BASIC MENTAL HEALTH & SUBSTANCE ABUSE SERVICES
One of the main roles of a therapist in our agency is to conduct clinical assessments to determine whether a client is suffering from a psychological or behavioral disorder. During the clinical interview, the therapist will gather information regarding a client’s family history, social life, employment, financial situation, previous experience in mental health treatment and other factors that can impact their mental health and well-being. The assessment provides the therapist with a comprehensive picture of the client’s life, which helps in determining the diagnosis and course of treatment.
A Diagnostic Assessment is a thorough face-to-face evaluation conducted on a consumer of any age, which assesses their mental health, intellectual and developmental disability history, or substance use condition. The Diagnostic Assessment is completed by a licensed professional and includes clinical considerations of the client’s physical, developmental, family, social, psychiatric, psychological history, and presenting concerns.
The assessment notes strengths, vulnerabilities, and needed mental health services, while assigning a diagnosis from the DSM V. This provides a complete picture of an individual’s emotional state and how well they are able to think, reason, and remember (cognitive functioning).
Telepsychiatry is the use of two-way real-time interactive audio and video between places of lesser and greater psychiatric expertise to provide and support health care and psychiatric care when distance separates participants who are in different geographical locations.
Telepsychiatry will be completed via two-way real-time interactive audio and video. Medications prescribed and managed will be according to current national and local standards of care and following current practice guidelines on file.
Telepsychiatry offers Individual, Family, and Group counseling/therapy. Licensed Clinicians providing Telepsychiatry will do so utilizing nationally accepted models that are evidence-based and measurable.
Outpatient Therapy is a critical element of successful behavioral modification and treatment of various symptoms that impede daily functioning. Therapists at YES endorse an eclectic approach to every client, using the model of therapy that will provide the best opportunity for the therapeutic relationship to grow and reach a successful conclusion.
Outpatient Treatment Services include Individual, Family, and Group counseling/therapy. Our therapists use nationally-accepted models that are both evidence-based and measurable. The Outpatient program offers and/or refers to a variety of services, based on the needs of the consumer.
Services may be offered in Residential Settings, Traditional Offices, Shelters, Community Resource Sites, Correctional Settings, Hospitals, Nursing Homes, Interactive Audio and Video and Medical Behavioral Health Sites
Medication Wellness is the level of outpatient treatment where the sole service is rendered by a qualified physician or others whose scope of practice includes prescribing medication based on the client’s diagnosis and symptoms.
As part of our medication management services, we offer regular monitoring of client’s medications, promote compliance with the medication regimen, keep track of all medications currently in use by the client, and collaborate with others involved in the service delivery.
School-Based Therapy is traditional Outpatient Therapy, provided in a school setting. This allows clients, who are in need of services, easier access to therapeutic services. School-Based Therapy includes the use of Evidenced-Based Practices, such as Cognitive Behavioral Therapy and Motivational Interviewing, to help assist clients with reaching their behavioral goals.
School-Based Therapy benefits K-12 children, who have emotional and behavioral difficulties, in the school and home setting.
Outpatient Plus is a home and community-based treatment that combines best-practice, outpatient therapy services with targeted case management services. These management services include monitoring, support, and management of care interventions for individuals with complex clinical needs that traditional outpatient therapy services cannot adequately address.
We focus on decreasing psychiatric and behavioral symptoms in order to reduce the need for higher levels of care or increase the likelihood of a successful transition to Outpatient Therapy from higher levels of care. OPT Plus improves the consumer’s ability to navigate systems and improve functioning in familial, social, educational, or occupational life domains.
HEALTH & HUMAN SERVICES
Private duty nurses (PDN) provide one-on-one medical care. They are qualified to offer this care in the comfort of the patient’s own home, or in a facility such as a hospital or nursing home. Private duty nurses are Registered Nurses (RNs) or Licensed Practical Nurses (LPNs). They can offer advanced care, working in tandem with the family. Our goal is to provide the customized care needed by our clients, as a total continuum of care.
Private Duty nurses provide care and treatment in the patient’s home for everything from routine conditions to complex medical issues for all ages, from infant to senior care. Depending on patient needs, nurses can be available for just a few hours a week or around the clock.
