Blended Case Management

Nulton Diagnostic & Treatment Center’s Case Management program is designed to help adults and children achieve success in their recovery from a variety of mental health diagnoses. Our goal is to assist each individual in accessing, monitoring, and coordinating a personalized plan of care and recovery.

Nulton Diagnostic’s Case Managers are available to provide face-to-face consultations in our offices, in the home, or other appropriate community locations to meet specific needs. Our Case Managers are also available via phone and email correspondence to further accommodate reliability of service. Each consultation is targeted at providing consumers with support in achieving identified goals or needs, whether they are educational, employment, social, medical, housing, transportation, or other services that might be required to promote healthy lifestyles and progress towards recovery. Case Managers at Nulton Diagnostic & Treatment Center are trained to advocate for consumers and are given the tools to educate each consumer with up-to-date information on local social service supports that can assist in improving one’s quality of life. Nulton Diagnostic & Treatment Center believes that hospitalizations and out-of-home placements can be prevented… and independent functioning can be achieved… if individuals are empowered with education, the means to access resources, and guidance in making informed choices.

Living and coping with persistent mental illness can be difficult and challenging. By building a strong network of community resources and services, success in recovery is possible.

Referral Process

Eligibility Requirements for Children

Any child or adolescent who currently receives Intensive Case Management or Resource Coordination services.

Any person under the age of 18 having a mental health illness or emotional disturbance as defined by the following:

• Diagnosis: Diagnosis within DSM IV R (or succeeding revisions thereafter) excludingthose with a principal diagnosis of mental retardation, psychoactive substance abuse, organic brain syndrome or a V-Code.
• Treatment History: Established when oneof the following criteria is met:
  1. Six or more days of psychiatric inpatient treatment within the past twelve months.
  2. Without blended case management services would result in placement in a community inpatient unit, state mental hospital or other out-of-home placement, including foster homes or juvenile court placements
  3. Currently receiving or in need of mental health services and receiving or in need of services from twoor more human service agencies or public systems such as Education, Child Welfare, Juvenile Justice, etc.

• Functioning Level: Global Assessment of Functioning Scale ratings of 70 and below (as defined in DSM IV R or revisions thereafter).
• Alternate qualifying requirements: An adult, child or adolescent who needs to receive blended case management services, but does not meet the requirements identified above, may be eligible for Blended Case Management upon review and recommendation by the County Administrator or his/her designee, or the Behavioral Health Managed Care Organization as applicable.

Eligibility Requirements for Adults

Any adult who currently receives Intensive Case Management or Resource Coordination services.

Adults who received resource coordination, intensive case management, or blended case management services as children and were recommended by the provider and approved by the County Administrator, or Behavioral Health Managed Care Organization, as needing blended case management services beyond the date of transition from child to adult.

Any person 18 years or older with a mental health illness as defined by the following:

• Diagnosis: Diagnosis within DSM IV R (or succeeding revisions thereafter),excluding those with a principal diagnosis of mental retardation, psychoactive substance abuse, organic brain syndrome or a V-Code.
• Treatment History: Established when oneof the following criteria is met:
  1. Six or more days of psychiatric inpatient treatment within the past twelve months.
  2. Met standards for involuntary treatment within the past twelve months.
  3. Currently receiving or in need of mental health services and receiving or need of services from two or more human service agencies or public systems such as Drug and Alcohol, Vocational Rehabilitation, Criminal Justice, etc.
  4. At least 3 missed community mental health service appointments, or two or more face-to-face encounters with crisis intervention/emergency services personnel within the past twelve months, or documentation that the consumer has not maintained his/her medication regimen for a period of at least 30 day.
• Functioning Level: Global Assessment of Functioning Scale ratings of 60 and below (as defined in DSM IV R or revisions thereafter).
• Alternate qualifying requirements: An adult, child or adolescent who needs to receive blended case management services, but does not meet the requirements identified above, may be eligible for Blended Case Management upon review and recommendation by the County Administrator or his/her designee, or the Behavioral Health Managed Care Organization as applicable.

Resources

Members of our team can answer your questions about the program and what to expect as your child moves through it. For general information about children and mental health, please visit:

• American Academy of Child and Adolescent Psychiatry
• American Psychiatric Association
• National Mental Health Information Center
• National Institute of Mental Health
• American Academy of Pediatrics