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SCCS reports new hires, rising crisis caseloads and upcoming 599 regulation changes
Summary
Director Lynn Gramley told the board Steuben County hired two nurses and two clinicians and warned of a significant rise in crisis incidents; she urged public comment on proposed changes to the state's '599' regulations that would alter admission timing and provider requirements.
Lynn Gramley, Director of Community Services, said the agency has hired two nurses and two clinicians but noted one clinician is leaving. "There has been a significant increase in crisis and violence," Gramley said, and she described the county's BTM team—including Terri, the Crisis Team Lead, and Probation—as "very active." Gramley encouraged stakeholders to use the open comment period on proposed changes to the state's 599 regulations.
Gramley summarized two likely effects of the 599 revisions: admitting clients at the first session (which the county currently performs at the second visit) and a requirement that nurse practitioners be psychiatric nurse practitioners. She said the psychiatric-nurse-practitioner requirement "will not affect Steuben County as they currently have psychiatric nurse practitioners, but this will affect other counties and could cause less people to get medications," as recorded in the meeting minutes. Gramley asked members of the public and providers to comment during the regulatory open-comment window.
