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Psychosocial Rehabilitation (PSR) Services

Ages 5 + Up

Psychosocial Rehabilitation (PSR) services are a vital component of Mental Health Rehabilitation (MHR) within the Medicaid system. These home and community-based services are designed to assist individuals in overcoming functional deficits, interpersonal challenges, and environmental barriers associated with their mental illness. Here's a closer look at PSR services:

 

Purpose and Objectives:

  • Functional Improvement: PSR aims to help individuals compensate for or eliminate the functional deficits caused by their mental illness.

  • Integration and Independence: The primary goal of PSR is to restore individuals to their fullest possible integration as active and productive members of their family, community, and culture with minimal ongoing professional intervention.

 

Delivery Methods:

  • Face-to-Face Interaction: PSR is a face-to-face intervention, where the individual is actively present during the service delivery.

  • Individual or Group Settings: Services can be provided individually or in group settings, depending on the individual's needs and preferences.

  • Community-Based: Most PSR contacts take place in community locations where the person lives, works, attends school, or socializes. This approach helps individuals connect with their natural environment.

 

Key Components of PSR:

  1. Skills Building: PSR includes the practice and reinforcement of independent living skills, the use of community resources, and daily self-care routines. The primary focus is on enhancing basic skills that promote independent functioning, allowing individuals to remain in their natural community settings.

  2. Social and Interpersonal Skills: PSR supports the restoration and rehabilitation of social and interpersonal skills. This includes improving personal relationships, establishing support networks, increasing community awareness, and developing coping strategies for effective functioning in various social environments such as home, work, and school.

  3. Daily Living Skills: PSR assists individuals in restoring and rehabilitating daily living skills. This involves enhancing self-management of the negative effects of psychiatric or emotional symptoms that may interfere with daily life. PSR helps individuals develop and implement daily living skills and routines to enable them to remain in their home, school, work, and community.

Community Psychiatric Support and Treatment (CPST) Components Performed by an LMHP

Ages 5 + Up

Community Psychiatric Support and Treatment (CPST) is a crucial component of mental health services provided by Licensed Mental Health Professionals (LMHPs). CPST focuses on assessing and addressing the unique needs of individuals with mental health challenges. Here are the key components performed by an LMHP in CPST:

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  1. Initial and Annual Assessment:

    • LMHPs conduct an initial assessment to evaluate the individual's mental health status, including the use of tools like the LOCUS/CALOCUS assessment.

    • Annual assessments are also conducted to track progress and reassess needs.

  2. Development of Treatment Plan:

    • Collaboratively developed with the individual, family (if applicable), or other collateral contacts.

    • Focuses on identifying the individual's strengths, needs, available resources, natural supports, and specific goals and objectives.

    • Includes the development of a crisis management plan to address potential crises.

  3. Ongoing Monitoring of Needs:

    • LMHPs continually monitor the individual's needs, triggering updates to the treatment plan if significant changes occur.

  4. Counseling:

    • LMHPs provide counseling services that address a wide range of mental health issues, including symptoms, behaviors, and thought processes.

    • The goal is to assist the individual in eliminating barriers to treatment and identifying triggers that could impact their ability to remain in their natural community setting.

    • The use of evidence-based practices and strategies is encouraged to provide effective support.

  5. Clinical Psycho-Education:

    • LMHPs offer clinical psycho-education to help individuals and their families better understand and cope with mental illness.

    • The primary focus is on the individual's illness as the object of treatment, with the goal of supporting recovery.

    • Therapists work collaboratively with individuals and families or collateral contacts to identify potential psychiatric or personal crises and develop strategies for managing them.

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