Program Requirement Four (4): Scope of Services – Outpatient Mental Health

Program Requirement Four (4): Scope of Services – Outpatient Mental Health and Substance Use Services A. The CCBHC directly, or through a DCO, provides outpatient behavioral health care, including psychopharmacological treatment. The CCBHC or the DCO must provide evidence-based services using best practices for treating mental health and substance use disorders across the lifespan with tailored approaches for adults, children, and families. SUD treatment and services shall be provided as described in the American Society for Addiction Medicine Levels 1 and 2.1 and include treatment of tobacco use disorders. In the event specialized or more intensive services outside the expertise of the CCBHC or DCO are required for purposes of outpatient mental, and substance use disorder treatment the CCBHC makes them available through referral or other formal arrangement with other providers or, where necessary and appropriate, through use of telehealth/telemedicine, in alignment with state and federal laws and regulations. The CCBHC also provides or makes available through a formal arrangement traditional practices/treatment as appropriate for the people receiving services served in the CCBHC area. Where specialist providers are not available to provide direct care to a particular person receiving CCBHC services, or specialist care is not practically available, the CCBHC professional staff may consult with specialized services providers for highly specialized treatment needs. For people receiving services with potentially harmful substance use, the CCBHC is strongly encouraged to engage the person receiving services with motivational techniques and harm reduction strategies to promote safety and/or reduce substance use. Note: Refer to the program requirement regarding coordination of services and treatment planning. B. Based upon the findings of the community needs assessment, input from the CCBHC Planning Grant Steering Committee, and research from all CCBHC Demonstration States, DMH has identified the following minimum set of evidence-based practices required and recommended of the CCBHCs. 1. Required EBPs: (a) CBT-Cognitive Behavioral Therapy. (b) IMR-Illness Management Recovery. (c) MI-Motivational Interviewing. (d) SBIRT-Screening Brief Intervention and Referral. (e) WHAM-Whole Health Action Management or WRAP-Wellness Recovery Action Planning. 2. Recommended EBPs: (a) ACT-Assertive Community Treatment. (b) CPT-Cognitive Processing Theory. (c) DBT-Dialectical Behavior Therapy. (d) EMDR-Eye Movement Desensitization and Reprocessing. (e) IPS-Individual Placement and Support. (f) TF-CBT-Trauma Focused Cognitive Behavioral Therapy. (g) 12 Step Facilitation Therapy. C. Treatments are provided that are appropriate for the phase of life and development of the person receiving services, specifically considering what is appropriate for children, adolescents, transition-age youth, and older adults, as distinct groups for whom life stage and functioning may affect treatment. When treating children and adolescents, CCBHCs must provide evidenced-based services that are developmentally appropriate, youth guided, and family/caregiver-driven. When treating older adults, the desires and functioning of the person receiving services is considered, and appropriate evidence-based treatments are provided. When treating people with developmental or other cognitive disabilities, level of functioning is considered, and appropriate evidence-based treatments are provided. These treatments are delivered by staff with specific training in treating the segment of the population being served. CCBHCs are encouraged to use evidence-based strategies such as measurement-based care (MBC) to improve service outcomes. D. Supports for children and adolescents must comprehensively address family/caregiver, school, medical, mental health, substance use, psychosocial, and environmental issues.