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Community Outreach for Psychiatric Emergencies (COPE)

C.O.P.E. is a comprehensive set of crisis services provided by Hegira Health, Inc., in response to a growing need by the Detroit Wayne Integrated Health Network (DWIHN) to centralize and mobilize adult crisis services across Wayne County. With more than 40 years of experience in crisis services, and having maintained the only community-based 24-hour walk-in center since 1980, Hegira Health Inc. took on this challenge without hesitation. 

 

Through planning and collaboration, COPE opened in March 2016 to change the delivery of adult crisis services in Wayne County. The system improvements provided by COPE benefit a broad scope of stakeholders, including but not limited to consumers, consumer families and other support systems, hospital emergency departments, emergency responders, and community clinics.

  • Pre-admission Screening and Resident Review (PASRR) to determines the level of services a person needs

  • 24 hour psychiatric assessment

  • Medication

    • Urgent administration

    • Assistance filling prescriptions

    • Outpatient

    • Follow-up prescription

  • Health assessment

  • Nursing services

  • Social services

    • Referrals

    • Communication with natural supports

  • Peer services

  • Onsite counseling

  • Coordination of care

    • ​With community providers and short-term respite for example

  • Short-term treatment planning during crisis

  • Basic needs such as showers, meals, and emergency clothing

  • Transportation

  • After-care follow up

24 HOUR WALK-IN CRISIS SCREENING

Our Crisis Stabilization Unit (CSU) offers:

  • Community walk-ins 

  • Hospital transfers of consumers who require monitoring to determine level of services

  • Consumers admitted to Mobile Stabilization Program waiting for CMH admission or intake appointment

  • AFC Residents requiring an expedited evaluation

  • Consumers awaiting a Transitional Living Facility placement

The CSU serves:

COPE CSU Location: 33505 Schoolcraft Road, Livonia, MI 48150 (West of Farmington Road off of I-96 East)

Hospital Pre-Admission Reviews (PAR)

COPE clinicians will complete Pre-Admission Reviews (PARs) on behalf of DWIHN at hospitals for Wayne County residents with medicaid. The purpose of the PAR is to determine medical necessity and to offer consumers the least restrictive level of treatment during a crisis and DWIHN will accept payment responsibility.

 

PARs are conducted face-to-face and may be completed telephonically when appropriate. A telephonic review is conducted when one or more of the following critical indicators are present:  

  • Serious suicide attempt

  • Harm committed to someone else

  • Major damage committed to property 

  • Severe psychosis with refusal of medication

Dispositions for treatment are to be determined in 2 hours or less from the initial request.  

Staff of Emergency Departments and Adult Foster Care Homes may request a Pre-Admission Review by calling 844-296-COPE.

Mobile Crisis Stabilization:

Mobile Crisis Stabilization Teams are available seven days per week to follow-up with consumers post discharge from acute crisis services. This service may continue for up to 28 days.

Prior to the consumer leaving the CSU or hospital, a stabilization appointment is offered and scheduled when services are accepted.  These services include the following:

  • Assessing the Individual served needs

  • Develop a plan to reduce the recurrence of crisis 

  • Ensure basic needs for living in the community safely are met

  • Ensure both mental and medical needs are met

  • Enroll in mental health and/or SUD Services

  • Establish communication with the individual's mental health and physical health providers

  • Continue services with the individual until a physical linkage withe a community clinic is achieved

Adult Foster Care (AFC) Psychiatric Crisis Prevention Services: 

Adult Foster Care staff can contact COPE for assistance 24-hour/day by contacting the main COPE number or by calling:

 

*AFC line is answered by a licensed clinician prepared to provide immediate assessment of the situation and is prepared to dispatch the appropriate service.

 

COPE Services Available to AFC Providers and Their Residents:

  • On-Site Assessment within 2-hours of request

  • On-Site Follow-Up Services by a Mobile Stabilization Team to reduce escalation of an impending crisis and or reduce the likelihood of a crisis recurring

  • On-Site Coaching of AFC Staff in Behavioral Management and De-Escalation Techniques

  • Short-Term respite at COPE's CSU for Residents needing short-term structure away from the home

  • 24-Hour Access at the COPE CSU to Psychiatric Evaluations and Medication Administration

Police Partnerships:

Hegira Health's Mobile Crisis Co-Response model was developed in late 2018 to provide community based crisis intervention for individuals who come in contact with law enforcement and have behavioral health needs.

Mobile Crisis Teams co-respond with officers 24/7, providing crisis intervention and stabilization at the person’s home or elsewhere in the community and linking them to ongoing support to address their mental health and substance abuse needs. 

 

Mobile Crisis Co-Response Teams & Embedded Behavioral Health Clinicians

 

Partnering Police Departments & Start dates:

  • Inkster - Feb.2019

  • Dearborn - June.2021

  • Garden City - Nov.2021

Embedded clinicians

Designated to and housed within specific police departments (PD).  In this model, PD and Hegira Health management work together to interview and select staff suited for the specific department and needs of the community.

 

The following police departments have embedded clinicians, staffed by Hegira Health and financed through the individual municipality: 

  • Livonia PD – July 2021 

  • Canton PD – Aug. 2021 

  • Northville Twp., City of Northville & City of Plymouth – Dec. 2021 

  • Westland PD – Feb. 2022 

  • Romulus PD/Van Buren PD/Wayne PD

Total number of Requests for Service:          (Jan. 2019 – Jan. 2023)

Staff (Director, Office Manager, etc.)
 

The 24-7 service array of Community Outreach for Psychiatric Emergencies (COPE) are provided by more than 75 talented and committed staff that includes:

  • Program Manager

  • Administrative Supervisor

  • Psychiatrists

  • Licensed Clinical Supervisors

  • Master's Degreed Licensed Clinicians

  • Case Managers

  • Certified Peer Support Specialists

  • Psychiatric Registered Nurses (RN) 

  • Certified Nursing Assistants

  • Recovery Technicians

  • Communications Specialists

  • Office Support Professionals

Service Location(s):

 

Street address: 33505 Schoolcraft, Livonia, MI 48150

Phone: (734)-721-0200 and (844) 296-COPE (2673)

Fax: (844) 831-5550

Office Hours: facility hours are twenty four hours, seven days a week

 

Insurance and Payment Information 

Medicaid, Healthy Michigan, MI Health Link, or no insurance coverage.

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