Exhibit A

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Exhibit A Powered By Docstoc
					                                           Exhibit A

                               Program Name:
Core Services - Assessment/Diagnostic and Treatment Services – CATEGORY A -
Crisis Services


 Timeframe: Click here to enter a date. through Click here to enter a date.

 Geographic Area:


Assessment/ Diagnostic and Treatment Services are legislatively mandated Core
Services provided by a Comprehensive Behavioral Health Center (CBHC). These
services are provided to individuals who need to be screened/assessed and/or have a
diagnosis of mental illness, substance abuse, developmental delay, or a co-occurring
disorder and who are at risk for psychiatric inpatient admission, other residential or out
of home placement. Services grantee is required to provide are specified in Category
A Assessment/Diagnostic and Treatment Crisis Services designated list "Explanation of
Covered Services Guide" located on the Bureau for Behavioral Health and Health
Facilities Web site (www.wvdhhr.org/bhhf).

 Goals/Measurable Objectives:

Grantee will:
1. Provide a 24/7 crisis line 365 days a year;
2. Respond to all calls received through the Crisis Line within 15 minutes of the phone
   call with credentialed staff;
3. Arrange/provide for the provision of the least restrictive and most appropriate,
   clinically indicated, intervention available for the person presenting in crisis;
4. Screen/Assess all individuals in grantee's designated catchment area who are
   referred for probable cause proceedings (As the designated gatekeeper for
   involuntary commitments in accordance with West Virginia Code, Chapter 27, § 27-
5. Participate in each mental hygiene process;
6. Seek appropriate residential or outpatient treatment service for all individuals with a
   single diagnosis of substance abuse in order to prevent involuntary commitment;
7. Identify, seek, and secure, when available, appropriate service(s) for individuals with
   a single diagnosis of a developmental disability, who must NOT be involuntarily
8. Identify and report to BHHF barriers that led to all commitments exceeding 1 per
   1000 individuals per year in each county; and
9. Document 100% of all activities related to Crisis Services in accordance with local,
   state, and federal regulations.


Grantee will:
1. Provide or arrange for credentialed staff to be available to reply to crisis calls and to
    respond to crises 24 hours per day, seven days per week, and 365 days per year
    within the designated catchment area.
2. Provide staff who are credentialed in relevant crisis de-escalation, suicide and
    violence risk assessment, community and state resources, arranging and/or
    providing for commitment procedures and documentation requirements, for the
    purposes of delivering crisis services;
3. Maintain on-going public awareness within its catchment area regarding available
    crisis services and the processes for accessing those crisis services;
4. Provide crisis services in a variety of settings, including but not limited to the
    grantee’s physical facilities, clinics, emergency rooms, hospitals, schools and natural
    environments, if appropriate and safe;
5. Maintain established procedures for dealing with each hospital emergency
    department serving individuals in the Grantee’s catchment area;
6. Ensure that crisis services will include an evaluation to determine additional
    treatment/service needs in the most appropriate integrated setting possible;
7. Ensure that individuals will be screened for clinical, and other support needs before
    referral to an inpatient/residential program;
8. Minimize involuntary commitments to state funded psychiatric facilities for adults with
    a single diagnosis of substance abuse;
9. Identify, seek and secure crisis services (DD Crisis Respite Sites, Waiver Crisis
    Services, Positive Behavioral Support Program, etc.), when available, for individuals
    with developmental disabilities who are presenting in crisis;
10. Seek alternatives to involuntary commitment, including, but not limited to, the
    utilization of public inebriate shelters, crisis stabilization units, crisis respite beds,
    voluntary hospitalizations, Voluntary Treatment Agreements (VTAs) and referral for
    outpatient treatment; and
11. Meet annually with key parties involved in the mental hygiene process in grantee’s
    catchment area to evaluate the number of commitments, identify and resolve issues
    and make recommendations for improving crisis services;

 Outputs/Performance Measures:
Grantee will maintain data of all individuals requesting services/assistance to
include the following:
1. Documentation of all crisis service activities (including response times) in
   accordance with local, state and federal regulations;
2. Documentation supporting the number and type of professional staff approved by
   the agency’s credentialing committee;
3. Documentation regarding involuntary commitments to a State-operated psychiatric,
   hospital or designated diversion hospital, by primary diagnosis (diagnoses), county
   of residence, and date of commitment;
4. Minimize involuntary commitments to state funded psychiatric facilities for adults with
   a single diagnosis of substance abuse; document alternative placement attempts;
5. Documentation of alternative placement attempts (appropriate residential or
   outpatient treatment service) for adults with a single diagnosis of substance abuse
   made in order to prevent involuntary commitment.

Grantee specific service delivery in addition to required elements:

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