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MH SERVICES  


Below is a list of Mental Health services available to eligible Forest and Warren county residents and whether those services are provided by Forest Warren Human Services or by private providers. More detailed descriptions of these services are available below this table.




MENTAL HEALTH SERVICES AVAILABLE TO ELIGIBLE FOREST WARREN COUNTY RESIDENTS

Forest Warren
Human Services
Private Provider
Individual, Group and Family Counseling
X
X
Psychiatric Evaluations
X
X
Psychological Evaluation
-
X
Medication Prescription, Administration
and Management
X
X
Emergency Services
X
-
Adult Partial Hospitalization
-
X
Adolescent Partial Hospitalization
-
X
Administrative Case Management
X
-
Resource Coordination Case Management
X
-
Intensive Case Management
X
-
Family Based Mental Health
X
-
CASSP
X
-
Information/Referral/Consultation
X
-
Community Residential Rehabilitation Services
X
-
Behavioral Health Rehabilitation Services
-
X
Consumer Drop In Center
X
-
Social Rehabilitation
X
-
Supported Living Program
X
-
Sheltered Employment
-
X
Supported Employment
-
X
Social Security Representative Payee Services
X
-
In-Patient Psychiatric Services
-
X
CHIPP
X
-
Residential Treatment Facilities
-
X


 
Administrative Activities

Activities and services provided by the Administrator's Office of the County MH/MR Program. The activities include:
  1. The general administrative, programmatic, and fiscal responsibility for the county MH/MR program;
  2. Development of planning documents addressing the county program needs, local planning efforts, and other information pertinent to planning for and providing a more adequate service delivery system;
  3. Research projects, the evaluation of program effectiveness, the analysis of programmatic needs of specific target groups, and the determination of the availability of services to the general public of the catchment area;
  4. Continuing relationships with the county MH/MR/ATOD board, regional and central offices, contracted service providers, and family and consumer groups;
  5. The initiation of guardianship proceedings;
  6. The activities of the County MH/MR/ATOD board.


Administrative Casemanagement

Applies to those activities and administrative functions undertaken by staff in order to ensure intake into the county mental health system and the appropriate and timely use of available resources and specialized services to best address the needs of individuals seeking assistance. Services are available for all persons who have a mental health diagnosis (DSM III-R or subsequent revisions, or ICD-9) for the purposes of facilitating and monitoring a person's access to mental health services and community resources. The activities include, but are not limited to:
  1. Processing of intake;
  2. Verification of disability;
  3. Liability determination;
  4. Authorization for services;
  5. Monitoring of service delivery through review of evaluations, progress notes, treatment/service plans, and other written documentation of services;
  6. Maintenance of records and case files;
  7. On an occasional and situational basis, administrative case managers may provide some direct service to individuals as described below:
    • Coordination of service planning with state mental hospitals and other out- of-home placement facilities with other systems;
    • Provision of supportive listening and guidance in problem-solving to consumers, their families and significant others;
    • Contact with family, friends, school personnel and significant others to develop or enhance the consumer's natural support network;
    • Advocacy efforts to improve consumers' life situations, promote consumer choice, improve services, eliminate stigma, etc.


Adult Developmental Training (ADT) - (currently not available)

Community-Based programs designed to facilitate the acquisition of prevocational, behavioral activities of daily living, and independent living skills. As a prerequisite for work-oriented programming, ADT programs concentrate on cognitive development, affective development, communication development, physical development, and working skills development. Adult development training programs are provided in facilities licensed under the Chapter 2380 regulations (Adult Day Care Centers).

Behavioral Health Rehabilitation Services (BHRS)

BHRS services are designed to assist a child or adolescent (birth to age 21) to develop stability and improved capacity to function in family, school and community settings. This may occur through training, support or intervention in the areas of problem solving and coping skills; social and interpersonal relationship skills; effective and appropriate communication of emotions, concerns and personal issues, behavior management; and community living. Services may be delivered to the child or adolescent in the home, school, community or a residential care setting.

C.A.S.S.P.

Please click here to review our C.A.S.S.P. Brochure.

CHIPP

Please click here to review our CHIPP Brochure.

Community Employment and Employment Related Services

Employment in a community setting or employment-related programs which may combine vocational evaluation, vocational training and employment in a non-specialized setting such as a business or industry or other work sites within the community. Included are competitive employment, supported/supportive employment, and industry-integrated vocational programs such as workstations in industry, transitional training, mobile work forces, enclaves, affirmative industries/business, and placement and follow-up services.

Community Residential Services

Applies to care, treatment, rehabilitation, habilitation, and social and personal development services provided to persons in a community based residential program which is a licensed or specifically Department approved community residential agency or home. Community residential services are intended for persons capable of benefiting from social and personal development services away from their own homes or family, or for children and adolescents with serious emotional disturbance who cannot be maintained in their own home. The services include, but are not limited to:
  1. Community residential rehabilitation services;
  2. Community residential facilities;
  3. Family living homes and host homes;
  4. Long-term structured residences;
  5. Residential Treatment Facilities.


