Louisiana Crisis Response System
The Louisiana Department of Health (LDH)/Office of Behavioral Health (OBH) is in the process of expanding upon and restructuring the Medicaid service delivery system related to crisis services. OBH is working with partners in Medicaid and national experts to finalize the service design associated with a crisis system of care that is modern, innovative and coordinated.
The purpose of this site is to provide information about the services being developed and updates about implementation activities as they occur. If you are in crisis, please contact the Suicide Prevention Lifeline, which can be located at the following: https://suicidepreventionlifeline.org/media-resources/
It is LDH’s goal to develop a statewide model for crisis response that maintains regional and geographic relevance and builds upon the unique and varied strengths, resources, and needs of Louisiana’s individual communities.
The vision is that the system:
- Values and incorporates “lived experience” in designing a crisis system and crisis service delivery and is built on principles of recovery and resiliency using person-centered processes;
- Encompasses a continuum of services that includes crisis prevention, acute intervention and post-crisis recovery services and supports;
- Provides interventions to divert individuals from institutional levels of care including inpatient placements, emergency departments utilization, nursing facilities and other out of home settings; and
- Provides timely access to a range of acute crisis responses, including locally available home and community-based services and mobile crisis response.
- Results in a crisis continuum that includes and respects a bed-based crisis service but does not rely on that level of service as the foundation of the crisis continuum.
This will be achieved by implementing the following services:
- Mobile Crisis Response (MCR) is an initial community-based, mobile crisis response intended to provide relief, resolution and intervention to individuals where they are located through crisis supports and services during the first phase of a crisis in the community.
- Behavioral Health Crisis Centers (BHCC) are facility based services that operates twenty-four (24) hours a day, seven (7) days a week, as a walk-in center providing short-term behavioral health crisis intervention.
- Community Brief Crisis Support (CBCS) is an ongoing crisis intervention response rendered for up to fifteen (15) days and designed to provide relief, resolution and intervention through maintaining the member at home / in the community, de-escalating behavioral health needs, referring for treatment needs, and coordinating with local providers.
- Crisis Stabilization (CS) are short-term bed-based crisis treatment and support services for members who have received a lower level of crisis services and are at risk of hospitalization or institutionalization.
Services will be available in this initial implementation for adults (21 and older) with Medicaid. All services will be voluntary.
Modeling a Crisis System of CareEarly in the development of this new system, the Louisiana Department of Health sought input from stakeholders and interested parties to assist in the development of a vision for a modern and comprehensive crisis system of care through a Request for Information. Based on findings from the Request for Information, LDH developed a crisis framework:
- Louisiana Crisis Response E-Mail Subscription
- Crisis System of Care Model
- Frequently Asked Questions
- NASMHPD Crisis Now: Dedicated to Transforming Mental Health Crisis Systems
- NASMHPD Crisis Now Transforming Crisis Services
- SAMHSA Crisis best practices - Core Elements for Responding to Behavioral Health Crises: Practice Guidelines
- Crisis Services Effectiveness, Cost-Effectiveness, and Funding Strategies
- Making the Case for a Comprehensive Children’s Crisis Continuum of Care
- SAMHSA guidelines for trauma informed care Trauma-Informed Practices
- SAMHSA Recovery Support Tools and Resources/Peers
- Crisis Now Learning Community
- Presentation: LDH/OBH Coordinated Crisis System Implementation Plan Update – August, 26, 2021
- Presentation: LDH/OBH Coordinated Crisis System Implementation Plan Update – June 24, 2021
- Presentation: LDH / OBH Coordinated Crisis System Implementation Plan- March 29, 2021
Upcoming Presentation Schedule
- Statewide Implementation Plan Updates *dates subject to change*:
- October 28, 2021: 2:30p.m. – 3:30p.m.
- December 23, 2021: 2:30p.m. – 3:30p.m.
- Regional Implementation Meetings: Due to Hurricane Ida, all Regional Implementation Meetings will be rescheduled