Virginia Regulatory Town Hall
Agency
Department of Medical Assistance Services
 
Board
Board of Medical Assistance Services
 
chapter
Amount, Duration, and Scope of Medical and Remedial Care and Services [12 VAC 30 ‑ 50]
Action Mental Health Skill-building Services
Stage Final
Comment Period Ended on 7/27/2016
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7/24/16  12:26 am
Commenter: Beth Ann Meyer

Crisis Intervention
 
The proposed changes in the crisis intervention regs would effectively eliminate the availability of Crisis Intervention services for many people who may be hospitalized due to the lack of these less restrictive services. It places an undue burden on clinicians who provide both these crisis intervention services and emergency services without adding to the quality or effectiveness of the services provided. The additional and unnecessary workload presented by completing weekly treatment plans and intakes creates a staffing demand that is unable to be met by many local agencies. Not only will these regulations make crisis intervention services unavailable in many areas, it is counterproductive to the provision of quality therapeutic treatment for individuals in crisis. The completion of a full bio/psycho/social/legal assessment, such as the SSPI, every 7 days is not only unnecessary but it would also serve to discourage individuals in crisis from continuing in services. It is unnecessary because during crisis intervention services a clinician is meeting regularly and frequently with the individual in crisis. The discouragement is born from the mere size of this battery of questions, the repetition of static factors, and its interference with addressing the issues that brought the person into crisis in the first place. The existing 30-day period for crisis intervention services is appropriate for the treatment of individuals experiencing crises that may escalate to the point of hospitalization without this type of intervention. In 30 days the crisis can be identified, triggers/barriers can be addressed, referrals can be made and completed, and treatment plans can be put in place. A shortening of this authorization period would do a disservice to the individuals in our communities who are in the most immediate need.
CommentID: 50642