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Crisis Intervention PDF Print E-mail

Mission:

The mission of the Crisis intervention Program component of the Little Rock Community Mental Health Center, Inc.’s continuum of care is:

To provide residents of the Little Rock Community Mental Health Center’s             service area with accessible, efficient and effective crisis intervention services.

The Crisis Intervention Services Program has the responsibility for providing emergency/crisis access to services of the Little Rock Community Mental Health Center (LRCMHC) for persons referred for or requesting such services. Persons, who are experiencing crisis or who are requesting Single Point of Entry (SPOE) screenings for persons in crisis, may call the 24-hour telephone crisis line .

Philosophy:

It is the philosophy of the Crisis Intervention Program that persons seeking services at Little Rock Community Mental Health Center have the right to receive prompt, courteous and competent emergency assessments and services to assist in determining the most appropriate and least restrictive services for their recovery. 

The Crisis Intervention Program shares the same values as other Center programs:

·        Person-centered

·        Pro-active

·        Holistic

·        Individualized

Populations and Age Groups Served:

Adults, 21 years of age and older who present themselves or who are referred for crisis services are evaluated directly by mental health professionals in the Crisis Intervention Program with medical support provided by on-call psychiatrists. 

Persons served in the Crisis Intervention Program represent the priority populations designated by the Arkansas Division of Behavioral Health Services and included in the LRCMHC Basic Services Plan:

Persons categorized as priority populations by the Division of Behavioral Health Services:

  •  
    1. a. Individuals subject to Arkansas Act 911

                        b. Individuals assessed as potentially violent

                        c. Individuals with other forensic issues

  •  
    1. Adults with serious, persistent mental illness
    2. Children with serious emotional disturbances (served  by affiliations with Centers for Youth and Families)
    3. Others with mental health needs

Interpreter services are available for persons who have special needs, such as those who are non-English speaking or who may have hearing impairments.

Program Description:

Services

The Crisis Intervention Program provides Single-Point-of-Entry screenings as well as other services for persons in crisis through self-referral or referral from others in the community.   Services include:

·        24-hour emergency/crisis intervention services;

·        Single-Point-of-Entry evaluation services for Arkansas’ public mental health system;

·        Determining disposition in least restrictive settings for persons served in crisis intervention services;

·        Inpatient liaison between LRCMHC and hospitals which admit persons in psychiatric crisis;

·        Court liaison and consultation services;

·        Referral services to other internal program components;

·        Referral services to external agencies and programs; and

·        Follow-up services.

Staff

The Crisis Intervention Services, staffed by teams of mental health professionals supported by administrative specialists, are available 24-hours-per-day, 7-days-per-week for psychiatric emergencies. Services are delivered on-site and off-site in places designated as safe. Mental Health Professionals are scheduled to deliver 24-hour crisis services on a regularly scheduled basis as well as through an on-call schedule that covers evenings, weekends, and holidays.  The Medical Director for Crisis Intervention or “On-call” psychiatrists provide the medical back-up for the mental health professionals.

Admission Criteria:

  • Risk Level:  Serious ideation/recent act; Dangerous to self and/or others or gravely disabled
  • Severity of Symptoms:  Severe, acute symptoms such as delusions, hallucinations, depression, mania, of high frequency, intensity and/or duration
  • Severity of Stressors:  Experiencing severe stressors accompanied by signs of relapse
  • Degree of Impairments:  Severe impairments in 3 or more domains (e.g., social, residential, familial, occupational, cognitive functioning)
  • Diagnosis:  Meets DSM criteria for a mental disorder (single or dual diagnoses); Diagnosis cannot be solely substance abuse, mental retardation, or epilepsy.
  • Age:  21 years and older
  • Catchment Area:  Resident of LRCMHC’s Catchment Area as defined by the Division of Behavioral Health or out-of-state person experiencing acute psychiatric problems while in Catchment Area.

Individuals who present or who are referred for crisis/emergency services are evaluated for appropriateness by Crisis Intervention mental health professionals.

Exclusionary Criteria:

  • Risk Level:  Serious risk with high potential for danger/overt acts as evidenced by recent criminal acts
  • Severity of SymptomsMild to moderate symptoms that do not require crisis intervention
  • Participation/Benefit:  Unable to benefit from crisis services.  Severe hearing, visual, language, and mobility impairments will be decided on an individual basis.
  • Self-Care:  Able/willing to carry out self-help and activities of daily living
  • Severity of Stressors:  Mild to moderate stressors, absence of signs of relapse
  • Physical Health:  Requires intensive nursing/medical care (e.g., IV, Foley  catheter, severe wound care, feeding tubes, oxygen, etc.
  • Degree of Impairments:  Mild to moderate impairment in no more than two domains (e.g., social, residential, familial, occupational, cognitive functioning)
  • Potential for Progress:  Reasonable expectation of timely improvement in a less restrictive program
  • Intensity of Service Needed:  Able to be adequately treated in Day Treatment or Outpatient Services
  • Diagnosis:  Sole diagnosis of substance  abuse, retardation, epilepsy, dementia, head injury
  • Age: Under 21 years of age
  • Concurrent Treatment:  Currently receiving methadone treatment or detox
  • Primary Problem/Need:  Need for psychiatric services is minimal or secondary to placement needs; homelessness is primary problem.

Transition/Discharge Criteria:

Discharge from Crisis Intervention occurs upon resolution of the crisis as evidenced by:

·        Referral to appropriate outpatient or community based service

·        placement in acute psychiatric treatment service

·        Concurrent:  Requires referral for immediate Methadone or substance abuse detox

Goals and Objectives:

Goal: To improve staff responsiveness to persons seeking admission or referred to services.

Objective (Efficiency):

1.     Mental health professionals will respond by telephone within 15 minutes to requests for crisis intervention services.

2.     Mental health professionals will respond face-to-face at an emergency room or other safe place with a persons requesting or referred for crisis intervention within 60 minutes.

Goal: To improve accessibility to CSU by having referral sources follow admission criteria.

 Objective  (Accessibility):  Program Director will communicate clear admissions criteria to internal and external referral sources.

Goal: To demonstrate outcomes of LRCMHC's Crisis Intervention Services.
Objective
(Effectiveness):

1.  Mental health professionals will ensure appropriate placement or crisis intervention for the person served

2.  Inpatient Liaison staff will work with hospital staff and LRCMHC staff to ensure client’s transition for appropriate services, i.e. day treatment, case management, etc.

Goal: To increase satisfaction among persons served by LRCMHC's Crisis Intervention Services component.

Objective (Consumer Satisfaction):

1.   Seventy-five percent (75%) of persons served involuntarily and eighty-five percent (85%) of persons served voluntarily will demonstrate their satisfaction with services by signing agreement with crisis plan on the SPOE Screening Form.

2.  Eighty percent (80%) of persons served will file no formal complaint about the crisis services

 

 

 

© 2014 Little Rock Community Mental Health Center
4400 Shuffield * Little Rock, AR 72225 * Phone: 501-686-9300  * Fax: 501-686-9312