A New Service System for a Vulnerable Population

With SAMHSA’s support through the available Mental Health Block Grant set aside funds, a window of opportunity has opened to create an entirely different service system that could alter the course of illness and recovery for many of NC’s most vulnerable young people, and reduce disability and the long-term need for use of public dollars to care for individuals with psychotic disorders.  A service system that spans both traditional child and adult service populations, as well as public and private payers, needs the guidance of an organization that has been successfully and sustainably delivering these services.  The NC Institute for Early Psychosis Intervention Services, as an outgrowth of the original OASIS Clinical Program, has the expertise and experience.

We provide consultation and guidance in the following areas to the NC Division of Mental Health, Area Managed Care Organizations (MCOs), Health Insurance Companies, and agencies and hospital systems wishing to develop Coordinated Specialty Care (CSC) programming.

CSC Model Fidelity Indexing

As with any evidence based practice, Coordinated Specialty Care needs a state-specific fidelity model to set basic service standards and predict performance as the model is deployed and further developed.  Using the RAISE-ETP or NAVIGATE model of CSC, we have developed a model and fidelity index to assist MCOs, agencies, and providers understand the functions and expected performance of CSC programs in North Carolina.

Quality Assurance Monitoring

In order for fidelity models to correctly reflect the quality of expected care and performance, ongoing data about the performance of programs and outcomes of clients are needed.  We have developed a data-collection protocol correlating with the CSC Fidelity Model which targets provider-level and client/family-level data which provides both performance and outcome indications.  We have developed this data collection protocol and database in coordination with the larger EPINET initiative, aiming to set a national standard for Early Psychosis Interventions services performance and outcomes.

Organizational Preparation

We work closely with the NC Division of Mental Health, area Managed Care Organizations, and contracted provider agencies wishing to implement CSC, providing guidance on how to best implement services.  We will work with providers and stakeholders from start to sustainability to insure successful development and deployment of the CSC model in their catchment zones.

Sustainability Consulting

The current SAMHSA funds provide an opportunity to help launch CSC programs in different areas of North Carolina, but our healthcare market place currently demands that programs become financial sustainable with minimal public assistance.  From our experience with bringing the original OASIS program from contributions to financial sustainability, we will work with providers and stakeholders on how to develop financial plans that allow programs to deliver effective services and build capital, while also serving financial disadvantaged populations.

If you are a member of a Managed Care Organization, Agency, or provider wishing to implement CSC in your area, e-mail Diana Perkins at today to learn of opportunities for assistance.