成人循证实践
In December 2024, the Centers for Medicare & Medicaid Services (CMS) approved SPAs 24-0042, 24-0051, and 24-0052, establishing Assertive Community Treatment (ACT), Forensic ACT (FACT), Coordinated Specialty Care (CSC) for First Episode Psychosis (FEP), Clubhouse Services, Enhanced Community Health Worker (CHW) Services, and Individual Placement and Support (IPS) Supported Employment as covered Medi-Cal services.
县行为健康服务系统可以选择在专业心理健康服务 (SMHS)、药物医疗补助 (DMC) 和/或药物医疗补助有组织服务系统 (DMC-ODS) 计划中覆盖一个或多个 BH-CONNECT EBP。
Visit Opt in to BH-CONNECT to learn more about how to participate in optional BH-CONNECT activities, including adult EBPs, and BH-CONNECT Resources for federal approvals and policy guidance related to BH-CONNECT EBPs.
积极社区治疗 (ACT)：
- ACT 为具有复杂且重大的行为健康需求和治疗历史的会员提供支持，这些治疗历史可能包括精神病住院和急诊室就诊、住院治疗、参与刑事司法系统、无家可归和/或缺乏参与传统门诊服务。
- ACT 通过帮助会员应对其行为健康状况的症状并获得在社区中正常生活和融入所需的技能来促进康复。
- ACT 由一个多学科团队提供，该团队通常由精神科医生、护士、同伴支持专家和其他行为健康从业者组成。
- 如果 ACT 能够忠实实施，它将改善健康和社会结果，包括改善精神症状、减少住院和急诊入院人数，并增加与社区的融合和参与。
法医 ACT (FACT):
- FACT 采用 ACT 模型来满足具有重大行为健康需求且与刑事司法系统有关的会员的复杂需求。
- 通过解决犯罪风险和需求，FACT 已被证明可以改善运作并减少登记成员的住院、无家可归、监禁以及违反缓刑和假释的行为。
- FACT 是对其他 DHCS 举措的补充，旨在更好地满足涉及司法部门的成员的需求，例如 CalAIM 涉及司法部门的重返社会举措。
首次发病精神病 (FEP) 的协调专科护理 (CSC)
- CSC 为首次经历精神病发作的成员提供支持。
- CSC 通过在精神病的关键初始阶段提供及时和综合的支持来促进康复，帮助成员应对其精神健康状况的症状并在社区中正常生活和保持融合。
- CSC includes a wide range of individualized supports that are provided by a multidisciplinary team of licensed and non-licensed mental health practitioners.
- Participating in CSC has been shown to reduce the likelihood of psychiatric hospitalization, emergency room visits, residential treatment placements, criminal justice system involvement, substance use, and homelessness, and result in improved psychopathology and overall quality of life.
个人安置与支持 (IPS) 支持性就业：
- IPS 支持有行为健康需求的个人获得并维持有竞争力的就业机会以支持他们的康复。
- 会员在最初的求职过程中与就业专家团队合作，并在找到工作后获得持续的后续支持。
- IPS 与提高自尊心、社区包容性、减少无家可归和刑事司法系统参与度以及改善行为健康问题患者的整体生活质量有关。
增强社区卫生工作者 (CHW) 服务：
- 增强型社区卫生工作者 (CHW) 是一种预防性服务，旨在预防疾病、残疾和其他健康状况或其进展；延长寿命；并促进身体和行为健康。
- Enhanced CHW Services include all of the same service activities and practitioner requirements as other Medi-Cal CHW Services, but are tailored to Medi-Cal members who meet the access criteria for SMHS, DMC and/or DMC-ODS services.
会所服务：
- Clubhouses are inclusive, community-based environments to help members living with behavioral health needs build emotional, cognitive, and social skills. Clubhouses facilitate opportunities to build skills and relationships to support members in autonomous employment, education, and housing.
- Members work alongside Clubhouse staff as equals to contribute to shared community needs. Clubhouses offer employment programs and provide structured opportunities for socialization and recreation on evenings, weekends, and holidays.