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Division of Mental Health & Addiction Continuum of Care . Provider Spring Meeting 2012 Sirrilla D. Blackmon, MSW, LCSW, LCAC Deputy Director Provider & Community Relations, Certification/Licensure . Continuum of Care Committee.

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division of mental health addiction continuum of care

Division of Mental Health & AddictionContinuum of Care

Provider Spring Meeting 2012

Sirrilla D. Blackmon, MSW, LCSW, LCAC

Deputy Director

Provider & Community Relations, Certification/Licensure

continuum of care committee
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

slide3

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.

continuum of care comparison
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 Net

Engagement

Outpatient Services

Community, Recovery and Resilience Supports

Acute Intensive Services

continuum of care comparison 440 iac 9 1 6
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

slide6
Safety NetThe safety net consists of services available to all persons within Indiana regardless of payer source.

Services include:

Behavioral health crisis services

Risk screening

Clinical needs assessment

Resolution and/or referral

Services are available 24/7 and include:

Screening

Assessment

Referral to SOF

safety net
Safety Net

Community Mental Health Center

Continuity of Care

Risk Screening

Gatekeeper

Addiction Service Provider

Continuity of Care

engagement services
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.

engagement services1
Engagement Services

Community Mental Health Center

Holistic 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

engagement services2
Engagement Services

Addiction Service Providers

Holistic Assessments (assessments reflect all life domains including trauma and special needs)

Screening for both mental health and addiction across lifespan

outpatient services
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.

outpatient services1
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.

outpatient services2
Outpatient Services

Community Mental Health Center

Individual Evidence Based Therapies

Group Therapy/ Family therapy

Addiction Counseling (Individual)

Addiction Counseling (Group)

Individual Therapy

Multifamily Counseling

outpatient services3
Outpatient Services

Community Mental Health Center

Psychotropic Medications

Medication Training and Support

Medication Training and Support (group)

Medication Management

Pharmacotherapy

Pharmacological Management

outpatient services4
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

outpatient services5
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

community recovery and resilience supports
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.

community recovery and resilience supports1
Community, Recovery and Resilience Supports

Community Mental Health Center

Housing support services

Peer/Caregiver Support

Peer Recovery Services

Skills Training and Development

Case Management

Addiction Service Providers

Housing Support Services

Peer/Caregiver Support

slide19

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)

next steps for dmha
Next Steps for DMHA

Incorporate the new continuum into the affected rules

Rule Promulgation Process

thank you
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 Sirrilla.Blackmon@fssa.in.gov

Tonja Thompson ,Assistant Deputy of Certification and Licensure

Tonja.Thompson@fssa.in.gov