The ERE project facilitates an integrated 24/7 region-wide approach that targets high utilizers of emergency room and inpatient settings, with the primary goal of reducing preventable hospital readmissions. Behavioral Health Response (BHR) (who serves as the Eastern Region’s Access Crisis Intervention provider) is a key partner, providing after-hours/weekend scheduling, plus telephonic and mobile outreach crisis services for consumers referred to the ERE project.
IN 2015, BHN AND PARTNERS IMPLEMENTED KEY ENHANCEMENTS TO THE ERE PROJECT TO INCLUDE:
Adding a clinical EDE Coordinator and a part-time Peer Support Specialist to support consumers engaged in the project to gain hope and move forward in their own recovery
Immediate on-site engagement at the hospital at time of referral and increased “field-based” outreach
Improved coordination with substance use providers
Enhanced data integrity and reporting
Each of the seven Eastern Region CMHCs have designated at least one person to participate on the ERE
Outreach Team. While the ERE Outreach Team member is an employee of their “home organization,” they
focus their work on ERE Outreach, receive referrals and guidance from the ERE Outreach Coordinator, and
participate in weekly Outreach Team meetings to strategize about ERE clients and receive ongoing training.
The Team performs time-limited, focused outreach services for clients engaged with the EDE project, including:
Rapid identification, assessment, and referral at point of contact; crisis intervention services and coordination
of care to community services based on need; and use of “Flex Funds” to address client engagement barriers.
The Substance Use providers facilitate access to treatment for individuals with a co-occurring Substance Use/
Mental Health diagnosis. In order to improve coordination, the ERE project connects with two other successful
community projects--the Integrated Health Network’s Community Referral Coordinator (CRC) program and
DMH’s Community Mental Health Liaison project (which collaborates with police Crisis Intervention Teams,
This engagement rate has skyrocketed from 60% in FY15 and 70% in FY16. This is signficantly higher than the 40% national average!
IMPACT BY THE NUMBERS
For more information on the Hospital Community Linkages Program and our other Current Initiatives