Critical Time Intervention (CTI) is an intensive case management model delivered in a crisis setting during a critical transition. CTI was originally developed for people with serious mental illness who experience homelessness, with the goal of securing successful transitions to being housed. The crisis service model has also been used to promote successful transitions from hospitals and other institutions such as jails and prisons to community living. It focuses on community integration and continuity of care by ensuring that a person has enduring ties to their community and support systems during these critical periods to avoid the likelihood of a repeating crisis. In research trials of CTI, there was a significant decrease in recurrent homelessness up to nine months after the intervention ended.

In this webinar, Bebe Smith will discuss the building blocks of CTI, and describe several wide scale implementation projects, in North Carolina, New Hampshire and Canada.

Presenter: Bebe Smith, MSW, LCSW – Director of mental health at Southern Regional Area Health Education Center. She led a pilot of Critical Time Intervention (CTI) from 2012-2015. CTI was adopted for statewide expansion in 2014. She is a trainer in Family Psychoeducation and Critical Time Intervention.

Individuals with serious mental illness transitioning from inpatient to community-based care are at high risk for adverse outcomes including relapse and readmission, homelessness, violent behavior, criminal justice involvement, and suicide. These risks are especially concerning given that 40-60% of patients fail to receive outpatient psychiatric treatment within 30 days of hospital discharge. Many hospital and service system initiatives now identify care transitions and readmissions as key quality outcomes. This webinar will review the impact of routine discharge planning practices (timely scheduling of appointments, communication between inpatient and outpatient teams) as well as more intensive care management approaches on care transition and readmission outcomes. We will also review strategies for implementing intensive care management services including critical time intervention, peer supports, health homes, and team-based community support programs.

Presenter: Thomas Smith, MD, New York State Office of Mental Health (NYS-OMH)

For complete details visit: SMIadviser.org/care-transitions

This webinar will comprehensively guide clinicians in all aspects of using long-acting injectable antipsychotics (LAI). Considerations will be explored for negotiating LAIs as part of a patient’s tailored treatment plan, including treatment considerations. Preparations will be detailed regarding materials needed and their required handling, as well as optimal space for injection delivery of the various available LAIs. Anatomical landmarks for intra-muscular and sub-cutaneous injection sites will be reviewed in detail, as will proper technique for injection administration.

Presenters:

• Donna Rolin, PhD, APRN, University of Texas at Austin
• Sarah MacLaurin, MSN, APRN, Massachusetts General Hospital

For complete details visit: SMIadviser.org/LAI-guide

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