After Hours Mobile Crisis Response Team Services

The vendor is required to provide community-based mobile crisis and crisis intervention services for county residents.
- Crisis services shall be available to residents experiencing behavioral health crises 24 hours a day, 7 days a week, and 365 days a year.
- Mobile crisis services provide rapid response, individual assessment and community based stabilization to beneficiaries who are experiencing a behavioral health crisis.
- Mobile crisis services are designed to provide relief to beneficiaries experiencing a behavioral health crisis, including through de-escalation and stabilization techniques; reduce the immediate risk of danger and subsequent harm; and avoid unnecessary emergency department care, psychiatric inpatient hospitalization, and law enforcement involvement.
- Mobile crisis services are intended to support an integrated approach to responding to both mental health and substance use related crises, and mobile crisis teams must be carrying, training, and be able to administer naloxone, this service is not intended to replace emergency medical services or services for medical emergencies.
- The main types of mobile crisis services include:
• Mobile crisis intervention: provides rapid response and assessment by a multidisciplinary team to de-escalate the crisis and stabilize the individual.
• Mobile crisis stabilization: offers short-term stabilization services to prevent the need for hospitalization or emergency department visits.
• Mobile crisis follow-up: ensures continuity of care by following up with individuals after the initial crisis intervention to support their ongoing recovery and connection to services.
• Mobile crisis outreach: engages individuals who may not seek help on their own, reaching out to those in need within the community.
- This is an on-call/after-hours system available 24/7/365 and is intended to provide current and former foster youth and their caregivers with immediate, trauma-informed support when and where they need it.
- The after-hours mobile crisis response team will intervene to de-escalate the behavioral health crisis and stabilize the client at their location, reducing the need for a higher level of care; the crisis response is field-based and may include:
• Trauma-informed on-site intervention for immediate de-escalation.
• Trauma-sensitive responses that prioritize safety and empowerment, fostering a secure and supportive environment for both caregivers and children/youth.
• Skill development, psychosocial education, and identification of resources needed to stabilize the client.
• Immediate coordination with other providers involved in the client's care.
• Immediate coordination with crisis receiving and stabilization facilities.
• Provision of harm reduction interventions, including the administration of naloxone to reverse opioid overdose if needed.
• Strength-based approach that highlights and nurtures the inherent strengths of both caregivers and children/youth.
• Community-based services in the least restrictive setting possible, with peer support as an important component.
• Culturally competent services, respecting the diverse needs of individuals.
• Coordinated supportive linkage services across providers and systems.  - The after-hours mobile crisis response team must have the ability to document all encounters and interactions in the electronic health record by the completion of the shift or within 12 hours of interaction with the client and the ability to fax and communicate with outside agencies regarding 5150/5585 placements.
- The after-hours mobile crisis response team staff are committed to providing immediate, onsite assistance to individuals in crisis.
- Contract Period/Term: 1 year