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These intensive services are
provided in a supporting and interactive manner directed
toward restoration of the family. The services are time
limited and are initially intensive, based on the needs
of the family. The services demonstrate a
multi-systemic approach to treatment and have a goal of
keeping families together. The services may include
wraparound and family preservation programs. The program
may also provide services directed toward family
restoration when a child has been in an out-of-home
placement.
When providing Intensive Family-Based Services, there is a commitment to having an
identified person or team working consistently with the
family.
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Children’s case management is a
service that assists consumers and their families,
through the person-centered planning process, to design
and implement strategies for obtaining services and
supports that are goal-oriented and individualized.
Formal case management services are needed when the
needs of the consumer exceed the capacity of the
parental support system to sustain and improve the level
of functioning in the community.
The core components of case
management are assessment, planning, linking, advocacy,
coordination and monitoring. Once a consumer has been
assessed to need case management and a case manager has
been chosen, the person-centered planning process
begins. Through the person-centered planning process, the consumer needs and
desires are established and the plan for meeting these
is developed. Linking needs are established through the
plan and the person responsible for each component of
the plan is established. It is then the role of the
case manager to coordinate the identified services and
link the consumer to needed services. Finally, the case
manger is responsible to monitor progress toward the
goals at intervals defined through the person-centered
planning process or as the
need arises. This monitoring includes the review of
the consumer’s satisfaction with the services provided.
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This is a treatment activity
designed to reduce maladaptive behaviors, maximize
behavioral self-control or restore normalized
psychological functioning, reality orientation,
motivation and emotional adjustment, thus enabling
improved functioning and more appropriate interpersonal
and social relationships. Restoration of normalized
psychological functioning often involves the resolution
of trauma-inflicted injury, improved self-esteem, or
building of ego strengths.
Types of individual therapy offered
are:
- Supportive psychotherapy
- Behavior interventions
- Cognitive re-structuring
- Cognitive behavior therapy
- Insight-oriented psychotherapy
- Dialectical behavior therapy
- Psychoeducational therapy
- Bibliotherapy
- Play therapy
- Infant-parent psychotherapy
- Trauma resolution therapy
Individual therapy is provided by
master’s level clinicians who generally have degrees in
social work, psychology, or counseling, with the
appropriate licensure. When provided as part of a
home-based service, it is primarily provided in a home
or community setting, rather than an office setting.
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This is a treatment activity
designed to reduce maladaptive behaviors in the family,
balance the power structure, build healthy
communication, build attachment relationships and
cohesion, and improve general emotional adjustment in
the family, thus enabling improved functioning and more
appropriate interpersonal and social relationships.
Types of family therapy provided
are:
- Structured family therapy
- Family play therapy
- Activity therapy
- Supportive family therapy
Family therapy is provided by
master’s level clinicians who generally have degrees in
social work, psychology, or counseling, with the
appropriate licensure. When provided as part of a
home-based service, it is primarily provided in a home
or community setting, rather than an office setting.
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This is a treatment activity
designed to reduce maladaptive behaviors, build healthy
communication, build attachment relationships and
cohesion, improve social skills, and improve general
emotional adjustment, thus enabling improved functioning
and more appropriate interpersonal and social
relationships.
Types of group therapy provided are:
- Social skills training
- Dialectical behavior therapy
- Sex offender prevention and/or reduction
- Activity therapy
Group therapy is generally provided
under the guidance of master’s level clinicians who have
degrees in social work, psychology, or counseling, with
the appropriate licensure. Bachelor’s prepared case
workers with an RSW might assist in social skills
training or in sex offender groups. Home-based
assistants who are experienced with children might
assist in social skills training or provide activity
therapy. Group therapy services are generally
provided in the agency setting, although some
community-based groups are facilitated.
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Some of the youth and some of the
parents of the youth served in the Family Services Unit
also receive psychiatric services. These services
include psychiatric evaluation and medication review.
Psychiatric evaluation: A
comprehensive evaluation, performed face-to-face by a
psychiatrist, that investigates a consumer’s clinical
status, including the presenting problem; the history of
the present illness; previous psychiatric, physical, and
medication history; relevant personal and family
history; personal strengths and assets; and a mental
status examination. This examination concludes with a
written summary.
Medication review: The
process of evaluating and monitoring medications, their
effects, and the need for continuing or changing the
medication regimen.
Psychiatric services to youth are
provided in a child-friendly setting within the unit,
whenever possible. The parents of the youth served in
the Family Services Unit generally receive their
psychiatric services in CSS clinics.
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Crisis services are provided on an
ongoing basis through the continued monitoring and
outreach to consumers of the Family Services Unit. However, after
outreach efforts to stabilize the consumer (e.g.,
medication review, increased contacts) have proven
ineffective the consumer is referred to the SCCMHA
Crisis unit, which is available 24 hours a day, 7 days a
week.
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Wraparound services utilize a child
and family with team members determined by the family,
often representing multiple agencies and informal
supports. The team creates a highly individualized plan
of service for the child that consists of traditional
mental health services. The plan may also consist of
other non-mental health services that are secured from
other agencies in the community. The wraparound plan is
the result of a collaborative team planning process that
focuses on the unique strengths, values and preferences
of the child and family and is developed in partnership
with other community agencies.
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Respite services are services
provided to a consumer to temporarily relieve
the unpaid primary caregiver of supervision or personal
care services. These services provide short-term care
to a child and offer a brief period of rest or relief
for the family from the day-to-day care giving of a
dependent family member. The array of respite services
available are flexible to the particular needs of the
consumer and the family and should include the capacity
to provide services in emergency situations. The need
for these services must be identified in the personal
family-centered plan.
Individual respite services are
provided by contracted providers who have elected to
work with children with severe emotional impairments.
Summer respite camp is an option for
the parents of children with severe emotional
impairments. This service is provided as a relief to
the parents, but also as an opportunity for the children
to participate in normal activities with other children
who are not severely emotionally impaired. The types and
frequency of summer respite camp activities will be
individually determined. This service is offered by a
variety of camp associations.
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