| Action | 2011 Mental Health Services Program Changes for Appropriate Utilization & Provider Qualifications |
| Stage | Emergency/NOIRA |
| Comment Period | Ended on 9/14/2011 |
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12 VAC 30-60-61 Specific assessment data elements were not required for Intensive In-Home, Day Treatment for Children, and Levels A & B community residential services. The place of the assessment for Int. In-Home was not specifically stated and that it must be face to face. QMHPs were allowed to conduct the assessment with a review by a licensed MH professional for Int. In-Home and Day Treatment for Children. Specific assessment data elements will be required to ensure uniform and complete assessments. The place of the assessment for Int. In-Home is required to be in the home as it is important to evaluate family dynamics. LMHPs or license eligible mental health professionals will be required to conduct the assessments for Intensive In-Home and Day Treatment for Children due to the acute nature of the service.VICAP protocol is not operating by best practices as stated in standard for intensive in home services. Families should be assessed in their natural environment, in the home to get a detailed assessment of the family dynamics as it relates to the clients needs. With out having a full assessment of the family dynamics, the assessment is flawed and not fully developed in the best interest of the client. This will result in a sub standard recommendation because it dose not have all of the essential information. Perhaps this is purposeful so the “system” has plausible deniability in not recommending a more expensive level of care that is more appropriate for that client. A clinician can not make a recommendation for something they are unaware of.
My agency is does not offer this service, so I amy not have all the facts.
Was this a practice requirment for private agencies? Why would this not be the same standard for public agencies? Who benifits? Who does not?