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Provider Spring Meeting 2012
Sirrilla D. Blackmon, MSW, LCSW, LCAC
Deputy Director
Provider & Community Relations, Certification/Licensure
Division of Mental Health & Addiction
Continuum of Care
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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
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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.
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Continuum of Care
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 NetEngagement Outpatient
ServicesCommunity,
Recovery and Resilience Supports
Acute Intensive Services
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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
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Safety NetThe safety net consists of services available to all persons within Indiana regardless of payer
source.
Services include: Behavioral health crisis servicesRisk screening Clinical needs assessment Resolution and/or referral
Services are available 24/7 and include:ScreeningAssessmentReferral to SOF
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Safety Net
Community Mental Health Center Continuity of Care Risk Screening Gatekeeper
Addiction Service Provider Continuity of Care
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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.
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Engagement Services
Community Mental Health CenterHolistic 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
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Engagement Services
Addiction Service ProvidersHolistic Assessments (assessments reflect all life domains including trauma and special needs)Screening for both mental health and addiction across lifespan
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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.
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Individual
Group Family
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.
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Outpatient Services
Community Mental Health Center
Individual Evidence Based Therapies Group Therapy/ Family therapy Addiction Counseling (Individual) Addiction Counseling (Group) Individual Therapy Multifamily Counseling
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Counseling
Psychotherapy
Individual
Group
Outpatient Services
Community Mental Health Center
Psychotropic MedicationsMedication Training and SupportMedication Training and Support (group)Medication ManagementPharmacotherapyPharmacological Management
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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
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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
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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.17
Community, Recovery and Resilience Supports
Community Mental Health CenterHousing support services Peer/Caregiver Support Peer Recovery Services Skills Training and Development Case ManagementAddiction Service ProvidersHousing Support Services Peer/Caregiver Support 18
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)
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Next Steps for DMHA
Incorporate the new continuum into the affected rules
Rule Promulgation Process
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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 [email protected] Tonja Thompson ,Assistant Deputy of Certification and [email protected]
