DOJ Settlement - Transition to Community Living Initiative
The State of North Carolina entered into a settlement agreement with the United States Department of Justice in 2012.
The purpose of this agreement was to make sure that persons with mental illness are able to live in their communities in the least restrictive settings of their choice.
The NC Department of Health and Human Services is implementing the agreement through the Transition to Community Living Initiative (TCLI).
The Transition to Community Living Initiative has six primary components:
- In-Reach and Transition - Providing or arranging for frequent education efforts and discharge planning targeted to individuals in adult care homes and state psychiatric hospitals.
- Diversion – Diverting individuals from being admitted to adult care homes.
- Housing – Providing community-based supportive housing with tenancy supports.
- Supported Employment – An evidence-based service to assist individuals in preparing for, identifying, and maintaining integrated, paid, competitive employment.
- Assertive Community Treatment – An evidence-based treatment and support model of services offering intensive customized, community-based services for people with mental illness.
- Quality Management – using data to evaluate progress and outcomes.
Each component has settlement milestones. Implementation plans are completed during collaborative work group sessions that are open to the public.
Introduction to Transition to Community Living Initiative: This webinar provides an overview of the Settlement Agreement between the DOJ and NC, including events leading up to the Transition to Community Living Initiative.
Overview of the Transition to Community Living Initiative Process: An overview of the entire process of the Transition to Community Living Initiative with a flow chart for transitioning individuals into supportive housing.
Partnering with Facilities: This webinar, presented by staff from the Division of Health Service Regulation, provides a review of general statutes and licensure rules specifically related to resident's rights and the discharge of residents in adult care facilities.
State Psychiatric Hospitals: This webinar provides information on how the Transition to Community Living Initiative can impact individuals in state psychiatric hospitals.
Root Cause Analysis for Transitions to Community Living Initiative (TCLI)
TCLI Communication Guidelines (LME/MCO)
In-Reach is an engagement, education and support effort designed to accurately and fully inform adults who have a serious mental illness (SMI) or a serious and persistent mental illness (SPMI) about community-based mental health services and supportive housing options including but not limited to the availability of tenancy support services and rental assistance.
In-Reach Part 1: LME/MCO roles in the In-Reach process including ongoing engagement, education and support efforts.
In-Reach Part 2: Forms
Transition coordination supports individuals who are transitioning from facility-based services to community-based living options.
Transition Part 1: This webinar outlines the MCO's role in the transition coordination process and transition planning.
Transition Part 2: A review of the tools that are used in the transition planning process.
Transitions Planning Tool: used to prepare for the ransition.
Quality of Life Survey
The Consumer Quality of Life Survey: This webinar provides an explanation of the QOL Survey including background of key elements, an overview and guidelines, and the utilization of the survey instrument.
Use of Updated Survey Tools and Links
Pre-admission Screening and Resident Review (PASRR)
Beginning January 1, 2013 any individual being considered for admission to an adult care home must be screened by an independent screener to determine whether the individual has SMI/SPMI. For more information go to http://www.ncmust.com/ Pre-Admission Screening and Resident Review.
The Division of Mental Health/Developmental Disabilities/Substance Abuse Services (DMHDDSAS) has identified staff to serve as liaisons to provide technical assistance, answer questions, and assist with locating PASRR Level I Screeners:
Barbara Flood – EAST
Patricia McNear – CENTRAL
Bill Joyce – WEST
Special Assistance In-Home
Special Assistance In-Home: This webinar provides information on Special Assistance and Special Assistance In-Home Eligibility for individuals living in an adult care home, individuals diverted from an adult care home, and individuals who have been inpatients in state psychiatric hospitals wanting to live in the community.
- SA/IH Program Interagency Communication Form for DHHS Approved Support Housing Slots: IMC to LME Regarding Income Verification or SA/IH Eligibility (Appendix E)
- SA/IH Program Interagency Communication Form for DHHS Approved Supportive Housing Slots: LME to DSS Eligibility (Appendix E2)
- Instructions for Special Assistance In-Home Approvals for Individuals with Verified Supportive Housing Slots
Community Mental Health Services
The Department of Health and Human Services (DHHS) provides evidence-based and recovery-oriented supports for individuals transitioning to the community. As part of the community-based adult mental health (AMH) service continuum for individuals with SMI/SPMI, TCLI emphasizes high-fidelity Assertive Community Treatment (ACT) and Supported Employment (SE). The service approach for AMH is based upon Psychiatric Rehabilitation (PsychRehab) that is designed around "Helping People with Psychiatric Disabilities Lead Fulfilling Lives". As such, the Department has enhanced these policies and implemented fidelity evaluations to provide quality and positive outcomes.
- TCLI AMH Services Toolkit
- Adult Mental Health Services: Feedback and Collaboration with LME-MCOs
- TCLI AMH Recovery, PsychRehab and Services presentation
Supported Employment (SE)
The Individual Placement and Support (IPS) model of Supported Employment helps people with severe mental illness work at regular jobs of their choosing.
Although variations of supported employment exist, IPS refers to the evidence-based practice of supported employment for individuals with mental illness and co-occurring substance use challenges.
An IPS approach changes the way employment services are delivered, as "employment readiness" is replaced by a "place then train" approach in which the only requirement to seek employment is a desire to work.
Fidelity Evaluations are being conducted on all IPS-SE teams in the state using the SE Fidelity Scale and tools:
Training and Technical Assistance
Please contact us and also visit the NC Employment First Technical Assistance Center.
- DHHS Memorandum on IPS-SE Initiative and Year 2 Goals
- Supported Employment Webinar for LME-MCOs
- NC IPS-SE Model presentation
- IPS Overview by Debbie Becker, NC Training
- Dartmouth IPS-SE Center
- NC Employment First DMHDDSAS Webpage
- NAMI "Road to Recovery: Employment and Mental Illness" Report
Assertive Community Treatment (ACT)
ACT is an evidence-based practice that is comprehensive and includes a multi-disciplinary clinical team that utilizes the expertise of medical, therapeutic, social work, vocational, substance abuse, and peer support professionals to assist individuals diagnosed with severe and persistent mental illness to achieve and sustain recovery in the community of their choice.
ACT services are holistic, frequent, intensive, and provided directly in the community to enhance the overall quality of life through building self-confidence and proficiency across all domains of life functioning.
ACT is often known as the "hospital without walls" bringing comprehensive psychiatric rehabilitation supports to individuals where they live.
If you would like the full scale and are an LME-MCO or NC contracted ACT team, please email Stacy.Smith@dhhs.nc.gov.
Training and Technical Assistance
The TMACT: A New Tool For Measuring Fidelity To Assertive Community Treatment
Tool for Measurement of Assertive Community Treatment (TMACT): Revising the DACTS for Today's World
New York OMH- ACT
NAMI - ACT Education Center