The New York State Office of Mental Health announces the availability of funds for the procurement of new Home Based Crisis Intervention (HBCI) teams throughout New York State.
Donor Name: New York State Office of Mental Health
State: New York
County: Selected Counties
Type of Grant: Grant
Deadline: 06/13/2023
Grant Duration: 5 years
Details:
The Home Based Crisis Intervention (HBCI) team serves children/youth ages 5 to 20 years, 11 months who are at imminent risk of psychiatric hospitalization or admission to a group treatment program, or who are at risk for a rapid readmit to such settings. HBCI teams deliver intensive crisis intervention to children and families to help maintain the child/youth in the home, school, and community. HBCI ensures the child and their family have the level of support services and access to clinical professionals they require to sustain any gains made in crisis response or high-end services.
Home Based Crisis Intervention (HBCI) interventions are focused on enhancing the family’s crisis intervention skills and the family and child’s problem solving skills to foster stability for the child/youth. Services are delivered using a family-driven, trauma-informed, youth-guided and developmentally appropriate approach that comprehensively addresses the needs of the child/youth within the family and community.
To address the needs of children and adolescents eligible for this comprehensive service, the HBCI team is comprised of mental health Interventionists and a Clinical Supervisor. Teams may also include a consulting Psychiatric prescriber and/or a program assistant.
Home Based Crisis Intervention (HBCI) is expected to promote a myriad of interventions, including: the active participation of the family and other natural supports; the utilization of promising practices and evidence-based treatment interventions focused on family and systems approaches; meaningful connections within the home and community; and preparations for transition to adulthood; all as applicable to the population served.
Objectives and Responsibilities
- HBCI Providers will follow the HBCI model, delivering services that comprehensively address the needs of the child/youth within the family, school, medical, behavioral, psychosocial, and community domains. HBCI providers will have the capacity to serve 4 to 12 children and families in each team at a time, depending upon the needs of the area, HBCI team size, and the capacity for maintaining required staffing levels. Applicants must be able to substantiate the capacity of the team by providing historical and/or current data/information on the volume of youth in the region who are likely to meet eligibility criteria.
- HBCI Providers must adhere to the fidelity of the HBCI model, as outlined in the Program Guidance, including:
- Building a team that provides coordinated services using the HBCI guiding principles with interventionist and a Master’s level Licensed Supervisor. HBCI teams may also choose to employ a prescriber and/or a program assistant. HBCI Providers will ensure all staff on an HBCI team have experience in providing direct services related to the treatment of families and children with serious emotional disturbance
- Delivering comprehensive and flexible crisis intervention, treatment, and support to families and children/youth in their natural living settings rather than in hospital or clinic settings. This means that interventions and skills training will be carried out at the locations where children and their families live, work, and socialize, and where support is needed.
- Demonstrating a clear understanding of service needs of children/youth with behavioral health needs and their families, including thorough evaluation with appropriate assessments
- Providing services that are tailored to meet the individual’s specific needs by implementing key components of evidence-based practices for children and families. These may be derived from models such as Motivational Interviewing, Family therapy/Family System approaches, cognitive and behavioral Interventions, and trauma informed care, etc., individualized to the child and family’s needs.
- Assessing regularly for risk through the consistent use of standardized tools to screen, assess and monitor the level of risk. Severity screening for risk indicators within the child/youth and family should occur throughout the process of service delivery by the HBCI team to determine if/when intervention is needed
- Maintaining the organizational capacity to ensure small caseloads and continuity of care
Grant Period: Contracts will be approved for a five-year term.
Target Population/Eligibility Criteria
- Home Based Crisis Intervention (HBCI) is a family preservation program designed to address the significant needs of children and youth ages 5 to 20 years, 11 months, who are at risk of entering, or rapidly readmitting to, inpatient psychiatric treatment or residential treatment.
- Children and youth eligible for HBCI must meet the following admission criteria:
- Child must be at least 5 at the time of enrollment and may be served until 20 years, 11 months of age. See below for additional eligibility criteria for young adults ages 18 – 20 years, 11 months of age.
- Are in acute crisis at the time of the referral, in the context of at least two of the following criteria:
- Current, persistent, and severe major symptoms and/or behaviors (e.g., affective, psychotic, suicidal or significant impulse control issues) that are contributing to a current state of crisis for the child.
- Child and/or family has not adequately engaged or responded to treatment in more traditional settings.
- Home environment and/or community unable to provide necessary support for developmentally appropriate growth required to adequately address mental health needs in current crisis.
- High use of acute psychiatric hospitals
- High use of psychiatric emergency or crisis services
- Clinically assessed to be at immediate risk of requiring a more restrictive living situation (e.g., community residence, RTF or psychiatric hospital) without intensive community services.
- In addition to standard eligibility criteria detailed above, young adults ages 18 – 20 years, 11 months must meet all of the following eligibility criteria:
- Resides full time with at least one caregiver who is either a legal guardian OR who fulfills a primary caretaking role
- Is financially dependent on a caregiver; without the finances of the caregiver the young adult would not be able to provide for their own basic needs
- The caregiver is willing to provide the bulk of emotional support to the young adult during HBCI treatment and immediately after, agrees to participate in HBCI treatment with the youth, and agrees to facilitate attendance in ongoing treatment after discharge
- The young adult is willing to have the caregiver fulfill the duties above and will sign a Release of Information between the caregiver and HBCI.
- Eligible Agencies:
- Eligible applicants are not-for-profit agencies with 501(c) (3) incorporation that have experience providing mental health services to persons with serious emotional disturbance. Eligible applicants will be required to notify the Local Governmental Units (LGU) that they are applying to provide HBCI services in the intended catchment area(s) and share their plans for collaboration and providing services in the intended catchment area. Applicants must submit a copy of a sent email to the LGU addressed to the DCS and other applicable individuals.
For more information, visit NYSOMH.
