Final Summary of DHS/DMH Funded SMHRF Comparable Services


January 9, 2014

DHS/DMH received 16 responses to the RFI for SMHRF Comparable Services. Fourteen of the responses were for the geographic areas to be considered for this pilot. Each of these was evaluated based on a standardized tool and additional factors such as geographic location to be served, number of IMD referrals from the proposed area of service and projected impact to the number of referrals to long term care. A total of five proposals were offered funding.

These agencies will cover four distinct geographic areas within the Chicago and suburban Chicago areas, as well as an area in Central Illinois. DHS/DMH has completed negotiations with the agencies, and is now in the contracting process. The plan is to have contracts in place by February, so that services can be developed and started mid-February to March. The services that will be developed as a result of this funding include:

Crisis Assessment and Linkage: this service will be provided at emergency departments within the selected service area with the intent of increasing access to lower levels of care, thus reducing unnecessary psychiatric hospital admissions.

Discharge Linkage and Coordination of Services: this service will be provided to individuals who have been hospitalized in psychiatric beds within the selected service area and would otherwise have been referred to nursing home level of care at discharge.

Outreach to Individuals to Engage in Services: this service will be provided to individuals who have received a crisis assessment and have a history of failed follow-through on recommended services to increase the likelihood of receiving those services, thus decreasing the likelihood of future crisis episodes that could result in referral to nursing home level of care.

Transitional Living Centers: these centers will provide immediate access to housing for individuals who are either seen for crisis assessment and linkage or discharge linkage and coordination of services, and whose lack of access to housing puts them at risk of referral to nursing home level of care.

Transitional Supervised Residential: these services will provide 24 hour structure and supervision within a community setting for individuals who require this level of care. The intent is to provide an alternative setting to nursing homes for discharge from psychiatric hospitalization.

Crisis Residential Program: these services will be provided to individuals requiring 24 hour supervision due to a psychiatric crisis who can be safely managed in a non-hospital setting. The intent is to reduce unnecessary psychiatric hospitalization which could result in nursing home referral.

Transportation: DMH included the cost for transportation between levels of care in the contracts for the above services.

The table below provides a summary of the services funded by area and agency:

Area Served Agency Services Provided
"The Southside Collaborative"
Lead Agency is HRDI
HRDI
Crisis Assessment and Linkage
Transitional Supervised Residential
This Collaborative will serve
the Southside Chicago area,
which  was responsible for
approximately  800 referrals to IMDs.

Thresholds


Discharge Linkage and Coordination of Services

Outreach to Individuals to Engage in Services

Transitional Living Centers

Lead Agency is Grand Prairie
Grand Prairie
Services

Crisis Assessment and Linkage

Transitional Living Centers

Transitional Supervised Residential



Services will be provided in the
South Suburbs of Chicago, an
area responsible for approxi-
mately 482  IMD referrals.
Sertoma Center

Crisis Assessment and Linkage

Discharge Linkage and Coordination of Services

Outreach to Individuals to Engage in Services

"The Northside Collaborative"
Lead Agency is Thresholds

This Collaborative will serve
the Northside Chicago area,
which was responsible for approximately 400
referrals to IMDs.

Thresholds



Trilogy


 


Community Counseling
Centers of Chicago


 



Neumann Family Services

Discharge Linkage and Coordination of Services

Outreach to Individuals to
Engage in Services


Crisis Assessment and Linkage

Discharge Linkage and Coordination of Services

Outreach to Individuals to Engage in Services

Crisis Residential Program

Transitional Living Centers


Crisis Assessment and Linkage

Discharge Linkage and Coordination of Services

Outreach to Individuals to Engage in Services


Transitional Living Centers

Lead Agency is Helen Wheeler

Services will be provided in
Kankakee County, an area
responsible  for 234 IMD referrals.

Helen Wheeler Center


Thresholds


Riverside Hospital

Crisis Assessment and Linkage

Discharge Linkage and Coordination of Services


Outreach to Individuals to Engage in Services

Transitional Living Centers


Crisis Residential Program

Lead Agency is Heritage
Behavioral Health Center

Services will be provided in Macon  County, which contains one IMD in Decatur.

Heritage Behavioral
Health Center

Crisis Assessment and Linkage

Discharge Linkage and Coordination of Services

Transitional Living Centers