Continuum of Care, Inc.’s mission is to enable people who are challenged with mental illness, intellectual disabilities, addiction, or homelessness to rebuild a meaningful life and thrive in the community.
Nursing Home Discharge & Diversion Services
The Nursing Home Discharge and Diversion Services program ensures that nursing home placements for Department of Mental Health & Addiction Services (DMHAS) clients are necessary, appropriate, and safe. Preadmission Screening Resident Review (PASRR) is an integral part of the program.
The program focuses on two specific goals: 1) to reduce inappropriate admissions of DMHAS clients to nursing homes and 2) to monitor admissions for appropriate placement and/or eventual discharge back to the community with support services. To accomplish these goals, DMHAS funds six nurse clinicians who work directly with community providers, nursing homes, and hospital discharge planners, both on inpatient units and in emergency rooms.
Additionally, there is ongoing collaboration with the state’s Money Follows the Person Demonstration Project and the Mental Health Waiver (W.I.S.E. program).
Heidi Spaman, RN, Nursing Home Diversion Nurse
Kathleen Taylor, RN, Nursing Home Diversion Nurse