Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 471 - NEBRASKA MEDICAL ASSISTANCE PROGRAM SERVICES › Chapter 32 - CHILDREN'S MENTAL HEALTH AND SUBSTANCE USE TREATMENT SERVICES › Section 471-32-003 - Treatment Crisis Intervention Services

Current through June 17, 2024
Crisis intervention services are available to clients age 20 or
	 younger when the treatment of a condition needing care leads to a HEALTH CHECK
	 (EPSDT) screen and the treatment is clinically necessary. Crisis intervention
	 services are appropriate for a family in the midst of a child/adolescent mental
	 health or substance abuse crisis. The interventions focus on reducing stress
	 and helping resolve the crisis in a positive manner, and facilitating the
	 client's involvement to treatment.
Crisis intervention services must meet all requirements in 471 NAC
	 32-001. All crisis intervention
	 service providers must facilitate a referral for a complete HEALTH CHECK
	 (EPSDT) screen within eight weeks of the crisis intervention. This referral
	 must be documented in the client's clinical record.
Crisis intervention services must be family-centered, community-based,
	 developmentally appropriate, culturally competent, and must take into account
	 the individual needs of clients age 20 and younger.
Providers must encourage family members to be involved in the
	 assessment of the client, the development of the treatment plan, and all
	 aspects of the client's treatment unless prohibited by the client, through
	 legal action, or because of federal confidentiality laws.
Providers must be available to schedule meetings and sessions in a
	 flexible manner to accommodate and work with a family's schedule. This includes
	 the ability to schedule sessions at a variety of times including weekends or
	 evenings.
The provider must document their attempts to involve the family in
	 treatment plan development and treatment plan reviews. A variety of
	 communication means should be considered. These may include, but should not be
	 limited to, including the family via conference telephone calls, using
	 registered letters to notify the family of meetings, and scheduling meetings in
	 the evening and on weekends.
003.01
  Types of Crisis Intervention Services
One of the following services must be included in a crisis
	 intervention program to be approved for participation in the Nebraska Medical
	 Assistance Program.
32-003.01A
Non-Residential Crisis Intervention
: Non-residential
  crisis intervention services are provided to the family and client outside of a
  residential or institutional setting. This service includes supportive services
  therapy, brief assessment, and coordination services to help a family alleviate
  a crisis. These services must be directed by a supervising practitioner and
  psychiatric consultation must be readily available. Some assessment and
  intervention activities may be carried out by a clinical professional (see 471
  NAC 32-001.04, item 2) who is acting within his/her scope of practice under the
  direction of a supervising practitioner.
The provider must have the capacity to respond to the family to
	 unscheduled crisis intervention contacts 24 hours a day, seven days a
	 week.
Providers of crisis intervention services must facilitate the referral
	 to or provide the Initial Diagnostic Interview, if it has not already
	 occurred.
32-003.01B
Day Residential Crisis Intervention
: Day residential
  crisis intervention services are provided to families when a safe and secure
  setting is needed to provide a therapeutic milieu for a child or adolescent for
  up to 23 hours and 59 minutes. This level is used when a brief stay in a secure
  setting will facilitate a de-escalation of the crisis. These services must be
  directed by a supervising practitioner with access to psychiatric consultation.
  The milieu and direct care interventions may be staffed by clinical
  professionals (see 471 NAC 32-001.04) or technicians, under the direction of a
  supervising practitioner.
Providers of crisis intervention services must facilitate the referral
	 to or provide the Initial Diagnostic Interview if it has not already
	 occurred.
32-003.01C
Residential Acute Crisis Intervention
: Residential
  acute crisis intervention services are available to children and adolescents
  experiencing acute psychiatric crisis. The program provides crisis treatment
  and close supervision to stabilize a client and facilitate admission to the
  most appropriate treatment setting. These services must be directed under the
  cooperative supervision of a physician and other licensed practitioner of the
  healing arts. The milieu and direct care interventions may be staffed by
  clinical professionals (see 471 NAC 32-001.04) or technicians, under the
  direction of a supervising practitioner.
Providers of crisis intervention services must facilitate the referral
	 to or provide the Initial Diagnostic Interview, if it has not already
	 occurred.