Sec. 102. Crisis response continuum of care
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Subpart 3 of part B of title V of the Public Health Service Act ( 42 U.S.C. 290bb–31 et seq. ) is amended by adding at the end the following: The Secretary shall publish best practices for a crisis response continuum of care for use by health care providers, crisis services administrators, and crisis services providers in responding to individuals (including children and adolescents) experiencing mental health crises, substance related crises, and crises arising from co-occurring disorders. The best practices published under subsection
(a)shall define— a minimum set of core crisis response services, as determined by the Secretary, for each entity that furnishes such services, that— do not require prior authorization from an insurance provider or group health plan nor a referral from a health care provider prior to the delivery of services; provide for serving all individuals regardless of age or ability to pay; provide for operating 24 hours a day, 7 days a week; and provide for care and support through resources described in paragraph (2)(A) until the individual has been stabilized or transferred to the next level of crisis care; and psychiatric stabilization, including the point at which a case may be closed for— individuals screened over the phone; and individuals stabilized on the scene by mobile teams. The best practices published under subsection
(a)shall identify the essential functions of each service in the crisis response continuum, which shall include at least the following: Identification of resources for referral and enrollment in continuing mental health, substance use, or other human services relevant for the individual in crisis where necessary. Delineation of access and entry points to services within the crisis response continuum. Development of protocols and agreements for the transfer and receipt of individuals to and from other segments of the crisis response continuum segments as needed, and from outside referrals including health care providers, first responders including law enforcement, paramedics, and firefighters, education institutions, and community-based organizations. Description of the qualifications of crisis services staff, including roles for physicians, licensed clinicians, case managers, and peers (in accordance with State licensing requirements or requirements applicable to Tribal health professionals). The convening of collaborative meetings of crisis response service providers, first responders including law enforcement, paramedics, and firefighters, and community partners (including National Suicide Prevention Lifeline or 9–8–8 call centers, 9–1–1 public service answering points, and local mental health and substance use disorder treatment providers) operating in a common region for the discussion of case management, best practices, and general performance improvement. The best practices under subsection
(a)shall include recommendations on— adequate volume of services to meet population need; appropriate timely response; and capacity to meet the needs of different patient populations that may experience a mental health or substance use crisis, including children, families, and all age groups, cultural and linguistic minorities, individuals with co-occurring mental health and substance use disorders, individuals with cognitive disabilities, individuals with developmental delays, and individuals with chronic medical conditions and physical disabilities. The Secretary shall— not later than 1 year after the date of enactment of this section, publish and maintain the best practices required by subsection (a); and every two years thereafter, publish updates. The Secretary, directly or through grants, contracts, or interagency agreements, shall collect data and conduct evaluations with respect to the provision of services and programs offered on the crisis response continuum for purposes of assessing the extent to which the provision of such services and programs meet certain objectives and outcomes measures as determined by the Secretary. Such objectives shall include— a reduction in reliance on law enforcement response, as appropriate, to individuals in crisis who would be more appropriately served by a mobile crisis team capable of responding to mental health and substance-related crises; a reduction in boarding or extended holding of patients in emergency room facilities who require further psychiatric care, including care for substance use disorders; evidence of adequate access to crisis care centers and crisis bed services; and evidence of adequate linkage to appropriate post-crisis care and longitudinal treatment for mental health or substance use disorder when relevant. .
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- 42 USC 290bb–31
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Sec. 102
Crisis response continuum of care
Cite42 USC 290bb–31
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