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• All staff in the defined Vulnerable populations which includes people who are 1) 60 years old and older or 2) People with certain health conditions such as heart disease, lung disease, diabetes, kidney disease and weakened immune systems, will need to stay home for your own health and safety. These staff will work from home if possible.
• COVID-19 Care Team will be initiated as early as March 24, 2020 to take calls and assist in the redirection of calls received by the Call Center. Purpose of the Care Team: conduct a verbal screening, provide current CDC information, offer local resources including testing locations/phone numbers, and provide emotional support.

• All CONNECT TRANSIT services will be free of charge until further notice to eliminate the handling of money or coupons.
• All outreach was placed on hold as of Monday, March 16, 2020.
• Recovery Individualized Out-Patient (IOP) groups were placed on hold on Monday, March 16, 2020.
• All Social Security and other related benefit in-person appointments for clients served have been rescheduled for the next four weeks or will be completed by phone if applicable.
• Open Access hours were reduced from (8AM to 5 PM) to (8AM to 11AM) on March 18, 2020. Effective March 24, 2020, Open Access Mental Health Screenings will be provided by phone, no longer in-person. Staff providing mental health screenings will receive operational direction by their designated Service Area Director.
• Effective March 24, 2020, OSAR will conduct all services via phone.
• Effective March 20, 2020, all community crisis response will be provided by phone or video. In-person crisis response will continue at Center facilities, following health screening protocols sent out on Monday, March 11, 2020.
• Crisis hotline will screen calls received, effective on March 19, 2020.
• Mental Health Crisis Respite has been reduced to 50% occupancy, effective March 16, 2020.
• Routine face to face service delivery within the community was placed on hold, effective on March 19, 2020.
• All substance use and mental health individual counseling sessions will be conducted by phone, effective March 24, 2020.
• All routine in-person clinic visits for all clinical services (not including medical services) will occur by phone, effective March 24, 2020.
• Medical service delivery has already been limited to critical routine and urgent need. Medical services will follow current protocol while further planning is completed.
• All routine in-person home visits for all clinical services will occur by phone, effective Thursday, March 19, 2020.
• Any in-person services continuing the week of March 23, 2020 are to continue to follow the March 11th health screening protocol. Any clinic and office-based in-person services will continue screening of clients and visitors before providing access to the patient care area.

• The only patients that will be seen in-person for medical services are those identified to require close monitoring due to the severity of their diagnosis, effective March 19, 2020. Anyone seen in-person will first receive a health screening by phone and a second health screening in-person.
• Only legal guardians or one additional necessary person are permitted to attend in-person appointments, effective March 24, 2020.
• Health screening procedures are to include legal guardians and any visitors.
• Genoa Pharmacy Services at MCSC increased prescription mail-out in order to help reduce traffic in the clinics.
• ETBHN medication pick-up is under close review and addressed by location.