Building a Full Continuum of Integrated Crisis Services North Central Region April 12, 2019 See Notes

Ensure delivery of integrated behavioral and medical services. As the BH-ASO, Beacon is at the Center of the Regional Behavioral Health Delivery System Ensure delivery of integrated behavioral and medical services. 2

Beacon has 3 main functions as the BH-ASO TOP GOAL Shift system toward more prevention, early intervention, and person-centered resolution Financial risk for non-Medicaid crisis system users Maintain 24/7/365 coordinated crisis response Oversee Involuntary Treatment Act for Mental Health and Substance Use Disorder 1. Maintain the Crisis System Funder for some outpatient services to non-Medicaid individuals with low-incomes Oversee Mental Health Block Grant and Substance Use Prevention & Treatment Block Grant 2. Behavioral Health Safety-Net for non-Medicaid population Contract for Behavioral Health Ombuds Dedicated Marijuana Account, Jail Transition Services, 5480 funds Local committees: Behavioral Health Advisory Board; Children’s Long-Term Inpatient Programs; Family, Youth, and System Partner Round Table; and Crisis Collaboratives 3. Lead Community Forums For System Development

Approach to Crisis Services The Mission of the Crisis System is to: Deliver high-quality, culturally competent, clinically, and cost-effective, integrated community-based behavioral health crisis assessment, intervention, and stabilization services that promote resiliency, rehabilitation, and recovery. The Purpose of the Crisis System is to: Respond rapidly, assess effectively, and deliver a course of treatment Promote recovery, ensure safety, and stabilize the crisis Facilitate access to other levels of care Offer community-based behavioral health emergency services in order to bring treatment to individuals in crisis, allow for individual choice, and offer medically necessary services in the least restrictive environment that is most conducive to stabilization and recovery

Organizing Framework for Crisis System Note: Beacon has direct “control” over only some of the key parts of the Behavioral Health system

Beacon’s Goals in Washington Build a full continuum of crisis services. Beacon is committed to operating as part of continuum of integrated services, with deep connections to community resources and in seamless partnership with IMC MCOs. Beacon will work to identify gaps in the delivery system and execute a strategic action plan to develop appropriate levels of care with a recovery oriented philosophy. Reduce crisis system recidivism. Beacon will work to develop an excellent network of behavioral health providers and ensure clinical effectiveness of contracted programs to help prevent crisis service utilization and ensure seamless transitions based on an individual’s needs. Promote proactive crisis planning. Beacon will work to educate and link community partners around crisis prevention, as well was promote proactive crisis planning. Manage utilization and provider contracts within budgeted dollars. Close fiscal management and clinical management are necessary to ensure long-term sustainability of Beacon’s role as the BH-ASO

Beacon’s System Development Approach: Crawl, Walk, Run Phase 1: Go Live; ensure continuity Phase 2: Short-term improvements Phase 3: Long-term Improvements

Year 2: Beacon’s Approach in North Central Washington Develop a crisis system of care collaborative Develop a system of care for children, youth and family Enhance the capacity of and care experience in the emergency room Build and improve crisis system entry points Diversify functions of mobile crisis teams Collaboration with law enforcement and criminal justice systems Beacon brought in a nationally recognized consultant in crisis systems to review and assess the crisis system and help create a strategic development plan. 8

Our Collaborative Work in North Central Region Released Crisis System of Care Strategic Development Plan Brought in a nationally recognized consultant in crisis systems to review and assess the crisis system and help create a region- specific strategic development plan Established Jail Transition Services Brought together funding to establish a coordinated regional-based approach to address behavioral health needs of incarcerated individuals Initiated Efforts to Build In-Region Capability and Capacity Secured start-up funding for crisis residential beds and awarded $446k to ABHS Parkside and $150k to Grant Integrated Services Procured start-up funding for First Episode Psychosis New Journeys Program Continued efforts to build crisis diversion options and programs Formed Crisis Collaboratives Now meeting monthly in Grant & Chelan-Douglas Counties with participation from Crisis Services, out patient Behavioral Health services, Law Enforcement, hospitals, ACH, Managed Care Organizations, and other stakeholders Integrated Okanogan County January 2019

www.wabeaconhealthoptions.com Beacon North Central Washington Team: Leah Becknell Account Partnership Director Leah.Becknell@beaconhealthoptions.com Dina Goodman Care Manager Dina.Goodman@beaconhealthoptions.com Gerardo (Jerry) Perez Community Engagement Coordinator Gerardo.Perez-Guererro@beaconhealthoptions.com Jenifer Zamudio Care Coordinator Jenifer.Zamudio@beaconhealthoptions.com