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SERVICE PRESENTATION
Your Community Service Provider
CORE VALUES, BELIEFS
AND PRINCIPLES
 We are dedicated to providing the highest quality of
culturally competent, accessible and cost effective
services.
 We treat all people with dignity and respect.
 Recovery and Resiliency principles are practiced.
 We are committed to conducting ourselves with the
highest level of integrity.
(1 of 2)
CORE VALUES, BELIEFS
AND PRINCIPLES
 We strive to provide our employees with a nurturing
and learning environment.
 We are committed to achieving the highest quality
of care and stakeholders satisfaction.
 All persons served are viewed as equal partners in
the planning and receiving of All Care Family
Services.
(2 of 2)
MISSION
The mission of All Care Family Services is to provide
the highest quality service to children, adults and
families that will have a positive impact upon their
dignity, self-worth and quality of life in the community.
VISION
To be recognized as the behavioral health leader in the
state of Virginia by providing the highest quality of care
and community support services to youth, families and
adults.
Intensive In-Home Services
 Individual Therapy
 Family Therapy
 Case Management
 Crisis Intervention
 Behavior Management
(1 of 2)
Intensive In-Home Services
 Case Management
 Community Integration
 After Care
 Appropriate Referrals
(2 of 2)
Client Served
Youth ages 6 to 21 years of age that have:
 Mental, behavioral, or emotional disturbances which
have resulted in significant impairment.
 At risk for out-of-home placement due to
interpersonal conflicts with family or community.
 A documented history of prior interventions that
substantiates the need for intensive in-home
services.
Eligibility
 Must have a documented history of prior
interventions that substantiates the need for
intensive in-home services.
 Behavior problems must demonstrate an inability to
function within the school, home or community.
 Demonstrated difficulty in cognitive ability such that
they are unable to recognize personal danger or
inappropriate social behavior.
Services Provided
Services to children who are referred due to factors such
as:
 Neglect
 Substance Abuse
 Sexual Abuse
 Physical Abuse
 Involvement in juvenile justice systems
(1 of 2)
Services Provided
 Families deemed chaotically disengaged
 Conduct Disorder
 Emotional and Behavioral Problems
 ADHD
 Explosive Disorders
(2 of 2)
Nature of Referrals
 Children may have DSM IV Diagnosis or
documented mental health needs
 Department of Juvenile Justice
 Mental Health
 Department of Education
 Department of Social Services
 Self-Referral
Structure Program of Care
Includes:
 Comprehensive bio/psycho/social assessment
 Treatment Planning
 Individual Family Counseling
 Comprehensive Case Management
 Crisis Intervention
Goals of Service
 Provide structured therapeutic treatment
 Build trusting relationships with families
 Develop and implement an individualized service
plan (ISP)
(1 of 2)
Goals of Service
 Identify, promote, build and strengthen family
stability
 Maintain professional ethics per DBHDS, state and
federal guidelines.
 Provide support through case management with
doctors, schools, courts, hospitals, Family
Assessment and Planning Teams (FAPT), and
Social Services agencies.
(2 of 2)
Methodologies
 Admissions Criteria
 Exclusionary Criteria
 Treatment Plan
 Continued Stay Policy
 Treatment Criteria
 Discharge Criteria
Admissions Criteria
 Client has a documented history of prior treatment
interventions.
 Client demonstrates difficulty in cognitive ability to
recognize personal danger or inappropriate social
behavior.
 Admission standards prohibit discrimination on the
basis of race, color, religion, ethnicity, age, sex,
disability or ability to pay.
(1 of 2)
Admissions Criteria
 Eligible clients and families 26 weeks (unless
further extended) treatment planning begins at the
time of intake.
 Non-eligible clients and family are referred to an
appropriate level of care.
(2 of 2)
Exclusionary Criteria
 Prospective clients are screened for behaviors
and/or needs excluded for service coverage by the
applicable governing authority.
 No prospective clients are discriminated against in
accordance with the Department of Behavioral
Health and Development Services and Office of
Human Rights.
 Program and Clinical Program Director make all
final decisions regarding the exclusion and inclusion
of prospective clients.
