The New York State Office of Mental Health announces the availability of funds for the procurement of pilot HBCI teams serving youth with co-occurring Intellectual Disorders and/or Developmental Disorders throughout New York State.
Donor Name: New York State Office of Mental Health
State: New York
County: All Counties
Type of Grant: Grant
Deadline: 06/13/2023
Grant Duration: 5 years
Details:
The Home Based Crisis Intervention (HBCI) teams will serve children/youth ages 5 to 20 years, 11 months who are returning home from inpatient settings or residential services and are at risk for a rapid readmission, or are at imminent risk of entering such settings. 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. HBCI teams deliver intensive crisis intervention to children and families to help maintain the child/youth in the home, school, and community.
Home Based Crisis Intervention (HBCI) interventions are focused on enhancing crisis intervention and problem-solving skills to foster well-being and stability for the child/youth. Services are delivered using a family-driven, youth-guided, and developmentally appropriate approach that comprehensively addresses the needs of the child/youth within the family and community domains.
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. The teams may include a consulting Psychiatric prescriber and/or a program assistant.
Objectives and Responsibilities
- Home Based Crisis Intervention (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 6 children/youth per 6–9-week length of stay. 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.
- Home Based Crisis Intervention (HBCI) Providers must adhere to the fidelity of the HBCI model, including:
- Building a team providing coordinated services using the HBCI guiding principles with clinical staff, and a Master’s level Licensed Supervisor. HBCI teams may also choose to employ a consulting Psychiatric 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 with families and children with serious emotional disturbance and an intellectual and/or developmental disorder.
- Delivering comprehensive and flexible treatment and support to 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/youth live, work, and socialize, and where support is needed.
- Demonstrating a clear understanding of service needs of children/youth with both behavioral health and developmental disability needs, and the needs of their families, including thorough evaluation via 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 children/youth and families 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.
- Providing emergency and crisis intervention services on 24 hours a day, 7 days a week basis.
Grant Period: Contracts will be approved for a five-year term.
Target Populations/Eligibility Criteria
- Home Based Crisis Intervention (HBCI) is designed to address the significant needs of children ages 5 to 20 years 11 months, who are at risk of entering, or rapidly readmitting to, inpatient psychiatric treatment or residential treatment.
- Children are eligible for HBCI if they meet the following admission criteria:
- Are at least 5 years of age at the time of enrollment and may be served until 20 years, 11 months of age
- Are diagnosed with a mental health disorder
- Are diagnosed with an intellectual and/or developmental disability
- Are in acute crisis at the time of the referral, in the context of demonstrating 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, psychiatric hospital, or RTF) without intensive community services.
- In addition to standard eligibility criteria, 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 the 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.
