SAMHSA NAT'L GUIDELINES FOR BX. HEALTH CRISIS CARE

Question 1

minimum guidelines for Call Center

Answer 1

• 24-7
• staffed with clinicians
• assess risk per NSPL standards
• facility-based care through warm hand-offs and coordination of transportation;

Question 2

Best Practice to operate Call Center

Answer 2

• Caller ID
• GPS-enabled tech for more efficient dispatch
• real-time regional bed registry;
• outpatient f/u appointments;

Question 3

ATC (Air Traffic Control) capabilities

Answer 3

• Real-time coordination of crisis and outgoing services
• linked flexible services specific to crisis response, i.e. mobile response teams;
• 24-7 Outpatient Scheduling
• Crisis Bed Registry
• GPS-enabled mobile crisis dispatch
• REal-Time Performance Outcomes Dashboards;

Question 4

minimum guidelines for to operate Mobile Crisis Teams

Answer 4

• licensed staff
• respond where person is
• connect to facility-based care as needed through warm hand-offs

Question 5

Best Practices to Operate Mobile Crisis Team Services

Answer 5

• Peers
• respond without LE
• GPS tech
• Outpatient F/U

Question 6

Essential functions of mobile crisis services

Answer 6

• Triage/screenings, inc. explicit screening for suicidality
• Assessment
• De-escalation/resolution
• peer support
• coordination with medical and bx. health services, and
• crisis planning and follow-up

Question 7

minimum expectations to operate crisis receiving and Stabilization Services

Answer 7

• accept all referrals
• NOT. require medical clearance prior to admission but rather assessment and support medical stability while in the program;
• employ capacity to asses MH and substance use crisis
• staffed 24-7 with multidisciplinary team; i.e. psychs, nurses, peers, licensed and/or credentialed clinicians
• offer walk-in and 1st responder drop-off options
• structured in a manner to accept at least 90% of referrals;
• Screen for suicide risk;
• screen for violence risk and complete more comprehensive violence risk assessment and planning when indicated;

Question 8

Best Practices to Operate Crisis Receiving and Stabilization Services

Answer 8

• 24 hr. or less crisis receiving and stabilization facility;
• dedicated first-responder drop-off area
• include beds swithin real-time registry system operated by crisis call center hub;
• coordination connection to ongoing care;