(1 of 2)
Exclusionary Criteria
 Youth who are married.
 Youth who are on active duty of the Armed Forces
of the United States.
 Active psychotic behavior.
 Active substance abuse that interferes with
interaction.
(2 of 2)
Treatment Planning
 Individualized Service Plan (ISP) are designed
within 24 hours of intake.
 Comprehensive ISP is developed in the first 30
days of service.
 Goals are defined collaboratively with the family,
youth, and qualified mental health professionals.
(1 of 2)
Treatment Planning
 Treatment plan is modified with the changing needs,
behaviors and goals of client and family.
 Client’s are reassessed at a minimum of 90 day intervals
to determine continued admission.
(2 of 2)
Continued Stay Policy
Client is considered for “continued stay treatment” if
they demonstrate measurable benefits from the service
however have significant deficits in their functioning
that meet admission standards and can be improved by
an extension in services.
Termination Criteria
 Client is terminated from services if they fail to
benefit from the service evidenced by their inability
to demonstrate progress toward the objectives of
the treatment plan.
 Client or legal guardian refuses to engage in
treatment.
 Client or family poses a threat to the staff (i.e.
aggression, threatening, and behavior).
Discharge Criteria
 Client is clinically discharged from services upon
their stabilization and transitioned to a lower level of
care.
 Stabilization of Client is proven through
interpersonal relationships and social behaviors.
 Clients will function safely and positively in the
home, school and community.
Staffing
 Clinical Director (LMHP)
 Home-based counselors have a BS or MS degree
in Human Services.
 Licensed Medical Professionals
 Licensed Mental Health Professionals
 Masters of Social Work
(1 of 2)
Staffing
 Masters of Education
 Masters of Nursing
 Masters of Rehabilitative Training
 Program Managers have BS or MS degree in
Human Services Field.
(2 of 2)
Mentoring
 Individual Assessments
 Vocational Assessments
 Case Management
 Transitional Living & Assistance
(1 of 2)
Mentoring
 Coordination of Services
 One to One
 Community Activities
 Behavior Modification
 Crisis
(2 of 2)
Mental Health Skill Building Services
Mental Health Skill Building Services is the new name
for Mental Health Support Services (MHSS). The new
name reflects that MHSS is a training service – not a
mental health clinical service, a preventative service,
social welfare, nor crisis service. MHSS is a training
service for individuals with significant mental illness.
(1 of 3)
Mental Health Skill Building Services
 Individual Therapy
 Family Therapy
 ADL Training
 IADL Training
 Health and Safety
(2 of 3)
Mental Health Skill Building Services
 Medication Management
 Community Integration
 Case Management
 Aftercare Services
(3 of 3)
Clients Served
Young adults 21 yrs. old & up that have:
 Mental, behavioral, or emotional disturbances which
have resulted in significant impairment.
 Inability to self-manage in the home or residential
environment .
 A documented history of prior interventions that
substantiates the need for intensive in-home
services.
Nature of Referral
 Young adults may have DSM IV diagnosis
 Documented Mental Health needs
 Made through the Department of Social Services
 Adult Protective Services
 Community Services Boards
(1 of 2)
Nature of Referral
 Psychiatric Institution
 Physicians
 Court Order
 Assisted-Living Facilities
 Independent-Living Facilities
 Self-Referral
(2 of 2)
Structured Program of Care
 Comprehensive bio/psycho/social, assessment
clinically analyzes the physical, emotional, and
social needs of the client.
 Written contract between client and case manager
identifies measurable treatment objectives,
interventions, and target dates.
 Case management links the clients to other
necessary supports.
(1 of 2)
Structured Program of Care
 Client and family intervention support during
significantly vulnerable situations giving protection,
guidance, and supervision to resolve matters.
 Intervention allows for the most immediate referral
to more appropriate services i.e. in-patient
psychiatric or intensive out-patient services (when
necessary).
 The therapeutic relationship is used to build cliental
positive skills/behaviors and diffuse barriers to
growth.
