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North Sound Mental Health Administration

Improving the mental health and well being of individuals and families in our communities
A Regional Support Network for Island, San Juan, Skagit, Snohomish & Whatcom Counties.
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Intensive Services

 

Intensive Outpatient (IOP)

Individual to Staff Ratio 1:15
LOCUS Level 3 and up
Hours 8 hours/day weekdays
24/7 emergency pager
Frequency of Contact Capacity to see individual several times weekly to multiple times daily as needed; as indicated in the treatment plan.
Services Offered
  • Comprehensive community support
  • Counseling/psychotherapy (group and individual)
  • Medication management
  • Medication monitoring
  • Dual diagnosis assessment and referral
  • Access to other treatment modalities as medically necessary
Exclusionary Criteria Need for 24/7 supervision
Need for residential placement, nursing home placement
Needs are able to be met at a lower level of care
Admission Criteria/Referral Process
  • LOCUS Level 3
  • Individual experiences continuous high service needs due to mental illness as demonstrated by at least two of a list of criteria;
  • Individual experiences significant functional impairments due to a mental illness as demonstrated by at least one of a list of criteria
  • Individual's service needs cannot be adequately met by a lower level of care
  • Process for transfer is available on NSMHA website; Policies 1567 and 1510.

Expanded Case Services/HCS (ECS)

Individual to Staff Ratio 1-20 Max
LOCUS Level Not Specified
Hours 24/7 emergency pager
Frequency of Contact A minimum of 2 contacts per week; as indicated in treatment plan.
Services Offered
  • Comprehensive Community Support to client, family, staff at facility as needed
  • AFH, Skilled Nursing Facility or Assisted Living Placement in contracted Facility
  • Dedicated prescriber sees individuals at least monthly with outreach visits to their homes - Med Evals and Med Management
Exclusionary Criteria Individual can obtain adequate placement and service at standard rate of payment
Admission Criteria/Referral Process
  • Referrals are made to the ECS Committee at HCS or to Deputy Regional Administrator of HCS

Expanded Case Services/MHD (ECS)

Individual to Staff Ratio 1:15
LOCUS Level Not Specified
Hours
  • Standard Hours
  • Some evening and weekend hours
Frequency of Contact Up to 2x/day, 7 days per week; as indicated in treatment plan.
Services Offered
  • Comprehensive community support
  • Counseling/psychotherapy (group and individual)
  • Medication management
  • Medication monitoring
  • Dual diagnosis assessment and referral
  • Access to other treatment modalities as medically necessary
  • ADL Assistance
  • Socialization Activities
Exclusionary Criteria Must be referred by WSH, approved by MHD
Admission Criteria/Referral Process
  • Individuals are referred to ECS from WSH through the NSMHA WSH Liaisons.  Referrals are submitted to MHD for review and approval/disapproval based on MHD criteria.

Medicaid Personal Care (MPC)

Individual to Staff Ratio Mental health clinician is separate from MPC services
LOCUS Level 3 and up
Hours
  • Individualized
  • Each individual is assigned a number of hours of care by a caregiver by the HCS CARE assessment tool.
Frequency of Contact Contact is made by individual caregivers through HCS in addition to mental health service workers.
Services Offered
  • Adult family home care
        --or--
    Independent care provided by caregivers through agencies or independently.
  • Assistance with personal care, ADLs and IADLs as needed due to mental health symptoms.
Exclusionary Criteria Another service exists within the NSMHA network that is able to meet the needs of the individual
Admission Criteria/Referral Process
  • Individual must have needs for assistance with personal care ADLs and IADLs that are not able to be met with traditional mental health programs.
  • Individual must be receiving ongoing mental health treatment through a NSMHA program.  Mental health provider must be actively involved in MPC case coordination, per NSMHA/HCS protocol.

Program for Assertive Community Treatment (PACT)

Individual to Staff Ratio 1:10
LOCUS Level 4 and up
Hours
  • 12 hours per weekday
  • 8 hours weekend/holiday
  • 24/7 emergency pager
Frequency of Contact Average of 3 contacts per week, capacity to see individual multiple times per day as needed; as indicated in treatment plan
Services Offered
  • Service Coordination
  • Crisis Assessment and Intervention
  • Symptom Management and Psychotherapy
  • Wellness Management and Recovery Services
  • Medication Prescription
  • Administration
  • Monitoring and Documentation
  • Co-Occurring Disorders Services
  • Education Services
  • Vocational Services
  • Activities of Daily Living Services
  • Social and Community Integration Skills Training
  • Peer Support Services
  • Support Services
  • Family and Natural Supports' Psychoeducation and Support
Exclusionary Criteria Individuals with a sole diagnosis of a substance abuse disorder, mental retardation, brain injury or Axis II disorders are not the intended consumer group for PACT services.
Admission Criteria/Referral Process
  • LOCUS level 4
  • Severe and persistent mental illness that seriously impair their functioning in community living.  Priority is given to people with Schizophrenia, other psychotic disorders and bipolar disorder.
  • Significant functional impairments as demonstrated by at least one of a list of conditions.  Continuous high-service needs as demonstrated by having at least one of a list of options.
  • Specific admission criteria can be found in the Washington Pact Standards, page 6
  • Referral form is available on the NSMHA website Forms page
  • More information about PACT can be located on the MHD PACT webpage
  • Process for transfer is available on NSMHA website; Policies 1567 and 1510.


 

Send mail to Michael White with questions or comments about this web site.
North Sound Mental Health Administration