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The Era for Crisis
Services is NOW
DAVID COVINGTON, LPC, MBA—
CRISIS ACCESS, LLC
crisisaccess.com
“SB 82 [found] that 70% of
people taken to ERs for
psychiatric evaluation can be
stabilized and transferred to a
less intensive level of care. ”
Investment in Mental Health
Wellness Act of 2013
Department of Justice
 Legislative response to shooting death of family
members by person with mental illness
 Board of Directors four local CMHCs
Joint Effort in St. Louis
Harris County MHMRA
Statewide Crisis & Access Line
 Single Point of Entry concept led to GCAL
 Hurricane Katrina in 2005
 Scheduling, Dashboards and Analytics
Crisis Response Center Tucson
 2006 community bond packages $54 million
 CPSA and University Physician’s Hospital
 Co-located Call Center, Stabilization and more
Phoenix’s Full Array of Services
 Peer Warm-line, Crisis Line & Mobile Crisis
 24/7 Outpatient & Co-located Residential
 Detox, Crisis Stabilization & Psych Inpatient
Above, Community Bridges
Keeping Individuals from
Falling through the Cracks
Individuals walk out of an Emergency Department
“Against Medical Advice,” for example, and crisis
services shift their focus away to others.
If US airports
settled for a
99.9% success
rate for
commercial
flights, there
would be 300
unsafe take-offs
and/or landings…
per day!
Two Key Principles of Safety
Goal #1: always
know where the
aircraft is and
never lose
contact;
Goal #2; verify the
hand-off has
occurred and the
airplane is safely
in the hands of
another.
Modifying the Milbank Continuum
for Crisis Coordination
“Flight 93” chronicled the heroic passengers of a
hijacked plane. It also gave an up close view of the
way air traffic control works to ensure the safety of
nearly 30,000 commercial flights… per day!
Crisis Access, LLC has modified the Milbank
collaboration continuum (original citation Doherty,
1995) for the purposes of evaluating crisis system
community coordination and collaboration (see
table above).
The Five Components of a
Level 5 Crisis System
For a crisis service system to provide Level 5 “Close
and Fully Integrated” care, it must implement an
integrated suite of software applications that
employ online, real-time, and 24/7:
Status
Disposition
for
Intensive
Referrals
24/7
Outpatient
Scheduling
for Urgent
Apptmnts
Shared Bed
Inventory
Tracking
High-tech,
GPS-
enabled
Mobile
Crisis
Dispatch
Real-time
Perform-
ance
Outcomes
Dashboards
Contact Us
Open Minds Planning & Innovations 2014
david.covington@crisisaccess-co.com
Social Networking
http://davidwcovington.com
http://www.linkedin.com/in/davidwcovington
https://twitter.com/davidwcovington
https://www.facebook.com/david.covington
http://www.youtube.com/davidcovington
crisisaccess.com

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Era of Crisis is Now - Open Minds Planning Innovation 2014-06

