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Michele Perry, LISW-S
Director of Crisis and Assessment Services
Netcare Access
1
Since 1972, Netcare Corporation has provided a wide
variety of specialized services to the community
including crisis intervention and stabilization, med
management, mental health and drug and alcohol
assessments and linkage to the ADAMH system of
care.
2
Provides services for adults and older adults who are experiencing a
mental health or substance use disorder.
Netcareโ€™s services are available to everyone, regardless of the ability
to pay.
3
In 2015 Netcare became a Trauma Informed Agency.
SAMSHA grant allowed for all Netcare employees to be
trained in the principles of Trauma Informed Care.
4
SAMHSA defines trauma informed care as โ€œa
strengths based service delivery approach that is
grounded in an understanding of and
responsiveness to the impact of trauma, that
emphasizes physical, psychological, and
emotional safety for both providers and survivors
to rebuild a sense of control and empowerment.โ€
5
199 South Central Ave
Open 24 hours a day, 365 days a year
6
Any adult (18 years or older) who is experiencing a
Mental Health or Substance Use problem.
Crisis is identified by the client
Those in need of services can be brought in on a
Voluntary or Involuntary basis.
Voluntary
Pink Slip (5122)
Probate Order
7
Referred by: walk-ins, community agencies,
hospitals, law enforcement
Services Provided: psychiatric, clinical and nursing
assessments, physical evaluation, and
medication/somatic services as appropriate
Referred to: psychiatric inpatient treatment,
detox/MAT services, community mental health
8
All law enforcement referrals will be screened for COVID 19 outside
of door 1 or at the police cruiser depending on time of day and
weather.
๏‚— Nurse and Team Leader will meet client and officer at the cruiser.
๏‚— Nurse will complete COVID 19 screening.
๏‚— Client will remain in the cruiser at all times. Officer will be
present next to the cruiser during the screening process.
๏‚— If the client refuses the COVID 19 screening process the client
will not be admitted for crisis services.
9
If client screens negative.
๏‚— Police Officer will escort the client into the crisis unit for
medical/behavioral screening per usual.
If client screens positive.
๏‚— Nurse will consult with CNP/Physician on site or on call to confirm
a positive screening.
๏‚— Police Officer will take client to an emergency room for further
evaluation. If client is in a medical emergency Netcare staff will call
911.
๏‚— If law enforcement is not able to take the client to an emergency
room, the nurse will contact Netcareโ€™s ambulance company for
transport.
10
๏‚— Officer and client will be brought onto the crisis unit.
๏‚— Nurse will complete a nursing triage.
๏‚— Team Leader will get a report from the officer and talk briefly with the
client.
๏‚— Medical and behavioral concerns considered.
๏‚— Team Leader will notify the officer if the client is being accepted.
๏‚— Only a Director can decline a client for medical or behavioral reasons.
๏‚— Process will take approximately 15 minutes.
11
๏‚— Netcare does not have security on site.
๏‚— Netcare is not a locked facility.
๏‚— Netcare has limited medical capabilities.
12
๏‚— Referral that requires multiple officers to be brought to
Netcare, or to remain calm while triage is performed.
๏‚— Referral that has been assaultive to a police officer or
towards others in the community prior to or during
transport.
๏‚— Referral that required the use of taser or weapons drawn by
officers in the field during current incident.
๏‚— Referral that initially came into contact with police for an
alleged crime, but who endorsed suicidality, homicidality,
psychosis only once police are directly involved.
13
๏‚— Referral with an active warrant.
๏‚— Referral that presents and is actively threatening to harm
Netcare staff or is acting in a physically aggressive manner
towards Netcare staff.
๏‚— Netcare evaluates each client at every presentation, but we
do take into account previous behaviors demonstrated at
Netcare.
๏‚— Clients have demonstrated significant acts of violence
towards staff.
๏‚— Statistically, the most accurate predictor of future
violence is past violence.
14
Netcare has some clients who abuse crisis services in pursuit
of ulterior motives (housing, access to food, hiding from
those looking for them in the community, etc.) and do not
have a mental health issue.
๏‚— Netcare, ADAMH, and TVBH have worked together to identify
these clients and develop a plan to prevent misuse of crisis
services.
๏‚— These clients may be declined based on their history of misuse
of crisis services.
