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 Children’s Programing in cooperation with Division of Child and Family Services
Introduction Michelle Sandoval, LCSW DPBH/Rural Clinics mvsandoval@health.nv.gov (775) 738-8021 2 of 17 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 Division of Public and Behavioral Health
Identifying a Need 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. 4 of 17 Division of Public and Behavioral Health
Admissions for Psychiatric Reasons 31% increase in 5 years 45% increase in 5 years Data courtesy of the UNLV Center for Health Information Analysis (CHIA) 5 Division of Public and Behavioral Health
Admissions for Psychiatric Reasons 81% increase in 5 years 71% increase in 5 years Data courtesy of the UNLV Center for Health Information Analysis (CHIA) 6 Division of Public and Behavioral Health
Highest Need West Hills Hospital 25 18 Carson City Youth 38 149 Lyon Admissions Douglas 54 Elko for Rural Humboldt Pershing Counties 153 2013-2015 437 Data courtesy of West Hills Hospital 7 Division of Public and Behavioral Health
How Mobile Crisis started Winter 2013: October 2014: January 6 th , January – Fall 2013: Initial Training and Expansion. 2014: MCRT September hiring and policy & Program grows takes first 2014: Pilot planning procedure in Las Vegas, hotline call Period development opens 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. 8 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 Division of Public and Behavioral Health
Who We Serve • 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. 10 Division of Public and Behavioral Health
Video System • Free • HIPPA compliant • Downloadable from any mobile device, tablets and computers • Vsee.com 11 Division of Public and Behavioral Health
How it works in Rural Nevada! Hotline Screening Call Crisis Response Crisis Stabilization Call into the Las • Short-term Vegas hotline behavioral health • The Mental Health number intervention Counselor provided in Information is intervenes via Vsee convenient location gathered-takes and Case Manager (often in-home via about 5 minutes from the Rural Vsee) community Rural Crisis Team is responds in-person. • Facilitate linkage to contacted ongoing community • De-escalate crisis Within minutes a services and Counselor calls you • Perform structured supports to begin the assessment • Monitor safety assessment process • Formulate safety plan • Facilitate hospitalization if needed 12 Division of Public and Behavioral Health
Services Delivered to Date Rural March 2017 Rural FY17 % ALL CALLS Number % of all calls Number 100.0% Total Calls 28 100.0% 102 64.7% Team Responded 20 71.4% 66 13.7% Team Did Not Mobilize* 3 10.7% 14 18.6% Information Only Calls 4 14.3% 19 3.9% Incomplete Response** 1 3.6% 4 0.0% Did Not Mobilize - No Team Available 0 0.0% 0 % OUTCOME OF CALLS Number % of response calls Number 86.4% Hospital Diversion 18 90.0% 57 13.6% Hospitalization 2 10.0% 9 34.8% Stabilization Recommended 7 35.0% 23 Hospital Diversion Rate 90.0% 86.4% 13 Division of Public and Behavioral Health
Where the calls are coming from 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 14
Rural Referral Sources 15 Division of Public and Behavioral Health
k NO w CRISIS https://www.facebook.com/MCRTNevada/ KNOWCRISIS.COM 16 Division of Public and Behavioral Health
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