Common use of Mental Health/Rehabilitative Services Clause in Contracts

Mental Health/Rehabilitative Services. In addition to Evaluation and Assessment, Mental Health and Rehabilitative services may include: Plan Development: CONTRACTOR shall deliver care and services in a coordinated and seamless manner. Throughout the course of treatment, CONTRACTOR shall ensure the Client Service Plan is coordinated appropriately, the appropriate adjunctive services are provided, the client plan is reviewed and modified as needed on a regular basis, and ancillary providers are fully aware of and informed about the clinical status of care. CONTRACTOR shall administer individual and group client-centered therapy and rehabilitation services to provide symptom resolution and adaptive skills development to address issues of loss and grief, trauma (including prior abuse), identity formation, mastery of behavioral and emotional control, using a variety of modalities. CONTRACTOR’S treatment modalities may include evidence-based models such as Trauma Focused Cognitive Behavioral Therapy, Didactic Developmental Attachment Psychotherapy, and Narrative Therapy, or other best practices/promising practices. All staff providing therapy shall be licensed or license-eligible. Rehabilitation: CONTRACTOR shall provide rehabilitation services for children and youth who have been exposed to severe neglect or trauma or are exhibiting mild developmental delays but are higher functioning than would allow regional center services, or with delays indicating intrauterine substance or alcohol exposure. These services may include any or all of the following: assistance in restoring or maintaining a child or youth’s functional skills, daily living skills, social skills, grooming and personal hygiene skills, and support resources; counseling of the child or youth and/or family; training in leisure activities needed to achieve the child or youth’s goals/desired results/personal milestones. Intensive Home-Based Services (IHBS): CONTRACTOR shall provide IHBS when medically necessary. IHBS are individualized, strength-based interventions designed to ameliorate mental health conditions that interfere with a child’s or youth’s functioning. These interventions are aimed at: helping the child/youth build skills for successful functioning in the home and community, as well as improving the family’s ability to help the child/youth successfully function in the home and in the community. The difference between IHBS and more traditional outpatient Specialty Mental Health Services (SMHS) is that IHBS is expected to be of significant intensity to address the mental health needs of the child or youth, consistent with the child’s or youth’s client plan, and will be predominantly delivered outside an office setting, and in the home, school, or community. Case Management/Brokerage: CONTRACTOR and CONTRACTOR’S staff shall be given access to medical, educational, social, and needed community services for eligible individuals. The identification and pursuit of resources necessary for the client to access service and treatment, including but not limited to: Interagency and intra-agency consultation, communication, coordination, and referral to said necessary services or community resources, including discharge planning and placement services This also includes monitoring service delivery to ensure the child or youth access to community resources or other formal ancillary services, such as psychiatric appointments, mentoring services, Court-Appointed Special Advocate services, etc. Intensive Care Coordination (ICC): CONTRACTOR shall provide ICC when medically necessary. ICC is an intensive form of Targeted Case Management (TCM) that facilitates assessment of, care planning for, and coordination of services for children and youth. ICC includes urgent services for beneficiaries with intensive needs. While the key service components of ICC are similar to TCM, a difference between ICC and the more traditional TCM is that ICC is intended for children and youth who: are involved in multiple child-serving systems; have more intensive needs; and/or whose treatment requires cross-agency collaboration. ICC also differs from TCM in that there needs to be a CFT in place, to provide feedback and recommendations to guide the provision of ICC services. A key element of ICC is the establishment of an ICC coordinator, who often is an MHP employee or contractor. Discharge Planning: CONTRACTOR shall begin discharge planning at the time of initial assessment and specify in the treatment goals and plan. CONTRACTOR shall collaborate with the placing social worker, and other community-based organizations and natural resources to maximize discharge planning using the continuum of care model in order to return the child or youth to the least restrictive environment for continued care. CONTRACTOR shall conduct a final exit conference with the child or youth, and complete a discharge summary to be reviewed with the child or youth. Psychiatric Services: CONTRACTOR is required to provide access to 24/7 psychiatric service as well as crisis and after-hours coverage.

