成人以證據為基礎的實踐
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.
縣行為健康傳遞系統可以選擇在特殊心理健康服務（SMHS）、藥物醫療（DMC）和/或藥物醫療有組織交付系統（DMC-ODS）計劃中涵蓋一個或多個 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.
決心社區待遇（ACT）：
- ACT 支持有複雜而重要的行為健康需求和治療史的成員，其中可能包括精神科住院和急診室訪問，住院治療，參與刑事司法系統，無家可歸和/或缺乏參與傳統門診服務。
- ACT 通過幫助成員應對其行為健康狀況的症狀，並獲得運行並保持融入社區中所需的技能來促進康復。
- ACT 由一個多學科團隊提供，通常由精神科醫生，護士，同行支持專家和其他行為健康從業人員組成。
- 當交付給 Fidelity 時，ACT 會帶來改善健康和社會成果，包括改善精神病徵，減少住院和急診部門入院，以及增加與社區的融合和參與度。
鑑識法案（事實）：
- FACT 調整 ACT 模型，以滿足具有重大行為健康需求的成員的複雜需求，而且也與刑事司法系統相關。
- 通過解決犯罪性的風險和需求，FACT 已被證明可以改善註冊成員的功能，並減少入住院、無家可歸、監禁以及違反試用和免釋。
- FACT 補充了其他 DHCS 計劃，旨在更好地滿足正義參與的成員的需求，例如 CalAIM 與正義相關重新進入計劃。
第一期精神病 (FEP) 的協調專科護理（CSC）
- CSC 支持經歷初期精神病症的成員。
- CSC 在精神病的關鍵初始階段提供及時和整合的支持來促進康復，以幫助成員應對自己的心理健康狀況的症狀，並在社區中運作並保持融合。
- 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.
個人安置和支持（IPS）支持的就業：
- IPS 支持有行為健康需求的個人獲得和維持有競爭力的就業，以支持他們的康復。
- 成員在初始求職時與就業專家團隊合作，並在確保就業後可以獲得持續的後續支持。
- IPS 與改善自尊、社區包容性、減少無家可歸和刑事司法系統參與，以及改善行為健康狀況的個人的整體生活質量有關。
增強社區健康工作者服務：
- 增強的 CHW 是預防疾病、殘疾和其他健康狀況或其他健康狀況或其進展；延長生命；以及促進身體和行為健康。
- 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.
會所服務：
- 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.