Our Services

Community Stabilization services are direct mental health care to non-hospitalized individuals (of all ages) experiencing an acute crisis of a psychiatric nature that may:

• Community-based crisis stabilization means services that are short term and designed to support an individual and the individual's natural support system following contact with an initial crisis response service or as a diversion to a higher level of care. Providers deliver community-based crisis stabilization services in an individual’s natural environment and provide referrals and linkage to other community-based services at the appropriate level of care. Interventions may include brief therapeutic and skill-building interventions, engagement of natural supports, interventions to integrate natural supports in the de-escalation and stabilization of the crisis, and coordination of follow-up services. Coordination of specialized services to address the needs of co-occurring developmental disabilities and substance use disorders are also available through this service. Services include advocacy and networking to provide linkages and referrals to appropriate community-based services and assist the individual and the individual's family or caregiver in accessing other benefits or assistance programs for which the individual may be eligible. Community-based crisis stabilization is a non-center, community-based service. The goal of community-based crisis stabilization services is to stabilize the individual within the community and support the individual or the individual's support system during the periods (i) between an initial mobile crisis response and entry into an established follow-up service at the appropriate level of care; (ii) as a transitional step-down from a higher level of care if the next level of care service is identified but not immediately available for access; or (iii) as a diversion to a higher level of care.

Mental health skill-building services (MHSS) shall be defined as goal-directed training to enable individuals to achieve and maintain community stability and independence in the most appropriate, least restrictive environment. Authorization is required for Medicaid reimbursement. Services that are rendered before the date of service authorization shall not be reimbursed. These services may be authorized up to six consecutive months as long as the individual meets the coverage criteria for this service. The comprehensive needs assessment shall document the individual's behavior and describe how the individual meets criteria for this service. These services shall provide goal-directed training in the following areas:  

• Functional skills and appropriate behavior related to the individual's health and safety, instrumental activities of daily living, and use of community resources
•  Assistance with medication management. 
• Monitoring of health, nutrition, and physical condition with goals towards self-monitoring and self-regulation of all of these activities. Providers shall be reimbursed only for training activities defined in the ISP and only where services meet the service definition, eligibility, and service provision criteria and this section. 
• A review of MHSS services by an LMHP, LMHP-R, LMHP-RP, or LMHP-S shall be repeated for all individuals who have received at least six months of MHSS to determine the continued need for this service.

Crisis Receiving Center (CRC)

The term "Crisis Receiving Center" (CRC), also referred to as "23-hour crisis stabilization," describes a community-based, non-hospital facility that offers short-term assessment, observation, and crisis stabilization services for up to 23 hours. This service is available 24/7, year-round, and is designed for individuals who require a safe environment for initial assessment and intervention.

The CRC provides a comprehensive evaluation of an individual's behavioral health crisis, psychosocial needs, and support systems to identify the least restrictive and most appropriate environment for stabilization. Key service functions include:

• Rapid assessment
• Crisis intervention
• De-escalation
• Short-term stabilization
• Appropriate referrals for ongoing care

Eligibility for 23-Hour Crisis Stabilization

This service is suitable for individuals with urgent behavioral health needs, including but not limited to:

• Significant emotional impairments
• Disordered thought processes
• Substance use and intoxication leading to behavioral crises
• Environmentally destabilizing events that necessitate multi-disciplinary crisis intervention and observation

The goals of the service include, but are not limited to:

• Providing a thorough assessment of crisis and psychosocial needs over the full 23 hours of service to identify the best resources available for the individual, aiming to prevent unnecessary hospitalization.

Assessment Components:

• Psychiatric evaluation
• Diagnostic testing (e.g., drug screens, lab tests, and monitoring for emergent medical needs)
• Level of care determination

Care Coordination:

• Screening and referral to appropriate behavioral health services and community resources.

Crisis Intervention:

• Improvement of acute symptoms
• Resolution of acute intoxication
• Safety planning

Health Literacy Counseling:

• Provision of medication (if clinically indicated) and monitoring of response

Summer 2025!

• TCAC TDT Summer Program for children
• Intensive In Home Counseling 
• VASAP Program