Bill Text: NY A01109 | 2017-2018 | General Assembly | Introduced
Bill Title: Establishes peer crisis diversion homes; requires the commissioner to establish or contract for no less than six peer crisis diversion homes within one year.
Spectrum: Partisan Bill (Democrat 6-0)
Status: (Introduced - Dead) 2018-01-03 - referred to mental health [A01109 Detail]
Download: New_York-2017-A01109-Introduced.html
STATE OF NEW YORK ________________________________________________________________________ 1109 2017-2018 Regular Sessions IN ASSEMBLY January 10, 2017 ___________ Introduced by M. of A. RICHARDSON -- read once and referred to the Committee on Mental Health AN ACT to amend the mental hygiene law, in relation to establishing peer crisis diversion homes The People of the State of New York, represented in Senate and Assem- bly, do enact as follows: 1 Section 1. The mental hygiene law is amended by adding a new section 2 31.34 to read as follows: 3 § 31.34 Peer crisis diversion homes. 4 (a) For the purposes of this section: 5 (1) "commissioner" shall mean the commissioner of mental health; 6 (2) "crisis diversion services" shall mean services designed to 7 provide a person who has behavioral health disorders and who is experi- 8 encing symptoms, a safe, supportive and affirming home-like, temporary 9 residence where the person may begin the recovery process, understand 10 the meaning of what the person is experiencing and regain equilibrium 11 and the ability to relate effectively to other people. Crisis diversion 12 services include peer support with an emphasis on relationship-building 13 and personal choice; 14 (3) "peer support specialist" shall mean a person who has previously 15 experienced urgent behavioral health needs and has recovered and who has 16 successfully completed training that has been approved by the commis- 17 sioner, qualifying that person to work with a resident; 18 (4) "resident" shall mean an adult who has experienced urgent behav- 19 ioral health needs but does not require hospitalization and who volun- 20 tarily resides for a short term stay in a peer crisis diversion home; 21 (5) "peer crisis diversion home" shall mean a home-like environment 22 that offers crisis diversion services by temporarily housing voluntary 23 residents who engage in routine activities of daily living and learn 24 about tools for recovery through experience and peer support. The 25 governing body of such home shall consist of current or former recipi- 26 ents of mental health services and shall control the decision making 27 processes of the organization, including control of all budget and 28 personnel management related to the peer crisis diversion home. EXPLANATION--Matter in italics (underscored) is new; matter in brackets [] is old law to be omitted. LBD05595-01-7A. 1109 2 1 (b) The commissioner shall provide formal guidelines for training and 2 credentialing of a peer support specialist, provided that each peer 3 support specialist shall personally have experienced urgent behavioral 4 health needs and shall be certified as completing training in de-escala- 5 tion techniques, cultural competency, race relations, the recovery proc- 6 ess, substance abuse, and avoidance of aggressive confrontation prior to 7 working at a peer crisis diversion home. 8 (c) The commissioner shall, within one year of enactment, establish or 9 contract for the establishment of no less than six peer crisis diversion 10 homes, three of which shall be in urban settings and three of which 11 shall be in rural communities. Such homes shall be recipient-run homes 12 and may be associated with comprehensive psychiatric emergency programs 13 established pursuant to section 31.27 of this article. 14 (d) A peer crisis diversion home, as authorized by this section, shall 15 offer crisis diversion services that: 16 (1) serve residents regardless of income; 17 (2) are staffed twenty-four hours a day by two or more peer support 18 specialists; 19 (3) employ a licensed clinician full time and a psychiatric consultant 20 at least part time; 21 (4) include peer support in helping residents perform daily public 22 living skills and reentry into independent living; 23 (5) offer a mix of therapeutic services, including nontraditional 24 tools for wellness and traditional behavioral health services; 25 (6) accept a resident on a first-come, first-served basis for a tempo- 26 rary stay provided they have alternate long term housing options avail- 27 able; 28 (7) use interpersonal relationship and connection to the community as 29 primary modalities of care; 30 (8) base length of stay on the psychological state of residents, 31 provided that such stay shall be short term with the understanding they 32 are able and willing to live in more independent settings and to resume 33 their desired roles in the community; and 34 (9) are a part of a system of care continuum in the community and 35 state aimed at diverting individuals experiencing behavioral health 36 crisis from more intensive hospital based care and treatment by provid- 37 ing peer support services in a home-like setting for short term, tempo- 38 rary stays. 39 (e) As early as possible, a peer support specialist shall assist a 40 resident of a peer crisis home with accessing a service provider who may 41 coordinate care and otherwise provide support for such resident upon the 42 completion of such resident's stay at a peer crisis diversion home. 43 (f) Peer crisis diversion homes shall consult with community stake- 44 holders, including those who use the behavioral health system and their 45 family members, providers of behavioral health services, whether tradi- 46 tional or alternative, advocates, and others with subject matter exper- 47 tise, as part of the planning and development of peer crisis diversion 48 homes. 49 (g) Peer crisis diversion homes shall participate in county and commu- 50 nity planning activities annually, and as needed, in order to partic- 51 ipate in local community service planning processes to ensure, maintain, 52 improve or develop community services that demonstrate recovery 53 outcomes. These outcomes include, but are not limited to, quality of 54 life, socio-economic status, entitlement status, social networking, 55 coping skills and reduction in use of crisis services. 56 § 2. This act shall take effect immediately.