Virginia Regulatory Town Hall
Department of Medical Assistance Services
Board of Medical Assistance Services
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7/15/22  9:32 am
Commenter: Anonymous

mobile crisis

Appreciated when historically crisis intervention could be provided for up to 3 services without the additional paperwork and barriers. Current process and paperwork requirements for mobile crisis are a burden to providers trying to deliver quick de-escalation services and slowing down response times. Mobile crisis works best, in its simplest terms, when responders are able to “go” and not worry about paper work and authorizations first. Suggest it flow like the below to be of maximum benefit to the community:


    • Individual calls or presents in crisis
    • Call is triaged (by mobile crisis, ES staff, or call center)
    • Mobile crisis clinicians respond if appropriate
    • Provide care: When meeting with the individual, professionals help de-escalate, build rapport, instill hope, assess for risk and immediate needs, make safety plan, provide short term intervention and connect the person with additional resources (examples: prescreening, community stabilization, 23 hours, RCSU, outpatient appointment, etc.).
    • Document service including safety plan and referral information after the visit.
    • Complete service registration and data platform requirement after the visit.
    • Other service providers/programs at the start of follow up services create treatment plans, completing consents to treatment, and other paperwork items for their service.
    • Mobile crisis team follows up to ensure linking to referral sources worked. 


CommentID: 122485