Community Service Networks

19 V.I.C. § 1019 — under Behavioral Health.

19 V.I.C. § 1019

(a) The Commissioner of Health or the Commissioner’s designee shall establish and oversee Community Service Networks. A Community Service Network must be established on each of the three islands with the collective responsibility to coordinate and ensure continuity of care within the delivery of behavioral health services to behavioral health consumers under the authority of the Department. The Community Service Networks shall be established and operated in accordance with standards adopted by the Commissioner. The Commissioner’s oversight includes, establishing protocols, quality assurance, writing and monitoring contracts for service, establishing outcome measures and ensuring that each network provides an integrated system of care.

(b) Each Network shall:(1) Ensure 24-hour access to a client’s community support services records for better continuity of care during a psychiatric crisis;(2) Ensure continuity, accountability, and coordination regarding service delivery;(3) Participate in the collection of uniform data pertaining to services;(4) In conjunction with the Department, conduct planning activities based on data and client outcomes;(5) Develop techniques for identifying and providing services to clients at risk;(6) Enable the sharing of confidential client information to the extent necessary to protect the client’s health and safety when it is determined the client has an urgent need for behavioral health services.(A) The Network members shall share confidential client information to the extent necessary to protect the client’s health and safety in a period of urgent need for behavioral health services when the client lacks the capacity to give consent for the information sharing or when an exigency exists so that the client’s health and safety is better protected if the information is shared without a delay to obtain consent. A person or entity participating in good faith in sharing information under this section is immune from civil liability that might otherwise result from these actions, including but not limited to, civil liability that might otherwise arise under local or federal laws or rules regarding confidentiality of information. The Department shall adopt regulations to identify the limits and requirements to be implemented.(B) The Network members shall share confidential client information, even without the client’s consent, to the extent necessary to protect the client’s health and safety in a period of urgent need for behavioral health services when the client lacks the capacity to give consent for the information sharing or when an exigency exists so that the client’s health and safety is better protected if the information is shared without a delay to obtain consent. A person or entity participating in good faith in sharing information under this section is immune from civil liability that might otherwise result from these actions, including, but not limited to, a civil liability that might otherwise arise under local or federal laws or rules regarding confidentiality of information. The Department shall adopt regulations to identify the limits and requirements to be implemented.(7) Provide consolidated behavioral health crisis services for children and adults through a memorandum of understanding among providers of behavioral health services in the Network that must include provisions to ensure coordination, elimination of duplication, and provide a level of crisis services established by the Department of Health, Division of Behavioral Health.

(1) Ensure 24-hour access to a client’s community support services records for better continuity of care during a psychiatric crisis;

(2) Ensure continuity, accountability, and coordination regarding service delivery;

(3) Participate in the collection of uniform data pertaining to services;

(4) In conjunction with the Department, conduct planning activities based on data and client outcomes;

(5) Develop techniques for identifying and providing services to clients at risk;

(6) Enable the sharing of confidential client information to the extent necessary to protect the client’s health and safety when it is determined the client has an urgent need for behavioral health services.(A) The Network members shall share confidential client information to the extent necessary to protect the client’s health and safety in a period of urgent need for behavioral health services when the client lacks the capacity to give consent for the information sharing or when an exigency exists so that the client’s health and safety is better protected if the information is shared without a delay to obtain consent. A person or entity participating in good faith in sharing information under this section is immune from civil liability that might otherwise result from these actions, including but not limited to, civil liability that might otherwise arise under local or federal laws or rules regarding confidentiality of information. The Department shall adopt regulations to identify the limits and requirements to be implemented.(B) The Network members shall share confidential client information, even without the client’s consent, to the extent necessary to protect the client’s health and safety in a period of urgent need for behavioral health services when the client lacks the capacity to give consent for the information sharing or when an exigency exists so that the client’s health and safety is better protected if the information is shared without a delay to obtain consent. A person or entity participating in good faith in sharing information under this section is immune from civil liability that might otherwise result from these actions, including, but not limited to, a civil liability that might otherwise arise under local or federal laws or rules regarding confidentiality of information. The Department shall adopt regulations to identify the limits and requirements to be implemented.

(A) The Network members shall share confidential client information to the extent necessary to protect the client’s health and safety in a period of urgent need for behavioral health services when the client lacks the capacity to give consent for the information sharing or when an exigency exists so that the client’s health and safety is better protected if the information is shared without a delay to obtain consent. A person or entity participating in good faith in sharing information under this section is immune from civil liability that might otherwise result from these actions, including but not limited to, civil liability that might otherwise arise under local or federal laws or rules regarding confidentiality of information. The Department shall adopt regulations to identify the limits and requirements to be implemented.

(B) The Network members shall share confidential client information, even without the client’s consent, to the extent necessary to protect the client’s health and safety in a period of urgent need for behavioral health services when the client lacks the capacity to give consent for the information sharing or when an exigency exists so that the client’s health and safety is better protected if the information is shared without a delay to obtain consent. A person or entity participating in good faith in sharing information under this section is immune from civil liability that might otherwise result from these actions, including, but not limited to, a civil liability that might otherwise arise under local or federal laws or rules regarding confidentiality of information. The Department shall adopt regulations to identify the limits and requirements to be implemented.

(7) Provide consolidated behavioral health crisis services for children and adults through a memorandum of understanding among providers of behavioral health services in the Network that must include provisions to ensure coordination, elimination of duplication, and provide a level of crisis services established by the Department of Health, Division of Behavioral Health.

(c) The Commissioner shall collect data to assess the capacity of the community service networks, including, analyses of the utilization of mental health services and the unmet needs of persons receiving publicly funded behavioral health services.

(d) Non-governmental providers of community behavioral health services and other public providers of comprehensive services to persons who suffer from behavioral health challenges or behavioral health disorders who fail to participate in the development of plans to serve this population, or to provide services to serve this population pursuant to the plan, are not eligible for governmental funding.

(e) A person or entity that applies for the award or renewal of a grant or contract for the provision of behavioral health services must be a participating member of the Community Service Network, as established in this subsection.