It is the policy of all Care Management Organizations to consistently have “CORE Providers” adhere to the following to ensure successful outcomes of members served.
Key CORE Crisis Policy requirements:
All CORE Provider staff should be trained in the de-escalation of youth in crisis for a minimum of four (4) hours. (The current 4 hours of online training is acceptable).
The CORE provider should at all times, have established procedures and protocols for handling all emergency and crisis situations and is to include:
- Comprehensive development of crisis plans between the individual, organization, Tier 1 or Tier 2 provider, and other providers where the organization is engaged with the individual being served to ensure that the plan is complete, current, adequate, and communicated to all appropriate parties;
- An evaluation of the continued adequacy of the individual’s crisis plan and its implementation should occur at periodic intervals including post-crisis;
- While respecting the individual’s crisis plan and identified points of first response, policies are to articulate the role of the Tier 1 or Tier 2 provider agency* as the primary responsible provider for the provision of crisis supports and interventions as clinically appropriate.
- Safety/crisis planning should be directed by the youth/family and their needs/wishes to the extent possible and as clinically appropriate to ensure engagement and follow through;
- Plans should not contain elements/components that are not agreed upon, meaningful or realistic for the youth/family.
All CORE providers must have policies and procedures in place for appropriate professional staff to respond to crisis situations at all times.
Key CORE Providers Crisis Service requirements minimum requirements:
- Crisis response time is a minimum of 2 hours;
- Crisis services will be available 24 hours a day, 7 days a week;
- Crisis services may be offered by phone or telemedicine (as appropriate) or face-to-face in the appropriate setting;
- A mandated suicide risk assessment must be conducted;
- Crisis/safety planning is developed at enrollment, and is implemented and updated as necessary.
- Psychiatric advanced directives should be developed during the Behavioral Health Assessment/IRP process and should be reviewed and updated (or developed if the individual is a new consumer) as part of services to help prevent or manage future crisis situations.
The individualized Recovery/Resiliency Plan may indicate that the Crisis Intervention service is provided as needed. If crisis intervention is part of the services outlined in the treatment plan/individual recovery plan, then a crisis plan should be developed and put in place to direct the crisis service.
*Tier 1 providers: Comprehensive Community Provider (CCP) – Community Service Boards
*Tier 2 providers: Community Medicaid Providers (CMP) - CORE