  • 1. The Era for Crisis Services is NOW DAVID COVINGTON, LPC, MBA— CRISIS ACCESS, LLC crisisaccess.com
  • 2.
  • 3. “SB 82 [found] that 70% of people taken to ERs for psychiatric evaluation can be stabilized and transferred to a less intensive level of care. ” Investment in Mental Health Wellness Act of 2013
  • 5.  Legislative response to shooting death of family members by person with mental illness  Board of Directors four local CMHCs Joint Effort in St. Louis
  • 7. Statewide Crisis & Access Line  Single Point of Entry concept led to GCAL  Hurricane Katrina in 2005  Scheduling, Dashboards and Analytics
  • 8. Crisis Response Center Tucson  2006 community bond packages $54 million  CPSA and University Physician’s Hospital  Co-located Call Center, Stabilization and more
  • 9. Phoenix’s Full Array of Services  Peer Warm-line, Crisis Line & Mobile Crisis  24/7 Outpatient & Co-located Residential  Detox, Crisis Stabilization & Psych Inpatient Above, Community Bridges
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  • 13. Keeping Individuals from Falling through the Cracks Individuals walk out of an Emergency Department “Against Medical Advice,” for example, and crisis services shift their focus away to others.
  • 14. If US airports settled for a 99.9% success rate for commercial flights, there would be 300 unsafe take-offs and/or landings… per day!
  • 15. Two Key Principles of Safety Goal #1: always know where the aircraft is and never lose contact; Goal #2; verify the hand-off has occurred and the airplane is safely in the hands of another.
  • 16. Modifying the Milbank Continuum for Crisis Coordination “Flight 93” chronicled the heroic passengers of a hijacked plane. It also gave an up close view of the way air traffic control works to ensure the safety of nearly 30,000 commercial flights… per day! Crisis Access, LLC has modified the Milbank collaboration continuum (original citation Doherty, 1995) for the purposes of evaluating crisis system community coordination and collaboration (see table above).
  • 17. The Five Components of a Level 5 Crisis System For a crisis service system to provide Level 5 “Close and Fully Integrated” care, it must implement an integrated suite of software applications that employ online, real-time, and 24/7: Status Disposition for Intensive Referrals 24/7 Outpatient Scheduling for Urgent Apptmnts Shared Bed Inventory Tracking High-tech, GPS- enabled Mobile Crisis Dispatch Real-time Perform- ance Outcomes Dashboards
  • 18. Contact Us Open Minds Planning & Innovations 2014 david.covington@crisisaccess-co.com Social Networking http://davidwcovington.com http://www.linkedin.com/in/davidwcovington https://twitter.com/davidwcovington https://www.facebook.com/david.covington http://www.youtube.com/davidcovington crisisaccess.com

Hinweis der Redaktion

  1. http://www.colorado.gov/cs/Satellite/GovHickenlooper/CBON/1251635156890 Gov. John Hickenlooper and Colorado Department of Human Services Executive Director Reggie Bicha today introduced a plan to redesign and strengthen Colorado’s mental health services and support system. The plan is called “Strengthening Colorado’s Mental Health System: A Plan to Safeguard All Coloradans.” “For the past five months, in response to the Aurora shooting, we have been working to expand mental health care and services across Colorado,” Hickenlooper said. “No single plan can guarantee to stop dangerous people from doing harm to themselves or others. But we can help people from falling through the cracks. We believe these policies will reduce the probability of bad things happening to good people.” Five key strategies form the plan: Provide the right services to the right people at the right time. Align three statutes into one new civil commitment law. This alignment protects the civil liberties of people experiencing mental crises or substance abuse emergencies, and clarifies the process and options for providers of mental health and substance abuse services (requires legislative change). Authorize the Colorado State Judicial System to transfer mental health commitment records electronically and directly to the Colorado Bureau of Investigation in real-time so the information is available for firearm purchase background checks conducted by Colorado InstaCheck (requires legislative change). Enhance Colorado’s crisis response system ($10,272,874 budget request). Establish a single statewide mental health crisis hotline. Establish five, 24/7 walk-in crisis stabilization services for urgent mental health care needs. Expand hospital capacity ($2,063,438 budget request). Develop a 20-bed jailed-based restoration program in the Denver area. Enhance community care ($4,793,824 budget request). Develop community residential services for those transitioning from institutional care. Expand case management and wrap-around services for seriously mentally ill people in the community Develop two 15-bed Residential Facilities for short-term transition from mental health hospitals to the community. Target housing subsidies to add 107 housing vouchers for individuals with serious mental illness. Build a trauma-informed culture of care ($1,391,865 budget request). Develop peer support specialist positions in the state’s mental health hospitals. Provide de-escalation rooms at each of the state’s mental health hospitals. Develop a consolidated mental health/substance abuse data system To fund this plan, the governor is asking the General Assembly to approve $18.5 million in the FY 2013-14 budget.
  2. http://communitybridgesaz.org/access-point-and-transition-point/
  3. http://magellanofaz.com/media/497573/cy20130824.swf
  4. http://magellanofaz.com/media/497573/cy20130824.swf
  5. Mental health and crisis intervention services feel an obligation to keep pressing forward, with great need in front of them, and a feeling they have neither the time nor resources to look back.
  6. The success of aviation safety is just not complicated.