Services

Mental Health Skill Building Services

Mental Health Skill Building Services (MHSS)

Funding Options:

• Medicaid- Medallion 4.0 & CCC+, Anthem Healthkeepers Plus, Optima Health Family Care, Virginia Premier, Magellan Complete Care of Virginia, and Aetna Better Health of Virginia
• DSS, CSA, DOJ, and other community supports
• Self-pay

Face to face and 1:1 services

• Skill Building in Personal Hygiene
  
• Medication Monitoring Diet and Nutrition
  
• Stress Management
  
• Housing Stabilization
  
• Coping Skills
  
• Boundaries and Ethical Decision Making
  
• Anger Management
  
• Social Skill Development
  
• Symptom Management
  
• Budgeting
  
• Health Management
  
• Peer Support

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Intensive In-Home (IIH)

Intensive In-Home (IIH) is a stabilization and preventative service focused on children or adolescents who are at–risk to be removed from their home. This program is designed to bring stability to a family in crisis and keep the child in their environment. Risks for a child being removed from their home  could include aggression, defiance, noncompliance, truancy, or parenting limitations. Intensive In-Home is home-based and is intended to be a short-term service.

IIH services may include:

• Initial assessment and diagnosis
• Individual and family counseling at a minimum of 5 hours per week in the home and community
• Crisis support and response 24/7
• Parental skills training and behavioral modification interventions
• Individualized treatment plans that address identified needs
• Assistance with accessing and navigating community resources
• Advocacy within the medical, educational, social service and psychiatric systems
• Frequent communication and collaboration with associated professionals and treatment team members

Who is Eligible for Intensive In-Home?

• Children who ages 4-18 that are at-risk of an out-of-home placement.
• Youth who are transitioning back into the home from an out-of-home placement.
• Families who are willing to cooperate with IIH counselor and commit to at least 5 hours per week in the home to support the therapeutic process.

Funding Options:

Medicaid- Medallion 4.0 & CCC+, Anthem Healthkeepers Plus, Optima Health Family Care, Virginia Premier, Magellan Complete Care of Virginia, and Aetna Better Health of Virginia
DSS, CSA, DOJ, and other community supports
Self-pay

Crisis Stabilization

Crisis stabilization services involve direct interventions that provide temporary, intensive services and supports that avert emergency, psychiatric hospitalization or institutional placement of individuals who are experiencing serious psychiatric or behavioral problems that jeopardize their current community living situation. Crisis stabilization services shall include, as appropriate, neuropsychological, psychiatric, psychological and other functional assessments and stabilization techniques, medication management and monitoring, behavior assessment and support, and intensive care coordination with other agencies and providers. This service is designed to stabilize the individual and strengthen the current living situation so that the individual remains in the community during and beyond the crisis period.

These services shall be provided to:

1. Assist planning and delivery of services and supports to enable the individual to remain in the community;

2. Train family members, other care givers, and service providers in supports to maintain the individual in the community; and

3. Provide temporary crisis supervision to ensure the safety of the individual and others.

B. Criteria:

1. In order to receive crisis stabilization services, the individual must meet at least one of the following criteria:

a. The individual is experiencing marked reduction in psychiatric, adaptive, or behavioral functioning;

b. The individual is experiencing extreme increase in emotional distress;

c. The individual needs continuous intervention to maintain stability; or

d. The individual is causing harm to self or others.

2. The individual must be at risk of at least one of the following:

a. Psychiatric hospitalization;

b. Emergency ICF/IID placement;

c. Disruption of community status (living arrangement, day placement, or school); or

d. Causing harm to self or others.

Mental Health Intensive Outpatient Program:

What is MHIOP?

Mental Health Intensive Outpatient Services (MHIOP) are highly structured clinical programs designed to provide a combination of interventions that are less intensive than Partial Hospitalization Programs, though more intensive than traditional outpatient psychiatric services. MHIOP are focused, time-limited treatment programs that integrate evidence-based practices for youth (ages 6-17 years) and adults (18 years +). MHIOP can serve as a transition program, such as a step-down option following treatment in a Partial Hospitalization Program. MHIOP focuses on maintaining and improving functional abilities through an interdisciplinary approach to treatment. This approach is based on a comprehensive, coordinated and individualized service plan that involves the use of multiple, concurrent interventions and treatment modalities. Treatment focuses on symptom and functional impairment improvement, crisis and safety planning, promoting stability and developmentally appropriate living in the community, recovery/relapse prevention and reducing the need for a more acute level of care.

The Service:

MHIOP is an active treatment program of services that includes an individualized treatment plan describing the coordination of those services and how they will address the individual’s goals. MHIOP services include structured schedules for participants. Treatment goals should be measurable, person-centered, recovery oriented, trauma-informed, time limited, developmentally appropriate, medically necessary, and directly related to the reason(s) for admission.

MHIOP services are appropriate when an individual requires at least six hours of clinical services a week (for youth ages 6-17), or nine hours of clinical services a week (for adults 18 years and older) over several days a week and totaling a maximum of 19 hours per week.
The MHIOP receives psychiatric oversight with at least weekly medication management included in the coordinated structure of the treatment program schedule. MHIOP tapers in intensity as an individual’s symptoms improve as evidenced by their ability to establish community supports, resume daily activities or participate in a lower level of care.

MHIOP include:

• The integration and documentation of evidence-based practices to address family, social and community risk factors and provide coping skills to improve symptoms and functioning;
• The promotion of behavior changes in the individual’s natural environment, with the overriding goal of empowering the individuals, their identified family natural supports to promote improved functioning;
• The inclusion of rigorous quality assurance mechanisms that focus on achieving individual outcomes through monitoring treatment fidelity and progress and adjusting treatment goals and plans to address individual needs and barriers as they arise.

This service is appropriate for individuals who do not require the intensive level of care of inpatient, residential or partial hospitalization services, but do require more intensive services than traditional outpatient psychiatric services and would benefit from a structured setting.

Admission Criteria:

Individuals must meet all of the following:

• Must exhibit symptoms consistent with a DSM diagnosis

• Within the past 30 days, has experienced persistent or increasing symptoms associated with their primary DSM disorder which has contributed to decreased functioning in their home, school, occupational or community settings that has led to negative consequences and difficulties maintaining supportive, sustaining relationships with identified family and peers due to a psychiatric disorder.

• At risk for admission to inpatient hospitalization, residential treatment services, residential crisis stabilization or partial hospitalization

• Has a community-based network of natural supports who are able to ensure individual’s safety outside the treatment program hours and a safety plan has been established;

Admission Criteria:

Individuals must meet all of the following:

• Requires access to an intensive structured treatment program with an onsite multidisciplinary team;

• Reliably attend, and actively participate in, all phases of the treatment program;

• Has demonstrated willingness to recover in the structure of an ambulatory treatment program; and

For youth: Family/caregiver commitment to engage with treatment providers and support and reinforce the tenets of the MHIOP services.

For more information or to schedule an assessment email us at erobinson@newjourneyfs.com or call our main line at 434-634-3060