Common use of Community Crisis Stabilization Clause in Contracts

Community Crisis Stabilization. services provided as an alternative to hospitalization, including short‑term psychiatric treatment in structured, community‑based therapeutic environments. Community Crisis Stabilization provides continuous 24‑hour observation and supervision for Enrollees who do not require Inpatient Services. Community Support Program (CSP) ‑ an array of services delivered by a community‑based, mobile, multi‑disciplinary team of professionals and paraprofessionals. These programs provide essential services to Enrollees with a long‑standing history of a psychiatric or substance use disorder and to their families, or to Enrollees who are at varying degrees of increased medical risk. Services include outreach and supportive services, delivered in a community setting, which will vary with respect to hours, type and intensity of services depending on the changing needs of the Enrollee. When provided to Chronically Homeless individuals, CSP services fall into the following domains: Assisting Enrollees in enhancing daily living skills, including: Identifying and addressing barriers to attaining and maintaining community tenure Supporting Enrollees to mitigate barriers to community tenure, including coaching and connection with social services that assist them with issues such as credit history, presence of criminal record, and poor housing history Coaching Enrollees on budget strategies and/or supporting Enrollees to connect with money management services, including financial counselors and representative payees Support to gather documentation such as government identification documents, medical records Linkages to education, vocational training/services Providing service coordination and linkages, including: Referrals to healthcare providers Providers make reasonable efforts to assist Enrolles in identifying and/or facilitating transportation options, including community‑based transportation resources, such as public transportation and/or community‑ or publicly‑ subsidized transportation options Collaborating with State agencies, outpatient or community‑based providers, Emergency Services Programs (ESPs), or other significant entities on service and discharge planning Discharge planning that involves collaterals as appropriate. Collaterals include State agencies, community‑based programs, and other non‑health care community supports Provider coordinates care with Enrollees’ PCPs to be knowledgeable of medical conditions, to assess Enrollees’ compliance with medical treatment, and to assist with mitigating related barriers Assisting Enrollees with obtaining benefits, housing, and health care, including: Providers work with housing agencies to obtain documentation of housing status Working with Enrollees to identify transitional supports for move‑in Connecting Enrollees to housing search assistance, and helping to coordinate search(es) Linkages to primary and preventive health services Linkages to Behavioral Health and substance use disorder treatment Assistance with enrolling in community benefits (Social Security benefits, SNAP, VA benefits, MassHealth, Medicare, etc.) including obtaining needed documentation and helping to complete applications and attend appointments Working with Enrollee to identify resources for home modifications as needed Developing a crisis plan in the event of a psychiatric crisis; Refer the Enrollee to outpatient provider Refer the Enrollee to an ESP Implement other interventions such as Enrollee safety plan Collaborate with providers (including ESPs) and natural supports Providing prevention and intervention, including: Comprehensive Assessment of needs (Behavioral Health, medical, substance use disorder, developmental, and social history; linguistic and cultural background; mental status examination; medications and allergies; barriers to housing; diagnosis and clinical formulation supported by the clinical data gathered, rationale for treatment, and recommendations; level of functioning; and key providers) to identify ways to mitigate barriers to accessing clinical treatment and attaining the skills to obtain and maintain community tenure Developing a service plan/treatment plan (linkages to health, behavioral health, and substance use disorder treatment) Assisting Enrollees to prepare for transition to permanent supportive housing by linking Enrollees to entities that provide transitional assistance resources. This may include referrals to places of worship, local housing authorities and non‑profit agencies. Transitional assistance includes non‑recurring household set‑up expenses Discharge planning that involves collaterals Early intervention for potential issues/behavior intervention affecting tenancy Fostering empowerment and recovery, including linkages to peer support and self‑help groups, including: Recovery, wellness and empowerment principles and practices are incorporated in service delivery, trainings, and quality improvement activities Facilitates the use of formal and informal resources including community and natural support systems, wellness programs, vocational assistance programs, and peer and self‑help supports and services Provider educates Enrollees and their natural supports about substance use disorder and psychiatric disorders, recovery and medications, and links with regular health services When provided to Enrollees with Justice Involvement, CSP services fall into the following domains: Assisting in enhancing daily living skills; Providing service coordination and linkages; Assisting with obtaining benefits, housing, and healthcare; Developing a safety plan; Providing prevention and intervention; and Fostering empowerment and recovery, including linkages to peer support and self-help groups. Emergency Services Program (ESP) ‑ Medically Necessary Services provided through designated, contracted providers, and which are available seven (7) days per week, twenty‑four (24) hours per day to provide treatment of any Enrollee who is experiencing a mental health or substance use disorder crisis, or both. An ESP encounter includes, at a minimum, crisis assessment, intervention and stabilization. Enhanced Residential Rehabilitation Services for Dually Diagnosed (ASAM Level 3.1 co‑occurring enhanced) –24‑hour residential environment intended to serve Enrollees with higher levels of complexity and acuity, including co‑occurring substance use and mental health disorders. Programs are staffed to adequately identify and treat both substance use and mental health disorders in an integrated fashion. Programs are expected to provide holistic and integrated care that facilitates access to medication assisted treatment (MAT), primary care and medical supports, and psychiatric care as needed and must be licensed by the Department of Public Health.

