|
Post by Jeff VanArnam on Mar 26, 2020 5:53:51 GMT -8
Good morning, and here's to hoping all are doing well!!
I wanted to check in and see what teams around the country may be hearing from their respective state BH authorities in terms of being asked to take new referrals, particularly discharges from state facilities.
As most are doing in light of the current situation, Virginia's ACT teams are operating under revised service protocols so as to both ensure staff safety/protect public health while also making (frankly quite valiant) efforts to continue to serve our most vulnerable.
With state hospital census a critical issue to begin with, I wonder what others are hearing from their states in terms of how/what role ACT is being expected to serve given the public health concerns related to COVID-19.
My particular point of interest/concern is that individuals who may be discharged into the community needing ACT level of care, would by definition in light of the COVID crisis and changes to service delivery, not be receiving that level of care as a result of the needed precautions and reduced service capacity under which teams are operating. How then are others walking the line between ensuring individuals are receiving services in the least restrictive environment with reduced capacity (particularly vis a vi ACT) of community providers to deliver the appropriate level of care due to the pandemic?
Many thanks, and stay well!
Jeff
|
|
|
Post by Michelle on Apr 6, 2020 9:16:51 GMT -8
Great question Jeff, I am curious to see what other teams are doing at this time. My team is trying to walk that line as safely as possible while trying to reduce face to face contact. This is not easy for anyone I imagine. Michelle
|
|
|
Post by Shante on Apr 6, 2020 10:54:25 GMT -8
I am following this as well, hoping today's call may answer this question. I am a team lead in Iowa, unsure how to enroll a client into the ACT program during this situation-as I do not believe the client would receive the proper introduction to the program, rapport would not be built as usual, and my staff would have an added stressor with the 30 day daily contact.
|
|
|
Post by Terri on Apr 7, 2020 11:53:46 GMT -8
We are also hesitant to bring on anyone new right now since we have very little access to PPE so are limiting face to face contacts. I don't know how we would engage and provide wrap around support to someone unknown to us without face to face. I think we would need to make an exception for a state hospital discharge, but we don't have any pending hospital discharge clients right now. It's hard since we have no idea if this will last a couple weeks or a couple months. Would love to know how other teams are addressing this.
|
|
asia
New Member
Posts: 10
|
Post by asia on Apr 10, 2020 10:51:24 GMT -8
Seems to me that at minimum, teams need to have PPE to consider face to face contact. if the team lacks appropriate PPE, there is an ethical imperative to consider for the participant and the ACT staff. While this may be an unpopular opinion, having shelter at this time is critical to reduce the spread of the contagion. I advocate that state hospital systems need to be looking at making broad adjustments within their systems to theoretically "step down by people whose civil commitment is over " who are ready for discharge, yet allow them to stay within the walls, especially if housing is an issue, and during this public health crisis. I know that is a big ask, but these are unprecedented times. Advocate for what makes sense right. Just because its never been done, doesn't mean it can't be:)
|
|
|
Post by Shannon on Apr 10, 2020 11:58:32 GMT -8
Hello, ACT Team Lead in upstate NY. Being asked by the state to maintain 4 monthly referrals despite pandemic. Have support of our leadership to consider individuals per their current circumstances comparative to our service limitations to keep our staff and patients safe in mitigating potential exposure. Our sister ACT Team (forensically-based) had a potential exposure scare yesterday, fortunately resulting in a negative test of pt-- which 4 of their team members had face-to-face visits with earlier this week. Due to this scare, we have been awarded masks with eye-shields, likely to receive the full-face shields as soon as supplies are available. Interested to see if ACT Teams are standing by 0 referrals, 1 referral, or rather than quantitative-- consider referrals based on individual circumstances as well as continued assessment of team capacity i.e., potential exposure, quarantined staff, etc.
Thank you,
Shannon
|
|