The Vermont Crisis Intervention Network
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The Vermont Crisis Intervention Network Eighteen years of prevention
Transcript of The Vermont Crisis Intervention Network
The Vermont Crisis Intervention Network
Eighteen years of prevention
VCIN History
1985 – 1991 Eating, laughing and driving! 1990 – 1994 Closing Brandon Training School
D.S. Directors came together (collaboration)
1990 RCL proposed VCIN 1991 February 24th Chas called to say “Go” 1991 March 1st VCIN started! The first state-wide crisis service in the U.S.
Vermont
Population 621,760
157 miles long90 miles wide at top42 miles at the bottom
14 counties
10 full service community mental health centers
7 dev. dis. only
Vermont: Designated Agencies The Department of Disabilities, Aging and
Independent Living (DAIL) designates one Designated Agency (DA) in each geographic region (10) of the state who must provide services directly or contract with other providers to deliver supports and services consistent with available funding: intake and referral assessing individual needs providing regional crisis response services providing comprehensive service network that assures the
capacity to meet the support needs of all eligible people in the region
The Vermont Crisis Intervention Network
Level I – Clinical Foundation Building
Level II – On Site Consultation
Level III – Residential Crisis Services
Level I – Clinical Foundation Building
Founding Philosophy
In order to reduce, and potentially prevent crises throughout the state the level of clinical expertise within the agencies must be increased.
Level 1 – Clinical Foundation Building
Training (500 people/ year, est.) Positive behavior supports Bio/psycho/social analysis Psychotherapy with individuals with DD Psychiatric disorders and individuals with DD Medication/psychopharmacology Strategic self-regulation therapy
Level I – Clinical Foundation Building
Systems Development Assist agencies with:
Designs and enhancement of clinical services Crisis service development
Access to Level I Call Pat Frawley or Brandon Pedigo
Level II – On Site Consultation
Founding Philosophy In order to reduce or prevent crises, expert clinical
services can be delivered within the local agencies Stabilization of a potential crisis is often realized
through early intervention Staff and Service Coordinator competencies can be
increased through this consultation
Level II – On Site Consultation
Psychological/behavioral consultation Time with the person Record review Staff interviews Team meetings (inform, draw consensus) Plan development (support team making their plan) Referral to psychiatrist if appropriate Write report ( ? ) Follow-up
Level II – On Site Consultation
Psychiatric Evaluation Psychiatric interview Record review Staff interviews Written recommendations ( ? ) Communication with or referral to prescribing
physician
Level II – On Site Consultation
Access to Level II
Call Pat Frawley or Brandon Pedigo
Level II – On Site Consultation
Individuals Assisted Annually 1991 40 1995 50 1998 61 2002 60 2005 91 2007 102
Level III – Residential Crisis Services
Founding Philosophy Institutional diversion appropriate and necessary Appropriate clinical diagnosis and treatment required Humane, calm environment essential Rapid return to community important
Level III – Residential Crisis Services
Crisis Residences in Moretown and Putney Rural single residence structures 1 to 1 staffing (or richer) at all times Individualized daytime work/activity program Psychological/behavioral consultation Psychiatric evaluation and prescription Generic and specialist health provider referrals
Level III – Residential Crisis Services
Level III - Residential Mobile Support 24 hour staffing available within the individual’s
home or alternative setting Gate keeping the same as Level III residential beds All clinical services available Clinical planning meetings required
Level III – Residential Crisis Services
Access to Level III
Ellen Malone (802-241-4493)
Level III – Residential Crisis Services
Level III Agency Requirements Retain role of service coordinator Attend weekly clinical discussion and planning
meetings with VCIN direct and clinical staff and DAIL representative
Attempt to meet deadlines for return Arrange for temporary or permanent referral to
another agency if deadlines are unattainable
Level III – Residential Crisis Services
Level III 2007 (fiscal year) Moretown
17people ( 2 children) 336 total days, average stay 21 days
Putney 15 people (6 children) 333 days, average stay 23 days Range for both beds 4 - 47 days
