Mobile Response and Stabilization Services

  1. Mobile Response and Stabilization Services

Children’s Mobile Response and Stabilization Services

A behavioral health crisis can be traumatic for individuals, families, and our communities. Although we cannot know when a crisis may occur, we can create a system that is agile and responsive when the need arises.  Mobile Response and Stabilization Services (MRSS) is a rapid response, behavioral health led, crisis intervention model customized to meet the developmental needs of children, youth, young adults, and their families (youth and families). The inclusion of MRSS within a comprehensive system of care (SOC) and crisis continuum is a core component of a good and modern children’s behavioral health system.  

  • MRSS provides immediate response and early intervention to de-escalate crises that are
    defined by the family
  • MRSS recognizes that child behavioral health crises affect caregivers as much as they do
    children
  • MRSS prevents future crises or out-of-home placement through stabilization services, follow-up and by navigating access to community supports across the system of care

Guiding Principles

  • “Crisis” is Defined by Parent/Caregiver
  • MRSS is in-person and delivered, 24/7/365, in home or community settings within 90 minutes and for up to 72 hours to complete
  • Telephonic support is provided to the family until the MRSS team arrives
  • MRSS team originates in Behavioral Health Provider Agency
  • Mobile crisis response team trained in children/family specific crisis intervention
  • Initial response includes Crisis Assessment Screen, Suicide Screen and a Safety Plan
  • MRSS provides Up to 8 Weeks of Stabilization Services through Care Coordination
  • Family, Youth, and Adult Certified Peer Workers are core to Mobile Response and Stabilization Services

MRSS Goals

  • Support and maintain children and youth in their current living situation and environment, reducing the need for out of home placement, which reduces the need for inpatient care and residential intervention
  • Engage youth and families by providing trauma informed care
  • Promote and support safe behavior in home, school and community
  • Reduce the use of residential treatment centers, emergency department (ED), hospitable boarding and detention centers due to a behavioral health crisis
  • Assist youth and families in accessing and linking to ongoing natural and community support and services including intensive clinical and in-home services as needed.

NM Children’s MRSS Development timeline

Partners

CYFD Beahvorial Health Services | NMSU Center of Innovation | Human Services Department | Behavorial Health Services Department | Medical Assistance Division

Pre Planning

SFY 2022

RATE DEVELOPMENT

  • Develop Hub & Dandelion Structure
  • Develop Medicaid Rate
  • Apply for National TA (UCONN)
  • Training Development Workgroup
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Planning

Sept SFY 22 | Sept SFY 23

INFRASTRUCTURE

  • 988 Call Center
  • Dispatch Software
  • 40 Hour Curriculum
    • Certification
  • MRSS Crisis Assessment Tool
  • NA Tribal Provider Consultation
  • Provider Readiness Assessment

Sites developed

Oct SFY 23 | June SFY 24

SOFT LAUNCH

  • Troublshoot infrastructure
  • Gather service Utilization Data
  • Statewide Outreach to BH providers
  • Develop PS and JJS Referral protocol
  • Interdisciplinary Meeting Developed

Expansion

SFY 2025

MRSS Statewide

  • MRSS TA to CCBHC Providers
  • Public Facing Data Website
  • Target increase / 15 MRSS sites
  • Monthly Provider Learning Collaborative
  • Intensive support plans for low service utilization sites
  • ROI study / CQI Activities

New Mexico Children’s MRSS

Respond-Support-Connect

New Mexico’s Children’s Mobile Response and Stabilization Services (MRSS) is a child, youth, and family specific, in person, behavioral health crisis intervention and prevention service. MRSS provides immediate response to de-escalate and stabilize the early phase of a caregiver defined crisis.

MRSS services are for any family defined crisis. A few examples of common issues that MRSS staff can help with include:

  • Escalating emotional or behavioral issues
  • Mental health challenges
  • Addiction and substance abuse
  • Physical and emotional trauma
  • School truancy
  • Running away from home
  • Parent/child or caregiver/child conflict
  • Suicidal ideation

Stabilization Services

MRSS Stabilization Services for Medicaid Eligible Youth support’s a child’s ability to manage daily activities and establishes clear connections to treatment services, community & natural supports, High Fidelity Wraparound and other evidence-based practice to reduce the likelihood of ongoing behavioral health crises. Stabilization services can be used by the family for up to 8 weeks. MRSS provides the support and skills necessary to improve functioning, relationships and stability within their home and community.

Click here to schedule a presentation on Children’s Mobile Response and Stabilization Services and to receive event and update information.

Click here to take the MRSS 101 e-learning.

Click here for the MRSS services implementation timeline.

Click here for New Mexico Children’s MRSS Qualification and Certification Standards.