Community Crisis Stabilization. services provided as an alternative to hospitalization, including short‑term short-term psychiatric treatment in structured, community‑based community- based therapeutic environments. Community Crisis Stabilization provides continuous 24‑hour 24-hour observation and supervision for Enrollees who do not require Inpatient Services. Community Support Program (CSP) ‑ - an array of services delivered by a community‑basedcommunity-based, mobile, multi‑disciplinary multi-disciplinary team of professionals and paraprofessionals. These programs provide essential services to Enrollees with a long‑standing long-standing history of a psychiatric or substance use disorder and to their families, or to Enrollees who are at varying degrees of increased medical risk. Services include outreach and supportive services, delivered in a community setting, which will vary with respect to hours, type and intensity of services depending on the changing needs of the Enrollee. When provided to Chronically Homeless individuals, CSP services fall into the following domains: Assisting Enrollees Members in enhancing daily living skills, including: ; Identifying and addressing barriers to attaining and maintaining community tenure Supporting Enrollees members to mitigate barriers to community tenure, including coaching and connection with social services that assist them with issues such as credit history, presence of criminal record, and poor housing history Coaching Enrollees members on budget strategies and/or supporting Enrollees Members to connect with money management services, including financial counselors and representative payees Support to gather documentation such as government identification documents, medical records Linkages to education, vocational training/services Providing service coordination and linkages, including: ; Referrals to healthcare providers Providers make reasonable efforts to assist Enrolles in identifying Members identify and/or facilitating facilitate transportation options, including community‑based community-based transportation resources, such as public transportation and/or community‑ community- or publicly‑ publically- subsidized transportation options Collaborating with State agencies, outpatient or community‑based community-based providers, Emergency Services Programs (ESPs), or other significant entities on service and discharge planning Discharge planning that involves collaterals as appropriate. Collaterals include State agencies, community‑based community-based programs, and other non‑health non-health care community supports Provider coordinates care with EnrolleesMembers’ PCPs to be knowledgeable of medical conditions, to assess EnrolleesMembers’ compliance with medical treatment, and to assist with mitigating related barriers Assisting Enrollees Members with obtaining benefits, housing, and health care, including: ; Providers work with housing agencies to obtain documentation of housing status Working with Enrollees Members to identify transitional supports for move‑in move-in Connecting Enrollees Members to housing search assistance, and helping to coordinate search(es) Linkages to primary and preventive health services Linkages to Behavioral Health behavioral health and substance use disorder treatment Assistance with enrolling in community benefits (Social Security benefits, SNAP, VA benefits, MassHealth, Medicare, etc.) including obtaining needed documentation and helping to complete applications and attend appointments Working with Enrollee Member to identify resources for home modifications as needed Developing a crisis plan in the event of a psychiatric crisis; Refer the Enrollee Member to outpatient provider Refer the Enrollee Member to an ESP Implement other interventions such as Enrollee Member’s safety plan Collaborate with providers (including ESPs) and natural supports Providing prevention and intervention, including: ; Comprehensive Assessment of needs (Behavioral Healthbehavioral health, medical, substance use disorderuse, developmental, and social history; linguistic and cultural background; mental status examination; medications and allergies; barriers to housing; diagnosis and clinical formulation supported by the clinical data gathered, rationale for treatment, and recommendations; level of functioning; and key providers) to identify ways to mitigate barriers to accessing clinical treatment and attaining the skills to obtain and maintain community tenure Developing a service plan/treatment plan (linkages to health, behavioral health, and substance use disorder treatment) Assisting Enrollees Members to prepare for transition to permanent supportive housing by linking Enrollees Members to entities that provide transitional assistance resources. This may include referrals to places of worshipchurches, local housing authorities and non‑profit non-profit agencies. Transitional assistance