Common use of Case Management/Discharge Services Clause in Contracts

Case Management/Discharge Services. 1) CONTRACTOR shall actively engage in discharge planning from the day of admission, instructing and assisting clients with successful linkage to community resources such as outpatient mental health clinics, substance abuse treatment programs, housing, including providing supportive assistance to the individual in identifying and securing adequate and appropriate follow up living arrangements, FSP, physical health care, and government entitlement programs. 2) CONTRACTOR shall collaborate proactively with client’s Mental Health Plan Provider when such is required to link clients to county or contracted housing services which may include continued temporary housing, permanent supported housing, interim placement, or other community housing options. 3) CONTRACTOR shall assist clients in scheduling timely follow-up appointment(s) between client and their mental health service provider while still a client or within twenty-four (24) hours following discharge to ensure that appropriate linkage has been successful. Provide telephone follow up within five (5) days to ensure linkage was successful and if not, relinkage services will be provided. Services shall be documented in the client chart. Peer Recovery Specialists and Residential Counselors will be expected to accompany clients to their follow up linkage appointments as part of their case management duties. 4) CONTRACTOR shall coordinate treatment with physical health providers as appropriate and assist clients with accessing medical and dental services, and providing transportation and accompaniment to those services as needed. 5) CONTRACTOR shall obtain prior approval from the ADMINISTRATOR for clients who are deemed necessary to stay in the program for more than fourteen (14) days, which may be more common for our older adult population. CONTRACTOR shall obtain prior written approval from the ADMINISTRATOR for clients who are deemed necessary to stay in the program for more than thirty (30) days. 6) Unplanned discharges will be avoided at all costs and only after all other interventions have failed. If, at any time, a client presents as a serious danger to themselves or others, CONTRACTOR shall assess the safety needs of all concerned and may have the client assessed for voluntary or involuntary hospitalization utilizing ADMINISTRATOR protocols. If a client is seriously or repetitively non-compliant with the program, CONTRACTOR may discharge the client if deemed necessary and only following a multi-disciplinary case conference which will include the ADMINISTRATOR. CONTRACTOR shall be in compliance with eviction procedures following the CCR, Title 22, Section 81068.5, and Title 9, Section 532.3, and will provide an unusual occurrence report to ADMINISTRATOR no later than the following business day. 7) In the event a client leaves the program without permission, CONTRACTOR shall hold client’s bed open for twenty-four (24) hours unless otherwise mutually agreed upon by ADMINISTRATOR and CONTRACTOR. 8) In the event a client is transferred for crisis stabilization to the COUNTY CSU or to the Emergency Department (ED), CONTRACTOR shall provide a warm hand-off to the CSU or ED receiving staff member and hold a client’s bed open for twenty-four (24) hours unless otherwise mutually agreed upon by ADMINISTRATOR and CONTRACTOR.

