Helping Hands Community Based Service, Inc.
Outpatient Behavioral Health Services
Description of Non-Intensive Outpatient Services
Behavioral Health Assessment — The Behavioral Health Assessment process consists of a face-to-face comprehensive clinical assessment with the individual (if the person is a child/ adolescent the assessment must include the youth’s perspective), and should include family/ responsible caregiver(s), friends and significant others as well as collateral agencies/ treatment providers. This helps determine an individual’s strengths, needs, problems, abilities, and preferences to develop a social (extent of natural supports and community integration) and medical history. This determines functional level and degree of ability versus disability, and to engage collateral contacts for other assessment information.
Community Support — Community Support services consist of rehabilitative, environmental support and resource coordination considered essential to assisting an individual in gaining access to necessary services. In addition, create environments that promote resiliency and support the individual with basic life skills and transitional planning back into the community.
Anger Evaluation — The process of the anger management evaluation includes a psychosocial background interview, and the completion of the Anger Inventory, Controlling and Violent Behaviors Checklist, and the Anger Index, a 36 question, reversed scored scale used to determine levels of hostility, anger, and aggression.
Crisis Intervention — Services directed toward the support of a child, adolescent, or adult who is experiencing an abrupt and substantial change in behavior which is usually associated with a precipitating situation, and which is in the direction of severe impairment of functioning or a marked increase in personal distress. Crisis Intervention is designed to prevent out of home placement, hospitalization and/ or jail.
Diagnostic Assessment — Psychiatric diagnostic interview including; a history, mental status exam, evaluation and assessment of physiological phenomena (including co-morbidity between behavioral and physical health care issues), psychiatric diagnostic evaluation (including assessing for co-occurring disorders and the development of a differential diagnosis), screening and/or assessment of any withdrawal symptoms for individuals with substance related diagnoses, assessment of the appropriateness of initiating or continuing services, and a disposition. These are completed by a face-to-face evaluation of the individual and may include communication with family, other sources, and the ordering of medical interpretation by laboratory or other medical diagnostic studies.
Family Outpatient Services: Family Counseling — A counseling service shown to be successful with identified family populations, diagnoses, and service needs, to be provided by a licensed/ credentialed therapist. Services are directed toward achievement of specific goals defined by the individual, and by the parent(s) and/ or responsible caregiver(s) specified in the Individualized Service Plan and/ or Individualized Resiliency Plan (Note: Although interventions may involve the family, the focus or primary beneficiary of intervention must always be the individual).
Substance Abuse Evaluation — The process of this evaluation includes a psychosocial background interview, administration of the Substance Abuse Subtle Screening Inventory (SASSI-3), Beck Depression Inventory (BDI) for Adults, the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) criteria for substance abuse and dependence, and a 8-10 panel urine drug screen.
Family Outpatient Services: Family Training — A therapeutic interaction shown to be successful with identified family populations, diagnoses, and service needs provided by qualified staff. Services are directed toward achievement of specific goals defined by the individual and by the parent(s) and/ or responsible caregiver(s) and specified in the Individualized Service Plan and Individualized Resiliency Plan (note: although interventions may involve the family, the focus or primary beneficiary of intervention must always be the individual).
Group Outpatient Services: Group Counseling — A therapeutic intervention or counseling service shown to be successful with identified populations, diagnoses, and service needs. Services are directed toward achievement of specific goals defined by the individual; and/ or by the parent(s)/ responsible caregiver(s); and/ or specified in the Individualized Service Plan or Individualized Resiliency Plan. Services may address goals/ issues such as promoting resiliency, restoration, development, enhancement, or maintenance of: cognitive skills; healthy coping mechanisms; adaptive behaviors and skills; interpersonal skills; identifying and resolving personal, social, intrapersonal and interpersonal concerns.
Individual Counseling — A therapeutic intervention or counseling service shown to be successful with identified individual populations, diagnoses and service needs, provided by a qualified clinician. Techniques employed involve the principles, methods and procedures of counseling that assist the individual in identifying and resolving personal, social, vocational, intrapersonal, and interpersonal concerns. Services are directed toward achievement of specific goals defined by the individual and Individual Service Plan.
