社区和危机护理计划部门
Community and Crisis Care Programs Branch (CCCPB), within the Medi-Cal Behavioral Health Policy Division (MCBH-PD), administers a wide variety of innovative behavioral health initiatives designed to support California’s most vulnerable populations and enhance the behavioral health continuum of care. CCCPB oversees State and Federal funded efforts such as the Community Assistance, Recovery, and Empowerment (CARE) Act, the Recovery Incentives Program, the Medi-Cal Mobile Crisis Services Benefit and the 988 Suicide and Crisis Lifeline.
社区援助治疗科
社区援助、恢复和赋权法案
参议院法案 (SB) 1338 （Umberg，2022 年法令第 319 章）制定了《社区援助、康复和赋权 (CARE) 法案》，该法案为符合健康和安全标准的患有精神分裂症谱系或其他精神病的加州人提供社区行为健康服务和支持。 这是一种新的民事法庭程序，某些人（例如家庭成员、急救人员和服务提供商）可以向法庭提交申请，以制定自愿的 CARE 协议或法庭命令的 CARE 计划。 CARE 协议或 CARE 计划可能包括治疗、住房资源和其他服务。 《关怀法案》旨在为严重残疾的个人提供上游干预，以防止可避免的精神病住院、监禁和兰特曼-佩特里斯-肖特精神健康监护。CARE 流程将为 CARE 客户以及负责为这些个人提供行为健康服务的当地政府提供早期行动、支持和问责。DHCS 已与健康管理协会 (HMA) 签约，为《关怀法案资源中心》提供培训和技术援助、实施支持以及数据收集和报告，该中心为县行为健康机构、顾问、志愿者支持者和其他利益相关者提供培训、技术援助和资源，以支持《关怀法案》的实施。 资源中心将继续更新新的信息和培训材料。
有关《关怀法案》的更多信息，请访问我们的《关怀法案》网页。
辅助门诊治疗 (AOT) 计划
Assembly Bill (AB) 1421 (Thomson, Chapter 1017, Statutes of 2002) established the Assisted Outpatient Treatment (AOT) Demonstration Project Act of 2002 in Welfare and Institutions (W&I) Code Sections 5345 – 5349.5, known as Laura’s Law. The legislation established an option for counties to utilize courts, probation, and mental health systems to address the needs of individuals unable to participate in community mental health treatment programs without supervision. AOT provides court-ordered community treatment for individuals with a history of hospitalization and contact with law enforcement.
DHCS 每年都需要从已实施 AOT 计划的县收集数据结果，并在 5 月 1 日或之前向立法机关提交有关 AOT 计划有效性的报告。根据 W&I 法典第 5348 条，AOT 计划的有效性通过确定这些计划服务的参与者是否维持住房和与治疗的联系、是否减少或避免住院、是否减少了与当地执法部门的接触以及减少或避免监禁的程度来评估。
有关 AOT 计划的更多信息，请访问我们的AOT网页。
Patients’ Rights
《工作与医疗规范》第 5325 条保护根据《兰特曼-佩特里斯短期法案》（LPS）入院并在有执照的精神卫生机构接受治疗的加州人的权利，包括那些接受非自愿治疗的人员。 DHCS 必须确保在获得许可的精神卫生机构中遵守精神卫生法律、法规和有关精神卫生服务接受者权利的政策，如《健康和安全法》第 1250 条所定义
DHCS 需要通过跨机构协议与州立医院部 (DSH) 合作，与一家非营利组织签订多年期合同。 加州残疾人权利组织 (DRC) 是一个非营利组织，目前为所有五十八个县提供技术援助、培训和投诉上诉解决方案。
As specified in W&I Code Section 5324, upon admission to a facility each patient, involuntarily detained for evaluation or treatment under provisions of this part, or as a voluntary patient for psychiatric evaluation or treatment to a health facility, as defined in Section 1250 of the Health and Safety Code, in which psychiatric evaluation or treatment is offered, shall immediately be given a copy of a State Department of Health Care Services prepared patients’ rights handbook.
