WHAT’S CURRENTLY WORKING WELL? GAPS Upstream preventative supports outreach Not enough beds – Connections with schools preventative referrals Training for respite providers to support workforce retention – – Pediatricians social workers in offices Family managed respite utilization – Proactive emergency plan for individuals in contracts with hospitals. Crisis responders foundational training – – Designated Agency (DA) crisis teams on call. Dev. Services eligible Danger/safety - protection participants Clinicians outside DA making referrals Single point of entry for children triage to correct service providers. Rate of pay and paper regulations – Telehealth with psychiatry staff. Soft transition home from crisis beds. Infiltration into schools and Primary Care Provider offices Access to crisis beds for those with developmental disabilities. Alliances with DA Clinical Access to psychiatry Clara Martin Center (CMC) outreach to prevent crisis. Not enough local resources – Work in schools school can call CMC for assistance. Not enough psychiatrists – Working with local pediatrician’s offices. Respite providers need training Emergency Department (ED) becomes default Embedded social workers in police departments Workforce issues-find the and then retaining them response in Rutland Licensed clinicians for private practice. Post crisis response (up to 8 weeks) Access to crisis beds then support to transition home ongoing support for family Establish relationship with kid and family – Who will do it? Workforce issues all over VT. Participate in community meetings Geography Follow-up programs Personnel Each DA has response When at ED and then discharged then priority or eligibility changes Other social service agencies have own response Triage Centralized Intake Emergency Services (CIES/DCF-Family Services) Education called for permission to treat Collaborative response between DCF-Family Services and DA Different county to county Staffing high risk DCF/community-based kids
WHAT’S CURRENTLY WORKING WELL? GAPS Upstream preventative supports – outreach Connections with schools – preventative referrals Pediatricians – social workers in offices Proactive emergency plan – for individuals in contracts with hospitals. Designated Agency (DA) crisis teams on call. Dev. Services eligible participants Single point of entry for children – triage to correct service providers. Telehealth with psychiatry staff. Infiltration into schools and Primary Care Provider offices Alliances with DA Clinical Clara Martin Center (CMC) – outreach to prevent crisis. Work in schools – school can call CMC for assistance. Working with local pediatrician’s offices. Embedded social workers in police departments response in Rutland Post crisis response (up to 8 weeks) Establish relationship with kid and family Participate in community meetings Follow-up programs Each DA has response Other social service agencies have own response Centralized Intake Emergency Services (CIES/DCF-Family Services) called for permission to treat Collaborative response between DCF-Family Services and DA Different county to county Staffing high risk DCF/community-based kids Not enough beds Training for respite providers to support workforce – retention Family managed respite utilization Crisis responders – foundational training Danger/safety - protection Clinicians outside DA making referrals Rate of pay and paper regulations Soft transition home from crisis beds. Access to crisis beds for those with developmental disabilities. Access to psychiatry Not enough local resources Not enough psychiatrists Respite providers need training Emergency Department (ED) becomes default Workforce issues-find the and then retaining them Licensed clinicians for private practice. Access to crisis beds then support to transition home – ongoing support for family Who will do it? Workforce issues all over VT. Geography Personnel When at ED and then discharged then priority or eligibility changes Triage Education
Mobile%20Crisis%20Think%20Tank%20Notes%206-13-18.docx