CICS Services and Supports

Betsy StursmaCICS Coordination Officer

(515) 961-1059betsy.stursma@cicsmhds.org

Linn AdamsCICS Coordination Officer

(641) 939-8167linn.adams@cicsmhds.org

Items to be Covered

Core ServicesCore Plus ServicesWhat has CICS ImplementedWhat are other Regions doingWho are receiving the services

Core Services Access Standards

Core Services – Treatment Services

CICS CICS increased access to outpatient

services in 3 counties.

CICS ensured provider stability in 3 counties.

Other Regions

Core Services – Basic Crisis Response

CICS There are crisis psychiatric appointments

in each CICS County. There are crisis therapy appointments in

each CICS County. CICS provides an access to crisis services

fee to CMHCs. CICS provides tele-psych services in the

hospital Emergency Departments (Eds) of the CICS Region through Integrated Telehealth Partners (ITP).

Other Regions ISTART Program (CSS and Rolling Hills)

Core Services – Support for Community Living

CICS CICS Funds individuals while they wait for

Medicaid funded services (Habilitation Services, HCBS Waivers)

Other Regions

Core Services – Support for Employment

CICS CICS funds individuals while they wait for

Medicaid funded services (Habilitation Services, HCBS Waivers).

CICS has provided a Supported Employment Grant in each CICS County.

Other Regions Other Regions have implemented grants

to increase access to job development and supported employment services.

* Iowa’s Employment 1st is a current initiative to move individuals into community/integrated employment, rather than segregated workshop settings. This is due to the Federal Workforce Innovative and Opportunity Act (WOIA) of 2014, which requires anyone working in subminimum wage employment to be given the information and education regarding community employment.

Core Services – Recovery Services

CICS CICS funds peer support service through

Central Iowa Recovery (CIR).

Peer and Family Peer Support services are also available in the CICS region through Medicaid funded Integrated Health Programs (also known as IHHs).

Other Regions Iowa Peer and Family Peer Support

Specialist Training Program

Core Services – Service Coordination

CICS There is at least 1 full-time service

coordinator in each CICS County.

There are also 2 Service Coordination Specialist positions to cover those in congregate care settings to assist in moving individuals into community-based services.

Other Regions A targeted case management program

implemented the health home model with their case management program.

CICS Service Coordinators

CICS Local Offices

Website: www.cicsmhds.org

Office Hours:M-F 8:00AM–4:30PM

Core – Evidenced Based Treatment

CICS 3 CICS Staff became certified Mental Health First

Aid (MHFA) Trainers. Providing Trauma Informed Care (TIC) Training to

the Region. Participating in the Statewide Outcomes/QSDA

Project. CICS is looking at collaborating with other Regions

to further explore Supported Housing. NAMI provided Train-the-Trainer for their Family-to-

Family classes. CICS has NAMI Family-to-Family Classes in various

CICS Counties.

Other Regions Many regions are participating in QSDA.

Regions are utilizing RHD to provide Supported Permanent Housing.

The CROSS Region is looking at implementing a rural ACT team.

Provider Proficiencies

Assertive Community Treatment (ACT) Programs

Mandated Services

CICS CICS has contracted with Central Iowa

Juvenile Detention Center (CIJDC) to provide transportation services for civil commitments.

Other Regions

Core Plus Services Provided(as of 9/30/16)

Core Plus Services – Comprehensive Facility & Community Based Crisis Services

CICS 24-Crisis Line with text and chat features

available daytime hours. Mobile Response – RFP for mobile response

region-wide is on the Governing Board Agenda 7/27.

MGMC has a 23-hour crisis observation and holding bed.

CICS contracts with Hope Wellness Center (HWC) in Woodward for crisis stabilization residential services. Transportation to and from HWC is also provided through CIJDC.

Other Regions Polk County has had a mobile response

team for many years – not 24 hours. Foundation 2 provides mobile response in

East Central Region. Southwest Iowa Region is utilizing iPads to

implement mobile response. 23-Hour Crisis Observation Center

available in 3 other Regions. There are various crisis stabilization units

across Iowa.

