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«STATE OF WISCONSIN 1 West Wilson Street Department of Health Services PO Box 7851 Division of Mental Health and Substance Abuse Services Madison WI ...»

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511 Community Recovery Services

4. Crisis Intervention The provision of services to individuals in the general public who are experiencing emergencies which require an immediate response by the human service system (including those activities necessary to prepare for responding to conditions which are an immediate threat to a person’s life or well-being) for the purpose of removing or ameliorating these conditions and linking the individual with appropriate human services.

Funds may be used for: counseling/psychotherapy, supervision, general physical health,  transportation, and referral. Includes 24 hour hot lines, crisis response teams and extra hour staffing for handling emergencies only when the program provider is specially organized for this purpose, and are designed to serve the general public rather than specific client groups.

The provision of services following an initial crisis contact which are follow-up responses  described on a Response Plan or Crisis Plan. These can include linkage and coordination or follow-up services provided in-person, in a mobile contact, or over the telephone.

Excludes services delivered under emergency conditions which are an integral, but  subordinate, part of other standard programs (e.g., emergency inpatient care is to be classified as part of the inpatient program).

Services delivered with these funds should be reported using the following standard program

category codes in PPS:

501.00 Crisis Intervention - hours

501.10 Crisis Intervention – days

501.20 Crisis Intervention Follow-up

5. Certified Peer Specialists and Peer Support Services Individuals with “lived experience” or Peer Organizations provide self-help, peer to peer support or peer support to families of adults with severe mental illness or DMHSAS Memo 2016-01 Community Mental Health Allocation Page 7 of 16 children/adolescents with severe emotional disturbance. Certified Peer Specialists function as role models demonstrating techniques in recovery and providing ongoing recovery and resiliency support. Peer Supports lend their unique insight into mental illness and substance abuse and what makes recovery possible. Peer Specialists include parents or other adult family caregivers of children with behavioral health disorders providing peer services to

other families with a youth with behavioral health disorders. Funds may be used to:

Hire individuals with “lived experience” who have personally faced behavioral health  challenges to provide peer support including assist in the development of goals; serve as an advocate, mentor, or facilitator for resolution of issues; and teach skills necessary to improve coping abilities to assist consumers and/or families in regaining control over their lives and over their own recovery process.

Hire individuals with “lived experience” to attend treatment team and crisis plan  development meetings to promote consumer’s use of self-directed recovery tools; inform consumers about community and natural supports and how to utilize these in the recovery process; and assist consumers in developing empowerment skills.

Develop peer support and self-help programs, including clubhouses, drop-in centers,  supported telephone lines, crisis alternatives, housing referral and support, employment referral, etc.

Reimburse member’s mileage to help them attend meetings, pay for baby sitters, etc.

 Pay expenses to assist members to attend meetings and conferences, including conferences  out of state.

Hire consumers or family members to provide assistance to other clients and family members  in dealing with the mental health system during a crisis, when there is a complaint, etc.

No standard program categories are available to record for this program priority area.

6. Case management The provision of services by providers whose responsibility is to enable clients and, when appropriate, clients’ families to gain access to and receive a full range of appropriate services

in a planned, coordinated, efficient, and effective manner. Funds may be used for:

assessment; case planning, monitoring and review; advocacy; and referral.

Services delivered with these funds should be reported using the following standard program

category codes in PPS:

–  –  –

7. Counseling/Therapeutic Resources The provision of treatment oriented services to clients needing treatment for a personal, social, behavioral, mental, or alcohol and drug abuse disorder to maintain and improve effective functioning.

Funds may be used for: assessment/diagnosis; case (treatment) planning, monitoring and  review; counseling/psychotherapy; therapy services; physical health services; and medical DMHSAS Memo 2016-01 Community Mental Health Allocation Page 8 of 16 support services. Includes divorce and family counseling and counseling for students experiencing behavioral problems at school.

Includes intensive home and community treatment services when provided by persons other  than those responsible for probation, juvenile supervision or aftercare supervision. Includes methadone maintenance activities.

Excludes work related services. Excludes treatment services provided to residents of an  alternate living setting or in a day center by staff or providers of those settings.





Services delivered with these funds should be reported using the following standard program

category code in PPS:

507 Counseling/therapeutic resources

8. Medication Management Includes the prescription, directions on the use of, and review of medication, with not more than minimal psychotherapy. This service should be recorded in PPS regardless of whether provided by a psychiatrist, APNP or any other authorized prescriber.

Services delivered with these funds should be reported using the following standard program

category code in PPS:

507.10 Medication Management

9. Day Treatment-Medical A day treatment program (DTP) is a nonresidential program in a medically supervised setting that provides case management, counseling, medical care and therapies on a routine basis for a scheduled portion of a 24 hour day and a scheduled number of days per week to alleviate those problems.

Funds may be used for: individual, family and group counseling. Aftercare services are not  included under this billing provision.

Services delivered with these funds should be reported using the following standard program

category code in PPS:

–  –  –

10. Outreach The provision of services which are designed to result in the locating of persons likely to have a problem which can potentially be alleviated by the delivery of human services.

Funds may be used for: case finding and referral.

