Mental Health/ Psychiatric Rehabilitation assists persons ages 4 and older with long-term psychiatric disabilities to increase their functioning so that they are successful and more satisfied in the environments of their choice with the least amount of ongoing professional intervention. Assisting persons with long-term psychiatric disabilities entails a range of services that are medically necessary and can reasonably be expected to reduce the disability resulting from mental illness and improve his/her functional level in the community. These services are provided through an outpatient delivery model on an as-needed basis. They assist clients in coping with the symptoms of their mental illness and are designed to prevent or limit periods of inpatient treatment or hospitalization. Services offered include:

Assessment – This is a series of procedures and meetings conducted with the client and his/her significant others to provide the basis for the development of a treatment plan. It is an intensive clinical, psychosocial evaluation of a client’s mental health condition. It may also be used to determine the level of need for mental health rehabilitation services, and medical necessity. The assessment is REQUIRED: for all new clients.

Reassessment – Information for reassessment is completed every 180 calendar days after the initial assessment. It is an integrated series of diagnostic, clinical, psychosocial evaluation procedures conducted with the client and his/her significant others to provide the basis for the development of an updated effective, and comprehensive treatment plan. It may also be used to determine the client’s level of need and medical necessity. The reassessment and updated treatment plan may be viewed as a transition plan for a client as he/she progresses through the Mental Health Rehabilitation program.

CPST- Community Psychiatric Support and Treatment (CPST) is a comprehensive service, which focuses on reducing the disability resulting from mental illness, restoring functional skills of daily living, building natural supports, and solution-oriented interventions intended to achieve identified goals or objectives as set forth in the individualized treatment plan. CPST is a face-to-face intervention with the individual present; however, family or other collaterals may also be involved. Most contacts occur in community locations where the person lives, works, attends school, and/or socializes.

Components:

 Development of a treatment plan: includes an agreement with the individual and family members (or other collateral contacts) on the specific strengths and needs, resources, natural supports, and individual goals and objectives for that person. The overarching focus is to utilize the personal strengths, resources, and natural supports to reduce functional deficits associated with their mental illness and increase the restoration of independent functioning. The agreement should also include developing a crisis management plan.

Individual supportive interventions: includes problem behavior analysis as well as emotional and behavioral management with the individual member with a focus on developing skills and improving daily functional living skills. The primary focus is on implementing social, interpersonal, self-care, and independent living skill goals in order to restore stability, support functional gains and adapt to community living. This service should not be billed as a therapeutic service by licensed or non-licensed staff. Qualified LMHPs should use the appropriate CPT code when billing individual, family, or group therapy.

NOTE: CPST services are rehabilitative services associated with assisting individuals with skill building to restore stability, support functional gains and adapt to community living, and should not be confused, psychotherapy or other clinical treatment, which may only be provided by a licensed professional.

 Skills building work: includes the practice and reinforcement of independent living skills, use of community resources, and daily self-care routines. The primary focus is to increase the basic skills that promote independent functioning of the member and to restore the fullest possible integration of the individual as an active and productive member of his or her family, community, and/or culture with the least amount of ongoing professional intervention.

Assist the member with effectively responding to or avoiding identified precursors or triggers that would risk their remaining in a natural community location, including assisting the individual and family members or other collaterals with identifying a potential psychiatric or personal crisis, developing a crisis management plan and/or, as appropriate, seeking other supports to restore stability and functioning.

Services provided to children and youth must include communication and coordination with the family and/or legal guardian. Coordination with other child-serving systems should occur, as needed, to achieve the treatment goals. These services are the foundation of the recovery-oriented treatment plan. Services are designed to meet the educational, vocational, mental health treatment, financial, social, and other treatment support needs of the client.   Its goal is to increase and maintain competence in normal life activities and gain the skills necessary to allow the client to remain in or return to naturally occurring supports.

Crisis intervention (CI) Services– are provided to a person who is experiencing a psychiatric crisis and are designed to interrupt and/or ameliorate a crisis experience, through a preliminary assessment, immediate crisis resolution, and de-escalation and referral, and linkage to appropriate community services to avoid more restrictive levels of treatment. The goals of CIs are symptom reduction, stabilization, and restoration to a previous level of functioning. All activities must occur within the context of a potential or actual psychiatric crisis. CI is a face-to-face intervention and can occur in a variety of locations, including an emergency room or clinic setting, in addition to other community locations where the person lives, works, attend school, and/or socializes.

