Step By Step of Maryland PRP & TBS Presentation

Report
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
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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 Outline
 The PRP program is structured to assist individuals with wrap around
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services to further enable them to meet rehabilitation needs
regarding mental and behavioral health disabilities.
Minor ages are 6-17; Adult ages 18 & up
Services are completed in the home, or in the community
An 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
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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 Eligibility
 The agency must receive a fully completed TBS
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referral (four pages)
The therapist must attach a psychosocial or updated
psych notes with the referral
The 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.
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Parenting Classes
Job readiness six week course
Anger Management Classes
Utilizes 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 Health
Holds yearly Back-To-School events
Provides Thanksgiving baskets to families
Implemented a birthday club for clients
Quarterly outings for all clients (outside of group
session)
We appreciate your time
regarding these very
rewarding programs…

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