Rob Putnam
DHS.DMHGrantApp@illinois.gov
Upon arrival at the Living Room a guest must be greeted by a Recovery Support Specialist (RSS) who explains the program to the guest in simple terms. Services and supports will be designed and delivered by the RSS staff working with the guest and will focuses on practices including recovery orientation, trauma-informed care, a commitment to Zero Suicide, and community collaboration. Interventions should include non-traditional supports such as art, music, and other methods of expression; peer-to-peer support among guests serve; and other complementary and holistic supports. Participation in the Living Room will be voluntary and based on the individual guest's strengths and choice.
The Living Room Program is based on a philosophy that crises are an opportunity for growth and learning. The Living Room Program operates from the Crisis Now approach, designed to divert individuals in self-defined crises from emergency departments and jails by developing services that match people's needs. The Crisis Now approach promotes services built on recovery-oriented practices, trauma-informed care, significant use of recovery support staff, a commitment to Zero Suicide/Suicide Safer Care, strong commitments to safety for individuals served and staff providing services, and collaboration with law enforcement.
Although Living Rooms do not fulfill all necessary criteria to be considered Crisis Stabilization Centers according to SAMHSA's "National Guidelines for Behavioral Health Crisis Care: Best Practice Toolkit," they serve as an important component of the crisis continuum in Illinois.
The Living Room Program serves individuals (herein after referred to as guests/potential guests) who are experiencing crises. Crisis is defined by the guest/potential guest, not by the program. Guests may self-refer (walk-in) to the program or may be referred by outside entities, including but not limited to other components of the crisis continuum (e.g., 988, hotlines, warm lines, and mobile crisis response teams), first responders (police, fire, EMT, etc.), medical personnel (primary care physicians, emergency departments, etc.), and other social service organizations. Under some circumstances guests may also be served remotely via phone or tele psych platforms. (i.e... pandemic management protocol, support via phone when a potential guest does not actually present in person)
The physical environment provided throughout the Living Room will be designed to create a safe space for guests to calmly process a crisis event, learn and apply wellness strategies, give and receive peer support, and prevent future crisis events.
The Living Room Program must establish policies that ensure the physical safety of the environment. This includes providing guests with a safe and comfortable setting that includes a supportive, physical staff presence.
The physical environment will be designed in a manner that contributes to soothing and supports emotional healing. Living Room Programs are expected to be equipped with comfortable furniture (e.g., recliners in common areas) and soft lighting. Walls are to be painted with soothing colors and include inspirational artwork or quotes reflective of the community served. There is to be an absence of excessive stimuli (e.g., televisions or sharp/bright lighting).
Both private and common spaces will be provided. Guests will be provided private space to calm down, relax, or have a private conversation. Guests will also be provided communal areas for interaction in which all guests at the same time can receive support through the physical presence of staff members. Guests will also be encouraged to use common areas to participate in mutual learning and peer support. Snacks and beverages will always be available to guests.
At no time is a Living Room Program to contain more than 16 beds. A Living Room Program cannot be created within any building, under one continuous roof, in which residential treatment is being provided, which in total would exceed 16 beds, including but not limited to, houses, apartment buildings, and duplexes.
The Grantee will determine the maximum safe operating capacity for the program.
The Living Room Program must be staffed to operate 24 hours a day, 365 days a year.
The Living Room must be staffed at all times by a minimum of two people, one of whom must be a Recovery Support Specialist (RSS). An RSS is an individual with personal lived experience in recovery from mental health and/or substance use challenges who has or is able to obtain either the Certified Recovery Support Specialist (CRSS) or Certified Peer Recovery Specialist (CPRS) credential within one year of date of hire.
The demographics of the Living Room Program staff are expected to reflect the demographics of the guests, including race/ethnicity and sex/gender identity.
The Living Room Program staff must always have immediate access to a Qualified Mental Health Professional (QMHP), including ability to respond via phone or in person for consultation with Living Room Program staff, to ensure adequate and appropriate service and support provision to all guests.