Outpatient Therapy – Outpatient treatment is typically individual, family, and/or group outpatient psychotherapy, consultative services (including nursing home consultation), mental health assessment, evaluation, and testing. Times for provision of these service episodes range from fifteen minutes (e.g., medication checks) to fifty minutes (e.g., individual, conjoint, family psychotherapy), and may last up to two hours (e.g., group psychotherapy).

PSR- Psychosocial rehabilitation (PSR) services are designed to assist the individual with compensating for or eliminating functional deficits and interpersonal and/or environmental barriers associated with their mental illness. Activities included must be intended to achieve the identified goals or objectives as set forth in the individual’s individualized treatment plan. The intent of PSR is to restore the fullest possible integration of the individual as an active and productive member of his or her family, community, and/or culture with the least amount of ongoing professional intervention. PSR is a face-to-face intervention with the individual present. Services may be provided individually or in a group setting. Most contacts occur in community locations where the person lives, works, attends school, and/or socializes.

 Components

-Restoration, rehabilitation, and support to develop social and interpersonal skills to increase community tenure, enhance personal relationships, establish support networks, increase community awareness, develop coping strategies and effective functioning in the individual’s social environment, including home, work, and school;

-Restoration, rehabilitation, and support to develop daily living skills to improve self-management of the negative effects of psychiatric or emotional symptoms that interfere with a person’s daily living. Supporting the individual with the development and implementation of daily living skills and daily routines necessary to remain in a home, school, work, and community; and

NOTE: PSR services are psycho-educational services associated with assisting individuals with skill-building, restoration, and rehabilitation, and should not be confused with counseling, psychotherapy, or other clinical treatment, which may only be provided by a licensed professional.

 – Implementing learned skills so the member can remain in a natural community location and achieve developmentally appropriate functioning, and assisting the individual with effectively responding to or avoiding identified precursors or triggers that result in functional impairment.

Services provided to children and youth must include communication and coordination with the family and/or legal guardian. Coordination with other child-serving systems should occur, as needed, to achieve the treatment goals. These services are the foundation of the recovery-oriented treatment plan. Services are designed to meet the educational, vocational, mental health treatment, financial, social, and other treatment support needs of the client.   Its goal is to increase and maintain competence in normal life activities and gain the skills necessary to allow the client to remain in or return to naturally occurring supports.

Group Counseling-This is a professional, therapeutic intervention using face-to-face verbal interaction between 2 to 8 recipients and the therapist/counselor using psychotherapy techniques and theory to promote emotional, behavioral, or psychological change as identified in the treatment plan of each group member. The service is directed toward meeting the goals as outlined in each participant’s treatment.

Individual Intervention/Supportive Counseling– These counseling and therapy services are provided when they are relevant to the needs of the client and relate directly to the treatment plan. These include services that maximize strengths, reduce behavioral problems, change behavior, improve interpersonal skills, explore and clarify values, facilitate interpersonal growth and change, and increase psychological understanding.

Individual Intervention is provided for youth and consists of a range of professionally delivered brief, structured, therapeutic strategies provided individually and face-to-face with the youth. The purpose is to rehabilitate and restore the client to an optimal level of functioning and to reduce the risk of a more restrictive treatment intervention.

Supportive Counseling is provided for adult clients and is verbal interactions between the counselor/therapist and the client.   These services are provided to reduce the barriers that impede the development or enhancement of skills necessary to function in the community.

Medication Management– This service is provided to assess and monitor a client’s status in relation to treatment with medication. Instruct the client, family, significant others, or caregivers on the expected effects of therapeutic doses of medications. Services are provided face to face by a qualified psychiatrist in an individual setting.

 Parent/Family Intervention (Counseling) – This is a therapeutic intervention involving the client and one or more of his/her family members. The primary goal is to help the client and family improve their overall functioning in the home, school, work, and community settings. This service includes regularly scheduled face-to-face interventions that are tailored to address the client and family’s needs.

MENU

© 2017 JENKINS COUNSELING SERVICES