The State of Maine is seeking proposals for Crisis Mobile Resolution and Stabilization Unit Services (Districts 1, 2, and 4). The Department's Crisis Intervention System (System) is a component of the comprehensive behavioral health service delivery system and represents a continuum of activities that provide a coordinated, integrated and multidisciplinary approach to the assessment, intervention and stabilization of persons experiencing behavioral health crises or an acute emotional disturbance. Crises are often recurrent and significant resulting from a number of factors including mental health, and individuals experiencing crisis may need response from professionals and/or non-professionals.
Services are immediate and provided, upon request, twenty-four hours a day, seven days a week, and three hundred sixty five days a year (24/7/365) to all persons experiencing a serious problem of disturbed thought, behavior, mood or social relationships. The goal of the Crisis Intervention System is to provide the most effective service at locations -with the least restrictive means to stabilize the crisis, ensure the safety of the individual or society and achieve outcomes consistent with an Individualized Support Plan or other mental health treatment goals of the person in crisis. All components of screening, assessment, evaluation, intervention, disposition and referral commonly considered appropriate for the provision of emergency and crisis intervention are included in the Crisis Intervention System.
Maine's Current Crisis Intervention System
- Maine's Crisis Intervention System includes the following crisis response services: telephone consultation including support and referral, assessment, and short-term solution focused counseling, crisis mobile resolution (Mobile), and crisis stabilization unit short-term residential services (CSU).
Crisis Mobile Resolution (Mobile)
- Crisis Mobile Resolution Services (Mobile) are the next step in the continuum of care activities if the crisis or acute emotional disturbance cannot be resolved during the primary communication to the Statewide Crisis Telephone Response. Mobile shall promote improvement and stabilization during an immediate, on-scene response to individuals experiencing an acute emotional disturbance who are requesting assistance.
Crisis Stabilization Unit Services (CSU)
- Adults and children experiencing an acute emotional disturbance needing further intensive clinical treatment can be referred to a Crisis Stabilization Unit (CSU). A CSU will provide observation, supervision and stabilization in a short-term residential setting. This service will reduce the cycle of repeated utilization of more restrictive care including emergency departments, psychiatric hospitals, residential treatment, and incarceration facilities.
- The goal of the CSU is to treat the adult or child to avoid experiencing a crisis and assist in streamlining the admission process to a CSU or inpatient psychiatric hospital. For Mobile Services, the Consultation can alleviate avoidable or unnecessary delays in locating the most appropriate level of care for the adult or child