社區及危機關懷專案科
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.
社區援助治療科
社區援助、復原和賦權 (CARE) 法案
參議院條例草案（SB）1338（Umberg，第 319 章，2022 年法規）制定了社區援助，恢復和賦權（CARE）法案，該法案為患有精神分裂症或其他精神病障礙符合健康和安全標準的加利福尼亞州人提供以社區為基礎的行為健康健康服務，並支持。 這是一個新的民事法院程序，某些人（例如家庭成員，急救人員和提供者）可以向法院提出申請，以建立自願性 CARE 協議或法院命令的 CARE 計劃。 CARE 協議或 CARE 計劃可能包括治療、住房資源和其他服務。 CARE 法案旨在為患有嚴重障礙的個人作為上游干預，以防止可避免的精神科住院、監禁以及 Lanterman-Petris-Short 精神健康保護機構。CARE 流程將為 CARE 客戶以及負責為這些人提供行為健康服務的地方政府提供早期的行動、支持和責任。DHCS 已與 Health Management Associates (HMA) 簽約，為 CARE 法案資源中心提供培訓和技術協助、實施支持以及數據收集和報告，該中心為縣行為健康機構、顧問、志願者支持和其他利益相關者提供培訓、技術協助和資源，以支持 CARE 法的實施。 資源中心將繼續更新，提供新的資訊和培訓材料。
有關護理法的更多信息，請訪問我們的護理法網頁。
輔助門診治療（AOT）專案
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 每年需要從已實施 AOT 計劃的縣收集數據結果，並在 5 月 1 日或之前向立法機關提交有關 AOT 計劃的有效性的報告。根據 W & I 守則第 5348 條，AOT 計劃的有效性是通過判斷這些計劃服務的參與者是否保持住宿和接觸治療，減少或避免住院，以及減少與當地執法機關的參與，以及減少監禁或避免監禁的程度來評估 AOT 計劃的有效性。
有關 AOT 計劃的更多信息，請訪問我們的 AOT 網頁。
Patients’ Rights
W & I 守則第 5325 條保護根據《燈籠曼-佩特里斯短條法》（LPS）入境的加利福尼亞人，他們正在持牌精神健康設施接受治療的權利，包括那些受到非自願治療的人士。 DHCS 必須確保在《健康和安全守則》第 1250 條所定義的持牌精神健康設施中遵守有關心理健康服務收件人權利的精神健康法律、法規和政策
DHCS 必須通過機構間協議與國家醫院部（DSH）合作與非營利組織簽訂多年合同。 加州殘疾人權利（DRC）是一個非營利組織，目前為所有五十八個縣提供技術協助、培訓和投訴上訴解決方案。
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.
危機關懷科
恢復激勵專案
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:
- 透過實施循證治療和實踐，解決加州持續且不斷變化的 SUD 危機；和
- 改善患有刺激劑使用障礙的 Medi-Cal 成員的健康和福祉，以減少或停止藥物使用，以及更長時間持續治療。
有關恢復獎勵計劃的更多信息，請訪問 DHCS 恢復激勵計劃網站。
加州醫療補助健康保健計畫 行動危機服務
移動危機服務是一種以社區為基礎的干預，旨在為經歷行為健康危機的個人提供緩解和救濟，無論他們身在家、工作、學校或社區內。 移動危機服務由訓練有素的行為健康專業人員組成的多學科團隊在最低限制的環境下提供。 移動危機服務包括篩查、評估、穩定、降級、跟進，以及與醫療服務和其他支援協調。 移動危機服務旨在提供以社區為基礎的危機解決方案，並減少不必要的執法部門參與和緊急部門的使用率。 Medi-Cal 移動危機服務福利將確保 Medi-Cal 會員可以每年 365 天 24 小時，每週 7 天 24 小時獲得協調危機護理服務。 2022 年 12 月，DHCS 發布行為健康信息通知（BHIN）22-064，提供有關實施保障的指導。 二零二三年六月，衞生防護中心公布了 23-025 號（取代北印第 22-064 號），並就此保障發出修訂指引。
DHCS 已與人類潛力倡導者公司（AHP）合作，該公司與應用研究解決方案中心（CARS）合作提供移動危機培訓和持續的技術支持。 有關更多信息，請發送電子郵件 mobilecrisisinfo@cars-rp.org。
有關福利的更多信息，請訪問我們的 CalAIM 行為健康計劃移動危機服務網站。
988 自殺與危機生命線
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.
有關 988 自殺和危機生命線的更多信息，請訪問我們的 988 自殺和危機生命線網站。
聯絡資訊
|
恢復激勵專案 |
|
|
關懷法案 |
|
|
巴赫·卡拉伊姆 |