Crisis Continuum: Prevention to Intervention NAMI North Carolina 2008 Annual Conference

Service Definitions approved by CMS 2006 New services start March 2006 Focus on Person Centered Planning Recovery model of care

Recovery Model of Care Long term commitment, not a short term intervention Engage consumers- Person Centered Planning- individualized and dynamic Consumer Empowerment and Responsibility Measure outcomes

Prevention Crisis Plan Anticipate a crisis Natural/Community Supports First Responder

Crisis Services Mobile Crisis Teams- grant funded 9 teams since 2005; additional funding $5.7 million to expand to 30 teams state wide Walk-In Clinics and Immediate Aftercare- funding for 30 psychiatry positions, supports, and telepsychiatry connections; $6.1 million located throughout the state

Crisis Services START Model for DD crisis services- $1.8 million for six teams state wide Increase ADATC capacity for detox treatment in all ADATC facilities Facility Based Crisis Programs 23-hour Crisis units

Crisis Services Support New Community Hospital Inpatient capacity- $8.1 million Plan increase of 75 beds in community settings State Facilities- add additional 107 positions to enhance staffing- $7.2 million

Telepsychiatry Expand the available workforce Medicaid Policy and Procedures per PAG Guidelines developed by workgroup Billing codes and rates on website Developing listserv for support to providers interested in telepsychiatry and Q/A All above located on website: State contract with ECU for TA support to providers

Integrated Care Integration of Behavioral Health and Primary Care- iCareNC.org Co-location models of care- 40 Reverse co-locations models- 4 Efforts to demonstrate improved quality of care and cost savings to support inclusion in medicaid payment

Veteran’s Initiative Govenor’s Taskforce on Returning Veterans Harold Kudler,MD- VA Michael Lancaster, MD- DMH 800 returning vets/month in NC; 51% Guard and Reserve 40% with MH conditions Training at 9 sites on PTSD/Depression completed Training on TBI to begin in Fall