HBCI Interventionist Chautauqua

The NYS OMHestablished Home Based Crisis Intervention (HBCI) as a short term intensive service to avert unnecessary psychiatric hospitalizations of children andyouth. This goal is accomplished via evidence-based interventions with thechild/youth and their family, and case management services such as referrals tolonger term services. Some critical components of this model which are to be incorporated into the policies and procedures of ROME to provide HBCI Services are:

Acceptance of only those children/youth who are at imminent risk of psychiatric hospitalization or residential treatment. A short term, crisis oriented, and intensive intervention process which is provided as soon as possible, but nolater than 48 hours after referral to the program.

Flexible staff hours, including rotating 24 hour on call response capability.

An intakeand assessment process designed to ensure that no family is left in a dangerous situation.

An approach to intervention that focuses on the family, both its strengths and its needs.

An approach that is multi-faceted including skill building, counseling, and concrete services.

A small caseload with each Interventionist working with only 2-3 families at a time.

A brief duration of services, typically 4-6 weeks (for those programs serving solely clients with mental health diagnoses and intellectual/developmental disabilities, the expected duration of services is 6 to 9 weeks).

Linkage toon-going community supports, i.e.:
Mental Health Outpatient Treatment and Rehabilitative Services (MHOTRS), Health Home Care Management, Child and Family Treatment Supports and Services.

Follow upwith families at 1 and 3 month intervals to assess progress and to evaluate the program's success.

The Target Population for HBCI Service is children/youth ages 5 to 20 years and 11 monthsof age who are experiencing a psychiatric crisis so severe that unless immediate effective intervention is provided, the child/youth will likely be admitted to a psychiatric hospital or placed in a treatment residence.

The Interventionist is responsible for providing treatment to the child and their family/caregivers toaddress the clinical needs of the child and the complex needs of the family unit. The Interventionist will provide crisis intervention and stabilization with the child/youth and family, and case management services such as referralsto other services and ensuring the structural home environment is safe.

Treatment interventions are to be individualized to the child/family and evidence-based practices should be used to address identified clinical andfamily system needs.

ESSENTIAL FUNCTIONS:

Screening and Assessment:

Screening for social determinants of health;understanding of ACES; knowledge of and linkage with the larger community and service system through which to address needs

Mental Health screenings for issues such as Depression,Anxiety, ADHD 8

Trauma screens (e.g. UCLA PTSD Reaction Index scale;ACES) or other tools where appropriate

Risk screening and assessment (e.g. Columbia Suicide Severity Rating Scale, Stanley-Brown Safety Plan)

Substance use screening and assessment (e.g. Screening,Brief Intervention, and Referral to Treatment - SBIRT) Interventions/treatment models that may include evidence based and promising practices such as:

Motivational Interviewing for ongoing engagement ofyouth and families with complex needs

System of care; multi-systems approach to involve theactive coordination of care of the child/youth and family with multidisciplinary providers, agencies, community resources and supports

Family therapy/family systems approaches consistent with the range of developmental stages of the children/youth to be served

Behavioral interventions for severe behavior disorders,co-occurring learning disorders or limited…