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Acute Care Services & PASRR

The Acute Care Services (ACS) Division is part of Behavioral Health Services within the DBHDS. Under the Assistant Commissioner of Behavioral Health, ACS supports three primary areas – State Hospitals, Community Integration, and Preadmission Screening and Resident Review (PASRR). The Supreme Court’s landmark Olmstead decision and the Americans with Disabilities Act (ADA) of 1990 require that individuals are served in the most integrated setting with the goal of people with disabilities living, working and thriving alongside individuals without disabilities. The result of these actions has been an emphasis on home and community-based care. The DBHDS supports treatment in the least restrictive setting and is focused on developing a full array of individualized, varied and robust community treatment options for individuals across disabilities, across the lifespan and across the Commonwealth. The priority responsibilities for ACS include:

  • Oversight of the Virginia Acute Psychiatric Bed Registry (PBR),
  • Providing oversight of the local purchase of service (LIPOS) funding,
  • Providing leadership and support in the identification of core elements of state hospital operations which should be standardized as best practices (security, accreditation survey readiness, establishment of quality indicators, policies, etc.),
  • Working closely with CSBs and state hospitals related to census management,
  • Maintaining awareness of the dynamics, operations, unique practices, needs, and characteristics of the regions as it relates to utilization of state hospitals,
  • Identifying the community based infrastructure necessary for individuals in state hospitals to transition to the community
  • Providing  technical assistance to CSB hospital liaisons to identify and access waivers, resources and community based options,
  • Providing oversight for the discharge assistance program (DAP),
  • Serving as an intermediary between hospitals and CSBs when discharge to the community is delayed or presents extraordinary barriers,
  • Serve as a liaison for DBHDS with the Office of Inspector General and the disability Law Center of Virginia.

If you have any questions, please contact Mindy Conley, LCSW, Acute Care Services Director.

The Acute Care Services office provides oversight of Virginia’s PASRR process to ensure that individuals with mental health disorders and disabilities are placed in the appropriate level of care with the appropriate services.

PASRR Overiview for Community Agencies

PASRR Overview for Physician Offices

PASRR Training Document

If you have any questions regarding PASRR, please contact John Clay, (804) 371-2134