VA Southern Nevada Healthcare System
Mental Health Intensive Case Management (MHICM)
Location: Veterans Recovery Center
Initial Access: MHICM consult submitted by Veteran’s primary behavioral health provider
Monday – Friday
8:00 a.m. – 4:30 p.m.
Contact: Ask for MHICM Program Manager
The Mental Health Intensive Case Management (MHICM) Program is an intensive interdisciplinary team approach to the case management and treatment of Veterans with a Serious Mental Illness (SMI) who are living in the community.
The hallmarks of this program include:
- Very frequent contacts between the staff and Veterans
- A flexible approach where most contacts occur outside the clinic in the community
- A focus on rehabilitation
- A clear pathway of responsibility with a minimum of one year of continuous involvement
Goals and Objectives
The overall goal of MHICM is to permit Veterans with psychiatric disorders to live productively within the community in the least restrictive setting. Ongoing objectives include:
- Providing intensive, flexible community support
- Improving health status and reduce psychiatric symptoms
- Reducing psychiatric inpatient hospital use and dependency
- Promoting the Veteran’s sense of psychological wellbeing and an increased sense of self esteem
- Improving the Veteran’s ability to relate to people in their immediate living situation
- Improving community adjustment, functioning and quality of life
- Enhancing satisfaction with services
- Reducing treatment costs
Eligibility criteria for Veterans seeking MHICM services are as follows:
- Veteran must have a primary diagnosis of a serious mental illness (SMI) with frequently recurring and/or prolonged symptoms and demonstrates severe social functional impairments.
- Veteran must have 3 psychiatric admissions or a total of 30+ days in a psychiatric unit within the past 12 months.
- Veteran is inadequately served by conventional outpatient behavioral health treatment or unable to maintain successful and stable community integration through use of conventional and/or augmented services.
- Veteran is clinically appropriate for outpatient status. MHICM is a community based case management program.
Eligibility for the following is on a case-by-case basis to determine whether the program can meet the individual Veteran’s needs while maintaining the program’s safety, security, and integrity:
- Veterans with active Substance Use Disorder(s)
- Veterans with Personality Disorder(s)
- Veterans with a history of violence
Veterans who have been diagnosed with the following is not eligible for MHICM services:
Upon receipt of a consult, the Veteran will be contacted to schedule an assessment with a MHICM provider. Following assessment, the Veteran will be notified if he/she meets eligibility and, if so, will be admitted to the program.
Admission decisions are made on a case-by-case basis.
Services Provided to Eligible Veterans
Clinical case management in the community to facilitate Veteran’s behavioral health recovery
- Very frequent contacts typically 2-3 times per week often in the home or community
- Interventions target social skills, increased self-care, independent living, employment, crisis resolution, and practical problem solving
- Assistance coordinating and/or utilizing transportation services
- Medication management and education
- Psychotherapy and educational groups
- Assistance with connecting or reconnecting with family members and other natural supports
- Peer Support Services
- Community Resource and Referrals
The MHICM Program Staff
MHICM staff work closely with other medical and behavioral health providers to ensure quality coordinated care! Your team includes:
- Program Manager
- Behavioral Health Social Workers (LCSW)
- Behavioral Health Registered Nurses (RN)
- Peer Support Specialist(s)
- A dedicated Psychiatrist