(2 of 2)
Mental Health Methodology
 Exclusionary Criteria
 Treatment Planning
 Continued Stay Policy
 Termination Criteria
 Discharge Criteria
Exclusionary Criteria
ACFS recognizes the limitation of its services and are
therefore unable to accommodate clients who require:
 Intensive Outpatient Therapy
 Residential Treatment (S/A)
 Psychiatric Hospitalization
 Judicial Court Detainment Facilities
(1 of 2)
Exclusionary Criteria
 Clients with IQ’s below 55
 History of suicidal/homicidal
 Violent/serious criminal behaviors (such as fire
setting/arson)
 Self-harming behaviors (such as self-mutilation)
(2 of 2)
Treatment Planning
 Initial Individualized Service Plan(s) (ISP) is
developed within 24 hours of intake.
 Comprehensive (ISP) is developed in the first 30
days of service.
 Goals are defined collaboratively with the family,
clients, LAR and the Qualified Mental Health
Professional.
(1 of 2)
Treatment Planning
 Treatment Plan(s) are modified during the course
of treatment with the client and family to document
and share the changing needs, behaviors, and
goals.
 Client’s status is reassessed at a minimum of 90
day intervals to determine if they continue to meet
admission standards for Community Mental Health
Support Services.
(2 of 2)
Continued Stay Policy
Clients are considered for “continued stay treatment” if
they demonstrate measurable benefits from the service
but continue to have significant deficits in their
functioning or progress that meet admission standards
and can be improved by an extension in services.
Termination Criteria
 Client is terminated from services if they fail to
benefit from the service evidenced by their inability
to demonstrate progress toward the objectives of
the treatment plan.
 Client or legal authorized representative refuses to
engage in treatment.
(1 of 2)
Termination Criteria
 Client or family poses a threat to the staff (i.e.
aggression, threatening, and behavior).
 Client has higher priority commitments that requires
their treatment to be terminated.
(2 of 2)
Discharge Criteria
 Client is discharged from services upon reaching
their maximum benefit in the program at which time
they will be transitioned to a lesser level of care.
 Client demonstrating increased capacity and
mastery of independent living skills, emotional
stability, and sustained sobriety (when applicable).
 Client functioning safely and positively in the home
and community.
 Client has made no visible or documented progress
for 180 days.

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All_Care's_PowerPoint_Presentation (1)

  • 2. CORE VALUES, BELIEFS AND PRINCIPLES  We are dedicated to providing the highest quality of culturally competent, accessible and cost effective services.  We treat all people with dignity and respect.  Recovery and Resiliency principles are practiced.  We are committed to conducting ourselves with the highest level of integrity. (1 of 2)
  • 3. CORE VALUES, BELIEFS AND PRINCIPLES  We strive to provide our employees with a nurturing and learning environment.  We are committed to achieving the highest quality of care and stakeholders satisfaction.  All persons served are viewed as equal partners in the planning and receiving of All Care Family Services. (2 of 2)
  • 4. MISSION The mission of All Care Family Services is to provide the highest quality service to children, adults and families that will have a positive impact upon their dignity, self-worth and quality of life in the community.
  • 5. VISION To be recognized as the behavioral health leader in the state of Virginia by providing the highest quality of care and community support services to youth, families and adults.
  • 6. Intensive In-Home Services  Individual Therapy  Family Therapy  Case Management  Crisis Intervention  Behavior Management (1 of 2)
  • 7. Intensive In-Home Services  Case Management  Community Integration  After Care  Appropriate Referrals (2 of 2)
  • 8. Client Served Youth ages 6 to 21 years of age that have:  Mental, behavioral, or emotional disturbances which have resulted in significant impairment.  At risk for out-of-home placement due to interpersonal conflicts with family or community.  A documented history of prior interventions that substantiates the need for intensive in-home services.
  • 9. Eligibility  Must have a documented history of prior interventions that substantiates the need for intensive in-home services.  Behavior problems must demonstrate an inability to function within the school, home or community.  Demonstrated difficulty in cognitive ability such that they are unable to recognize personal danger or inappropriate social behavior.