- Illness and medication self-management knowledge and skills, behavioral management, relapse preventions skills, knowledge of medications and side effects, adaptive behaviors and skills
- Interpersonal skills, knowledge regarding mental illness, substance abuse disorders, and motivational/ skill development in taking prescribed medication(s)
- Problem solving and cognitive skills and healthy coping mechanisms
Medication Administration — Medication administration includes the act of introducing a drug (any chemical substance that, when absorbed into the body of a living organism, alters normal bodily function) into the body of another person by any number of routes including, but not limited to the following: oral, nasal, inhalant, intramuscular injection, intravenous, topical, suppository or intraocular. Medication administration requires a physician’s order and must be administered by licensed or credentialed* medical personnel under the supervision of a physician or registered nurse in accordance with the Official Code of Georgia Annotated (O.C.G.A.).
Nursing Assessment and Health Services — This service requires face-to-face contact with the individual/ family/ caregiver to monitor, evaluate, assess, and/ or carry out a physician’s orders regarding the psychological and/ or physical problems and general wellness of the individual.
Psychiatric Services — The provision of specialized medical and/ or psychiatric services that include, but are not limited to: Psychotherapeutic services with medical evaluation, management including evaluation and assessment of physiological phenomena (including co-morbidity between behavioral and physical health care issues), and assessment and monitoring of an individual’s status in relation to treatment with medication. Assessment of the appropriateness of initiating or continuing services.
Psychological Testing — Psychological testing consists of a face-to-face assessment of emotional functioning, personality, cognitive functioning (e.g. thinking, attention, and/ or memory), or intellectual abilities using an objective and standardized tool that has uniform procedures for administration and scoring and utilizes normative data upon which interpretation of results is based.
Individualized Service Plan Development — Individuals access this service when it has been determined through an initial screening that the individual has mental health and/ or addictive disease concerns. The Individualized Recovery/ Resiliency Plan or Individualized Service Plan results from the Diagnostic and Behavioral Health Assessments and is required within the first 30 days of service; with ongoing plans completed as demanded by individual need and/ or by service policy.
Community Transition Planning — Community Transition Planning is a service for contracted Medicaid Community Provider(s) and ACT providers to address the care, service, and support needs of adults with mental illness and/ or addictive diseases to ensure a coordinated plan of transition from a qualifying facility to the community.
Psychosocial Rehabilitation- Individual — Psychosocial Rehabilitation-Individual (PSR-1) services consist of rehabilitative skills building, the personal development of environmental and recovery supports considered essential in improving a person’s functioning, learning skills to promote the person’s sew-access to necessary services and in creating environments that promote recovery and support the emotional and functional improvement of the individual.
The service activities of Psychosocial Rehabilitation-Individual include:
- Providing skills support in the person’s self-articulation of personal goals and objectives
- Assisting the person in the development of skills to sew-manage or prevent crisis situations
- Individualized interventions in living, learning, working, other social environments
Case Management — Case Management services consist of providing environmental support and care coordination considered essential to assist the individual with improving their functioning, gaining access to necessary services, and creating an environment that promotes recovery as identified in their individual recovery plan (IRP). The focus of interventions include assisting the individual with:
- Identifying service needs
- Developing strategies and interventions that support the individual to avoid the need for more intensive services
- Assisting individuals to increase their social networks that ameliorate life stressors resulting from the individual’s behavioral health condition
- Coordinating rehabilitative services as specified in the IRP
The performance outcome expectations for individuals receiving this service include decreased hospitalizations, decreased incarcerations, decreased episodes of homelessness, increased housing stability, and increased participation in employment or job related activities.
Case Management Services shall consist of four (4) major components:
- Partner in the Development of an Individual Recovery Plan
- Recovery Plan Implementation
- Referral and Linkage Care Coordination and Related Activities
- Monitoring and Follow-Up