Behavioral Health Initiatives in the Crisis Continuum

https://www.dhs.state.il.us/page.aspx?item=154250

https://www.ilga.gov/legislation/BillStatus.asp?DocTypeID=HB&DocNum=1364&GAID=17&SessionID=112&LegID=143520

Competitive / Renewable 12-month grant

Grantees shall have capacity to respond to mental health crisis and treatment needs within the community(ies) served. This includes access to mental health crisis care services; evaluation of unfunded individuals to determine and facilitate placement into the needed level of mental health care; the ability for an entity to respond to both walk-in and telephone-based crisis contacts; the ability to respond with mobile crisis level services to sites within the covered community consistent with SAMHSA's guidance that service be available to respond to the person in crisis where they are located, rather than limited to pre-determined areas or locations

 SAMHSA set the criteria for populations to be served, as well as the services that must be provided.

CCBHCs must provide nine core services directly or through a designating collaborative organization (DCO). The nine services are:

• 1. Crisis mental health services, including 24-hour mobile crisis teams, emergency crisis intervention services, and crisis stabilization.
• 2. Screening, assessment, and diagnosis, including risk assessment.
• 3. Customer-centered treatment planning or similar processes, including risk assessment and crisis planning.
• 4. Outpatient mental health and substance use services.
• 5. Outpatient clinic primary care screening and monitoring of key health indicators and health risk.
• 6. Targeted case management.
• 7. Psychiatric rehabilitation services.
• 8. Peer support and counselor services and family supports.
• 9. Intensive, community-based mental health care for members of the armed forces and veterans, particularly those members and veterans located in rural areas.

CCBHCs can be supported through the Section 223 CCBHC Medicaid Demonstration, through SAMHSA administered CCBHC Expansion (CCBHC-E) Grants, or through independent state programs separate from the Section 223 CCBHC Medicaid Demonstration.

Pathways to Success is a program for Medicaid enrolled children under the age of 21 in Illinois who have complex behavioral health needs and could benefit from additional support. The program provides access to an evidence-informed model of intensive care coordination and additional home and community-based services.

The program provides access to two tiers of care coordination including:

• Tier 1 - High Fidelity Wraparound for children and youth with the most complex behavioral health needs.
• Tier 2 - Intensive Care Coordination for children and youth with complex behavioral health needs.

 https://www.dhs.state.il.us/page.aspx?item=145227

 https://ilga.gov/legislation/ilcs/ilcs3.asp?ActID=4210&ChapterID=11

• Increasing access to integrated care
• Building the community-based continuum of care

 https://dph.illinois.gov/topics-services/opioids/il-opioid-action-plan.html 

https://www.dhs.state.il.us/page.aspx?item=97186

The causes of the epidemic are complex, and state government must work with everyone - health care providers, local agencies, law enforcement, community groups, individual citizens, and national partners - toward a solution.

The focus of these efforts is to save lives. Action must be taken to halt this explosive growth.

This Overdose Action Plan focuses on five priority recommendation categories and is the strategic framework for moving toward the goal of reducing overdose deaths in Illinois:

1. Social Equity
2. Prevention
3. Treatment and Recovery
4. Harm Reduction
5. Justice-Involved Populations and Public Safety

 This legislation requires DMS to use an independent third-party expert to conduct a cost analysis and determine sound costs associated with developing and maintaining a statewide initiative for the coordination and delivery of the continuum of behavioral health crisis response services.

DMH and HFS shall convene a stakeholder working group immediately after the effective date of this Act to develop recommendations to coordinate programming and strategies to support a cohesive behavioral health crisis response system.