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DBHDS Vision: A life of possibilities for all Virginians
Crisis Services
Division of Developmental Services
Heather Norton, Director
Crisis Services Division of Developmental Services Heather Norton, - - PowerPoint PPT Presentation
Crisis Services Division of Developmental Services Heather Norton, - - PowerPoint PPT Presentation
Crisis Services Division of Developmental Services Heather Norton, Director DBHDS Vision: A life of possibilities for all Virginians both children and adults persons with a developmental disability, including an intellectual disability
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To Educate
- Providers
- Family
- Health Care
staff
- Schools
- Mental Health
Professionals
- Law
enforcement
- Members of
the person’s natural circle
- f support
To Assess
- Crisis
situations
- Mental health
symptoms
- Behavioral
function
- Environment
- The support
system surrounding the Individual
- Medical issues
impacting behavior To Provide Crisis Services
- 24/7 crisis
response
- Stabilization
services
- Coaching and
mentoring for the person’s system of support
- Making
environmental changes that support the person To Habilitate
- Teach effective
coping skills
- To develop
stress tolerance skills
- To teach
functional skills for increased independence
- To identify
individual interests and learn to access these
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Slide 4
Adult Crisis
54 592 472 584 854 1369 200 400 600 800 1000 1200 1400 1600 FY12 FY13 FY14 FY15 FY16 FY17
Total # of Referrals Fiscal Year
Total Number of Referrals by Fiscal Year
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Slide 5
Child Crisis
384 999
200 400 600 800 1000 1200 FY16 FY17
Total # of Referrals
Total Number of Referrals by Fiscal Year
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Slide 6
Outcome of Crisis Assessments (Adult)
480 193 11 130 28 501 256 260 10 100 13 4 7 710 255 580 29 116 36 3 17 100 200 300 400 500 600 700 800
Retain Setting Retain Setting w/REACH Psychiatric Hosp. Medical CTH Admission Alternative CSU New Placement Jail Other
Total Number of Outcomes per Fiscal Year
Outcome of Crisis Assessment by Fiscal Year
FY15 FY16 FY17
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Slide 7
Outcome of Crisis Assessment (Child)
182 41 6 2 304 229 213 6 6 1 11 50 100 150 200 250 300 350 Total Number of Outcomes per Fiscal Year
Outcome of Crisis Assessment by Fiscal Year
FY16 FY17
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Slide 8
Mobile Support Outcome (Adult)
46 6 419 7 10 15 45 502 23 4 42 39 1 398 6 1 7 30 100 200 300 400 500 600
Psychiatric Hospitalization Medical Hospitalization Retained Setting New Residential Setting Jail Other CTH
Total Number of Dispositions per Setting
Disposition at Conclusion of Mobile Supports by Fiscal Year
FY15 FY16 FY17
Fiscal Year
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Mobile Support Outcomes (Child)
6 148 5 66 1 550 6 18 3 100 200 300 400 500 600 Psychiatric Hospitalization Medical Hospitalization Retained Setting New Residential Setting Mobile Supports Active Other Total Number of Dispositions per Setting
Disposition at Conclusion of Mobile Crisis by Fiscal Year
FY16 FY17
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Slide 10
CTH Outcomes (Adults)
27 338 45 12 8 28 461 79 38 27 1 338 67 1 13 40 50 100 150 200 250 300 350 400 450 500
Psychiatric Hospitalization Medical Hospitalization Retained Setting New Residential Setting Jail Other CTH
Total Number per Setting
Disposition from CTH by Fiscal Year
FY15 FY16 FY17
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Slide 11
Independent Reviewer Concerns
“The Commonwealth should study and determine the root causes of the significant increase in admissions of individuals with IDD to state operated psychiatric facilities. Studies found two related factors: an unexpected high rate
- f families refusing REACH services and not all CSB ES
Teams informed REACH of individuals with IDD being screened for psychiatric admission.”
- Emergency Services System
- Psychiatric Hospitalizations
– Adult – Children
- Refusal of services
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Next Steps Children’s Crisis
- Hospital Data Review
– Reasons for increased admissions
- Age of parent caregiver
- Size of child (obesity and GMO)
- Increase in survival rate of preemies
- Fetal Alcohol/Drug impact
- DSS/Foster Care
- Single natural parent households
- Abuse /Neglect and trauma
- Bullying
- Looking at CSA data – are more kids remaining in state in comparison
- Children’s Therapeutic Homes
- Increase consistency
– Training – Documentation – Processes
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Slide 13
Next Steps Adult Crisis
- Hospital Data Review
– Vet data and theories
- Adult Transitional Homes
- Increase consistency
– Training – Documentation – Processes
- Partnership with BH Acute Care Team
– Hospitalizations
- Behavioral Provider Development