Community Services

Programs and activities made available by any staff member to community or human service agencies, professional personnel, and the general public concerning mental illness, in order to increase general awareness or knowledge about these disabilities or to prevent them. Prevention and consultation and education services are also included:
  1. Advice and expertise given to professionals or other human service agencies concerning mental health by a staff member of the county program in order to extend knowledge concerning these disabilities to other parties;
  2. Educational information given to the general public or other community agencies concerning the services available from the county program;
  3. Activities and programs developed to reduce the incidence of mental illness, such as community awareness or programs to prevent mental disability or to reduce the incidence or severity of it;
  4. Activities designed to help the general public accept individuals with mental disabilities as they reenter the community and to increase the public's responsiveness to the needs of these people;
  5. Activities designed to develop community resources to meet the needs of the mentally disabled;


Emergency Services

Those emergency related activities and administrative functions undertaken to proceed after a petition for voluntary or involuntary commitment has been completed, including any involvement by staff of the County Administrator's Office in this process. Activities include, but are not limited to:
  1. Delegate services;
  2. Emergency psychiatric evaluations provided to a consumer to determine the need for psychiatric inpatient care;
  3. Legal fees associated with the commitment process. 


Facility Based Vocational Rehabilitation Services

Programs designed to provide renumerative development and vocational training within a community-based, specialized facility (sheltered workshop) using work as the primary modality. Sheltered workshop programs include vocational evaluation, personal work adjustment training, work activity training, and regular work training and are provided in facilities licensed under the Chapter 2390 regulations (Vocational Facilities).

Family Based Mental Health Services

Comprehensive services designed to assist families in caring for their children or adolescents with emotional disturbances at home. This is a discrete Department of Public Welfare/ Office of Mental health licensed program which offers mental health treatment, casework services, and family support. Services are available 24 hours a day, seven days a week, for up to 32 weeks, and longer if medically necessary. Family-Based Mental Health Services are team delivered by mental health professionals and mental health workers primarily in the family home. .

Housing Support Services

Housing Support Services are services provided to mental health consumers which enable the recipient to access and retain permanent, decent, affordable housing, acceptable to them. They are provided by county MH program housing specialists or other staff designated by the county program. Services are generally time-limited and intended to address a specific issue.

Housing Support Services include the following:
  1. Housing location assistance;
  2. Roommate assistance;
  3. Renter skills training;
  4. Emergency rent or utility payments;
  5. Landlord/tenant negotiations;
  6. Rent guarantees;
  7. Security deposits for rent or utilities;
  8. Furniture and household goods;
  9. Moving assistance;
  10. Repair guarantees;
  11. Interim rent assistance;
  12. Assistance in obtaining housing benefits.


Intensive Case Management

Intensive Case Management services provide assistance to persons with serious and persistent mental illness and children at risk of serious mental illness in a variety of ways to gain access to needed resources such as medical, social, educational, and other services through natural supports, general community resources and specialized mental health treatment, rehabilitation and support services. Staff are located in separate and identifiable intensive case management units where case managers are limited to assisting a maximum of 30 persons and they or a designee are available to these persons 24 hours per day, seven days per week. This service is expected to achieve specific outcomes of independence of living, vocational/educational participation, adequate social supports and reduced hospitalization. The activities include:
  1. Assessment and understanding of the consumer's history and present life situation;
  2. Service planning, based on the consumer's strengths and desires, to include any activities necessary to enable the consumer to live as an integral part of the community;
  3. Aggressive and creative attempts to help the consumer gain access to resources and required services identified in the treatment or service plan;
  4. Monitoring of service delivery;
  5. Problem resolution, to include direct, active efforts in advocacy to assist the consumer in gaining access to needed services and entitlements;
  6. Use of community resources, to include assistance to persons in identifying, accessing and learning to use community resources. This will be done by providing information or for the purpose of assessing the person's need for referral to an appropriate agency;
  7. Informal support network building.

Most of these services should be provided at the site of their natural occurrence (i.e. the consumer's home, the workplace, community service agency, school, or any other natural community setting) as opposed to the Case Manager's Office.


Outpatient

Treatment-oriented services provided to a client who is not admitted to a hospital, institution, or community mental health facility for twenty- four hour a day service. These services may be provided to an individual or his/her family and may include services prior to or after inpatient or institutional care has been provided. As part of a client's designated treatment plan, these services may be provided by the county program or purchased through a contract with an agency. The activities include:
  1. Psychiatric therapy.
  2. Supportive counseling for the client's family, friends and other interested community persons.
  3. Individual or group therapy.
  4. Treatment plan development, review and reevaluation of a client's progress.
  5. Psychiatric services, including evaluation, medication clinic visit, and medical treatment required as part of the treatment of the psychiatric service. 