Crisis Stabilization Residential Services provided in a short-term non-community-based residential setting to de-escalate & stabilize an individual following a mental health crisis.

Collaboration between regions with existing programs is providing access to Crisis Stabilization throughout the state.

Mobile Crisis Response

Data reflects mobile crisis programs currently available and those under development (not all services are currently Chapter 24 accredited.)

Core Plus Services – Sub-Acute Services

CICS CICS is looking at the possibility of

coordinating with other Regions to implement Sub-Acute services.

Other Regions

Core Plus Services –Justice System-Involved Services

CICS Tele-psych services are available in the jails of the

CICS Region through Integrated Telehealth Partners (ITP).

CICS is partnering with various law enforcement agencies in the Region to bring MHFA and CIT training to law enforcement.

Implemented jail diversion services in most of the counties in CICS.

Civil Commitment Prescreening is available in 3 CICS counties, but it does not meet Chapter 24 requirements.

CICS is funding various services for individuals while they are incarcerated, including individual therapy, group therapy, and Intensive Psychiatric Rehabilitation (IPR).

CICS funds psychiatric medications while individuals are in jail.

Other Regions There is a collaborative group working to

improve access to services for individuals in jail and being released from jail through the Iowa Therapeutic Alternatives to Incarceration (ITAIC).

CIT provided in the East Central Region, specifically Johnson County.

CIT training is now being provided to new trainees at the Iowa Law Enforcement Academy.

Additional Core Evidenced-Based Treatment

CICS Several Counties in the CICS Region

formed a 28E to create a provider agency to provide Intensive Psychiatric Rehabilitation (IPR), Central Iowa Recovery (CIR).

8 CICS Counties now have peer drop-in centers.

Other Regions Other regions also have CIR providing IPR

services in their counties.

Public Education and Training

CICS CICS provides funding and 3 trainers for

MHFA through the Region. CICS also provides Trauma Informed Care

(TIC) training. Service Coordinators went through the

Options Counselor Training in collaboration with LifeLong Links.

CICS contracts with the CMHCs to fund other public education opportunities within CICS.

Other Regions CSS is contracting with LifeLong Links to

provide information and referral services to their residents.

Other Services and Supports in CICS

Transportation Services

Guardian/Conservator

Representative Payee

Housing Assistance

Emergency Assistance for Basic Needs

Psychiatric Prescription Medications

Transitional Living Program (TLP) – MGMC

Transitional Living Centers (3 TLCs)

Community Support Services

Residential Care Facilities

Who are receiving these services?

A total of 26,748 unduplicated individuals received Regional

funding in FY2016 (Data from Regional Annual Submission)

1464

279 59 0 14

CICS FY16

A total of 1816 unduplicated individuals received funding from CICS

in FY2016.

CICS Eligibility Criteria

Diagnostic Criteria Mental Illness

Intellectual Disability

Development Disability

Brain Injury (effective 7/1/17)

Residency Reside in 1 of the 10 CICS Member

Counties

Income Under 150% Federal Poverty Level (FPL)

Sliding Fee Scale for 150% to 250% FPL

Resources Medicaid/SSI Resource Limit

$2000 for an individual

$3000 for a family

Need for services determined through assessment (LOCUS, ICAP, SIS, MPAI)

Who is receiving Service Coordination?

CICS received 1679 applications in FY2017,

compared to1369 in FY2016.

0

100

200

300

400

500

1st Quarter 2nd Quarter 3rd Quarter 4th Quarter

Applications Processed

FY16 FY17

Service Coordination assisted an average of 576

individuals per month in FY2017.

Service Coordination Specialist Positions

Individuals living in

Residential Care Facilities (RCFs)

4946

39 39 37

BASELINE (6/30/16)

QTR 1 (9/30/16)

QTR 2 (12/31/16)

QTR 3 (3/31/17)

QTR 4 (6/30/17)

Individuals in Mental Health Institutes (MHIs) for a long-term stay

5

3 3

2 2

BASELINE (6/30/16)

QTR 1 (9/30/16)

QTR 2 (12/31/16)

QTR 3 (3/31/17)

QTR 4 (6/30/17)

Questions?