includes non‑recurring non- recurring household set‑up set-up expenses Discharge planning that involves collaterals Early intervention for potential issues/behavior intervention affecting tenancy Fostering empowerment and recovery, including linkages to peer support and self‑help groups, including: self- help groups Recovery, wellness and empowerment principles and practices are incorporated in service delivery, trainings, and quality improvement activities Facilitates the use of formal and informal resources including community and natural support systems, wellness programs, vocational assistance programs, and peer and self‑help self-help supports and services Provider educates Enrollees Members and their natural supports about substance use disorder and psychiatric disorders, recovery and medications, and links with regular health services When provided to Enrollees with Justice Involvement, CSP services fall into the following domains: Assisting in enhancing daily living skills; Providing service coordination and linkages; Assisting with obtaining benefits, housing, and healthcare; Developing a safety plan; Providing prevention and intervention; and Fostering empowerment and recovery, including linkages to peer support and self-help groups. Emergency Services Program (ESP) ‑ - Medically Necessary Services provided through designated, contracted providers, and which are available seven (7) days per week, twenty‑four twenty-four (24) hours per day to provide treatment of any Enrollee individual who is experiencing a mental health or substance use disorder crisis, or both. An ESP encounter includes, at a minimum, crisis assessment, intervention and stabilization. Enhanced Residential Rehabilitation Services for Dually Diagnosed (ASAM Level 3.1 co‑occurring co-occurring enhanced) –24‑hour – beginning no sooner than January 1, 2019 as directed by EOHHS, 24-hour residential environment intended to serve Enrollees with higher levels of complexity and acuity, including co‑occurring co-occurring substance use and mental health disorders. Programs are staffed to adequately identify and treat both substance use and mental health disorders in an integrated fashion. Programs are expected to provide holistic and integrated care that facilitates access to medication assisted medications for addiction treatment (MAT), primary care and medical supports, and psychiatric care as needed and must be licensed by the Department of Public Health.

Community Crisis Stabilization. services provided as an alternative to hospitalization, including short‑term short-term psychiatric treatment in structured, community‑based community-based therapeutic environments. Community Crisis Stabilization provides continuous 24‑hour 24-hour observation and supervision for Enrollees who do not require Inpatient Services. Community Support Program (CSP) ‑ - an array of services delivered by a community‑basedcommunity-based, mobile, multi‑disciplinary multi-disciplinary team of professionals and paraprofessionals. These programs provide essential services to Enrollees with a long‑standing long-standing history of a psychiatric or substance use disorder and to their families, or to Enrollees who are at varying degrees of increased medical risk. Services include outreach and supportive services, delivered in a community setting, which will vary with respect to hours, type and intensity of services depending on the changing needs of the Enrollee. When provided to Chronically Homeless individuals, CSP services fall into the following domains: Assisting Enrollees Members in enhancing daily living skills, including: ; Identifying and addressing barriers to attaining and maintaining community tenure Supporting Enrollees members to mitigate barriers to community tenure, including coaching and connection with social services that assist them with issues such as credit history, presence of criminal record, and poor housing history Coaching Enrollees members on budget strategies and/or supporting Enrollees Members to connect with money management services, including financial counselors and representative payees Support to gather documentation such as government identification documents, medical records Linkages to education, vocational training/services Providing service coordination and linkages, including: ; Referrals to healthcare providers Providers make reasonable efforts to assist Enrolles in identifying Members identify and/or facilitating facilitate transportation options, including community‑based community-based transportation resources, such as public transportation and/or community‑ community- or publicly‑ publically- subsidized transportation options Collaborating with State agencies, outpatient or community‑based community-based providers, Emergency Services Programs (ESPs), or other significant entities on service and discharge planning Discharge planning that involves collaterals