Children's Long-term Inpatient Program Improvement Team (CLIP-IT)

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The CLIP Improvement Team is an effort that began in November, 2010. The project focused on improving the transition of youth into and out of children’s long-term inpatient programs.

The improvement team began in response to providers' requests to address problems between the residential and community treatment mental health systems for youth. There is no requirement from the state, former regional support networks (RSNs, now  Behavioral Health Organizations-BHOs) or Managed Care Organizations (MCOs) by contract or regulation to engage in this effort. However, the group has sustained this statewide task due to the encouraging progress made by the team to date.

Since the inception of the CLIP Improvement Team we have observed progress in the following areas:

  • Increased evidence of family, RSN/BHO/MCO and community mental health participation in CLIP treatment found in annual CLIP Inspection of Care audits.
  • Involvement of CLIP youth in treatment in CLIP Improvement Team effort.
  • Reduction in average length of stay for CLIP from 328 days in Fiscal Year 2011 to 258 days in Fiscal Year 2016 to date.
  • Change in CLIP policies and procedures, reducing initial maximum certification time frame and maximum recertification time frames in half. This changed over 20 years of the previous service limit standards.
  • Time of service expectation, by CLIP-IT agreement, is now described as a “three to six month” treatment intervention.
  • Establishment of structured preadmission planning meetings before CLIP admission, clearly involving parents, hospitals, community mental health, and the CLIP program in clarifying expectation of treatment, length of stay, family involvement and discharge plan.
  • Initial efforts to engage system partners utilizing this resource in the CLIP-IT mission.
  • Formal request to Washington’s system of care (SOC) Family Youth and System Partner Round Tables (FYSPRTs) to approve Washington as a national Building Bridges Initiative member.