MEET RUTH CRISIS SERVICES Ruth, a 71 year old female, was brought to Mobile Crisis by the local police department in response to a call from a concerned family member after Ruth expressed suicidal ideation. Ruth was assessed by a Mobile Crisis Team clinician and a Peer Support Specialist who determined that she was not at immediate risk but would likely need a high level of support to follow up and engage in services. Ruth was provided with a next day appointment with the Behavioral Health Crisis Treatment Center. Upon presenting to the Crisis Treatment Center, she was assessed by a Crisis Treatment Center case manager and APRN, who recognized that she had some physical symptoms that were complicating her overall presentation and recommended she obtain medical clearance at Concord Hospital before further treatment.
INPATIENT SERVICES Over the course of the next two weeks, the Crisis Treatment Center team worked tirelessly with Riverbend Emergency Services staff and primary care to coordinate the client’s movement through medical hospitalization, discharge, Crisis Treatment Center engagement, and returns to the Emergency Department. Ruth had great difficulty with regulating her symptoms and struggled to organize tasks and follow up with providers. Team members provided regular check ins with Ruth over the next two months to navigate medication management, engagement with community support services, and bridge primary care and behavioral health service delivery until longer term services became available.
COMMUNITY BASED SERVICES AND PREVENTION & EDUCATION Ruth was then connected to the Referral, Education, Assistance and Prevention Program (REAP), and to the Community Support Program where she met with a Clinician for intake. Ruth was found eligible for Community Support Program services but required support getting connected with Medicaid to pay for the services she needed. Staff from the Crisis Treatment Center continued to team with her new Community Support Program providers - a Case Manager, Nurse, and Doctor - to support continuity of care while she established services.
2021 ANNUAL REPORT
5