as appropriate. Collaterals include State agencies, community‑based community-based programs, and other non‑health non-health care community supports Provider coordinates care with EnrolleesMembers’ PCPs to be knowledgeable of medical conditions, to assess EnrolleesMembers’ compliance with medical treatment, and to assist with mitigating related barriers Assisting Enrollees Members with obtaining benefits, housing, and health care, including: ; Providers work with housing agencies to obtain documentation of housing status Working with Enrollees Members to identify transitional supports for move‑in move-in Connecting Enrollees Members to housing search assistance, and helping to coordinate search(es) Linkages to primary and preventive health services Linkages to Behavioral Health behavioral health and substance use disorder treatment Assistance with enrolling in community benefits (Social Security benefits, SNAP, VA benefits, MassHealth, Medicare, etc.) including obtaining needed documentation and helping to complete applications and attend appointments Working with Enrollee Member to identify resources for home modifications as needed Developing a crisis plan in the event of a psychiatric crisis; Refer the Enrollee Member to outpatient provider Refer the Enrollee Member to an ESP Implement other interventions such as Enrollee Member’s safety plan Collaborate with providers (including ESPs) and natural supports Providing prevention and intervention, including: ; Comprehensive Assessment of needs (Behavioral Healthbehavioral health, medical, substance use disorderuse, developmental, and social history; linguistic and cultural background; mental status examination; medications and allergies; barriers to housing; diagnosis and clinical formulation supported by the clinical data gathered, rationale for treatment, and recommendations; level of functioning; and key providers) to identify ways to mitigate barriers to accessing clinical treatment and attaining the skills to obtain and maintain community tenure Developing a service plan/treatment plan (linkages to health, behavioral health, and substance use disorder treatment) Assisting Enrollees Members to prepare for transition to permanent supportive housing by linking Enrollees Members to entities that provide transitional assistance resources. This may include referrals to places of worshipchurches, local housing authorities and non‑profit non-profit agencies. Transitional assistance includes non‑recurring non-recurring household set‑up set-up expenses Discharge planning that involves collaterals Early intervention for potential issues/behavior intervention affecting tenancy Fostering empowerment and recovery, including linkages to peer support and self‑help groups, including: self-help groups Recovery, wellness and empowerment principles and practices are incorporated in service delivery, trainings, and quality improvement activities Facilitates the use of formal and informal resources including community and natural support systems, wellness programs, vocational assistance programs, and peer and self‑help self-help supports and services Provider educates Enrollees Members and their natural supports about substance use disorder and psychiatric disorders, recovery and medications, and links with regular health services When provided to Enrollees with Justice Involvement, CSP services fall into the following domains: Assisting in enhancing daily living skills; Providing service coordination and linkages; Assisting with obtaining benefits, housing, and healthcare; Developing a safety plan; Providing prevention and intervention; and Fostering empowerment and recovery, including linkages to peer support and self-help groups. Emergency Services Program (ESP) ‑ - Medically Necessary Services provided through designated, contracted providers, and which are available seven (7) days per week, twenty‑four twenty-four (24) hours per day to provide treatment of any Enrollee individual who is experiencing a mental health or substance use disorder crisis, or both. An ESP encounter includes, at a minimum, crisis assessment, intervention and stabilization. Enhanced Residential Rehabilitation Services for Dually Diagnosed (ASAM Level 3.1 co‑occurring co-occurring enhanced) –24‑hour – beginning no sooner than January 1, 2019 as directed by EOHHS, 24-hour residential environment intended to serve Enrollees with higher levels of complexity and acuity, including co‑occurring co-occurring substance use and mental health disorders. Programs are staffed to adequately identify and treat both substance use and mental health disorders in an integrated fashion. Programs are expected to provide holistic and integrated care that facilitates access to medication assisted medications for addiction treatment (MAT), primary care and medical supports, and psychiatric care as needed and must be licensed by the Department of Public Health.