  • 10. Services Provided Services to children who are referred due to factors such as:  Neglect  Substance Abuse  Sexual Abuse  Physical Abuse  Involvement in juvenile justice systems (1 of 2)
  • 11. Services Provided  Families deemed chaotically disengaged  Conduct Disorder  Emotional and Behavioral Problems  ADHD  Explosive Disorders (2 of 2)
  • 12. Nature of Referrals  Children may have DSM IV Diagnosis or documented mental health needs  Department of Juvenile Justice  Mental Health  Department of Education  Department of Social Services  Self-Referral
  • 13. Structure Program of Care Includes:  Comprehensive bio/psycho/social assessment  Treatment Planning  Individual Family Counseling  Comprehensive Case Management  Crisis Intervention
  • 14. Goals of Service  Provide structured therapeutic treatment  Build trusting relationships with families  Develop and implement an individualized service plan (ISP) (1 of 2)
  • 15. Goals of Service  Identify, promote, build and strengthen family stability  Maintain professional ethics per DBHDS, state and federal guidelines.  Provide support through case management with doctors, schools, courts, hospitals, Family Assessment and Planning Teams (FAPT), and Social Services agencies. (2 of 2)
  • 16. Methodologies  Admissions Criteria  Exclusionary Criteria  Treatment Plan  Continued Stay Policy  Treatment Criteria  Discharge Criteria
  • 17. Admissions Criteria  Client has a documented history of prior treatment interventions.  Client demonstrates difficulty in cognitive ability to recognize personal danger or inappropriate social behavior.  Admission standards prohibit discrimination on the basis of race, color, religion, ethnicity, age, sex, disability or ability to pay. (1 of 2)
  • 18. Admissions Criteria  Eligible clients and families 26 weeks (unless further extended) treatment planning begins at the time of intake.  Non-eligible clients and family are referred to an appropriate level of care. (2 of 2)
  • 19. Exclusionary Criteria  Prospective clients are screened for behaviors and/or needs excluded for service coverage by the applicable governing authority.  No prospective clients are discriminated against in accordance with the Department of Behavioral Health and Development Services and Office of Human Rights.  Program and Clinical Program Director make all final decisions regarding the exclusion and inclusion of prospective clients. (1 of 2)
  • 20. Exclusionary Criteria  Youth who are married.  Youth who are on active duty of the Armed Forces of the United States.  Active psychotic behavior.  Active substance abuse that interferes with interaction. (2 of 2)
  • 21. Treatment Planning  Individualized Service Plan (ISP) are designed within 24 hours of intake.  Comprehensive ISP is developed in the first 30 days of service.  Goals are defined collaboratively with the family, youth, and qualified mental health professionals. (1 of 2)
  • 22. Treatment Planning  Treatment plan is modified with the changing needs, behaviors and goals of client and family.  Client’s are reassessed at a minimum of 90 day intervals to determine continued admission. (2 of 2)
  • 23. Continued Stay Policy Client is considered for “continued stay treatment” if they demonstrate measurable benefits from the service however have significant deficits in their functioning that meet admission standards and can be improved by an extension in services.
  • 24. Termination Criteria  Client is terminated from services if they fail to benefit from the service evidenced by their inability to demonstrate progress toward the objectives of the treatment plan.  Client or legal guardian refuses to engage in treatment.  Client or family poses a threat to the staff (i.e. aggression, threatening, and behavior).
  • 25. Discharge Criteria  Client is clinically discharged from services upon their stabilization and transitioned to a lower level of care.  Stabilization of Client is proven through interpersonal relationships and social behaviors.  Clients will function safely and positively in the home, school and community.