All personnel costs for the Living Room Program should be billed to the 510-RTLR grant.
Any person working in the Living Room Program must complete a two-hour DMH video-based training and obtain a passing score prior to beginning work at the Living Room Program.
Additionally, any person working in the Living Room Program must complete 16 hours of CRSS/CPRS training annually.
Any person working in the Living Room Program must also follow the National Practice Guidelines for Peer Support Specialists and Supervisors.
The provider may also arrange for additional training through any of the DMH-Approved providers below:
RI International
Humannovations
People, USA
Emotional CPR
All guests/potential guests who contact the Living Room must be served in some way by the Program; no person should be refused service by the Living Room Program. Services include but are not limited to screening, linkage to another level of care, and on-site support.
Upon arrival at the Living Room a guest must be greeted by an RSS who provides a sense of welcome and explains the program in simple terms and describes what the guest can expect during their stay. Guests will then be screened for suicide and homicide risk. The screening will consider the suitability of the Living Room Program to the guest's needs, including the safety of the arriving guest, as well as other guests and staff occupying the Living Room. The Grantee is free to determine which assessment tools to use. Mental Health Professionals (MHP) can complete the risk assessments.
Any guest who is determined not to be suitable for the Living Room Program will be served through linkage to another level of care.
All services and supports provided by the Living Room Program are to follow principles of trauma-informed care and be versatile and adaptable, culturally responsive, and allow support to be provided in a way that meets the guest where they are, at that point in their recovery.
On-site services and supports will include, at minimum, recovery education, information on whole health, wellness, local resources, and connection to natural supports. All services and supports should be based on the strengths of the guest and address whole health, wellness, and life in the community. Services provided should include non-traditional supports such as art, music, and other methods of expression; peer-to-peer support among guests served; and other complementary and holistic supports.
Services and supports will be designed and delivered by the RSS staff who work in the Living Room Program. Services and supports must be designed in a manner that considers the cultural and linguistic needs of guests.
Participation in any services and supports offered is to be voluntary and entirely based on the guest's choice. Guests should be supported in identifying natural supports in the community to prevent future crisis events and facilitate sustained recovery.
Prior to the conclusion of any service-related contact, each guest/potential guest will be given the opportunity to provide feedback on their experience with the Living Room, including but not limited to positive feedback and suggested areas for improvement.
The Living Room Program will develop and implement an outreach and engagement plan for (a) direct connection with guests from diverse communities who would benefit from access to the Program and (b) community awareness of the Program, by building and maintaining relationships with other social service organizations, including but not limited to other components of the crisis continuum (e.g., 988, hotlines, warm lines, and mobile crisis response teams), first responders (police, fire, EMT, etc.), medical personnel (primary care physicians, emergency departments, etc.).
Outreach and engagement activities will include developing materials for marketing and promoting the Program.
The provider and any subcontractors must develop standard operating policies and procedures that define the Living Room Program consistent with the model described above.
The Living Room Program must develop a quality improvement policy and procedure that incorporates guest feedback.
A minimum of one Living Room Program staff per site is expected to participate in the DMH-led Living Room Program (LRP) Learning Collaborative.
**2 CFR § 200.68 Modified Total Direct Cost (MTDC). MTDC means all direct salaries and wages, applicable fringe benefits, materials and supplies, services, travel, and subawards and subrecipient s up to the first $25,000 of each subaward or subcontractor (regardless of the period of performance of the subawards and subrecipients under the award). MTDC excludes equipment, capital expenditures, charges for patient care, rental costs, tuition remission, scholarships and fellowships, participant support costs and the portion of each subaward and subcontractor in excess of $25,000. Other items may only be excluded when necessary to avoid a serious inequity in the distribution of indirect costs, and with the approval of the cognizant agency for indirect costs.
Illinois Department of Human ServicesJB Pritzker, Governor · Dulce M. Quintero, Secretary
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