Alternative Services

Center for Behavioral Medicine operates a series of six programs within the greater Kansas City Area. These homes provide clinical care to psychiatric clients in the community in the least restrictive setting possible. Clients come into our services through referrals from Community Mental Health Centers in our region along with referral from other DMH facilities throughout the state.

Alternative Services Facilities

Services are provided at six sites:

are community based facilities designed to promote patient stability and maximize independent living skills through 24/7 structured oversight, therapeutic interventions, medication management and education and case management, coordinated by the patient’s primary CMHC or DD division care provider/service coordinator. Admissions, evaluated independently to match the client's clinical need with least restrictive living environment and skill enhancement capability, are coordinated through the Director of Alternative Services. It is anticipated that the clients will gain the necessary skills to live independently, locating to the community of their choice on discharge from the residential environment. As noted above three of our facilities address dual diagnosed clients carrying a MI & DD diagnosis. Staff in these facilities are trained to address the clinical care needs of this population with the hope of moving them forward into a more independent living setting.

Residential Treatment

Patients will have medical records developed detailing psychiatric histories and response to past and current treatment interventions. Available past and current assessments of social/family support systems as well as psychological, physiological, and developmental information will be included in the medical record and used to provide treatment in the residential setting. Various levels of residential care are available within the Center for Behavioral Medicine’s continuum of care to include intermediate adult care where adults learn the skills necessary to live in a less structured environment, to and apartment program where residents continue to develop independent living skills necessary to live in their own apartment in the community. Additionally we have added Medicaid waiver homes (Highlands, Lakelands and Esperanza House) to address the dually diagnosed patient population MI/DD. These facilities are maintained at a higher staffing ratio to meet the clinical needs of this patient population.

Rehabilitation Treatment and Person Centered Planning addresses linkage of outpatient community mental health treatment as well as the patient’s current clinical responses and is created in collaboration with the patient, family/guardian, their significant others and community providers. The patient receives therapeutic milieu services provided by an interdisciplinary, culturally competent on site staff, supervised by professional staff, on a 24/7 basis.

Admission Criteria

Alternative Services settings are intended to serve those individuals who suffer from severe psychiatric disorders and currently require a self-contained residential housing environment. This service provides 24/7 supervision and care for individuals who are at risk of self harm or who are unable to safely remain in an unsupervised setting within the community. Admission to a Alternative Services Facility is always an elective admission, based on bed availability. Elective admissions allow an opportunity to assess each patient for the risk of self harm and to patient match to environment in order to promote optimal treatment outcomes. Rehabilitation Goals are based upon presenting symptoms, which may not be successfully addressed in the community yet do not require more structured inpatient hospitalization. Clients are referred to our facilities through their Community Mental Health Center Case Manager or their inpatient social worker. You may obtain a form to make a referral through contacting Laura Crist's office at (816) 512-7519. This extension will get you in contact with Jackie Blunt, The Alternative Services Administrative Assistant who can email or fax the form.

Discharge Criteria

Discharge criteria to a community environment, a less restricted level of care, are based upon the patient’s ability to achieve and maintain their Rehabilitation Goals with regard to maintaining stable, independent functioning, responsible medication and physical health management, and linkage with the community mental health care provider network. Should the client’s condition deteriorate while in an Alternative Services Residential Facility, they may be assessed and moved to an appropriate inpatient setting for stabilization.