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Step By Step of Maryland. Psychiatric Rehabilitation Program for Minors and Adults & Therapeutic Behavioral Services. The Agency’s Mission. - PowerPoint PPT Presentation
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The Agency’s Mission
To provide rehabilitative services to individuals in a conducive atmosphere/arrangement and an opportunity to collaborate with affiliated government agencies working with individuals with varying degrees of emotional disturbances and behavioral disorders, such that these populations are served, assisted, and rehabilitated fully functional, productive and integrated back into the community.
Step By Step of MD’s Goals
Recognizing the behavioral issues with our clients
Identifying the facts based around the treatment required for a successful rehabilitation plan
Building goals that are specific to the client
Assisting with the client establishing a new outlook on life challenges
Employing experienced Direct Care Counselors and Therapeutic Behavioral Aides
The agency will carry out all functions ethically and professionally
Eligibility Requirements for the PRP Program
Consumers must be covered under the Maryland Medical Assistance Program
Consumers must be referred by a MD, PhD, LCSW-C, LCPC, or LGSW LGSW providers must have a licensed clinician sign off on the referral Consumers must be in on-going therapy All demographic information (name of consumer, address, tele #, DOB,
MA#, SS#, gender, race, age, grade (minors), and guardian’s information must be completed on the referral
The living situation for adults must be checked off The need for services must be outlined on the referral up to and
including the consumers background information, reason for referral, risk behaviors, psychiatric/psychological history, medical history including somatic and psychiatric drugs, name of psychiatrist and therapist, diagnostic information (Axis I-V), and any additional psychiatric/psychological notes, including educational records that could assist with the case
The therapist must sign and date the referral with a current date and fax to Step By Step of MD
PRP Program OutlineThe PRP program is structured to assist individuals with wrap
around services to further enable them to meet rehabilitation needs regarding mental and behavioral health disabilities.
Minor ages are 6-17; Adult ages 18 & upServices are completed in the home, or in the communityAn assessment and an Individual Rehabilitation Plan will be
developed in accordance with the consumer’s needs.Long and short term goals will be established, which are
individualized, specific to the consumer, measurable, and they will include achievable timeframes.
Minors will receive four encounters per month (one of the encounters being at the office in a group setting) and adults will receive six encounters per month (one encounter being at the office in a group setting).
Group topics are all related to the consumer’s needs and are all age appropriate.
PRP Minor Group Session
A Direct Care Counselor and client are interacting regarding utilizing conflict resolution skills.
Minor Rehabilitation Skills Personal Hygiene Grooming Nutrition Dietary Planning Food Preparation Self Administration of
Medicines Assessing the Living
Environment Community Awareness Mobility Skills Money Management Accessing Available
Entitlements Community Activities Employment Preparedness
Conflict Resolution Skills Anger Management
Techniques Interactive Skills with Peers
and Authority Figures Maintaining Personal Living
Space Maintaining Age Appropriate
Boundaries Personal Safety in a Social
Environment Time Management Coordinated Transportation Assisting with Tutoring Prevention of Illness Social Skills
Adult Rehabilitation Skills Education on Mental Health
Disorders Promotion of Individual
Wellness and Self Management and Recovery
Assistance with Supported Housing
Personal Hygiene Dietary Planning Food Preparation Self Administration of
Medicines Assessing the Living
Environment Community Awareness Mobility Skills Money Management Accessing Available
Entitlements
Community Activities Maintaining Personal Living
Space Personal Safety in a Social
Environment Time Management Skills Coordinated Transportation Employment Preparedness Prevention of Illness Social Skills Crisis Intervention Assistance Educational/Vocational Skills Conflict Resolution Skills Substance Abuse Problems Legal Issues
Therapeutic Behavioral Services (TBS)
TBS services are geared for consumers that exhibit very aggressive behaviors that result in a consumers being at risk of being removed from the home environment. The age ranges for this program are 6-21.
What is an aggressive behavior?? A persistent pattern of behavior that causes or threatens harm to other
people. Violates the basic rights of others; Violates major age-appropriate societal norms or rules; or Causes impairment in social or academic functioning.
Elements of Aggressive Behavior Verbal – taunts, threats Physical – tantrums, throwing, fights Instrumental – goal directed Reactive – unplanned retaliation Proactive – bullying, provocation Overt – externalized Covert – lying, stealing, cheating, drug use Indirect or Relational – social manipulation
TBS EligibilityThe agency must receive a fully completed TBS
referral (four pages)The therapist must attach a psychosocial or updated
psych notes with the referralThe agency must submit the referral along with the
psych notes to the state for the approval to complete an assessment
Once the approval is granted to complete the assessment, the Rehabilitation Specialist completes the assessment/behavioral plan.
The plan is submitted to the state and based from the plan, the state will approve from 10-30 hours per week for treatment.
TBS services are closely monitored and all interventions are completed in-home with the parent/guardian involved during each session.
Parenting ClassesJob readiness six week courseAnger Management ClassesUtilizes a consulting group on a quarterly basis
to ensure that the agency is continuing to stay in compliance with COMAR regulations
Members of Community Behavioral Health (CBH)Members of the National Council for Community
Behavioral HealthHolds yearly Back-To-School eventsProvides Thanksgiving baskets to familiesImplemented a birthday club for clientsQuarterly outings for all clients (outside of
group session)
We appreciate your time regarding these very rewarding programs…