1. MORES Mobile Outreach Response Engagement Stabilization Service
11/16/2018
MORES Mobile Outreach Response Engagement Stabilization Service

2. MORES Mobile intervention for children, adolescents, & their families
Ages 3-21
Experiencing escalating emotional or behavioral symptoms or traumatic circumstances which have compromised the youth’s ability to function at their baseline within their family, living situation, school and/or community environments
11/16/2018

3. Interventions/Strategies
crisis intervention and de-escalation
counseling
behavioral assistance
skill building
medication management, and/or
caregiver and youth engagement/support/stabilization services.
11/16/2018

4. Service
Prevent placement into more restrictive settings, unnecessary court involvement, and declines in functioning.
 Respond within 30 minutes face-to-face unless deferred response is requested by the parent/caregiver.
Immediate face-to-face response is designed to better address the needs children and families in their homes, schools, and communities.
MORES staff includes clinicians, Family and Youth Support Partners, and access to child/adolescent psychiatry.
11/16/2018

5. Goals for Youth & Family
Stabilize the presented issue.
Assess and eliminate barriers to accessing behavioral health and other services and supports through active family engagement strategies including use of Family and Youth Support Partners.
Linkage to appropriate services and supports
Promote/enhance emotional and behavioral functioning.
Empower and educate children and families to monitor, manage, and cope with similar situations.
Strengthen the family and youth’s natural support system.
11/16/2018

6. Goals for Provider
Provide solution-focused behavioral health services that are highly mobile and responsive to child and family needs
Provide appropriate screening, early identification, and assessment of suicide risk, trauma exposure, substance use, exposure to and risk of violence, eating disorders, and other clinical presentations.
Include family members and informal supports in all aspects of the planning and treatment process to the fullest extent possible.
Increase community awareness of behavioral health needs by providing education and outreach to children, families, schools, and communities.
11/16/2018

7. Goals for Child Serving System
Ensure that all children and their families have access to crisis, prevention, and intervention services and supports.
Exhaust all possible options to maintain youth in their homes and communities and prevent placement in more restrictive care settings
11/16/2018

8. Practice Model
The MORES episode of care can be divided into two phases:
1) response and assessment
2) ongoing outreach, stabilization, engagement, and transition to appropriate services and supports.
Each phase is comprised of a number of clinical and supportive activities.
Not a “typical” MORES episode of care.
Episodes can be as brief as responding to the initial call or can last for up to 8 weeks.
11/16/2018

9. Phase Two
Actively engage family and youth in planning, assessment, and problem-solving
Review Results of assessment
Develop Stabilization Plan
Address factors Contributing to or Maintaining the Crisis
Address Trauma Exposure & Symptoms of Traumatic Stress
11/16/2018

10. Phase Two, cont’d Provide Ongoing Acuity/Risk Assessment
Refer for Psychiatric Evaluation
Provide Case Management
Enhance Motivation to Participate in Ongoing Care
Communicate with the Original Referrer
Facilitate Transition to Ongoing Services & Supports
11/16/2018

11. Summary of Tasks for Stabilization & Transition Phase
Provide follow-up services in the home or other community locations
Regular re-assessment of needs and modifying interventions accordingly
Interpreting assessment and incorporating findings into stabilization plan
Accurately identifying and intervening with factors that contribute to and/or maintain behavioral crises
Identifying unmet needs and strengths
Utilize trauma-informed approach
Coordinating care with psychiatrists
Utilize Motivational Interviewing strategies and a Strengths Based Case Management approach.
11/16/2018

12. 11/16/2018

13. Contact Information
Allison Gosda, MHSU Clinical Director
(828)
11/16/2018