15
๏‚— Referral that requires medications in order to manage
aggressive or violent behavior but are under the influence
of alcohol or unknown substance. This more complex
medical picture may require treatment in a medical
facility.
๏‚— Referrals that are brought in by police wherein medics
called police for transport following the referral being
cleared in the field. This clearance often does not suffice
for purposes of being in a freestanding facility with limited
ability to treat medical problems. (This includes clients
who have received Narcan in the field)
16
Other common reasons for medical decline include, but
arenโ€™t limited to:
๏‚— Vital signs that are substantially out of range
๏‚— Acute chest pain or shortness of breath
๏‚— Known history of complicated medical problems that we
arenโ€™t able to treat in our facilities
17
What is a Police Divert?
18
Clients can talk to a doctor for a few minutes than leave?
Clients can get medications at Netcare?
If a client presents to Netcare voluntarily they can leave
when they want?
Clients can smoke at Netcare?
19
๏‚— Netcare is an unlocked facility by rule of the
Ohio Department of Mental Health and
Addiction Services.
๏‚— Netcare can only restrain an adult client if they
are at imminent risk of harm to self or others.
๏‚— Clients cannot be medicated to keep them
from eloping.
20
Youth 14 and younger should be taken to NCH ED.
Youth 15, 16, and 17 should be taken to OSU Main ED.
*All youth to NCH ED at this time due to COVID 19
21
Assessment services are available M โ€“ F from 8am โ€“ 4pm.
Clients are seen via telehealth (phone or zoom).
Schedule by calling 614-276-2273 (CARE).
22
CPD officer and a Netcare clinician responding to mental
health and substance use disorder runs.
Seven days a week 10:00am-midnight
Dispatched by CPD (614-645-4545)
Follow up as indicated
23
FCSO deputy and a Netcare clinician responding to mental
health and substance use disorder runs.
Five days a week 7am-3pm
**adding 7 days a week 2pm-midnight
Dispatched by FCSO (614-525-3333)
Follow up as indicated
24
(614) 276-CARE (2273)
24 hour, 7 day a week, crisis telephone line
staffed by licensed clinicians
25
Requests for probate pre-screens are often made by treatment
providers or relatives of an individual who is unwilling or
unable to seek treatment and who appears at risk of harm
to self or others.
Monday-Friday 8-5, excluding holidays
For referral, call 614-276-2273
26
๏‚— Located at 199 South Central Location, Door #3 (10 Bed Unit).
๏‚— Clients must be 18 years or older.
๏‚— Clients are referred by a psychiatrist from one of the crisis centers and
are admitted voluntarily.
๏‚— The length of stay is no more than 7 days.
๏‚— A multidisciplinary treatment team provides care for the client. Offers
clients an alternative to psychiatric hospitalization.
27
28
29
30
31
32
33
34
35
๏‚— Miles House is an 12 bed respite option for adults, ages 18 and over.
๏‚— Clients may stay up to 16 days.
๏‚— Miles House offers a less restrictive environment than psychiatric
hospitalization.
๏‚— Residential services are offered in a comfortable, homelike and
supportive environment.
๏‚— 2582 West Broad Street
36
37
38
39
๏‚— Forensic examiners provide comprehensive diagnostic
evaluations for the Court of Common Pleas, General
(Criminal) Division in an eight county Central Ohio area.
๏‚— Evaluations include Competency to Stand Trial; Sanity;
Domestic Violence; Presentencing Investigation, as well as
others.
๏‚— 3081 Sullivant Avenue
40
Community Crisis Response provides immediate, on-the-
scene response to traumatic situations that occur within
the community.
Law Enforcement makes referral through dispatcher to
278-0041
Available 24/7/365
41
Reach Out takes publicly-inebriated individuals off the
streets or out of public establishments and transports
them to a place of safety and to providers of
alcohol/other drug treatment centers, homeless shelters,
as needed.
Hours of Operation
Mon thru Fri 3:00pm to 2:00am
Sat and Sun 2:00pm to midnight
276-2273, or CFD Fire Radio
42
Netcare thanks you for your service and all of the support that
you provide to our clients and staff.
We could not do what we do without you.
