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

2. 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

3. 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

4. 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

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

6. 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

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

8. 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

9. 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

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