For more information on Patients’ Rights or to submit an order request, please visit our Office of Patients’ Rights webpage.
危机护理科
复苏激励计划
As part of the CalAIM demonstration, California became the first state in the nation to receive federal approval to cover contingency management (CM) services for substance use disorders (SUD) as part of the Medicaid program. California’s program that offers the CM benefit is called the Recovery Incentives Program. CM is an evidence-based treatment that provides motivational incentives to treat individuals living with stimulant use disorder and support their path to recovery. It recognizes and reinforces individual positive behavioral change, as evidenced by urinary drug tests that are negative for stimulants. CM is the only treatment that has demonstrated robust outcomes for individuals living with stimulant use disorder, including reduction or cessation of drug use and longer retention in treatment.
DHCS will pilot Medi-Cal coverage of CM in DMC-ODS counties that opt in to cover the service starting in 2023. DHCS’ primary goal for the pilot is to determine how to scale a proven treatment for stimulant use disorder in a large, complex state, supporting DHCS’ broader policy goals to:
- 通过实施循证治疗和实践，解决加州持续不断且不断变化的 SUD 危机；
- 改善患有兴奋剂使用障碍的 Medi-Cal 会员的健康和福祉，以减少或停止药物使用和延长治疗时间来衡量。
有关复苏激励计划的更多信息，请访问 DHCS复苏激励计划网站。
Medi-Cal 移动危机服务
移动危机服务是一种以社区为基础的干预措施，旨在为无论身在何处（包括在家中、工作场所、学校或社区）经历行为健康危机的个人提供缓和和救济。 移动危机服务由经过培训的行为健康专业人员组成的多学科团队在限制最少的环境中提供。 移动危机服务包括筛查、评估、稳定、降级、跟进以及与医疗服务和其他支持的协调。 移动危机服务旨在提供以社区为基础的危机解决方案，并减少不必要的执法参与和急诊部门的使用。 Medi-Cal 移动危机服务福利将确保 Medi-Cal 会员每年 365 天、每周 7 天、每天 24 小时都能获得协调的危机护理。 2022 年 12 月，DHCS 发布了行为健康信息通知 (BHIN) 22-064，为福利实施提供指导。 2023 年 6 月，DHCS 发布了BHIN 23-025 （取代 BHIN 22-064），发布了有关此福利的修订指南。
DHCS 与人类潜能倡导者组织 (AHP) 合作，后者与应用研究解决方案中心 (CARS) 协作，提供移动危机培训和持续的技术援助。 如需更多信息，请发送电子邮件至 mobilecrisisinfo@cars-rp.org 。
有关该福利的更多信息，请访问我们的CalAIM 行为健康计划移动危机服务网站。
988 自杀和危机生命线
The National Suicide Hotline Designation Act of 2020 (NSHD) designated 9-8-8 as the new three-digit number for the national suicide prevention and mental health crisis hotline. As the nation’s most populous state, California experiences the largest number of calls to 988. In December 2024,[SA1] around 1 in 10 calls to the National Suicide Prevention Lifeline (NSPL) originated in California. To handle this volume, a network of 12 local California Lifeline Crisis Centers provide free and confidential emotional support to individual 988 contacts from all 58 counties who are in behavioral health crisis.
Crisis line staff and volunteers facilitate suicide prevention and behavioral health crisis line services 24 hours a day, 7 days a week, 365 days a year. The crisis line staff and volunteers provide an initial suicide risk screening and assessment consistent with NSPL guidelines, offer de-escalation, and provide clients with information and referrals to link the client to the appropriate community resources in the city or county of the client or person in crisis when known and available.
DHCS partners with Advocates for Human Potential, Inc. to ensure development, implementation, and on-going management of the 988 crisis hotline at all 12 California Lifeline Crisis Centers. This includes contract management and funding oversight, technical assistance, data analysis of key performance indicators, and monitoring for compliance and sustainability.
有关 988 自杀和危机生命线的更多信息，请访问我们的988 自杀和危机生命线网站。
联系信息
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复苏激励计划 |
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《关怀法案》 |
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BH CalAIM |