IDHS will approach the development of an enhanced Crisis System in a two-phase process. In Phase I, acute care alternatives will focus on engaging individuals presenting at community hospital emergency departments (ED) in Region 1 South. Phase II is envisioned as a period of refining the system to intercept people before they present at the community ED.

This RFI seeks to quickly implement Phase I services by July 1, 2012. The ACCT Committees for Hospital Engagement and Service Models & Innovations agree that to adequately replace the acute inpatient services provided by TPMHC, the goals of the emerging Region 1 South Crisis System will be to:

  • Provide timely and accessible aid in the community emergency departments
  • Provide access to a wide range of crisis stabilization options
  • Help individuals achieve stability as quickly as possible
  • Help people return to the community
  • Assist people in a return to a pre-crisis level of functioning
  • Provide community treatment alternatives to the ED
  • Increase or improve recovery pathways using natural supports

To reach these goals, the Region 1 South Crisis System will:

  • Deliver Crisis Intervention Services 24 hours a day, 7 days a week
  • Be co-located or mobile, providing crisis services at the EDs
  • Help resolve a wide array of presenting problems, such as access to medication, transportation, immediate housing, etc.
  • Help people connect to the most appropriate level of DMH and/or DASA community services
  • Incorporate evaluation protocols identified by IDHS to measure the effectiveness of the Region 1 South Crisis System

The Flow Chart of Region 1 South Crisis System illustrates the Region 1 South Crisis Care System design that has emerged from the ACCT Committee meeting process. Features appearing in green shaded boxes are those that will be funded through this RFI process. The functions contained within the blue shaded oval, will be provided by existing DHS structures. Together with the emergency departments currently operating in Region 1 South, this will become the new Region 1 South Crisis Care System.