24 Miss. Code. R. 2-19.9 - ID/DD Waiver Crisis Intervention Services
A. Crisis
Intervention Services provide immediate therapeutic intervention, available to
a person on a 24-hour basis, to address personal, social, and/or behavioral
problems which otherwise are likely to threaten the health and safety of the
person or others and/or may result in the person's removal from their current
living arrangement.
B. Crisis
Intervention Services are used in situations in which the need is immediate and
exceeds the scope of Behavior Support Services.
C. This service is provided on a one-to-one
(1:1) employee to person ratio.
D.
There are three (3) models and primary service locations:
(1) Crisis Intervention in the person's home;
(2) Crisis Intervention provided
in an alternate community living setting; or
(3)
Crisis Intervention provided in the person's usual day setting.
1. Person's home: The agency provider will
provide or coordinate support services with the person's community living and
day services provider(s). These services will, to the greatest extent possible,
allow the person to continue to follow their daily routine in the service
setting, with accommodations consistent with the Crisis Intervention Plan and
the person's current behaviors. The Crisis Intervention Plan indicates any
adaptations/changes needed in the environments in which the person typically
spends their days.
2. Alternate
residential setting: In the event a person needs to receive Crisis Intervention
Services in a setting away from the primary residence, the agency provider must
have pre-arranged for such a setting to be available. This may be an apartment,
hotel/motel, or a bedroom at a different DMH-certified residence. The Crisis
Intervention personnel, to the greatest extent possible, maintain the person's
daily routine and follow the Crisis
Intervention Plan to transition the person back to their primary residence. The Crisis Intervention Plan indicates any adaptations/changes needed in the environments in which the person typically spends their days.
3.
Person's usual day setting: Crisis Intervention personnel will deliver services
in such a way as to maintain the person's normal routine to the maximum extent
possible, including direct support during Day Services-Adult, Prevocational
Services, or Supported Employment.
E. The agency provider must develop policies
and procedures for relocating someone to an alternate residential setting(s).
This includes the type of location, whether people will be alone or with
others, and plans for transporting people. The policies and procedures must
include a primary and secondary means for providing an alternate residential
setting(s). These settings must be equipped with all items necessary to create
a home-like environment for the person.
F. The agency provider must have an on-call
system that operates 24 hours a day, seven (7) days per week to ensure there
are sufficient employees available to respond to crises.
G. The following positions are required for
Crisis Intervention Teams; the specific requirements for the positions listed
below are outlined in Chapter 11:
1. A
professional who meets the criteria under Rule
11.5.B.1 for an IDD Crisis
Intervention Team director.
2. An
ID/DD Waiver Behavior Specialist.
3. Direct service personnel for IDD
Services.
H. Crisis
Intervention Services may be indicated on a person's Plan of Services and
Supports prior to a crisis event when there is a reasonable expectation, based
on past occurrences or immediate situational circumstances in which the person
is at risk of causing physical harm to self, causing physical harm to others,
damaging property, eloping, or being unable to maintain self-control in a
manner that allows participation in usual activities of daily life. The agency
provider will be chosen at the time the service is approved on the Plan of
Services and Supports; therefore, if a crisis arises, the agency provider can
be dispatched immediately.
I. Upon
receiving information that someone is in need of Crisis Intervention, the
agency provider immediately sends trained personnel to the person to assess the
situation and provide direct intensive support when a person is physically
aggressive or there is concern that the person may take actions that threaten
the health and safety of self and others.
J. As soon as is feasible, the person must be
evaluated by medical personnel to determine if there are any
physical/medication factors affecting their behavior.
K. When the immediate crisis is stabilized,
appropriately qualified personnel:
1. Continue
analyzing the psychological, social, and ecological components of the extreme
dysfunctional behavior or other factors contributing to the crisis.
2. Assess which components are the most
effective targets of intervention for the short-term amelioration of the
crisis.
3. Develop and write a
Crisis Intervention Plan.
4.
Consult and, in some cases, negotiate with those connected to the crisis in
order to implement planned interventions, and follow-up to ensure positive
outcomes from interventions or to make adjustments to interventions.
5. Continue providing intensive direct
supervision/support.
6. Assist the
person with self-care when the primary caregiver is unable to do so because of
the nature of the person's crisis situation.
7. Directly counsel or develop alternative
positive experiences for people while planning for the phase out of Crisis
Intervention Services and return of the person to their living arrangement, if
applicable.
8. Train employees and
other caregivers who normally support the person in order to remediate the
current crisis as well as to support the person long-term once the crisis has
stabilized in order to prevent a reoccurrence.
L. Crisis Intervention personnel may remain
with the person 24 hours a day, seven (7) days a week until the crisis is
resolved. Crisis Intervention is authorized for up to 24 hours per day in seven
(7) day segments with the goal being a phase out of services in a manner which
ensures the health and welfare of the person and those around them. Additional
seven (7) day segments can be authorized by DMH, depending on a person's need
and situational circumstances.
M.
Episodic Crisis Intervention is provided in short-term (less than 24 hours)
segments and is intended to address crises such as elopement, immediate harm to
self or others, damage to property, etc., that can be managed through less
intensive measures than daily Crisis Intervention. The maximum amount that can
be approved is 168 hours. Additional hours can be authorized by DMH, depending
on the person's need and situational circumstances.
N. If a person requires a higher level of
supervision/support than can be safely provided through Crisis Intervention
Services, then the person will be appropriately referred to other more
intensive services.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.