Case Management/Discharge Services. 27 1) CONTRACTOR shall actively engage in discharge planning from the day of 28 admission, instructing and assisting clients Clients with successful linkage to community resources such as 29 outpatient mental health clinics, substance abuse treatment programs, housing, including providing 30 supportive assistance to the individual Client in identifying and securing adequate and appropriate follow up living 31 arrangements, FSP, physical health care, and government entitlement programs. 32 2) CONTRACTOR shall collaborate proactively with clientClient’s Mental Health Plan 33 Provider when such is required to link clients Clients to county COUNTY or contracted housing services which may 34 include continued temporary housing, permanent supported housing, interim placement, or other 35 community housing options. 36 3) CONTRACTOR shall assist clients Clients in scheduling timely follow-up appointment(s) 37 between client Client and their mental health service provider while still a client Client or within twenty-four (24) 1 hours following discharge to ensure that appropriate linkage has been successfulsuccessful and if not, relinkage 2 services will be provided. Provide telephone follow up within five (5) days to ensure linkage was successful and if not, relinkage services will be provided. Services shall be documented in the client chart. Peer Recovery Specialists and Residential 4 Counselors will be expected to accompany clients Clients to their follow up linkage appointments as part of their 5 case management duties. 6 4) CONTRACTOR shall coordinate treatment with physical health providers as 7 appropriate and assist clients Clients with accessing medical and dental services, services and providing transportation and 8 accompaniment to those services as needed. 9 5) CONTRACTOR shall develop a plan to provide a van/car for each admission as 10 needed accompanied by a Residential Counselor so that a warm hand-off can occur when a Client is in 11 need of transport to the facility. This will also ensure that the engagement and welcoming process 12 commences immediately when a referral is received. Transportation out of the program will also be 13 required to be provided by CONTRACTOR. 14 6) CONTRACTOR shall obtain prior approval concurrent review from the ADMINISTRATOR for clients 15 Clients who are deemed necessary to stay in the program for more than fourteen twenty-one (1421) calendar days, which may be more common for our older adult population. 16 CONTRACTOR shall obtain prior written approval from the ADMINISTRATOR for clients Clients who are 17 deemed necessary to stay in the program for more than thirty twenty-one (3021) calendar days. 618 7) Unplanned discharges will be avoided at all costs and only after all other 19 interventions have failed. If, at any time, a client Client presents as a serious danger to themselves or others, 20 CONTRACTOR shall assess the safety needs of all concerned and may have the client Client assessed for 21 voluntary or involuntary hospitalization utilizing ADMINISTRATOR protocols. If a client Client is seriously 22 or repetitively non-compliant with the program, CONTRACTOR may discharge the client Client if deemed 23 necessary and only following a multi-disciplinary case conference which will include the 24 ADMINISTRATOR. CONTRACTOR shall be in compliance with eviction procedures following the 25 CCR, Title 22, Section 81068.5, and Title 9, Section 532.3, and will provide an unusual occurrence report 26 to ADMINISTRATOR no later than the following business day. 7) 27 8) In the event a client Client leaves the program without permissionagainst clinical advice, CONTRACTOR 28 shall hold clientClient’s bed open for twenty-four (24) hours unless otherwise mutually agreed upon by 29 ADMINISTRATOR and CONTRACTOR. 8) 30 9) In the event a client Client is transferred for crisis stabilization to the COUNTY CSU or to 31 the Emergency Department (ED), CONTRACTOR shall provide a warm hand-off to the CSU or ED 32 receiving staff member and hold a clientClient’s bed open for twenty-four (24) hours unless otherwise mutually 33 agreed upon by ADMINISTRATOR and CONTRACTOR.

Case Management/Discharge Services. 14 1) CONTRACTOR shall actively engage in discharge planning from the day of 15 admission, instructing and assisting clients residents with successful linkage to community resources such as 16 outpatient mental health clinics, substance abuse treatment programs, housing, including providing supportive assistance to the individual in identifying and securing adequate and appropriate follow up living arrangements, 17 18 FSP, physical health care, and government entitlement programs. 19 2) Within seventy-two (72) hours of admission, CONTRACTOR shall establish a 20 discharge date in concert with the resident and their family/support system. The targeted discharge date 21 will be within fourteen (14) days after admission. 22 3) CONTRACTOR shall collaborate proactively with clientresident’s Mental Health Plan 23 Provider when such is required to link clients residents to county or contracted housing services which may 24 include continued temporary housing, permanent supported housing, interim placement, or other 25 community housing options. 326 4) CONTRACTOR shall assist clients residents in scheduling timely follow-up 27 appointment(s) between client resident and their mental health service provider while still a client resident or within Provide telephone follow up within five (5) days to ensure linkage was successful. Services shall be documented in the resident record . Peer Recovery Specialists and Residential Counselors will be expected 28 twenty-four (24) hours following discharge to ensure that appropriate linkage has been successful. Provide telephone follow up within five (29 30 32 5) days to ensure linkage was successful and if not, relinkage services will be provided. Services shall be documented in the client chart. Peer Recovery Specialists and Residential Counselors will be expected to accompany clients to their follow up linkage appointments as part of their case management duties. 