Hbi Mobile Services

Mobile Response Team (MRT)

Also referred to as, Mobile Crisis Team, members include: PhD-Level Clinicians, Master Level Clinicians, and RNs who are on-call 24/7 to perform immediate on-site evaluation, assistance with level of care determination and discharge planning. HBI's MRT responds to ALL emergency departments (EDs), psychiatric hospitals, schools, shelters, juvenile detention enters, and neighborhood service centers throughout Clark County, Nevada.

HBI's MRT works closely with ED physicians and staff to alleviate unnecessary burden on ED services by assisting with level of care determination of psychiatric-related patients. ED personnel recognize that when HBI assessors assist in mental health evaluation, it is not simply to transfer the patients out of the ED but to ensure that the patients get the help they need. When HBI evaluates a patient and determines a need for additional services, a multidisciplinary team consisting of a case manager, a counselor, and psychiatric provider is automatically assigned to assist the patient. While the patient is still in the ED, HBI already arranges for follow-up services after the patient is released from the ED. This best practice affords ED personnel the peace of mind and confidence that patients will be cared for after they leave their charge, and prevents any sentinel healthcare events.

HBI's Mobile Response Team (MRT) Services include (but not limited to):

Coordinated transfer to an Institute for Mental Disease (IMD)/psychiatric facility with available beds

  • Coordinates immediate access and warm transfer by confirming availability of beds at IMD’s/psychiatric facilities, thus allowing ED staff to focus on patient care rather than performing admin tasks. This also enables the ED to make way and focus on other medical emergency cases.
  • Once admitted, HBI’s team follows the patient and works with the IMD’s attending physician and staff, and becomes part of the clinical team.

Triage to other level of care

  • If appropriate, HBI can triage patients to receive the level of care services needed, including follow up after hospitalization.
  • While still in the ED/IMD or any site, HBI can set up a follow up appointment with HBI providers for medication management, counseling, and wrap-around services.
  • Direct access to additional crisis services - HBI has two separate Crisis Stabilization Units (for Children and Adolescents, and Adults) with structured treatment programs designed to provide intensive outpatient services for age-specific patients.

Integrated Services

HBI’s Mobile Response Team is NOT an autonomous service. It is part of a comprehensive continuum of behavioral health care services that, not only an individual, but also the family can receive, based on the intensity of need and personalized treatment plan including:

  • Crisis Stabilization Program
  • Crisis Walk-in
  • Home & Family Assessment Team
  • Wellness/Safety Check
  • Individual, Couple, Family, and/or Group Psychotherapy
  • Medication Evaluation & Management
  • SAPTA Certified Addiction Treatment
  • RMH (Rehabilitative Mental Health) Services – Psychosocial Rehab (PSR), Basic Skill Training (BST)
  • Specialized Programs (i.e., Parenting Classes, Trauma, etc.)
  • Case Management

Family Education and Support

The patients’ family are informed and involved every step of the way. Parents of minor aged patients are required to provide consent before an MRT assessment is conducted, and they are given educational materials on what to expect if their child is admitted to a psychiatric facility.

Patients/Parents are informed of services related to their care, including (but not limited to):

  • Need for medication
  • Hospital length of stay
  • Importance of follow-up after hospitalization
  • Working closely with the attending physician
  • Exploring different types of services

Continuation of Care

The role of HBI’s MRT improves coordination of care in every step of the process:

  • From any point of entry – school, ED, home, Juvenile Center, etc.
  • While inpatient – coordination with the attending physician, and keeping the family involved
  • Discharge planning – including setting up follow-up care services after discharge
  • Follow-up after hospitalization

In some cases, HBI provides additional support and coordination that go beyond mental health care for patients. These supportive services greatly improve compliance to post-hospitalization treatment. For example:

  • Uber or bus pass - when transportation is a problem
  • Mobile phone service to ensure contact with the patient
  • Housing assistance, for safe placement after leaving the hospital

Follow-up After Hospitalization

HBI works closely with the patient and family while the patient is still in the hospital, providing coordination of care and proper discharge, resulting in better compliance with follow-up treatment. More importantly, HBI’s team provides access to help 24/7, by calling up the client by phone and visit at home, as needed, for up to 30 days following an event to ensure safety, recovery, and compliance to treatment.

Home & Family Assessment Team

Working in tandem with the Mobile Response Team, a home assessor visits with the family within 24 hours of hospital admission, to assess the home environment, family dynamics, recovery and safety, discuss discharge plan, and determine whether wrap-around services should be provided after hospitalization. The home assessor also functions as case manager – a conduit between the family, and the hospital treatment team.

HBI's philosophy is to coordinate the patient's psychiatric treatment from the date of admission. This is carried out by HBI’s Home and Family Assessment team whose goal is to provide:

  • Home and Family Assessment to determine the home dynamics and family involvement in the member’s recovery
  • Coordination with the attending psychiatrist by providing the home assessment information
  • Follow-up treatment recommendation for wrap-around services even prior to discharge so that a treatment plan is in place when the member leaves the psychiatric hospital. Such a treatment plan would require family involvement in order to ensure compliance and recovery when receiving wrap-around services.
  • Follow-up after hospitalization and initiation of the treatment plan by contacting the member and/or family by phone or home visit to increase likelihood of compliance.