Mental Health/Rehabilitative Services. In addition to Evaluation and Assessment, the array of Mental Health and Rehabilitative services may must be available by CONTRACTOR and include: • Plan Development: CONTRACTOR shall deliver care and services in a coordinated and seamless manner. Throughout the course of treatment, CONTRACTOR shall ensure that the Client Service Plan client plan is coordinated appropriately, that the appropriate adjunctive services are provided, ; that the client plan is reviewed and modified as needed on a regular basis, and that ancillary providers are fully aware of and informed about the clinical status of care. CONTRACTOR shall administer • Office-based and in-home individual and group client-centered therapy and rehabilitation services to provide symptom resolution and adaptive skills development to address issues of loss and grief, trauma (including prior abuse), identity formation, mastery of behavioral and emotional control, using a variety of modalities. CONTRACTOR’S treatment Treatment modalities may employed by CONTRACTOR shall include evidence-based models such as Trauma Focused Cognitive Behavioral Therapy, Didactic Developmental Attachment Psychotherapy, and Narrative Therapy, or other best practices/promising practices. All staff providing therapy treatment providers shall be licensed or licenselicensed-eligibleeligible registered with their respective licensing oversight board. • Rehabilitation: CONTRACTOR shall provide Provide rehabilitation services for children and youth who have been exposed to severe neglect or trauma or are exhibiting mild developmental delays but are higher functioning than would allow regional center services, or with delays indicating intrauterine substance or alcohol exposureadults. These services may include any or all of the following: assistance in restoring or maintaining a child or youthan individual’s functional skills, daily living skills, social skills, grooming and personal hygiene skills, and support resources; counseling of the child or youth individual and/or family; training in leisure activities needed to achieve the child or youthindividual’s goals/desired results/personal milestones. Intensive Home-Based Services (IHBS): CONTRACTOR shall provide IHBS when medically necessary. IHBS are individualized, strength-based interventions designed to ameliorate mental health conditions that interfere with a child’s or youth’s functioning. These interventions are aimed at: helping the child/youth build skills for successful functioning in the home and community, as well as improving the family’s ability to help the child/youth successfully function in the home and in the community. The difference between IHBS and more traditional outpatient Specialty Mental Health Services (SMHS) is that IHBS is expected to be of significant intensity to address the mental health needs of the child or youth, consistent with the child’s or youth’s client plan, and will be predominantly delivered outside an office setting, and in the home, school, or community. • Case Management/Brokerage: CONTRACTOR and CONTRACTOR’S Activities provided by staff shall be given to access to medical, educational, social, and needed community services for eligible individuals. • Linkage and Consultation: The identification and pursuit of resources necessary for the client to access service and treatment, including but not limited to: Interagency and intra-intra- agency consultation, communication, coordination, and referral to said necessary services or community resources, including discharge planning and placement services services. This also includes monitoring service delivery to ensure the child or youth an individual’s access to community resources or other formal ancillary services, such as psychiatric appointments, mentoring services, Court-Appointed Special Advocate servicesAdvocate, etc. Intensive Care Coordination (ICC): CONTRACTOR shall provide ICC when medically necessary. ICC is an intensive form of Targeted Case Management (TCM) that facilitates assessment of, care planning for, and coordination of services for children and youth. ICC includes urgent services for beneficiaries with intensive needs. While the key service components of ICC are similar to TCM, a difference between ICC and the more traditional TCM is that ICC is intended for children and youth who: are involved in multiple child-serving systems; have more intensive needs; and/or whose treatment requires cross-agency collaboration. ICC also differs from TCM in that there needs to be a CFT in place, to provide feedback and recommendations to guide the provision of ICC services. A key element of ICC is the establishment of an ICC coordinator, who often is an MHP employee or contractor. • Discharge Planning: CONTRACTOR shall Shall begin discharge planning at the time of initial assessment and specify be specified in the treatment goals and plan. CONTRACTOR shall should collaborate with the placing social worker, and other community-community- based organizations and natural resources to maximize discharge planning using the continuum of care model in order to return the child or youth to the least restrictive environment for continued caremodel. CONTRACTOR shall conduct a final exit conference with the child or youthclient, and to complete a discharge summary to be reviewed with the child or youth. Psychiatric Services: CONTRACTOR is required to provide access to 24/7 psychiatric service as well as crisis and after-hours coverageclient.