4) CONTRACTOR shall coordinate treatment with physical health providers as 33 appropriate and assist clients residents with accessing medical and dental services, and providing transportation 34 and accompaniment to those services as needed. 535 6) CONTRACTOR shall obtain prior approval from the ADMINISTRATOR for clients 36 residents who are deemed necessary to stay in the program for more than fourteen (14) days, which may be more common for our older adult population. 37 // 1 CONTRACTOR shall obtain prior written approval from the ADMINISTRATOR for clients residents who are 2 deemed necessary to stay in the program for more than thirty (30) days. 63 7) Unplanned discharges will be avoided at all costs and only after all other 4 interventions have failed. If, at any time, a client resident presents as a serious danger to themselves or others, 5 CONTRACTOR shall assess the safety needs of all concerned and may have the client resident assessed for 6 voluntary or involuntary hospitalization utilizing ADMINISTRATOR protocols. If a client resident is seriously 7 or repetitively non-compliant with the program, CONTRACTOR may discharge the client resident if deemed 8 necessary and only following a multi-disciplinary case conference which will include the 9 ADMINISTRATOR. CONTRACTOR shall be in compliance with eviction procedures following the 10 CCR, Title 22, Section 81068.5, and Title 9, Section 532.3, and will provide an unusual occurrence report 11 to ADMINISTRATOR no later than the following business day. 7) 12 8) In the event a client resident leaves the program without permission, CONTRACTOR shall 13 hold clientresident’s bed open for twenty-four (24) hours unless otherwise mutually agreed upon by 14 ADMINISTRATOR and CONTRACTOR. 8) 15 9) In the event a client resident is transferred for crisis stabilization to the COUNTY CSU CSU, or 16 to the Emergency Department (ED), CONTRACTOR shall provide a warm hand-off to the CSU or ED 17 receiving staff member and hold a clientresident’s bed open for twenty-four (24) hours unless otherwise 18 mutually agreed upon by ADMINISTRATOR and CONTRACTOR.

Case Management/Discharge Services. 1) CONTRACTOR shall actively engage in discharge planning from the day of admission, instructing and assisting clients with successful linkage to community resources such as outpatient mental health clinics, substance abuse treatment programs, housing, including providing supportive assistance to the individual in identifying and securing adequate and appropriate follow up living arrangements, FSP, physical health care, and government entitlement programs. 2) CONTRACTOR shall collaborate proactively with client’s Mental Health Plan Provider when such is required to link clients to county or contracted housing services which may include continued temporary housing, permanent supported housing, interim placement, or other community housing options. 3) CONTRACTOR shall assist clients in scheduling timely follow-up appointment(s) between client and their mental health service provider while still a client or within twenty-four (24) hours following discharge to ensure that appropriate linkage has been successful, and if not, relinkage services will be provided. Provide telephone follow up within five (5) days to ensure linkage was successful and if not, relinkage services will be provided. Services shall be documented in the client chart. Peer Recovery Specialists and Residential Counselors will be expected to accompany clients to their follow up linkage appointments as part of their case management duties. 4) CONTRACTOR shall coordinate treatment with physical health providers as appropriate and assist clients with accessing medical and dental services, and providing transportation and accompaniment to those services as needed. 5) CONTRACTOR shall obtain prior approval from the ADMINISTRATOR for clients who are deemed necessary to stay in the program for more than fourteen (14) days, which may be more common for our older adult population. CONTRACTOR shall obtain prior written approval from the ADMINISTRATOR for clients who are deemed necessary to stay in the program for more than thirty (30) days. 6) Unplanned discharges will be avoided at all costs and only after all other interventions have failed. If, at any time, a client presents as a serious danger to themselves or County of Orange, Health Care Agency Contract MA-042-19010162 others, CONTRACTOR shall assess the safety needs of all concerned and may have the client assessed for voluntary or involuntary hospitalization utilizing ADMINISTRATOR protocols. If a client is seriously or repetitively non-compliant with the program, CONTRACTOR may discharge the client if deemed necessary and only following a multi-disciplinary case conference which will include the ADMINISTRATOR. CONTRACTOR shall be in compliance with eviction procedures following the CCR, Title 22, Section 81068.5, and Title 9, Section 532.3, and will provide an unusual occurrence report to ADMINISTRATOR no later than the following business day. 7) In the event a client leaves the program without permission, CONTRACTOR shall hold client’s bed open for twenty-four (24) hours unless otherwise mutually agreed upon by ADMINISTRATOR and CONTRACTOR. 8) In the event a client is transferred for crisis stabilization to the COUNTY CSU or to the Emergency Department (ED), CONTRACTOR shall provide a warm hand-off to the CSU or ED receiving staff member and hold a client’s bed open for twenty-four (24) hours unless otherwise mutually agreed upon by ADMINISTRATOR and CONTRACTOR.

