Crisis Residential Best Practices Toolkit: Crisis Programs and The Safety Net

The Safety Net

In this survey, we ask about the how your crisis program functions as part of your community's safety net. Please answer the following questions about your crisis program, as it will help to inform our discussions and the development of our Best Practices Toolkit.

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* 1. Please provide the following information about your crisis program:

Program Name:

Operated by:

City and State (and country if outside US):

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* 2. In previous surveys, we have asked about the primary functions of your crisis program (stepdown/diversion from psychiatric hospital, diversion from ER, diversion from jail, psychiatric crisis stabilization, etc.). Is your program serving any of the functions listed below?

Please share any additional information about your answers here, or any additional services you offer above and beyond your basic service expectations.

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* 3. How comfortable are you with the referrals you are asked to accept?

I am very comfortable with the referrals sent to our crisis program.

I am usually comfortable with the referrals sent to our crisis program, although occasionally we are asked to serve outside of our scope.

I am uncomfortable with the number of inappropriate referrals we are consistently asked to accept, whether because of acuity, incompatible presenting conditions, or lack of alternative community resources available.

Please describe the reasons or situations in which you are not comfortable accepting a referral:

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* 4. Do you feel that your referral sources understand the scope of your program, such as length of stay, treatment offered, and resources available?

Our referral sources understand the scope of our program in its entirety.

Our referral sources sometimes misunderstand the scope of our program, such as length of stay, type of treatment offered, client restrictions, etc.

Our referrals sources consistently misunderstand the scope, function, and/or purpose of our program, leading clients to feel confused or misled during their stay with us.

Please share any additional information about discrepancies in referral sources' understanding of our crisis program's scope.

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* 5. Are there instances where you feel like you're asked to compromise the integrity of your program or your guidelines by accepting people who don't meet the established medical criteria for admission?

Yes

If yes, please describe:

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* 6. Have you dealt with any consequences for denying admissions from any of your referral sources?

Yes, we have dealt with consequences for denying admissions (referral push-back, fewer referrals, etc.)

No, we have not experienced any consequence from denying admissions due to eligibility risk, safety concerns, or other plausible reasons.

If yes, please describe:

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* 7. How do you balance your desire to be a helpful provider in your community's care continuum with maintaining the functional integrity of your program, ensuring that people meet criteria to receive services for the duration of their stay at your program?

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* 8. Do you ever experience internal conflict in your organization over accepting a referral? If so, how is that managed?

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* 9. What is your perception of how a crisis program like yours complements the continuum of services in your community? (For example, to what extend should crisis programs address homelessness, SUD needs, issues with community placements for individuals in Adult Foster Care homes, etc.?)

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* 10. How are you motivated or incentivized to take non-traditional referrals?

Increased pay

Increased staffing ratios

Special Training

Assisting community partners that assist us in other ways

No incentives available, but we are still expected to take non-traditional referrals

Other (please explain)

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* 11. How has your Crisis Program adapted over the years in its function as part of the Safety Net?

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* 12. Have funder requirements or expectations caused you to change how services are provided?

Yes

If yes, explain:

	We regularly provide this type of service.	We occasionally provide this type of service.	We rarely/never provide this type of service.
LONG-TERM MEDICATION STABILIZATION: Titration to a higher or lower dose of a medication for longer than a week	LONG-TERM MEDICATION STABILIZATION: Titration to a higher or lower dose of a medication for longer than a week We regularly provide this type of service.	LONG-TERM MEDICATION STABILIZATION: Titration to a higher or lower dose of a medication for longer than a week We occasionally provide this type of service.	LONG-TERM MEDICATION STABILIZATION: Titration to a higher or lower dose of a medication for longer than a week We rarely/never provide this type of service.
HOUSING ASSISTANCE: Completing applications, soft referrals to housing resources (online listings, printed materials, etc.)	HOUSING ASSISTANCE: Completing applications, soft referrals to housing resources (online listings, printed materials, etc.) We regularly provide this type of service.	HOUSING ASSISTANCE: Completing applications, soft referrals to housing resources (online listings, printed materials, etc.) We occasionally provide this type of service.	HOUSING ASSISTANCE: Completing applications, soft referrals to housing resources (online listings, printed materials, etc.) We rarely/never provide this type of service.
HOUSING ASSISTANCE: Direct referrals to affordable housing	HOUSING ASSISTANCE: Direct referrals to affordable housing We regularly provide this type of service.	HOUSING ASSISTANCE: Direct referrals to affordable housing We occasionally provide this type of service.	HOUSING ASSISTANCE: Direct referrals to affordable housing We rarely/never provide this type of service.
HOUSING ASSISTANCE: Provide respite until housing is available	HOUSING ASSISTANCE: Provide respite until housing is available We regularly provide this type of service.	HOUSING ASSISTANCE: Provide respite until housing is available We occasionally provide this type of service.	HOUSING ASSISTANCE: Provide respite until housing is available We rarely/never provide this type of service.
SUD TREATMENT: Assisting with medical detox	SUD TREATMENT: Assisting with medical detox We regularly provide this type of service.	SUD TREATMENT: Assisting with medical detox We occasionally provide this type of service.	SUD TREATMENT: Assisting with medical detox We rarely/never provide this type of service.
SUD TREATMENT: Education about/direct referrals to community resources	SUD TREATMENT: Education about/direct referrals to community resources We regularly provide this type of service.	SUD TREATMENT: Education about/direct referrals to community resources We occasionally provide this type of service.	SUD TREATMENT: Education about/direct referrals to community resources We rarely/never provide this type of service.
SUD TREATMENT: Provide respite until SUD treatment is available (short-term or long-term)	SUD TREATMENT: Provide respite until SUD treatment is available (short-term or long-term) We regularly provide this type of service.	SUD TREATMENT: Provide respite until SUD treatment is available (short-term or long-term) We occasionally provide this type of service.	SUD TREATMENT: Provide respite until SUD treatment is available (short-term or long-term) We rarely/never provide this type of service.
DOMESTIC VIOLENCE: Provide respite until domestic violence shelter is availalble	DOMESTIC VIOLENCE: Provide respite until domestic violence shelter is availalble We regularly provide this type of service.	DOMESTIC VIOLENCE: Provide respite until domestic violence shelter is availalble We occasionally provide this type of service.	DOMESTIC VIOLENCE: Provide respite until domestic violence shelter is availalble We rarely/never provide this type of service.
INTELLECTUAL/DEVELOPMENTAL DISABILITIES: Intensive monitoring and support when other options are not accessible	INTELLECTUAL/DEVELOPMENTAL DISABILITIES: Intensive monitoring and support when other options are not accessible We regularly provide this type of service.	INTELLECTUAL/DEVELOPMENTAL DISABILITIES: Intensive monitoring and support when other options are not accessible We occasionally provide this type of service.	INTELLECTUAL/DEVELOPMENTAL DISABILITIES: Intensive monitoring and support when other options are not accessible We rarely/never provide this type of service.
INTELLECTUAL/DEVELOPMENTAL DISABILITIES: Provide respite until I/DD placement becomes available	INTELLECTUAL/DEVELOPMENTAL DISABILITIES: Provide respite until I/DD placement becomes available We regularly provide this type of service.	INTELLECTUAL/DEVELOPMENTAL DISABILITIES: Provide respite until I/DD placement becomes available We occasionally provide this type of service.	INTELLECTUAL/DEVELOPMENTAL DISABILITIES: Provide respite until I/DD placement becomes available We rarely/never provide this type of service.
MEDICALLY COMPLEX: Provide respite until placement becomes available	MEDICALLY COMPLEX: Provide respite until placement becomes available We regularly provide this type of service.	MEDICALLY COMPLEX: Provide respite until placement becomes available We occasionally provide this type of service.	MEDICALLY COMPLEX: Provide respite until placement becomes available We rarely/never provide this type of service.
RECENT VIOLENT/ANTI-SOCIAL BEHAVIORS: Provide respite until long-term placement becomes available	RECENT VIOLENT/ANTI-SOCIAL BEHAVIORS: Provide respite until long-term placement becomes available We regularly provide this type of service.	RECENT VIOLENT/ANTI-SOCIAL BEHAVIORS: Provide respite until long-term placement becomes available We occasionally provide this type of service.	RECENT VIOLENT/ANTI-SOCIAL BEHAVIORS: Provide respite until long-term placement becomes available We rarely/never provide this type of service.
MEDICALLY COMPLEX: Assistance with medical stabilization when other options are not accessible.	MEDICALLY COMPLEX: Assistance with medical stabilization when other options are not accessible. We regularly provide this type of service.	MEDICALLY COMPLEX: Assistance with medical stabilization when other options are not accessible. We occasionally provide this type of service.	MEDICALLY COMPLEX: Assistance with medical stabilization when other options are not accessible. We rarely/never provide this type of service.
AGING OUT OF JUVENILE FOSTER CARE: Provide respite until long-term placement becomes available	AGING OUT OF JUVENILE FOSTER CARE: Provide respite until long-term placement becomes available We regularly provide this type of service.	AGING OUT OF JUVENILE FOSTER CARE: Provide respite until long-term placement becomes available We occasionally provide this type of service.	AGING OUT OF JUVENILE FOSTER CARE: Provide respite until long-term placement becomes available We rarely/never provide this type of service.
EMPLOYMENT ASSISTANCE: Help with resume development, job searches, job placement, etc.	EMPLOYMENT ASSISTANCE: Help with resume development, job searches, job placement, etc. We regularly provide this type of service.	EMPLOYMENT ASSISTANCE: Help with resume development, job searches, job placement, etc. We occasionally provide this type of service.	EMPLOYMENT ASSISTANCE: Help with resume development, job searches, job placement, etc. We rarely/never provide this type of service.

Question Title

* 1. Please provide the following information about your crisis program:

Question Title

* 2. In previous surveys, we have asked about the primary functions of your crisis program (stepdown/diversion from psychiatric hospital, diversion from ER, diversion from jail, psychiatric crisis stabilization, etc.). Is your program serving any of the functions listed below?

Question Title

* 3. How comfortable are you with the referrals you are asked to accept?

Question Title

* 4. Do you feel that your referral sources understand the scope of your program, such as length of stay, treatment offered, and resources available?

Question Title

* 5. Are there instances where you feel like you're asked to compromise the integrity of your program or your guidelines by accepting people who don't meet the established medical criteria for admission?

Question Title

* 6. Have you dealt with any consequences for denying admissions from any of your referral sources?

Question Title

* 7. How do you balance your desire to be a helpful provider in your community's care continuum with maintaining the functional integrity of your program, ensuring that people meet criteria to receive services for the duration of their stay at your program?

Question Title

* 8. Do you ever experience internal conflict in your organization over accepting a referral? If so, how is that managed?

Question Title

* 9. What is your perception of how a crisis program like yours complements the continuum of services in your community? (For example, to what extend should crisis programs address homelessness, SUD needs, issues with community placements for individuals in Adult Foster Care homes, etc.?)

Question Title

* 10. How are you motivated or incentivized to take non-traditional referrals?

Question Title

* 11. How has your Crisis Program adapted over the years in its function as part of the Safety Net?

Question Title

* 12. Have funder requirements or expectations caused you to change how services are provided?

Question Title

* 13. Please share any additional information here about your Crisis Program's function as part of the Safety Net.