Community Support services consist of rehabilitative, environmental support and resources coordination considered essential to assist clients/families in gaining access to necessary services and in creating environments that promote resiliency and support the emotional and functional growth and development of the client.

This service is provided to clientin order to promote stability and build towards age-appropriate functioning in their daily environment. Stability is measured by a decreased number of hospitalizations, by decreased frequency and duration of crisis episodes and by increased and/or stable participation in school and community activities. Supports based on the youth’s needs are used to promote resiliency while understanding the effects of the emotional disturbance and/or substance use disorder and to promote functioning at an age-appropriate level. The Community Support staff will serve as the primary coordinator of behavioral health services and will provide linkage to community; general entitlements; and psychiatric, substance use disorder, medical services, crisis prevention and intervention services.

Psychiatric diagnostic assessment includes a history; mental status exam; evaluation and assessment of physiological phenomena, psychiatric diagnostic evaluation, screening and/or assessment of any withdrawal symptoms for youth with substance related diagnoses; assessment of the appropriateness of initiating or continuing services; and a disposition. These are completed by face-to-face evaluation of the youth (which may include the use of telemedicine) and may include communication with family and other sources and the ordering and medical interpretation of laboratory or other medical diagnostic studies.

Family counseling provides systematic interactions between the identified individual, staff and the individual’s family members directed toward the restoration, development, enhancement, or maintenance of functioning of the identified individual/family unit.

Family Counseling is a therapeutic intervention or counseling service shown to be successful with identified family populations, diagnoses, and service needs. Services are directed toward achievement of specific goals defined by the individual youth and by the parent(s)/responsible caregiver(s) and specified in the Individualized Resiliency Plan.

Group Outpatient Services are directed toward achievement of specific goals defined by the youth and by the parent(s)/responsible caregiver(s) and specified in the Individualized Resiliency Plan. Services may address goals/issues such as promoting resiliency, and the restoration, development, enhancement or maintenance ofCognitive skills, Healthy coping mechanisms, Adaptive behaviors and skills, Interpersonal skills and identifying and resolving personal, social, intrapersonal and interpersonal concerns.

Medication administration includes the act of introducing a drug (any chemical substance that, when absorbed into the body of a living organism, alters normal bodily function) into the body of another person by any number of routes including, but not limited to the following: oral, nasal, inhalant, intramuscular injection, intravenous, topical, suppository or intraocular. Medication administration requires a written service order for Medication Administration and a written order for the medication and the administration of the medication that complies with guidelines in Part II, Section 1, Subsection 6 – Medication of the Provider Manual.

Medication Administration requires an assessment, by the licensed or credentialed medical personnel administering the medication, of the client’s physical, psychological and behavioral status in order to make a recommendation regarding whether to continue the medication and/or its means of administration, and whether to refer the client to the physician for a medication review. Education on the proper administration and monitoring of prescribed medication in accordance with the client’s resiliency plan is also administered by the medical personnel.

This service requires face-to-face contact with the client to monitor, evaluate, assess, and/or carry out orders of appropriate medical staff pursuant to the Medical Practice Act of 2009, Subsection 43-34-23 Delegation of Authority to Nurse and Physician Assistant regarding the psychological and/or physical problems and general wellness of the youth. It includes:

• Providing nursing assessments and interventions to observe, monitor and care for the physical, nutritional, behavioral health and related psychosocial issues, problems or crises manifested in the course of the youth’s treatment;
• Assessing and monitoring the client’s response to medication(s) to determine the need to continue medication and/or to determine the need to refer the youth for a medication review;
• Assessing and monitoring a youth’s medical and other health issues that are either directly related to the mental health or substance related disorder, or to the treatment of the condition (e.g. diabetes, cardiac and/or blood pressure issues, substance withdrawal symptoms, weight gain and fluid retention, seizures, etc.);
• Consulting with the youth’s family/caregiver about medical, nutritional and other health issues related to the individual’s mental health or substance related issues;
• Educating the youth and family/responsible caregiver(s) on medications and potential medication side effects (especially those which may adversely affect health such as weight gain or loss, blood pressure changes, cardiac abnormalities, development of diabetes or seizures, etc.);
• Consulting with the youth and family/caregiver (s) about the various aspects of informed consent (when prescribing occurs/APRN);
• Training for self-administration of medication;
• Venipuncture required to monitor and assess mental health, substance disorders or directly related conditions, and to monitor side effects of psychotropic medications, as ordered by appropriate members of the medical staff; and
• Providing assessment, testing, and referral for infectious diseases.

Service Plan is implemented when it has been determined through an initial screening that the client has mental health or substance use disorder concerns. The Individualized Recovery/Resiliency Plan (IRP) results from the Diagnostic and Behavioral Health Assessments and is required within the first 30 days of service, with ongoing plans completed as demanded by individual need and/or by service policy. Information from a comprehensive assessment should ultimately be used to develop, together with the youth and/or caretakers an IRP that supports resilience and that is based on goals identified by the individual with parent(s)/responsible caregiver(s) involvement.