Crisis Services Proposal 2014

Crisis services are required core services
IAC 331.397
Chapter 24
The Need for Crisis Services in
• 25% of Iowans will have a diagnosable mental illness over the course of a year
• 6% of the population has a serious mental illness
• Suicide is the second leading cause of death for Iowa 15 to 24 year olds, and 25 to
44 year olds.
• Over an 8 years period of time 1,568 people committed suicide in rural counties
of Iowa, versus 1,382 in the state’s urban parts.
Community Participation in Development of Crisis
 Met 3 times with community
 Met 3 times with providers
 Met with the Regional Advisory Committee
 Three Regional Governing Board members participated in planning
Crisis Services Defined in the Code
1. Crisis screening
2. Assessment requirements
Already have in region
3. Twenty-three-hour crisis observation and holding
Wait to see if data
demonstrates a need
Twenty-four-hour crisis line
24 hour crisis response
Crisis stabilization residential/community based services
Mobile Crisis response
8. Warm line
New Service
Already have.
Need to expand
region wide
24 Hour Crisis Line and Warm Line
24 hour crisis line
• 24 hours per day.
• screened and counseled
• refer to the mobile crisis unit, other resources, or services if needed.
Warm line Peer response
• Short term
• Non directive support to assist the caller
Mobile Crisis Response. (Expansion)
Training will be provided using a nationally accredited model so the
same service is provided throughout the region.
How does it work?
1. A call comes in.
2. Dispatch will send provider to the scene.
Washington County Pilot
23 people received crisis services
2 went to the hospital
1 went to a detox facility
87% were diverted from the
3. Assessment will be completed to determine level of care needed.
4. Person will be stabilized at home, transferred to a crisis bed or
transported to the hospital.
Crisis Stabilization Services Residential and
Community (Expansion)
Residential short term beds:
• Goal is to stabilize the individual and return them to the community
• Stay up to five days.
• set up a place to live if needed,
• set up with community support services
• set up with psychiatrist and medications
• Goal is to stabilize the individual in their home.
• Services set up including but not limited to psychiatric, medication,
counseling, peer support and linkage to ongoing services.
Start with 4 beds with the ability to expand to 8 for the region if needed.
Mobile Crisis
Mobile Crisis staff goes to a location anywhere in the region and does the assessment
Outcome 1
Resolve the Crisis $
Outcome 2
Crisis Bed or stabilize in
place $$
Outcome 3
Hospitalization $$$
This is how most of
the region looks
In a crisis situation
there is nowhere to
go except to the
most expensive
Outcome 3
Hospitalization $$$
2014 regional costs following
Additional Costs to Expand Crisis Services
Cost for
FY 2015
Warm Line
Chat and Text
Mobile Crisis
Mobile Crisis Service
Crisis Stabilization
3 additional beds
information and
service coordination
personal and
environmental support
general admin
1. Decrease commitment and long term care costs.
Use the savings that comes from diversion to fund future crisis services.
10% diversion = $1,171,989.00 savings which pays for the service.
2. Medicaid will eventually fund part of the costs.
3. If necessary, drop the service. No current clients and no provider expansion.

similar documents