 Excludes assessment/diagnosis associated with a formal application process which should be  classified as Intake Assessment. Excludes assessments that are an integral but subordinate DMHSAS Memo 2016-01 Community Mental Health Allocation Page 9 of 16 part of admission to another program. Excludes health screening activities which should be classified under the program of that name. Excludes services for agency clients.

Services delivered with these funds should be reported using the following standard program

category code in PPS:

–  –  –

11. Information and Referral The provision of public information and referral services to satisfy individual inquiries for specific information about a particular aspect of the human service delivery system or community resources and ensure linkage to needed resources.

Funds may be used for: referral to legal resources, maintaining and summarizing records of  information and referral contacts.

Excludes public information and referral when provided as a subordinate part of intake  process or when part of other programs.

Services delivered with these funds should be reported using the following standard program

category code in PPS:

–  –  –

12. Intake Assessment The provision of services in a natural or supportive service setting to persons who are or may become clients for purposes of determining the existence of, and the nature of, a specific problem or group of problems.

Funds may be used for: assessment/diagnosis and referral; (Intoxicated Driver Program  assessments, and Child Abuse and Neglect investigations); activities associated with the process and screenings of prospective nursing home admissions per DHS 132.51 (2)(d)(1);

the development of an initial case service or treatment plan if done as part of a general client intake process; intake activities which occur prior to the establishment of client status; and activities of centralized intake units.

Assessment/diagnosis which is an integral, but subordinate part of another standard program  should be classified to that program. Excludes activities of a community agency related to review and screening of current residents of DD centers which should be classified as part of Case Management/Service Coordination. Investigations or assessments for the court are part of the Court Intake and Studies Program.

Services delivered with these funds should be reported using the following standard program

category code in PPS:

603 Intake assessment DMHSAS Memo 2016-01 Community Mental Health Allocation Page 10 of 16

13. Supported Employment Is competitive work in an integrated work setting for individuals who, because of their disability, need ongoing and/or intensive support services to find and perform this work.

Integrated work setting is defined as no more than eight people with a disability in one work area.

Services delivered with these funds should be reported using the following standard program

category code in PPS:

–  –  –

14. Day Center Services-non Medical A day treatment program (DTP) is a nonresidential program in a non-medically supervised setting that provides case management, counseling on a routine basis for a scheduled portion of a 24 hour day and a scheduled number of days per week to alleviate those problems.

Funds may be used for individual, family and group counseling but not aftercare services.

 Services delivered with these funds should be reported using the following standard program

category code in PPS:

–  –  –

15. Work Related Services The provision of services in integrated community work settings or other settings for purposes of enabling clients to participate in work, develop work and related abilities, improve work performance, and/or remove obstacles to gainful employment.

Funds may be used for: education/training; transportation (when work related); marketing of  products; assessment/diagnosis; case planning, monitoring and review when done by work related service providers; and supervision.

Excludes Supported Employment as defined in SPC of that name.

 Services delivered with these funds should be reported using the following standard program

category code in PPS:

–  –  –

16. Supportive Community Services Includes Adult day care, Respite care, Housing/energy assistance, Daily living skills training, Family support, Interpreter services and adaptive equipment, Congregate meals, Home delivered meals and Protective payment/guardianship. Note that monies can only be used for the identified purposes if the client is not eligible for the CCS, CRS or CSP programs. Case management is not to be reported as a component of Supportive Community Services for the purposes of this project. Case management should be reported separately under SPC 604.

DMHSAS Memo 2016-01 Community Mental Health Allocation Page 11 of 16 Adult Day Care: The provision of services to adults in a certified natural or supportive service (day center) setting for the purpose of providing an enriched social experience, protection and supervision during part of the day to enhance or maintain the integrity of families under stress, prevent abuse and neglect and/or prevent their placement into alternate living arrangements.

Typical services may include, but are not limited to: personal care and supervision.

 Includes certified adult care when provided in a senior center. Senior center activities not  provided as part of a certified adult day care program are not eligible to be paid for with these funds.

Excludes day center services for adults with developmental disabilities which are classified  within the Day Center Services.

Respite Care: The provision of services to clients who are either caregivers or their dependents for the purposes of providing the primary caregiver temporary relief, relieving the primary caregiver of the stress of giving continuous support, providing the dependent client adequate care and supervision in a home-like environment (unlicensed) and reducing

the need for placement of the dependent person outside of the home. Funds may be used for:

Services to the primary caregiver which may include case planning, monitoring and review.

Services for the dependent person which may include personal care and supervision.

Housing/energy assistance: The provision of services to clients in a natural or supportive service setting for the purpose of enabling persons to obtain safe, healthful, and affordable housing. Funds may be used for: advocacy, assessment/diagnosis, and referral. Includes working with landlords and others to upgrade substandard housing, improving safety and preventing/reducing health hazards, assessing housing needs, locating appropriate housing, referral to existing resources for housing repairs, and making arrangements for moving (as well as payment of moving expenses). Includes repairs and remodeling, winterization/ weatherization, and the costs of fuel or utilities. Placement of persons into independent living from alternate living settings is classified under programs for those settings.



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