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Crisis System Redesign in Pierce County

Crisis System Redesign in Pierce County

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Published by Keegan Hamilton

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Published by: Keegan Hamilton on May 22, 2012
Copyright:Attribution Non-commercial

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Background
In July 2009, OptumHealth
SM
took over management of thePierce County Regional Support Network (RSN), after beingawarded the contract by the Washington Department ofSocial and Health Services (DSHS), Mental Health Division.This program has approximately 120,000 Medicaid members.During the 2009-2010 contract year, we served a total of15,000 consumers. OptumHealth values collaboration and hasworked to develop effective partnerships in the community,as well as with the Washington DSHS. All of the OptumHealthinitiatives, from individual policy review to system changeefforts, are designed and implemented through committeesand public forums in which consumers, families, providers andother stakeholders are actively engaged.The program places a strong emphasis on recovery andresiliency, which includes assisting and supporting consumersin learning to manage their mental health and wellnesschallenges and live purposeful lives in their communities.During the rst year of operation, OptumHealth redesigned thecrisis response system in partnership with DSHS, consumers,providers and other community stakeholders.
Crisis System RedesignRequest for Proposal (RFP)
On the rst day of operation (July 1, 2009), OptumHealthreleased an RFP for Crisis System Services focusingon maximizing Medicaid dollars, and moving towards aComprehensive Community-Based Crisis Response Systemusing the Recovery Model of Care. Proposals from providersin response to the RFP were evaluated and scored by a panelcomposed of consumers and key community stakeholders.Contracts were then offered to the selected providers.
Crisis System Transition
OptumHealth successfully transitioned the existing crisissystem to ve new crisis system providers including:A single 24/7 crisis lineMobile Outreach Crisis Team and Designation MentalHealth Professional Services (Washington requireddesignation for court-ordered treatment)Recovery Response Center (Crisis Triage/Stabilization)and Recovery Support Line (Warm Line)A 16-bed Evaluation and Treatment Center
Crisis Response First Responders Team for youth/ children under age 18 with built-in respite beds forchildren.
Mobile Crisis Teams with Peer Support
OptumHealth Pierce County has seen a 35% reduction incivil detentions with the addition of peer-support services to
mobile crisis teams.
Response Recovery Center
The OptumHealth Pierce Recovery Response Center (RRC) isa secure crisis center featuring the Living Room model, whichincludes 50% clinical staff and 50% peer-support staff. TheRRC is designed to offer a welcoming environment and treateach person as a “guest” in a no-force environment. Throughactive engagement, peer support, and recovery-based medicaltreatment, guests quickly learn they can nd solutions withouthaving to be hospitalized or involuntarily detained.
Crisis System Redesign inPierce County, Washington

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