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Crisis Services – Community-Based Services

Page posted: 11/3/08

Page reviewed:

Page updated: 11/3/08

Legal Authority

Minn. Stat. §252.27 Subd.1a, Minn. R. 9525.0016, subp. 2

Background

In an effort to avoid the need for initiating commitment proceedings, it is expected that all persons who are considered for admission to METO be referred to and reviewed for alternative care and/or placement by a crisis management service.

Crisis management services include but are not limited to:

Community Support Services

Legislative action in 1993 created seven Community Support Services (CSS) teams across the state. CSS provides community-based crisis intervention services through its mobile teams to support clinically complex individuals in the community and build community capacity. CSS provides clinical consultation and technical assistance in all 87 Minnesota counties.

CSS promotes supports that are person-centered and develop paid and non-paid caregiver skills. A primary emphasis for all services is to assist those who know the person best. CSS may fill a direct service gap temporarily while elements of a successful life plan are developed. However, training and mentoring others remains the CSS focus.

CSS continues to evolve and build community capacity to service clinically complex persons. In 2003, a mental health CSS team, known as Synergy, was developed to build support networks for persons with serious and persistent mental illness. In 2005, a forensic CSS team was developed to serve persons deemed mentally ill and dangerous, who have been committed on provisional discharge in the community.

Contact a CSS team supervisor (PDF) to make referrals.

Community Support Services Funding

To be eligible for CSS funding when a recipient’s care provider cannot remediate a situation to provide stability for the person, counties must ensure that the service recipient meets all of the below listed requirements:

  • • Has a developmental disability as the primary disability
  • • Has been screened for ICF/DD level of care
  • • Is at risk of losing or has lost their care provider due to behavioral challenges
  • • Is unable to have their needs met by the care provider
  • • Receives DD case management
  • If there are no available resources within the county Developmental Disability (DD) Waiver budget to purchase CSS, counties may apply for assistance:

    1. Counties must complete and submit the Checklist for Approving Community Support Services using Appropriations for Individuals on the DD Waiver Form (Under Constriction) to their Regional Resource Specialist.

    2. DSD will recommend approving or denying the CSS funding.

    3. State Operated Services will then make the final determination of eligibility for funds.

    Metro Crisis Coordination Program

    The Metro Crisis Coordination Program (MCCP) is a collaborative effort among the seven metro counties of Anoka, Carver, Dakota, Hennepin, Ramsey, Scott and Washington.

    MCCP serves persons with developmental disabilities who:

  • • Live in the seven county metro area
  • • Are open cases in the DD units of one of those seven counties or
  • • Are in process of becoming an open case in one of those units
  • MCCP works interdependently with individuals, private providers and public agencies to:

  • • Prevent crises that affect the residential and/or work (educational) placements of persons with developmental disabilities and
  • • Reduce the use of hospitalizations and civil commitments resulting from crisis situation
  • MCCP's team includes:

  • • Behavior analysts
  • • Consulting psychiatrists and psychologists
  • • Psychiatric nurses and
  • • Social workers
  • Referrals in the seven metro counties

    Call MCCP at (612) 869-6811 or (952) 767-3125 to initiate referrals for behavioral support and crisis or transitional residential services.

    Call MCCP at (612) 202-6311 to receive 24-hour emergency telephone triage and consultation.

    MSOCS

    Persons with a primary diagnosis of a developmental disability who require ICF/DD level of care and meet the admission criteria for METO will be admitted to a licensed Minnesota State Operated Community Services (MSCOS) residential setting until an appropriate community placement can be secured.

    Case Manager responsibilities for pre-placement, placement and post placement of persons admitted to a licensed MSOCS residential setting will be the same as for persons admitted to METO.

    Counties may request additional funding through the safety net for the DD Waiver if a county does not have sufficient funding in their DD Waiver budget to meet the health and safety needs of a court-committed person needing ICF/DD level of care,

    Crisis Respite Service

    Crisis respite services are available for persons on the DD Waiver.

    Crisis-only respite services are available for persons found to be DD Waiver eligible and who access the DD Waiver to mitigate the crisis. Recipients on the waiver for crisis-only respite do not have access to other waiver services.

    Additional Resources

    Checklist for Approving Community Support Services using Appropriations for Individuals on the DD Waiver Form
    Community Support Services (CSS) Information and Referral Contacts – July 2008 (PDF)

    Crisis Services Case Manager Responsibilities

    Crisis Services Funding

    Crisis Services METO Admission

    DD Waiver policy page

    MCCP Summary of Crisis Service Organizational Chart (PDF)

    MHCP Provider Manual - Adult Crisis Response Services
    (Chapter 16-Overview Page)

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