Transcript Beaver County Behavioral Health Beaver County, Pa

Beaver County
Single Point of Accountability
Emergency Department (ED)
Diversion Protocol
SPA ED Diversions
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Crisis – Follow up Timeframes
Crisis – Monitoring
Emergency Department Diversions
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Keys to diversion
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Think creatively or outside the box at all possible
options that may be utilized to prevent disruption to
the person’s recovery and community based tenure.
Interventions that divert people in crises to the least
restrictive level of care, where they and the
community can be reasonably assured of safety.
Emergency Department Diversions
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ED's or Payers must notify SPA’s prior to admission in a timely manner
(preferably within one hour) so that opportunities for diversion can be
looked at more closely.
On call, 24-hour SPA crisis response staff will respond and connect
with the person within an ED for possible diversion within one (1) hour
of being notified of an individual’s arrival at an ED
EDs need to be educated about how SPA’s can be helpful to them and
what the alternatives are (ex. RTFA).
– Agencies must demonstrate in writing reasonable attempts to
educate EDs about their services.
SPA’s need to be identified for people who present at EDs to provide
high quality continuity of care and seamless system handoffs
SPA agencies must be able to provide empirical data that demonstrate
SPA face-to-face contacts with people at the ED, including while staff
were on-call.
Crisis: Follow up Timeframes
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SPA teams should be actively involved in the discharge
planning process for the people they serve, including working
as a team member with Crisis and ED staff to determine if
someone can be safely diverted to a lesser level of care.
Discharge planning should begin on the day of admission.
As soon as feasible, the SPA staff must be integral in
assisting in a person’s discharge back to a recovery oriented
community setting that is least restrictive.
When a consumer is admitted to either a psychiatric inpatient
unit or diversion, SPA staff are expected to be in regular
contact with the consumer and staff (every other business
day), unless approved otherwise by supervisor.
Crisis: Follow up Timeframes
For consumers that are actively involved in CTT, the SPA will
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See them during the crisis
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Make a follow up face-to-face contact within 1 business day of any admission
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Make a minimum of 5 face-to-face contacts the week following the crisis
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Have daily face to face or telephone contacts for the first two weeks
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For consumers that are involved in Blended Case Management , the SPA will
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See them during the crisis
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Make a follow up face-to-face contact within 1 business day of any admission
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Make a minimum of 3 face to face contacts the week following the crisis
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Make a minimum of 8 face to face or telephone contacts for the first two weeks *
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Consumers unknown to the system that have contact with walk-in, mobile, or telephone crisis
will have a follow up phone call within 2 days; and will be seen by a psychiatrist, nurse, or
therapist within 7 days.
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Consumers known to the system who have contact with walk-in, mobile, or telephone crisis
will have a follow up phone call within 2 days; and will be seen face-to-face within 3 business
days by a psychiatrist, nurse, or therapist.
* The number of visits or calls by the BCM can vary according to individual need and supervisory
approval
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Crisis: Monitoring
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Agencies have a responsibility for having a Quality
Improvement or Management Plan that includes Crisis
Agencies must demonstrate a manner for collecting data
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Assuring SPA Response:
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whether or not on-call staff are responding to the ED or other
facilities after hours.
Notification to team if on-call case manager went out to the
consumer
Supervisors should review on-call sheets to assure contact
was made in ED, and document that a diversion was
attempted, if applicable
VBH-PA Daily Census can be reviewed
VBH-PA CASSP Coordinator calls can be reviewed for
children.
THANK YOU
You have completed the CPP-ED Diversion PowerPoint.
Please insert the following link into your web browser to
take a short test on this competency:
https://www.surveymonkey.com/s/SPA-Crisis_Diversion
You can also find this information at
www.BC-Systemofcare.org
In the SPA section.
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