Crisis response staff provide on-site, in-person
intervention for individuals experiencing a mental health crisis. The mobile
response staff provide crisis response services in the individual's home or at
locations in the community. Staff work in pairs to ensure staff safety and the
safety of the individual served. A single staff member may respond if another
person who meets one of the criteria listed in paragraph 24.24(2) "a" will be
available on site. Twenty-four-hour access to a mental health professional is
required.
(1) Performance benchmark.
Mobile response services are delivered to individuals in crisis in a timely
manner.
(2) Performance
indicators.
a. Mobile response staff are dispatched
immediately after crisis screening has determined the appropriate level of
care. If the mobile response staff already are responding to another call,
staff explain to the caller that there may be a delay in receiving a mobile
response and offer an alternative response.
b. Mobile response staff have face-to-face
contact with the individual in crisis within 60 minutes from dispatch. If the
mobile response staff are responding to another request, there may be a delay
in receiving mobile response and an alternative response should be
provided.
c. Data is collected to
track and trend response time from initial dispatch, the time to respond to
dispatch when a team is already in response; diversion from or admission to
hospitals, correctional facilities and other crisis response services. The data
for each fiscal year is reported to the department within 60 days of the close
of the fiscal year.
d. When an
action plan is developed, a copy is sent within 24 hours, with the individual's
signed consent, to service providers, the individual and others as
appropriate.
e. The following
information is documented in the individual's service record:
(1) Triage and referral
information.
(2) Reduction in the
level of risk present in the crisis situation.
(3) Coordination with other mental health
resources.
(4) Names and
affiliation of all individuals participating in the mobile response.
f. A follow-up appointment with
the individual's preferred provider will be made, and mobile response staff
will follow up with the individual and document contact or attempt to contact
on a periodic basis until the appointment takes place.
Notes
Iowa Admin. Code
r. 441-24.36
Adopted by
IAB
October 15, 2014/Volume XXXVII, Number 8, effective
12/1/2014
