225C.19 - EMERGENCY MENTAL HEALTH CRISIS SERVICES SYSTEM.

        225C.19  EMERGENCY MENTAL HEALTH CRISIS SERVICES
      SYSTEM.
         1.  For the purposes of this section:
         a.  "Emergency mental health crisis services provider" means a
      provider accredited or approved by the department to provide
      emergency mental health crisis services.
         b.  "Emergency mental health crisis services system" or
      "services system" means a coordinated array of crisis services
      for providing a response to assist an individual adult or child who
      is experiencing a mental health crisis or who is in a situation that
      is reasonably likely to cause the individual to have a mental health
      crisis unless assistance is provided.
         2. a.  The division shall implement an emergency mental health
      crisis services system in consultation with counties, and community
      mental health centers and other mental health and social service
      providers, in accordance with this section.
         b.  The purpose of the services system is to provide a
      statewide array of time-limited intervention services to reduce
      escalation of crisis situations, relieve the immediate distress of
      individuals experiencing a crisis situation, reduce the risk of
      individuals in a crisis situation doing harm to themselves or others,
      and promote timely access to appropriate services for those who
      require ongoing mental health services.
         c.  The services system shall be available twenty-four hours
      per day, seven days per week to any individual who is in or is
      determined by others to be in a crisis situation, regardless of
      whether the individual has been diagnosed with a mental illness or a
      co-occurring mental illness and substance abuse disorder.  The system
      shall address all ages, income levels, and health coverage statuses.

         d.  The goals of an intervention offered by a provider under
      the services system shall include but are not limited to symptom
      reduction, stabilization of the individual receiving the
      intervention, and restoration of the individual to a previous level
      of functioning.
         e.  The elements of the services system shall be specified in
      administrative rules adopted by the commission.
         3.  The services system elements shall include but are not limited
      to all of the following:
         a.  Standards for accrediting or approving emergency mental
      health crisis services providers.  Such providers may include but are
      not limited to a community mental health center, a provider approved
      in a waiver adopted by the commission to provide services to a county
      in lieu of a community mental health center, a unit of the department
      or other state agency, a county, or any other public or private
      provider who meets the accreditation or approval standards for an
      emergency mental health crisis services provider.
         b.  Identification by the division of geographic regions,
      service areas, or other means of distributing and organizing the
      emergency mental health crisis services system to ensure statewide
      availability of the services.
         c.  Coordination of emergency mental health crisis services
      with all of the following:
         (1)  The district and juvenile courts.
         (2)  Law enforcement.
         (3)  Judicial district departments of correctional services.
         (4)  County central point of coordination processes.
         (5)  Other mental health, substance abuse, and co-occurring mental
      illness and substance abuse services available through the state and
      counties to serve both children and adults.
         d.  Identification of basic services to be provided through
      each accredited or approved emergency mental health crisis services
      provider which may include but are not limited to face-to-face crisis
      intervention, stabilization, support, counseling, preadmission
      screening for individuals who may require psychiatric
      hospitalization, transportation, and follow-up services.
         e.  Identification of operational requirements for emergency
      mental health crisis services provider accreditation or approval
      which may include providing a telephone hotline, mobile crisis staff,
      collaboration protocols, follow-up with community services,
      information systems, and competency-based training.
         4.  The division shall initially implement the program through a
      competitive block grant process.  The implementation shall be limited
      to the extent of the appropriations provided for the program.  
         Section History: Recent Form
         2008 Acts, ch 1187, §52; 2009 Acts, ch 41, §88 
         Footnotes
         Appropriation of funds for implementation of system beginning
      January 1, 2009; 2008 Acts, ch 1187, §9; 2009 Acts, ch 182, §72, 87