Regarding Enhancement Manual Elements for H2011 Appendix G:

1. The enhancement requires that providers must meet individuals in crisis in an environment where they are comfortable to engage to facilitate quick relief and resolution of the crisis when possible; Deploy in real time to the location of an individual in crisis utilizing ideally a two-person team. Mobile Crisis Response teams must be available to provide services to an individual in an environment where they are most comfortable and may include in their home, workplace, or other convenient and appropriate setting. Teams must be able to schedule appropriate services 24 hours per day, 7 days per week. In certain circumstances and in any location where the individual may be located, certified pre-screeners may complete screening for the purposes of involuntary commitment.  Services provided in community location where the individual lives works, participates in services or socializes. Locations include schools, homes, places of employment or education, or community settings

Does this change apply only to teams conducting only pre-screenings since medical clearance is required for admissions into hospitals and this cannot be done in the field?

2. A LOCUS meeting DBHDS requirements is required for this service. In cases where a certified pre-screener conducts a pre-admission assessment, the LOCUS will not be required if the assessment results in a Temporary Detention Order; the LOCUS will only be required in cases where the pre-admission assessment results in a referral away from the involuntary commitment process. The assessment may be conducted via telehealth assistance (see definition of Telehealth Assisted Assessment) and must include the following elements which are aligned with the LOCUS domains.

Is this LOCUS required for non TDO inpatient clients?  For example prescreens that result in a voluntary hospital admission.

This is an additional and significant time consuming assessment that is going to strain staff. 

 Will the MCO’s be made aware of this increase in billable time?

 Will LOCUS training be required and will the department be providing on this?

3. The Crisis Education and Prevention Plan (CEPP) meeting DBHDS requirements shall be required during the entire duration of any crisis services and must be current. The CEPP process should be collaborative but must be directed and authorized by a LMHP, LMHP-R, LMHP-RP or LMHP-S.

If this is applicable to prescreens as well, then this is going to add a significant time factor for the ES clinicians.  Will the MCO’s be made aware of this increase in billable time?

Will the CEPP be required in addition to the Hospital Preadmission Screening?

Will CEPP training be required and will the department be providing on this?

4. Coordination with the Crisis Hotline Service;

Is this a local hotline or the regional call center line? If this is regional, will the call center be operational 12/1/2021?