Virginia Regulatory Town Hall
Agency
Department of Medical Assistance Services
 
Board
Board of Medical Assistance Services
 
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9/28/21  3:25 pm
Commenter: Ryan Dudley, HNNCSB

Comprehensive Crisis Services
 

MH Services Manual - Comprehensive Crisis Services

-LOCUS assessment tool. We support having this alternative assessment that is concise and addresses the crisis needs and not the CNA which can create barriers to access.  Howver little is known about training.

 -Need additional info on CEPP to provide comprehensive input across Crisis System

Mobile Crisis Response
Needs removal that all calls go through hotline which is not practical. This discussion occurred at the 8/26 meeting. It includes calls that go directly to Emergency Services under ECO mandated to have a prescreening, dispatched by local co-responders or at the CSB and experiencing a crisis. Many other examples. Potential to create additional gaps for those needed intervention trying to navigate the crisis line in for reimbursement regulations during urgent situations.
-Treatment Plan – does not see practical require a Treatment Plan of the brief service for 72hrs – plan is directed as part of the assessment. Please eliminate. Non-value added requirements.
-Unclear why a Prescreener who completed an assessment would need to complete the LOCUS too after completing the prescreening if diverted to less restrictive service for reimbursement. Impractical and doesn’t appear to add-value but instead creates additional barriers. With the current nature of their work, it should be recognized that it is crucial to respond to the next crisis. The Prescreening is the risk assessment. Its impractical to have prescreeners to do both. 
Community Stabilization
I agree with a previous comment that a certified prescrener should be allowed to provide community stabilization. I believe at a previous meeting that reference was to be added across Crisis Services continuum.

CommentID: 100319