Case Management/Discharge Services. 33 1) CONTRACTOR shall actively engage in discharge planning from the day of 34 admission, instructing and assisting clients Clients with successful linkage to community resources such as 35 outpatient mental health clinics, substance abuse treatment programs, housing, including providing 36 supportive assistance to the individual in identifying and securing adequate and appropriate follow up 37 living arrangements, FSP, physical health care, and government entitlement programs. 1 2) CONTRACTOR shall collaborate proactively with clientClient’s Mental Health Plan 2 Provider when such is required to link clients Clients to county COUNTY or contracted housing services which may 3 include continued temporary housing, permanent supported housing, interim placement, or other 4 community housing options.. 5 // 6 3) CONTRACTOR shall assist clients Clients in scheduling timely follow-up appointment(s) 7 between client Client and their mental health service provider while still a client Client or within twenty-four (24) 8 hours following discharge to ensure that appropriate linkage has been successfulsuccessful and if not, relinkage 9 services will be provided. Provide telephone follow up within five (5) days to ensure linkage was successful and if not, relinkage services will be provided10 successful. Services shall be documented in the client chartClient record. Peer Recovery Specialists and 11 Residential Counselors will be expected to accompany clients Clients to their follow up linkage appointments 12 as part of their case management duties. 13 4) CONTRACTOR shall coordinate treatment with physical health providers as 14 appropriate and assist clients Clients with accessing medical and dental services, and providing transportation 15 and accompaniment to those services as needed. 16 5) CONTRACTOR shall come up with a plan to provide a van/car for each admission 17 as needed accompanied by a residential counselor so that a warm hand-off can occur when a client is in 18 need of transport to the facility. This will also ensure that the engagement and welcoming process 19 commences immediately when a referral is received. Transportation out of the program will also be 20 required to be provided by CONTRACTOR. 21 6) CONTRACTOR shall obtain prior approval from the ADMINISTRATOR for clients Clients 22 who are deemed necessary to stay in the program for more than fourteen (14) calendar days, which may be more common for our older adult population. 23 CONTRACTOR shall obtain prior written approval from the ADMINISTRATOR for clients Clients who are 24 deemed necessary to stay in the program for more than thirty (30) calendar days. 625 7) Unplanned discharges will be avoided at all costs and only after all other 26 interventions have failed. If, at any time, a client Client presents as a serious danger to themselves or others, 27 CONTRACTOR shall assess the safety needs of all concerned and may have the client Client assessed for 28 voluntary or involuntary hospitalization utilizing ADMINISTRATOR protocols. If a client Client is seriously 29 or repetitively non-compliant with the program, CONTRACTOR may discharge the client Client if deemed 30 necessary and only following a multi-disciplinary case conference which will include the 31 ADMINISTRATOR. CONTRACTOR shall be in compliance with eviction procedures following the 32 CCR, Title 22, Section 81068.5, and Title 9, Section 532.3, and will provide an unusual occurrence 33 report to ADMINISTRATOR no later than the following business day. 7) 34 8) In the event a client Client leaves the program without permission, CONTRACTOR shall 35 hold clientClient’s bed open for twenty-four (24) hours unless otherwise mutually agreed upon by 36 ADMINISTRATOR and CONTRACTOR. 8) 37 9) In the event a client Client is transferred for crisis stabilization to the COUNTY CSU or 1 to the Emergency Department (ED), CONTRACTOR shall provide a warm hand-off to the CSU or ED 2 receiving staff member and hold a clientClient’s bed open for twenty-four (24) hours unless otherwise 3 mutually agreed upon by ADMINISTRATOR and CONTRACTOR.