In-Home Skill Building provides habilitation and skill-building, to enable the participant to acquire and maintain skills, which encourage more independence. Services are individualized, specific, and consistent with the participant’s assessed, disability-specific needs.
In-Home Skill Building is provided in the participant’s home, either when a primary caregiver is present or when that primary caregiver is regularly scheduled to be absent. Skill Building Training focuses on enhancing interpersonal skills, development, and increasing independence.
Respite Care services provide periodic support and relief to the primary caregiver(s) from the responsibility and stress of caring for an individual. This service enables the primary caregiver to participate in planned or emergency events and to have planned time for themselves and their family members.
Respite may include in/out-of-home services, including overnight, weekend care, emergency care (family emergency based, not to include out-of-home crisis) or ongoing care up to (10) consecutive days.
In-Home Care services help individuals who have functional, physical or mental impairments accomplish their daily activities. In-Home care assistance includes bathing, dressing, toileting, feeding and ambulation.
In-Home Care services must be provided by home care agencies licensed by the Division of Health Service Regulation. Some individuals may require home management assistance to be able to remain safely in their home settings. Home management assistance includes cooking, cleaning, laundry and shopping.
ENHANCED MENTAL HEALTH & SUBSTANCE ABUSE SERVICES
Community Support Team services, led by a Licensed Therapist, consist of mental health and substance abuse rehabilitation services and supports necessary to assist adults (age 18 and older) in achieving rehabilitative and recovery goals. This is an intensive community rehabilitation service that provides treatment and restorative interventions to assist individuals to gain access to necessary services; reduce psychiatric and addiction symptoms and develop optimal community living skills. Services offered by the CST shall be documented in a Person-Centered Plan and must include: assistance and support for the individuals in crisis situations; service coordination; psycho-education and support for individuals and their families; individual restorative interventions for the development of interpersonal, community coping and independent living skills; development of symptom monitoring and management skills; monitoring medication; and self medication.
This is a time-limited intensive family preservation intervention, led by a Licensed Therapist, intended to stabilize the living arrangement, promote reunification or prevent the utilization of out-of-home therapeutic resources (i.e., psychiatric hospital, therapeutic foster care, residential treatment facility) for the identified youth through the age of 20. These services are delivered primarily to children in their family’s home with a family focus to:
- Defuse the current crisis, evaluate its nature, and intervene to reduce the likelihood of a recurrence;
- Ensure linkage to needed community services and resources;
- Provide self help and living skills training for youth;
- Provide parenting skills training to help the family build skills for coping with the youth’s disorder;
- Monitor and manage the presenting psychiatric and/or addiction symptoms; and
- Work with caregivers in the implementation of home-based behavioral supports.
Services may include crisis management, intensive case management, individual and/or family therapy, substance abuse intervention, skills training, and other rehabilitative supports to prevent the need for an out-of-home, more restrictive services. This intervention uses a team approach designed to address the identified needs of children and adolescents who are transitioning from out of home placements or are at risk of out-of-home placement and need intensive interventions to remain stable in the community. This population has access to a variety of interventions 24 hours a day, 7 days a week, by staff that will maintain contact and intervene as one organizational unit.
Day Treatment includes a structured treatment service program that builds on the strengths and addresses the identified functional problems associated with the complex conditions of each individual child or adolescent and family. These interventions are designed to support symptom reduction and/or sustain symptom stability at lowest possible levels, increase the individual’s ability to cope and relate to others, support and sustain recovery, and enhance the child’s capacity to function in an inclusive setting or to be maintained in community-based services. It is available for children 3 to 17 years of age (20 or younger for those who are eligible for Medicaid).
Day Treatment provides mental health and/or substance abuse interventions in the context of a treatment milieu. This service should be focused on achieving functional gains, be developmentally appropriate, culturally relevant and sensitive, child and family-centeredZ and focus on reintegrating the individual back into the school or transitioning into employment. The outcomes and therapeutic or rehabilitation goals of this service are defined in individual treatment goals outlined in the PCP/Child and Family Plan. The Child and Family Team, are those persons relevant to the child’s successful achievement of service goals including, but not limited to, family members, mentors, school personnel and members of the community who may provide support, structure, and services for the child.
FORMS OF PAYMENT
- NC Medicaid
- NC Health Choice Private Pay
- Other contracted services and payments through Mental Health Agencies