Mental Health Crisis Intervention Services


Mental Health Crisis Intervention Services are immediate, crisis-oriented services designed to ameliorate or resolve precipitating stress, which are provided to adults or children and their families who exhibit an acute problem of disturbed thought, behavior, mood or social relationships. The services provide rapid response to crisis situation which threaten the well being of the individual or others. Mental Health Crisis Intervention Services include intervention, assessment, counseling, screening, and disposition services.
The telephone service must be available 24 hours a day, seven days a week. A crisis service may extend to petitioning for commitment but may not include the delegate functions of review, approval or disapproval, bed searches, and other functions which may occur after the petition is completed and submitted. These delegate functions are always to be considered emergency services.

Partial Hospitalization - (currently not available)

Non-residential treatment services licensed by the Office of Mental Health for persons with moderate to severe mental illness and children and adolescents with serious emotional disturbance who require less than 24 hour continuous care but require more intensive and comprehensive services than are offered in outpatient treatment. Partial hospitalization services may be: 1) a day service designed for persons able to return to their home in the evening, 2) an evening service designed for persons working and/or in residential care, 3) a weekend program and/or 4) a day or evening program in conjunction with school. The activities include:
  1. Medical, psychiatric, psychological and psychosocial treatment services, including individual, family, and group psychotherapy.
  2. Health education, to include basic physical and mental health information; nutrition information and assistance in purchasing and preparing food, personal hygiene instruction; basic health care information, child care information and family planning information and referral; information on prescribed medications.
  3. Instruction in the basic care of the home or residence for daily living, and in age appropriate developmental skills.
  4. Instruction in basic personal financial management for daily living.
  5. Medication administration and evaluation.
  6. Social interaction and pre-vocational service instruction.
  7. Crisis counseling.


Psychiatric Inpatient Hospitalization

Treatment or services provided an individual in need of twenty-four hour continuous psychiatric hospitalization. The activities include care in a licensed psychiatric inpatient facility for the purpose of:
  1. Diagnostic study or evaluation.
  2. Intensive psychiatric inpatient treatment at the onset of an illness, or under periods of stress.
  3. Close supervision necessitated by the inability of a person to function independently.
  4. Treating medical needs associated with the psychiatric inpatient treatment, medication stabilization, and intensive services required as part of the psychiatric inpatient treatment program.


Psychiatric Rehabilitation

Psychiatric rehabilitation assists persons with long-term psychiatric disabilities to develop, enhance, and/or retain: psychiatric stability, social competencies, personal and emotional adjustment and/or independent living competencies so that they experience more success and satisfaction in the environment of their choice and can function as independently as possible. Interventions may occur within a program facility or in community settings. This cost center applies to site-based and mobile services specifically licensed by the Office of Mental Health as Psychiatric Rehabilitation. This service is intended primarily for adults.

Resource Coordination

Resource Coordination services are targeted to adults with serious and persistent mental illness and children and adolescents with serious mental illness or emotional disturbance who do not need the intensity and frequency of contacts provided through Intensive Case Management Services, but who do need assistance in accessing, coordinating, and monitoring of resources and services. Services are provided to assess individuals' strengths and needs and to assist them in accessing resources and services that build upon strengths and meet needs in order to achieve stability in the community. Caseloads may not exceed 75 for adults or 40 for children and adolescents. Services are separate and identifiable within a provider agency designated by the County Program Administrator. Only those services that are identified separately from Intensive Case Management and Administrative Management and are approved by the Office of Mental health, Department of Public Welfare, may be reported under this cost center. Activities include:
  1. Assessment and understanding of the consumer's history and present life situation;
  2. Service planning, based on the consumer's strengths, needs and interests;
  3. Identifying, linking, coordinating and monitoring resources and services wanted and needed by consumers;
  4. Providing assistance in accessing needed entitlements;
  5. Coordination of service planning with state mental hospitals and other out-of-home placement facilities with other systems;
  6. Provision of supportive listening and guidance in problem-solving to consumers, their families and significant others;
  7. Contact with family, friends, school personnel and significant others to develop or enhance the consumer's natural support network;
  8. Identifying and helping to create services and resources which do not exist for individual consumers;
  9. Discharge planning when resource coordination services are no longer wanted or needed.


Social Rehabilitation Services

Programs or activities designed to teach or improve self-care personal behavior and social adjustment for persons with a mental disability. These social rehabilitative activities are intended to make community or independent living possible by increasing the person's level of social competency and by decreasing the need for structured supervision. The activities include:
  1. Social skills development to enhance habits, attitudes, and social skills.
  2. Cognitive development, affective development, communication development, physical skills development services.
  3. Activities of daily living skills development.
  4. Educational services and general skills levels to enhance employability.
  5. Consumer drop-in centers.



 

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