1. DBHDS Vision: A life of possibilities for all Virginians Children’s Crisis Services Provider Stakeholder Meeting

2. Slide 2History January 6, 2014 – Revised DD Crisis Response System Plan for children and adults released – Lead CSB overseeing REACH provided brief environmental scan regarding expanding services to youth 14-18. February 4, 2014 – Request for proposals sent to Executive Directors, Regional Project Managers, ID Directors, and REACH Program Directors March 14, 2014 – Regional plans due May/June 2014 – Funds disbursed to Regions: $225,000

3. Initial Plan Key Elements Key Elements Program Developer/Child Navigator Evidenced based/evidenced informed practices Leveraging of resources Process for identifying priority target population Population ID/DD through age 17 who may also – Co-occurring MH/BH – Involved in juvenile justice or court system – Frequent use of emergency services – Require long term community MH – Frequent history of admission for treatment

4. Slide 4 Initial Plans Region Specific Proposals Independent Reviewer Recommendations – Assessment of need – Serving all children and adolescents up to the age of 18 who have ID/D and experience a crisis – The continuum of services to include mobile crisis teams, in- home support, respite and access to crisis stabilization and hospitalization – Core staffing – Core training for team members, case managers, providers and CSBs – Outreach to families – The data elements to be tracked to determine if outcomes are being achieved – Program evaluation

5. Slide 5 Currently Available Region I – Child Navigator/Developer – Some Mobile Crisis – Information and Referral Region II – CR2 Program serving all children Region III – REACH Mobile Crisis and Prevention Services Region IV – Information and Referral Region V – Information and Referral – Some Mobile Crisis

6. Slide 6 What’s Next Additional monies – Each Region will receive 1 million dollars to enhance children’s services, an increase of $750,000/region Gap Analysis Results Children’s Crisis Standards Resource Guides Statewide Basic Training Standards Revised Proposals

7. Slide 7 Revised Proposals Region I – Addition of Mobile Crisis Teams – 24/7 response – Telepsychiatry Region II – Expansion of CR2 services for Mobile Crisis – REACH based Crisis Prevention Region III – Expansion of REACH Mobile Crisis Services – Expansion of Prevention Services Region IV – REACH based Mobile Crisis and Prevention Services – Telepsychiatry Region V – Mobile Crisis – Crisis Prevention – Telepsychiatry

8. DBHDS Vision: A life of possibilities for all Virginians Region III Denise Hall, LCSW REACH Director

9. Slide 9Questions