Community Support Team (CST)
Community Support Team (CST)
CST services consist of community-based mental health and substance abuse rehabilitation services and necessary supports provided through a team approach to assist adults in achieving rehabilitative and recovery goals. It is intended for individuals with mental illness, substance abuse disorders, or both who have complex and extensive treatment needs. CST is designed to reduce presenting psychiatric or substance abuse symptoms and promote symptom stability, restore the individual’s community living and interpersonal skills, provide first responder intervention and deescalate the current crisis, and ensure linkage to community services and resources. CST is available 24/7.
Must meet ALL off the following criteria:
- There is a documented, significant impairment in at least two of the life domains (emotional, social, safety, housing, medical or health, educational, vocational and legal). This impairment is related to the beneficiary’s diagnosis and impedes the beneficiary’s use of the skills necessary for independent functioning in the community
- There is a mental health or substance use disorder diagnosis as defined by the DSM-5, or any subsequent editions of this reference material, other than a sole diagnosis of intellectual and developmental disability.
- For beneficiaries with a primary substance use disorder diagnosis, the American Society for Addiction Medicine Criteria is met.
- Four or more of the following conditions related to the diagnosis are present:
- High use of acute psychiatric hospitals or crisis/emergency services, including but not limited to mobile crisis management, in-clinic or crisis residential (2 or more admissions in a year), extended hospital stay (30 days within the past year), or psychiatric emergency services
- History of difficulty using traditional services (missing office appointments, difficulty maintaining medication schedules, etc.)
- Intermittently medication refractory (not achieving full response to medication or sustained reduction of symptoms) or difficulty maintaining compliance with taking medication
- Co-occurring diagnoses of a substance use disorder (ASAM—any level of care) and mental illness
- Legal issues (conditional release for non-violent offense; history of failures to show in court, etc.) related to the beneficiary’s mental or substance use disorder diagnosis
- Homeless or at high risk of homelessness due to residential instability resulting from beneficiary’s mental health or substance use disorder diagnosis
- Clinical evidence of suicidal gestures, persistent ideation, or both in past 3 months
- Ongoing inappropriate public behavior in the community within the last 3 months
- Within the past 6 months, physical aggression, intense verbal aggression, or both toward self or others (due to symptoms associated with diagnosis) sufficient to create functional problems in the home, community, school, job, etc.
- A less intense level of care has been tried and found to be ineffective for the clinical needs of the beneficiary
- There is no evidence to support that alternative interventions would be equally or more effective, based on North Carolina community practice standards (for example, American Society for Addiction Medicine, American Psychiatry Association) is available.
Kathy Connell, Enhanced Services Referral Coordinator
Direct: (704) 986-1535, Fax: (704) 983-3919
What sets Monarch’s CST service apart?
This service seeks to empower and create sustainable changes within the mental healthcare system and to ensure independence. The focus is on what the individual wants to achieve and to help them live as independently as possible within their community. Our teams are highly trained, supportive and responsive.