This service is provided by a team of 3 people. It consists of mental health and substance abuse services and supports necessary to assist adults (18 and older) in achieving rehabilitation and recovery goals. It helps individuals gaining access to necessary services: reduce psychiatric and addiction symptoms; and develop optimal community living skills. The services include assistance and support to individuals in crisis situation; service coordination; psycho education and support for individuals and their families; independent living skills; development of symptom monitoring and management skills, monitoring medications and self-medication. Primary Care Solutions assumes the role of advocate, broker, coordinator and monitor of the service delivery system on behalf of the recipient. A service order for Community Support Team (CST) must be completed by a physician, licensed psychologist, physician’s assistant, or nurse practitioner.
Licensed Clinicians provide face-to-face evaluation of a recipient’s mental health, developmental disability, or substance abuse condition that result in the issuance of a Diagnostic Assessment report with a recommendation regarding whether the recipient meets target population criteria, and includes an order for Enhanced Benefit services. This evaluation provides the basis for the development of an initial Person Centered Plan.
Foster Care is a temporary living arrangement for abused, neglected and dependent children who need a safe place to live when their parents or another relative cannot care for them. Thousands of children in North Carolina enter the foster care system each year. They range from infant to 18 years old. All foster children have unique backgrounds, experiences, personalities, strengths and needs. All children who are in foster care require special care, support and nurturing.
Foster Parent Licensing Requirement:
•Must Have HS Diploma or GED.
•Be at least 21 years old
•Be willing to be fingerprinted and have a criminal records check Criminal background check for everyone in the home over age 18.
•Maintain a drug free environment
•Completion of 40 hours of Model Approach to Partnership in Parenting (MAPP) Training.
•Completion of required documentation and homework during MAPP Training.
This Service is a time-limited intensive family preservation intervention intended to stabilize the living arrangement, promote reunification or prevent the utilization of out-of-home therapeutic resources (i.e., psychiatric hospital, therapeutic foster care, residential treatment facility) for the identified youth through the age of 20. These services are delivered primarily to children in their family’s home with a family focus to:
- *Defuse the current crises, evaluate its nature, and intervene to reduce the likelihood of a recurrence;
- *Ensure linkage to needed community services and resources;
- *Provide self-help and living skills training for youth;
- *Provide parenting skills training to help the family build skills for coping with the youth’s disorder;
- *Monitor and manage the presenting psychiatric and/or addiction symptoms; and
- *Work with caregivers in the implementation of home-based behavioral supports.
This intervention uses a team approach designed to address the identified needs of children and adolescents who are transitioning from out of home placements or are at risk for out-of-home placement and need intensive interventions to remain stable in the community. This population has access to a variety of interventions 24 hours a day, 7 days a week, by staff that will maintain contact and intervene as one organizational unit.
- Services may include crisis management, intensive case management, individual and/or family therapy, substance abuse intervention, skills training, and other rehabilitative supports to prevent the need for an out-of-home, more restrictive services.
Team services are individually designed for each family, in full partnership with the family, to minimize intrusion, and maximize independence. Services are generally more intensive at the beginning of treatment and decrease over time as the youth and family’s coping skills develop. The team services are structured and delivered face-to-face to provide support and guidance in all areas of functional domains: adaptive, communication, psychosocial, problem solving, behavior management, etc. This service is not delivered in a group setting.
A service order for Intensive In-Home services must be completed by a physician, licensed psychologist, physician’s assistant or nurse practitioner according to their scope of practice prior to or on the day that the services are to be provided.
Monitoring of medications that an individual takes to confirm that he or she is complying with a medication regimen, while also ensuring the individual is avoiding potentially dangerous drug interactions and other complications.
A interpersonal, relational intervention directed towards increasing an individual’s sense of well-being and reducing subjective discomforting experience. It is therapeutically supportive in nature.
The Seven Challenges has been proven successful in independent national research studies in reducing drug use, including a statistically significant reduction in aggressive behavior and improvements in mental health measures. This evidence-based program is compatible with Primary Care Solutions, Inc treatment program in that it begins the process with youth on their personal level, not where others wish they would be.
Working through The Seven Challenges helps adolescents understand what needs they are meeting by using drugs, what harm they are causing, what risk they are taking, and What it entails to give up a drug-using lifestyle.
This new program raises consciousness, inspires hope, and motivates informed, internally-driven, sincere decisions to change.
To succeed in working with youth, the Primary Care Solutions, Inc. staff places special emphasis on creating a climate of mutual respect within which individuals can talk openly and honestly about themselves.
Our Supported Employment Program has dedicated employees ready to assist and serve our consumers who have a strong desire to work. We support and encourage independence and responsibility so our consumers can truly benefit from our services. We serve both adult and adolescent clients from ages14 and up that fall under the developmental disabilities and mental health population.PCS utilizes person centered planning to focus on what job best fits our consumer’s interest and ability to complete all tasks that are required based on the consumer’s skills assessment. The skills addressed are as follows:
Interviewing Team work
Resume development Employee etiquette
Filling out applications Education of employer
Communication and Social Skills Professionalism
Good work habits
Work adjustment training is a vocational rehabilitation (VR) service that can be provided during an eligible individual’s rehabilitation program to assist the individual in developing work skills, work habits, and job retention skills required to obtain and maintain employment. Work adjustment training includes activities to improve and increase productivity, attendance, punctuality, ability to work with others, ability to work under supervision, and work tolerance.
This program is designed for eligible individuals who are ready to work (Status 20), but require intensive job placement services and initial on-the-job supports to be successful in employment. All services such as medical, adjustment to blindness, low vision and access technology, safe travel skills training (outside learning safe travel at the job site) and training services must be completed prior to referral for this service. This program does not provide on-going support services, such as those provided through a Supported Employment Services (SES) (SE). A referral cannot be made to the CRP for job placement services only. Community-based employment will be competitive integrated employment in a business in the community and is outside any type of community rehabilitation facility.
The purpose of a Community Based Assessment (CBA) is to “get to know the person” in order to assist them in obtaining a satisfying job in the community. A CBA is used to:
*Identify the appropriate support a person needs to maintain a job
- *Determine a person’s preferences, desires and needs
- *Eliminate fear, build self-confidence and motivation
- *Evaluate different work environments
- *Explore “real work” jobs away from a sheltered work setting.
Community Based Services
The purpose of this initial face-to-face meeting is to determine the need for services, to establish or confirm a diagnosis and to provide the basis for development of an effective treatment plan. This assessment includes a bio-psychosocial interview and review of relevant psychological, medical, and educational records.
To provide the client with redirection and modeling of appropriate behaviors in order to enhance his or her functioning within their home or community. The client’s plan of care should determine the focus of this service (0-21).
To enable the family or caregiver (parent, guardian, custodian or persons serving in a caregiver role) to serve as a knowledgeable member of the client’s treatment team and to develop and/or improve the ability of families or caregivers to appropriately care for the client.
A interpersonal, relational intervention directed towards increasing an individual’s sense of well-being and reducing subjective discomforting experience. IT may be psychotherapeutic and/or therapeutically supportive in nature. Psychosocial Rehabilitation Behavior Modification
COMMUNITY BASED SERVICES - Adult
Involves a small therapeutic group that is designed to produce behavior change. The group must be a part of an active treatment plan and the goals of group therapy must match the overall treatment plan for the individual beneficiary. Group therapy requires a relationship and interaction among group members and a stated common goal.