Community Crisis Stabilization. services provided as an alternative to hospitalization, including short‑term psychiatric treatment in structured, community‑based therapeutic environments. Community Crisis Stabilization provides continuous 24‑hour observation and supervision for Enrollees who do not require Inpatient Services. Community Support Program (CSP) ‑ an array of services delivered by a community‑based, mobile, multi‑disciplinary team of professionals and paraprofessionals. These programs provide essential services to Enrollees with a long‑standing history of a psychiatric or substance use disorder and to their families, or to Enrollees who are at varying degrees of increased medical risk. Services include outreach and supportive services, delivered in a community setting, which will vary with respect to hours, type and intensity of services depending on the changing needs of the Enrollee. When provided to Chronically Homeless individuals, CSP services fall into the following domains: Assisting Enrollees Members in enhancing daily living skills, including: ; Identifying and addressing barriers to attaining and maintaining community tenure Supporting Enrollees members to mitigate barriers to community tenure, including coaching and connection with social services that assist them with issues such as credit history, presence of criminal record, and poor housing history Coaching Enrollees members on budget strategies and/or supporting Enrollees Members to connect with money management services, including financial counselors and representative payees Support to gather documentation such as government identification documents, medical records Linkages to education, vocational training/services Providing service coordination and linkages, including: ; Referrals to healthcare providers Providers make reasonable efforts to assist Enrolles in identifying Members identify and/or facilitating facilitate transportation options, including community‑based transportation resources, such as public transportation and/or community‑ or publicly‑ publically‑ subsidized transportation options Collaborating with State agencies, outpatient or community‑based providers, Emergency Services Programs (ESPs), or other significant entities on service and discharge planning Discharge planning that involves collaterals as appropriate. Collaterals include State agencies, community‑based programs, and other non‑health care community supports Provider coordinates care with EnrolleesMembers’ PCPs to be knowledgeable of medical conditions, to assess EnrolleesMembers’ compliance with medical treatment, and to assist with mitigating related barriers Assisting Enrollees Members with obtaining benefits, housing, and health care, including: ; Providers work with housing agencies to obtain documentation of housing status Working with Enrollees Members to identify transitional supports for move‑in Connecting Enrollees Members to housing search assistance, and helping to coordinate search(es) Linkages to primary and preventive health services Linkages to Behavioral Health behavioral health and substance use disorder treatment Assistance with enrolling in community benefits (Social Security benefits, SNAP, VA benefits, MassHealth, Medicare, etc.) including obtaining needed documentation and helping to complete applications and attend appointments Working with Enrollee Member to identify resources for home modifications as needed Developing a crisis plan in the event of a psychiatric crisis; Refer the Enrollee Member to outpatient provider Refer the Enrollee Member to an ESP Implement other interventions such as Enrollee Member’s safety plan Collaborate with providers (including ESPs) and natural supports Providing prevention and intervention, including: ; Comprehensive Assessment of needs (Behavioral Healthbehavioral health, medical, substance use disorderuse, developmental, and social history; linguistic and cultural background; mental status examination; medications and allergies; barriers to housing; diagnosis and clinical formulation supported by the clinical data gathered, rationale for treatment, and recommendations; level of functioning; and key providers) to identify ways to mitigate barriers to accessing clinical treatment and attaining the skills to obtain and maintain community tenure Developing a service plan/treatment plan (linkages to health, behavioral health, and substance use disorder treatment) Assisting Enrollees Members to prepare for transition to permanent supportive housing by linking Enrollees Members to entities that provide transitional assistance resources. This may include referrals to places of worshipchurches, local housing authorities and non‑profit agencies. Transitional assistance includes non‑recurring household set‑up expenses Discharge planning that involves collaterals Early intervention for potential issues/behavior intervention affecting tenancy Fostering empowerment and recovery, including linkages to peer support and self‑help groups, including: groups Recovery, wellness and empowerment principles and practices are incorporated in service delivery, trainings, and quality improvement activities Facilitates the use of formal and informal resources including community and natural support systems, wellness programs, vocational assistance programs, and peer and self‑help supports and services Provider educates Enrollees Members and their natural supports about substance use disorder and psychiatric disorders, recovery and medications, and links with regular health services When provided to Enrollees with Justice Involvement, CSP services fall into the following domains: Assisting in enhancing daily living skills; Providing service coordination and linkages; Assisting with obtaining benefits, housing, and healthcare; Developing a safety plan; Providing prevention and intervention; and Fostering empowerment and recovery, including linkages to peer support and self-help groups. Emergency Services Program (ESP) ‑ Medically Necessary Services provided through designated, contracted providers, and which are available seven (7) days per week, twenty‑four (24) hours per day to provide treatment of any Enrollee individual who is experiencing a mental health or substance use disorder crisis, or both. An ESP encounter includes, at a minimum, crisis assessment, intervention and stabilization. Enhanced Residential Rehabilitation Services for Dually Diagnosed (ASAM Level 3.1 co‑occurring enhanced) –– beginning no sooner than January 1, 2019 as directed by EOHHS, 24‑hour residential environment intended to serve Enrollees with higher levels of complexity and acuity, including co‑occurring substance use and mental health disorders. Programs are staffed to adequately identify and treat both substance use and mental health disorders in an integrated fashion. Programs are expected to provide holistic and integrated care that facilitates access to medication assisted medications for addiction treatment (MAT), primary care and medical supports, and psychiatric care as needed and must be licensed by the Department of Public Health.