43
Michele Perry, LISW-S
Netcare Access
Director of Crisis and Assessment Services
mperry@netcareaccess.org
(614) 278-0120 (office)
44

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Netcare Access Overview of Services

  • 1. Michele Perry, LISW-S Director of Crisis and Assessment Services Netcare Access 1
  • 2. Since 1972, Netcare Corporation has provided a wide variety of specialized services to the community including crisis intervention and stabilization, med management, mental health and drug and alcohol assessments and linkage to the ADAMH system of care. 2
  • 3. Provides services for adults and older adults who are experiencing a mental health or substance use disorder. Netcareโ€™s services are available to everyone, regardless of the ability to pay. 3
  • 4. In 2015 Netcare became a Trauma Informed Agency. SAMSHA grant allowed for all Netcare employees to be trained in the principles of Trauma Informed Care. 4
  • 5. SAMHSA defines trauma informed care as โ€œa strengths based service delivery approach that is grounded in an understanding of and responsiveness to the impact of trauma, that emphasizes physical, psychological, and emotional safety for both providers and survivors to rebuild a sense of control and empowerment.โ€ 5
  • 6. 199 South Central Ave Open 24 hours a day, 365 days a year 6
  • 7. Any adult (18 years or older) who is experiencing a Mental Health or Substance Use problem. Crisis is identified by the client Those in need of services can be brought in on a Voluntary or Involuntary basis. Voluntary Pink Slip (5122) Probate Order 7
  • 8. Referred by: walk-ins, community agencies, hospitals, law enforcement Services Provided: psychiatric, clinical and nursing assessments, physical evaluation, and medication/somatic services as appropriate Referred to: psychiatric inpatient treatment, detox/MAT services, community mental health 8
  • 9. All law enforcement referrals will be screened for COVID 19 outside of door 1 or at the police cruiser depending on time of day and weather. ๏‚— Nurse and Team Leader will meet client and officer at the cruiser. ๏‚— Nurse will complete COVID 19 screening. ๏‚— Client will remain in the cruiser at all times. Officer will be present next to the cruiser during the screening process. ๏‚— If the client refuses the COVID 19 screening process the client will not be admitted for crisis services. 9
  • 10. If client screens negative. ๏‚— Police Officer will escort the client into the crisis unit for medical/behavioral screening per usual. If client screens positive. ๏‚— Nurse will consult with CNP/Physician on site or on call to confirm a positive screening. ๏‚— Police Officer will take client to an emergency room for further evaluation. If client is in a medical emergency Netcare staff will call 911. ๏‚— If law enforcement is not able to take the client to an emergency room, the nurse will contact Netcareโ€™s ambulance company for transport. 10
  • 11. ๏‚— Officer and client will be brought onto the crisis unit. ๏‚— Nurse will complete a nursing triage. ๏‚— Team Leader will get a report from the officer and talk briefly with the client. ๏‚— Medical and behavioral concerns considered. ๏‚— Team Leader will notify the officer if the client is being accepted. ๏‚— Only a Director can decline a client for medical or behavioral reasons. ๏‚— Process will take approximately 15 minutes. 11
  • 12. ๏‚— Netcare does not have security on site. ๏‚— Netcare is not a locked facility. ๏‚— Netcare has limited medical capabilities. 12
  • 13. ๏‚— Referral that requires multiple officers to be brought to Netcare, or to remain calm while triage is performed. ๏‚— Referral that has been assaultive to a police officer or towards others in the community prior to or during transport. ๏‚— Referral that required the use of taser or weapons drawn by officers in the field during current incident. ๏‚— Referral that initially came into contact with police for an alleged crime, but who endorsed suicidality, homicidality, psychosis only once police are directly involved. 13
  • 14. ๏‚— Referral with an active warrant. ๏‚— Referral that presents and is actively threatening to harm Netcare staff or is acting in a physically aggressive manner towards Netcare staff. ๏‚— Netcare evaluates each client at every presentation, but we do take into account previous behaviors demonstrated at Netcare. ๏‚— Clients have demonstrated significant acts of violence towards staff. ๏‚— Statistically, the most accurate predictor of future violence is past violence. 14
