always know where the aircraft is and never lose contact; Goal #2; verify the hand-off has occurred and the airplane is safely in the hands of another.
    12. 12. 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 table above).
    13. 13. 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: Status Disposition for Intensive Referrals 24/7 Outpatient Scheduling for Urgent Apptmnts Shared Bed Inventory Tracking High-tech, GPS- enabled Mobile Crisis Dispatch Real-time Perform- ance Outcomes Dashboards
    14. 14. Contact Us Open Minds Planning & Innovations 2014 Social Networking