Case Management/Discharge Services. 2 1) CONTRACTOR shall actively engage in discharge planning from the day of 3 admission, instructing and assisting clients Clients with successful linkage to community resources such as 4 outpatient mental health clinics, substance abuse treatment programs, housing, including providing 5 supportive assistance to the individual in identifying and securing adequate and appropriate follow up 6 living arrangements, FSP, physical health care, and government entitlement programs. 7 2) CONTRACTOR shall collaborate proactively with clientClient’s Mental Health Plan 8 Provider when such is required to link clients Clients to county or contracted housing services which may 9 include continued temporary housing, permanent supported housing, interim placement, or other 10 community housing options. 11 3) CONTRACTOR shall assist clients Clients in scheduling timely follow-up appointment(s) 12 between client Client and their mental health service provider while still a client Client or within twenty-four (24) 13 hours following discharge to ensure that appropriate linkage has been successfulsuccessful and if not, relinkage 14 services will be provided. Provide telephone follow up within five (5) days to ensure linkage was successful and if not, relinkage services will be provided15 successful. Services shall be documented in the client chartClient record. Peer Recovery Specialists and 16 Residential Counselors will be expected to accompany clients Clients to their follow up linkage appointments 17 as part of their case management duties. 18 4) CONTRACTOR shall coordinate treatment with physical health providers as 19 appropriate and assist clients Clients with accessing medical and dental services, and providing transportation 20 and accompaniment to those services as needed. 21 5) CONTRACTOR shall come up with a plan to provide a van/car for each admission 22 as needed accompanied by a residential counselor so that a warm hand-off can occur when a client is in 23 need of transport to the facility. This will also ensure that the engagement and welcoming process 24 commences immediately when a referral is received. Transportation out of the program will also be 25 required to be provided by CONTRACTOR. 26 6) CONTRACTOR shall obtain prior approval from the ADMINISTRATOR for clients 27 Clients who are deemed necessary to stay in the program for more than fourteen (14) days, which may be more common for our older adult population. 28 CONTRACTOR shall obtain prior written approval from the ADMINISTRATOR for clients Clients who are 29 deemed necessary to stay in the program for more than thirty (30) days. 630 7) Unplanned discharges will be avoided at all costs and only after all other 31 interventions have failed. If, at any time, a client Client presents as a serious danger to themselves or others, 32 CONTRACTOR shall assess the safety needs of all concerned and may have the client Client assessed for 33 voluntary or involuntary hospitalization utilizing ADMINISTRATOR protocols. If a client Client is seriously 34 or repetitively non-compliant with the program, CONTRACTOR may discharge the client Client if deemed 35 necessary and only following a multi-disciplinary case conference which will include the 36 ADMINISTRATOR. CONTRACTOR shall be in compliance with eviction procedures following the 37 // 1 CCR, Title 22, Section 81068.5, and Title 9, Section 532.3, and will provide an unusual occurrence 2 report to ADMINISTRATOR no later than the following business day. 7) 3 8) In the event a client Client leaves the program without permission, CONTRACTOR shall 4 hold clientClient’s bed open for twenty-four (24) hours unless otherwise mutually agreed upon by 5 ADMINISTRATOR and CONTRACTOR. 8) 6 9) In the event a client Client is transferred for crisis stabilization to the COUNTY CSU or 7 to the Emergency Department (ED), CONTRACTOR shall provide a warm hand-off to the CSU or ED 8 receiving staff member and hold a clientClient’s bed open for twenty-four (24) hours unless otherwise 9 mutually agreed upon by ADMINISTRATOR and CONTRACTOR.