  • 15. Netcare has some clients who abuse crisis services in pursuit of ulterior motives (housing, access to food, hiding from those looking for them in the community, etc.) and do not have a mental health issue. ๏‚— Netcare, ADAMH, and TVBH have worked together to identify these clients and develop a plan to prevent misuse of crisis services. ๏‚— These clients may be declined based on their history of misuse of crisis services. 15
  • 16. ๏‚— Referral that requires medications in order to manage aggressive or violent behavior but are under the influence of alcohol or unknown substance. This more complex medical picture may require treatment in a medical facility. ๏‚— Referrals that are brought in by police wherein medics called police for transport following the referral being cleared in the field. This clearance often does not suffice for purposes of being in a freestanding facility with limited ability to treat medical problems. (This includes clients who have received Narcan in the field) 16
  • 17. Other common reasons for medical decline include, but arenโ€™t limited to: ๏‚— Vital signs that are substantially out of range ๏‚— Acute chest pain or shortness of breath ๏‚— Known history of complicated medical problems that we arenโ€™t able to treat in our facilities 17
  • 18. What is a Police Divert? 18
  • 19. Clients can talk to a doctor for a few minutes than leave? Clients can get medications at Netcare? If a client presents to Netcare voluntarily they can leave when they want? Clients can smoke at Netcare? 19
  • 20. ๏‚— Netcare is an unlocked facility by rule of the Ohio Department of Mental Health and Addiction Services. ๏‚— Netcare can only restrain an adult client if they are at imminent risk of harm to self or others. ๏‚— Clients cannot be medicated to keep them from eloping. 20
  • 21. Youth 14 and younger should be taken to NCH ED. Youth 15, 16, and 17 should be taken to OSU Main ED. *All youth to NCH ED at this time due to COVID 19 21
  • 22. Assessment services are available M โ€“ F from 8am โ€“ 4pm. Clients are seen via telehealth (phone or zoom). Schedule by calling 614-276-2273 (CARE). 22
  • 23. CPD officer and a Netcare clinician responding to mental health and substance use disorder runs. Seven days a week 10:00am-midnight Dispatched by CPD (614-645-4545) Follow up as indicated 23
  • 24. FCSO deputy and a Netcare clinician responding to mental health and substance use disorder runs. Five days a week 7am-3pm **adding 7 days a week 2pm-midnight Dispatched by FCSO (614-525-3333) Follow up as indicated 24
  • 25. (614) 276-CARE (2273) 24 hour, 7 day a week, crisis telephone line staffed by licensed clinicians 25
  • 26. Requests for probate pre-screens are often made by treatment providers or relatives of an individual who is unwilling or unable to seek treatment and who appears at risk of harm to self or others. Monday-Friday 8-5, excluding holidays For referral, call 614-276-2273 26
  • 27. ๏‚— Located at 199 South Central Location, Door #3 (10 Bed Unit). ๏‚— Clients must be 18 years or older. ๏‚— Clients are referred by a psychiatrist from one of the crisis centers and are admitted voluntarily. ๏‚— The length of stay is no more than 7 days. ๏‚— A multidisciplinary treatment team provides care for the client. Offers clients an alternative to psychiatric hospitalization. 27
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  • 36. ๏‚— Miles House is an 12 bed respite option for adults, ages 18 and over. ๏‚— Clients may stay up to 16 days. ๏‚— Miles House offers a less restrictive environment than psychiatric hospitalization. ๏‚— Residential services are offered in a comfortable, homelike and supportive environment. ๏‚— 2582 West Broad Street 36
  • 37. 37
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  • 40. ๏‚— Forensic examiners provide comprehensive diagnostic evaluations for the Court of Common Pleas, General (Criminal) Division in an eight county Central Ohio area. ๏‚— Evaluations include Competency to Stand Trial; Sanity; Domestic Violence; Presentencing Investigation, as well as others. ๏‚— 3081 Sullivant Avenue 40
  • 41. Community Crisis Response provides immediate, on-the- scene response to traumatic situations that occur within the community. Law Enforcement makes referral through dispatcher to 278-0041 Available 24/7/365 41
  • 42. Reach Out takes publicly-inebriated individuals off the streets or out of public establishments and transports them to a place of safety and to providers of alcohol/other drug treatment centers, homeless shelters, as needed. Hours of Operation Mon thru Fri 3:00pm to 2:00am Sat and Sun 2:00pm to midnight 276-2273, or CFD Fire Radio 42
  • 43. Netcare thanks you for your service and all of the support that you provide to our clients and staff. We could not do what we do without you. 43
  • 44. Michele Perry, LISW-S Netcare Access Director of Crisis and Assessment Services mperry@netcareaccess.org (614) 278-0120 (office) 44