  • 26. Staffing  Clinical Director (LMHP)  Home-based counselors have a BS or MS degree in Human Services.  Licensed Medical Professionals  Licensed Mental Health Professionals  Masters of Social Work (1 of 2)
  • 27. Staffing  Masters of Education  Masters of Nursing  Masters of Rehabilitative Training  Program Managers have BS or MS degree in Human Services Field. (2 of 2)
  • 28. Mentoring  Individual Assessments  Vocational Assessments  Case Management  Transitional Living & Assistance (1 of 2)
  • 29. Mentoring  Coordination of Services  One to One  Community Activities  Behavior Modification  Crisis (2 of 2)
  • 30. Mental Health Skill Building Services Mental Health Skill Building Services is the new name for Mental Health Support Services (MHSS). The new name reflects that MHSS is a training service – not a mental health clinical service, a preventative service, social welfare, nor crisis service. MHSS is a training service for individuals with significant mental illness. (1 of 3)
  • 31. Mental Health Skill Building Services  Individual Therapy  Family Therapy  ADL Training  IADL Training  Health and Safety (2 of 3)
  • 32. Mental Health Skill Building Services  Medication Management  Community Integration  Case Management  Aftercare Services (3 of 3)
  • 33. Clients Served Young adults 21 yrs. old & up that have:  Mental, behavioral, or emotional disturbances which have resulted in significant impairment.  Inability to self-manage in the home or residential environment .  A documented history of prior interventions that substantiates the need for intensive in-home services.
  • 34. Nature of Referral  Young adults may have DSM IV diagnosis  Documented Mental Health needs  Made through the Department of Social Services  Adult Protective Services  Community Services Boards (1 of 2)
  • 35. Nature of Referral  Psychiatric Institution  Physicians  Court Order  Assisted-Living Facilities  Independent-Living Facilities  Self-Referral (2 of 2)
  • 36. Structured Program of Care  Comprehensive bio/psycho/social, assessment clinically analyzes the physical, emotional, and social needs of the client.  Written contract between client and case manager identifies measurable treatment objectives, interventions, and target dates.  Case management links the clients to other necessary supports. (1 of 2)
  • 37. Structured Program of Care  Client and family intervention support during significantly vulnerable situations giving protection, guidance, and supervision to resolve matters.  Intervention allows for the most immediate referral to more appropriate services i.e. in-patient psychiatric or intensive out-patient services (when necessary).  The therapeutic relationship is used to build cliental positive skills/behaviors and diffuse barriers to growth. (2 of 2)
  • 38. Mental Health Methodology  Exclusionary Criteria  Treatment Planning  Continued Stay Policy  Termination Criteria  Discharge Criteria
  • 39. Exclusionary Criteria ACFS recognizes the limitation of its services and are therefore unable to accommodate clients who require:  Intensive Outpatient Therapy  Residential Treatment (S/A)  Psychiatric Hospitalization  Judicial Court Detainment Facilities (1 of 2)
  • 40. Exclusionary Criteria  Clients with IQ’s below 55  History of suicidal/homicidal  Violent/serious criminal behaviors (such as fire setting/arson)  Self-harming behaviors (such as self-mutilation) (2 of 2)
  • 41. Treatment Planning  Initial Individualized Service Plan(s) (ISP) is developed within 24 hours of intake.  Comprehensive (ISP) is developed in the first 30 days of service.  Goals are defined collaboratively with the family, clients, LAR and the Qualified Mental Health Professional. (1 of 2)
  • 42. Treatment Planning  Treatment Plan(s) are modified during the course of treatment with the client and family to document and share the changing needs, behaviors, and goals.  Client’s status is reassessed at a minimum of 90 day intervals to determine if they continue to meet admission standards for Community Mental Health Support Services. (2 of 2)
  • 43. Continued Stay Policy Clients are considered for “continued stay treatment” if they demonstrate measurable benefits from the service but continue to have significant deficits in their functioning or progress that meet admission standards and can be improved by an extension in services.
  • 44. Termination Criteria  Client is terminated from services if they fail to benefit from the service evidenced by their inability to demonstrate progress toward the objectives of the treatment plan.  Client or legal authorized representative refuses to engage in treatment. (1 of 2)
  • 45. Termination Criteria  Client or family poses a threat to the staff (i.e. aggression, threatening, and behavior).  Client has higher priority commitments that requires their treatment to be terminated. (2 of 2)
  • 46. Discharge Criteria  Client is discharged from services upon reaching their maximum benefit in the program at which time they will be transitioned to a lesser level of care.  Client demonstrating increased capacity and mastery of independent living skills, emotional stability, and sustained sobriety (when applicable).  Client functioning safely and positively in the home and community.  Client has made no visible or documented progress for 180 days.