1. To provide an array of services to persons with a primary diagnosis of mental illness.
2. To maximize consumer involvement, preference, choice, and empowerment through active consumer involvement in treatment planning, self-advocacy and program development.
3. To provide community support activities which empower consumers by promoting self-management of symptoms, personal growth, independent living, recovery and use of natural supports and community resources.
4. To provide assessments, psychoeducational groups, individual counseling and case management services that promote optimal functioning and integration in the community and build upon a person’s strengths to overcome or compensate for the negative effects of mental illness.
Recovery is the ultimate goal of the Mental Health Services (MHS) Psychosocial Rehabilitation Program. As such, recovery results in the restoration of each consumer’s ability to live independently, interact in social setting and use tools to manage life effectively. All interventions within the MHS Program facilitate the process of recovery. Personal responsibility for each consumer is promoted and consumer reliance on traditional psychiatric services is reduced. Community integration is fostered through the provision of educational, social, vocational and therapeutic opportunities. The MHS program does not provide medication monitoring, assessment, administration or dispensing of medications.
1. Consumers must be 18 years of age or older.
2. Consumers must have a primary mental illness diagnosis that is recognized by Medicaid Rule 132.
3. Consumer must not require 24-hour medical supervision.
4. The consumer is not currently harmful to self or others.
5. Consumers must have an active Medicaid medical benefit card.
6. Consumers must meet any spend down required by Medicaid.
7. Consumers must meet other Medicaid requirements, as described in Rule 132.
8. Consumers must give informed consent to participate in Mental Health Services.
9. Consumers must have the ability to self-medicate, if medications are taken during program hours.
10. Consumer meets the Medicaid funding criteria or has the ability to pay privately.
Opportunities to transition to other programs/services are available based upon the individual’s needs, preferences, choices, and program criteria as indicated in each individual program description. Refer to the Program Accessibility Chart for programs/services availability. Additionally, options for transfer can be discussed during the Individual Service Plan meeting or a special meeting may be convened at other times as requested/needed.
1. The consumer is maintaining gainful competitive or supported employment and is no longer in need of MHS services.
2. The consumer is maintaining quality of life with effective natural supports.
3. The consumer/guardian chooses to terminate services.
4. The consumer has displayed behavior that is dangerous to self or others.
5. The MHS Program and PSR services no longer meet the needs of the individual.
6. The consumer is not benefiting from the program.
7. Termination of funding
SCOPE OF SERVICES:
Population(s) Served: Adult consumers who are 18 years of age or older with a primary diagnosis of a mental illness (as recognized by Medicaid Rule 132).
Settings: PSR is facility-based and provided individually or in group settings. Community Support Services are provided both on and off-site.
Hours/Days of Service: Facility-based hours are Monday through Friday, 8:00 a.m.–4:00 p.m. PSR skills building groups are offered exclusively between the hours of 8:30 a.m.–2:00 p.m. Monday through Friday. Individual services are available based upon the needs of consumers and includes evening and weekend hours through Community Support Services. Full and part-time schedules are available. Individual service plans outline the frequency and duration of mental health services.
Payer Source: DHS/DMH: Medicaid: Private Pay
Fees: For individuals funded through Medicaid there are no costs aside from community outing costs or special events. However if a monthly Medicaid deductible (spend-down) has been established it is required to be met monthly to remain eligible for services. Funding and rate structures are established by DHS/DMH. Private pay consumers are required to pay the rates established by DHS/DMH.
Referral Sources: Community mental health agencies, psychiatrists, behavioral health organizations, hospitals, self-referral, and Department of Mental Health
The majority of services listed below are offered within the MHS program and provided by MHS staff. Exceptions are noted below.
• Mental Health Assessment
• Consumer driven treatment planning and goal setting
• PSR Skills Building provided individually or in group settings
• Community Support Services provided individually or in group settings, on and off-site
• Counseling or Therapy provided individually or in group settings
• Case Management Services
• Consumer education, self-advocacy and leadership opportunities
• Social and recreational activities
• Community-based vocational assessments (offered through Insite Training Systems, a division of Sertoma, and/or IPS Supported Employment)
• Supported and competitive employment services (offered through Insite Training Systems, a division of Sertoma, and/or IPS Supported Employment)
September 9, 2013