Brian Sandoval Cody L Phinney, MPH Governor Administrator Richard - - PowerPoint PPT Presentation

▶
brian sandoval cody l phinney mph governor administrator
SMART_READER_LITE
LIVE PREVIEW

Brian Sandoval Cody L Phinney, MPH Governor Administrator Richard - - PowerPoint PPT Presentation

Aug 06, 2023 204 likes •386 views

Brian Sandoval Cody L Phinney, MPH Governor Administrator Richard Whitley, MS John DiMuro, DO Director Chief Medical Officer Department of Health and Human Services/Division of Public and Behavioral Health Rural Clinics Childrens

slide-1
SLIDE 1

Department of Health and Human Services/Division of Public and Behavioral Health Rural Clinics Children’s Programing in cooperation with Division of Child and Family Services Brian Sandoval Governor Richard Whitley, MS Director Cody L Phinney, MPH Administrator John DiMuro, DO Chief Medical Officer

slide-2
SLIDE 2

Division of Public and Behavioral Health

Introduction

Michelle Sandoval, LCSW DPBH/Rural Clinics mvsandoval@health.nv.gov (775) 738-8021

2 of 17

slide-3
SLIDE 3

Division of Public and Behavioral Health

What is a Behavioral Health Crisis

  • A health condition that poses a threat to the

child’s stability within their home, school or community, including but not limited to:

  • Anger
  • Self-Injury
  • School Problems
  • Suicidal or homicidal thoughts or behavior
  • Extreme parent/child conflict
  • Peer conflict such as bullying
  • Seeing or hearing things
  • Depression/Anxiety

3

slide-4
SLIDE 4

Division of Public and Behavioral Health

Identifying a Need

4 of 17

  • Lacking access to services, many families rely on

hospital emergency departments to meet behavioral healthcare needs.

  • Child behavioral health-related visits to hospital

ERs have been increasing in NV.

  • There is also an increasing trend of children

requiring a costly in-patient admission to a hospital due to a behavioral health crisis.

slide-5
SLIDE 5

Division of Public and Behavioral Health

Admissions for Psychiatric Reasons

5

Data courtesy of the UNLV Center for Health Information Analysis (CHIA)

45% increase in 5 years 31% increase in 5 years

slide-6
SLIDE 6

Division of Public and Behavioral Health

Admissions for Psychiatric Reasons

6

Data courtesy of the UNLV Center for Health Information Analysis (CHIA)

81% increase in 5 years 71% increase in 5 years

slide-7
SLIDE 7

Division of Public and Behavioral Health

West Hills Hospital Youth Admissions for Rural Counties 2013-2015

7

149 153 54 38 25 18

Highest Need

Carson City Lyon Douglas Elko Humboldt Pershing

437 Data courtesy of West Hills Hospital

slide-8
SLIDE 8

Division of Public and Behavioral Health

How Mobile Crisis started

8

Fall 2013: Initial hiring and planning Winter 2013: Training and policy & procedure development January 6th, 2014: MCRT takes first hotline call January – September 2014: Pilot Period October 2014: Expansion. Program grows in Las Vegas,

  • pens in Reno.

Success of Clark Co pilot led to funding for more staff in Las Vegas and a new team in

  • Reno. 142 clients were served with a 92%

hospital diversion rate.

slide-9
SLIDE 9

Division of Public and Behavioral Health

Mobile Crisis Goals

  • Maintaining youth in their home and community environment.
  • Promoting and supporting safe behavior in children in their home

and community.

  • Reducing admissions to Emergency Departments due to a

behavioral health crisis.

  • Facilitating short term in-patient hospitalization when needed.
  • Assisting youth and families in accessing and linking to on-going

support and services.

9

slide-10
SLIDE 10

Division of Public and Behavioral Health

Who We Serve

10

  • Families of youth under the

age of 18;

  • The youth is having a

behavioral health crisis; and

  • The behavior threatens the

child’s removal from the home, school, and/or community.

slide-11
SLIDE 11

Division of Public and Behavioral Health

Video System

11

  • Free
  • HIPPA compliant
  • Downloadable from any mobile device, tablets

and computers

  • Vsee.com
slide-12
SLIDE 12

Division of Public and Behavioral Health

How it works in Rural Nevada!

12

Hotline Screening Call Call into the Las Vegas hotline number Information is gathered-takes about 5 minutes Rural Crisis Team is contacted Within minutes a Counselor calls you to begin the assessment process Crisis Response

  • The Mental Health

Counselor intervenes via Vsee and Case Manager from the Rural community responds in-person.

  • De-escalate crisis
  • Perform structured

assessment

  • Formulate safety

plan

  • Facilitate

hospitalization if needed Crisis Stabilization

  • Short-term

behavioral health intervention provided in convenient location (often in-home via Vsee)

  • Facilitate linkage to
  • ngoing community

services and supports

  • Monitor safety
slide-13
SLIDE 13

Division of Public and Behavioral Health

Services Delivered to Date

13

Rural March 2017 Rural FY17

ALL CALLS Number % of all calls Number % Total Calls 28 100.0% 102 100.0% Team Responded 20 71.4% 66 64.7% Team Did Not Mobilize* 3 10.7% 14 13.7% Information Only Calls 4 14.3% 19 18.6% Incomplete Response** 1 3.6% 4 3.9% Did Not Mobilize - No Team Available 0.0% 0.0% OUTCOME OF CALLS Number % of response calls Number % Hospital Diversion 18 90.0% 57 86.4% Hospitalization 2 10.0% 9 13.6% Stabilization Recommended 7 35.0% 23 34.8% Hospital Diversion Rate 90.0% 86.4%

slide-14
SLIDE 14

14

RURAL TOWN # OF CALLS RURAL TOWN # OF CALLS Battle Mountain 2 Carson City 23 Crescent Valley 1 Dayton 3 Douglas 3 Ely 3 Elko 3 Fallon 3 Fernley 3 Mesquite 1 Minden 1 Pioche 1 Silver Peak 1 Silver Springs 5 Spring Creek 3 Stateline 1 Tonopah 2 Winnemucca 4 Hawthorn 1 Yerington 2

Where the calls are coming from

slide-15
SLIDE 15

Division of Public and Behavioral Health

Rural Referral Sources

15

slide-16
SLIDE 16

Division of Public and Behavioral Health

16

kNOw CRISIS

https://www.facebook.com/MCRTNevada/

KNOWCRISIS.COM