Case Management/Discharge Services. 1) CONTRACTOR shall actively engage in discharge planning from the day of admission, instructing and assisting clients Clients with successful linkage to community resources such as outpatient mental health clinics, substance abuse treatment programs, housing, including providing supportive assistance to the individual Client in identifying and securing adequate and appropriate follow up living arrangements, FSP, physical health care, and government entitlement programs. 2) CONTRACTOR shall collaborate proactively with clientClient’s Mental Health Plan Provider when such is required to link clients Clients to county COUNTY or contracted housing services which may include continued temporary housing, permanent supported housing, interim placement, or other community housing options. 3) CONTRACTOR shall assist clients Clients in scheduling timely follow-up appointment(s) between client Client and their mental health service provider while still a client Client or within twenty-four (24) hours following discharge to ensure that appropriate linkage has been successfulsuccessful and if not, relinkage services will be provided. Provide telephone follow up within five (5) days to ensure linkage was successful and if not, relinkage services will be providedsuccessful. Services shall be documented in the client chartClient record. Peer Recovery Specialists and Residential Counselors will be expected to accompany clients Clients to their follow up linkage appointments as part of their case management duties. 4) CONTRACTOR shall coordinate treatment with physical health providers as appropriate and assist clients Clients with accessing medical and dental services, services and providing transportation and accompaniment to those services as needed. 5) CONTRACTOR shall develop a plan to provide a van/car for each admission as needed accompanied by a Residential Counselor so that a warm hand-off can occur when a Client is in need of transport to the facility. This will also ensure that the engagement and welcoming process commences immediately when a referral is received. Transportation out of the program will also be required to be provided by CONTRACTOR. 6) CONTRACTOR shall obtain prior approval concurrent review from the ADMINISTRATOR for clients Clients who are deemed necessary to stay in the program for more than fourteen twenty-one (1421) calendar days, which may be more common for our older adult population. CONTRACTOR shall obtain prior written approval will abide by County Policies from the ADMINISTRATOR for clients Clients who are deemed necessary to stay in the program for more than thirty twenty-one (3021) calendar days. 67) Unplanned discharges will be avoided at all costs and only after all other interventions have failed. If, at any time, a client Client presents as a serious danger to themselves or others, CONTRACTOR shall assess the safety needs of all concerned and may have the client Client assessed for voluntary or involuntary hospitalization utilizing ADMINISTRATOR protocols. If a client Client is seriously or repetitively non-compliant with the program, CONTRACTOR may discharge the client Client if deemed necessary and only following a multi-disciplinary case conference which will include the ADMINISTRATOR. CONTRACTOR shall be in compliance with eviction procedures following the CCR, Title 22, Section 81068.5, and Title 9, Section 532.3, and will provide an unusual occurrence report to ADMINISTRATOR no later than the following business day. 7) 8) In the event a client Client leaves the program without permissionagainst clinical advice, CONTRACTOR shall hold clientClient’s bed open for twenty-four (24) hours unless otherwise mutually agreed upon by ADMINISTRATOR and CONTRACTOR. 8) 9) In the event a client Client is transferred for crisis stabilization to the COUNTY CSU or to the Emergency Department (ED), CONTRACTOR shall provide a warm hand-off to the CSU or ED receiving staff member and hold a clientClient’s bed open for twenty-four (24) hours unless otherwise mutually agreed upon by ADMINISTRATOR and CONTRACTOR.