Our Services

Energy Center Services Provides a Comprehensive Crisis Stabilization Service that includes our Residential Crisis Stabilization Unit, Mobile Crisis Response teams, partnering with Virginia’s 988 hotline and Community-Based Stabilization Services. We also provide outpatient long term supports through our Mental Health Skill Building program.

The GOALS of our Residential Crisis Stabilization Unit (RCSU) services are as follows but are not limited to:

1) Stabilize the individual in a community-based setting and support the individual and natural support system;

2) Reduction of acute symptoms; and

3) Identification and mobilization of available resources including support networks.

This service occurs in a non-hospital, community-based crisis stabilization residential unit with no more than 16 beds.

Description of Care, Treatment, Skills Acquisition, or Other Supports

RCSUs provide short-term, 24/7, residential psychiatric and substance related assessment and brief intervention services.

Characteristics and needs of individuals to receive services;

The service supports the following individuals:

 Individuals experiencing changes in behavior noted by impairment or decompensation in functioning that may result in the need of a higher level of care.

 Individuals stepping down from a higher level of care that need continued monitoring, stabilization and mobilization of resources.

 Individuals who need a safe environment for assessment, stabilization, and prevention of further escalation or decompensation.

Program Hours:

24/7

Service Limits:

Adults ages 18-64

Services and schedules are tailored to meet the needs of the individual between program hours.

Eligible Criteria:

Individuals must meet all of the following criteria (1-5)*:

One of the following must be present:

 The individual must be experiencing a behavioral health crisis or

 The individual is stepping down from a higher level of care after a recent behavioral health crisis and needs continued stabilization prior to returning to the community and

 Documentation indicates evidence that the individual currently meets criteria for a primary diagnosis consistent with the most recent version of the International Statistical Classification of

Diseases and Related Health Problems (ICD) diagnosis that correlates with the Diagnostic and Statistical Manual;

and

One of the following must be present:

 Substantial changes in behavior noted by significant impairment or decompensation invfunctioning related to a behavioral health crisis; or

 Actual or potential danger to self or others as evidenced by: Suicidal thoughts or behaviors and/or recent self-injurious behavior with suicidal intent; or

 Hopelessness and helplessness likely to lead to self-injury or

 Threatening harm to others or homicidal ideation; or

 Command hallucinations or delusions; or

 Acted in unpredictable, disruptive or bizarre ways that require further immediate observation and evaluation; or

 Significant loss of impulse control that threatens the safety of the individual and/or others; or

 Significant inability to maintain basic care for oneself and to keep oneself safe in the community in an age-appropriate manner that is not associated with Dementia; or

 Intoxication that causes significant emotional, behavioral, medical, or thought process disturbance that interfere with judgment so as to seriously endanger the individual if not monitored and evaluated; or

 Acute stress reaction that threatens to lead to significant emotional and/or behavioral deterioration without rapid intervention, evaluation, and treatment; or

 Individual does not have the ability and/or the resources to support maintenance of safety and/or stability in the community until longer term services are available/accessible or mobilized;

and

 The presenting clinical problem requires a safe, contained environment wherein assessment, evaluation and treatment can be conducted to determine next steps in the individual’s care;

and

 Without urgent intervention, the individual will likely decompensate which will further interfere with their ability to function in at least one of the following life domains: family, living situation, school, social, work, or community.

*The medical necessity for individuals admitted under a TDO issued pursuant to section §37.2- 800 et. seq. and §16.1-335 et seq. of the Code of Virginia is established and DMAS or its contractor cannot limit or deny services specified in a TDO (see the Temporary Detention Order Supplement to the Psychiatric Services Manual for additional details).

Comprehensive Crisis Stabilization Services also include:

Mobile Crisis Response and Community Stabilization services through suicide prevention, crisis interventions, independent living skills training, assistance with medication management, monitoring concerns with overall health, nutrition education/training, and utilizing resources training to assist the client with stability.

988 Mobile Crisis Response Teams

      This service consists of a 24/7 rapid response team that provides assessment and early intervention for individuals experiencing a mental health crisis or SUD crisis dispatched through the Regional Crisis Call Center/988. The Regional crisis call center is a 24/7 clinically staffed hub/crisis call center that provides crisis intervention capabilities and coordination to providers. Mobile crisis teams are deployed in real-time, 24 hours a day, to the location of the individual experiencing a behavioral health crisis. The purpose of this service includes prevention of acute exacerbation of symptoms, prevention of harm to the individual or others, provision of quality intervention in the least restrictive setting, and development of an immediate plan to maintain safety in order to prevent the need for a higher level of care. Our rapid responders provide on-scene evaluation, intervention, and connection to follow-up resources. Mobile crisis teams are available to reach any person in the service area in his or her home, workplace, or any other community-based location of the individual in crisis in a timely manner.

Community-based Crisis Stabilization Services

    This service will assist the client in averting hospitalization or rehospitalization; provide normative environments with a high assurance of safety and security for crisis intervention; stabilize individuals in crisis; and mobilize the resources of the community support system, family members, and others for ongoing rehabilitation and recovery. Community Stabilization program services provide short-term assessment, crisis intervention after mobile crisis, care coordination, training, and support to enable individuals with significant psychiatric functional limitations to achieve and maintain community stability and independence in the most appropriate, least restrictive environment. Services are provided to clients 18 years and older living independently, because they are focused on assisting clients to live independently.

Mental Health Skill-Building Services (MHSS) Include:‍ ‍

Goal directed training and supports to enable restoration of an individual to the highest level of baseline functioning and achieve and maintain community stability and independence in the most appropriate, least restrictive environment. MHSS services will provide face to face activities, instruction, interventions, and goal directed trainings that are designed to restore functioning and that are defined in the ISP. MHSS will include goal directed training in the following areas: (i) functional skills and appropriate behavior related to the individual’s health and safety; instrumental activities of daily living, and use of community resources; (ii) assistance with medication management; and (iii) monitoring health, nutrition, and physical condition with goals towards self-monitoring and self-regulation of all of these activities.

MHSS services also include the following components:

·Providing opportunities to enhance recovery plans that include but are not limited to:

o Daily living activities and trainings on personal care/hygiene to restore and regain functional skills and appropriate behavior related to health and safety; and,

o Skills training and reinforcement on the use of available community resources, such as public transportation to improve daily living and community integration skills and independent use of community resources, etc.

· Recovery and symptom management activities that include but are not limited to:

o Condition specific education and training and reinforcement of symptom identification designed to increase he individual’s ability to recognize and respond to symptoms; and

o Goal directed and individualized stress management and coping skills training to increase the individual’s continued adjustment to management of mental illness; and

o Training and coaching to facilitate improved communication, problems solving and appropriate coping skills, etc.

·  Assistance with medication management.

·  Conducting targeted exercises and coaching to restore and individual’s ability to monitor and regulate their health, nutrition, and physical condition that includes but is not limited to:

o Self-assessment exercises and recovery coaching that builds self-awareness of symptoms and how to identify and monitor symptoms; and

o Coaching and training on maintaining adherence to recommended medical care such as scheduling and keeping medical appointments, etc.

Fees:

Approved Medicaid MCO Funding