Home & Community Services. Provider Orientation. Wraparound Services. Also known as BHRS (Behavioral Health Rehabilitative Services). Current regulations regarding policy, role of staff, and supervision guidelines resulted from a lawsuit known as Kirk T, that was settled in 2001.
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-Any child or adolescent under the age of 21 with an Axis I diagnosis
-Any child or adolescent presenting with a social, emotional or behavioral issue that substantially interferes with his/her functioning in family, school, or community activities
-What are they?
-- Success is dependent upon building appropriate therapeutic relationships
- The location of services
The team consists of:
The TSS provides one-to-one behavioral health interventions to a child or adolescent with serious emotional/behavioral disturbance.
TSS services are intended to prevent more restrictive services or out of home placement and to promote age-appropriate psychosocial growth
The TSS should work collaboratively with the parents, caregivers, teachers and other school personnel to transfer the skills and techniques needed to fulfill the goals of the treatment plan.
Appropriate roles for TSS include:
Inappropriate roles for TSS include:
Inappropriate roles for TSS include:
Examples of BHPCA Responsibilities:
Autism Spectrum Disorders
Criteria for Autism Spectrum Disorders:
Severity is based on level of impairment:
Level 1: Requiring Support
Level 2: Requiring Substantial Support
Level 3: Requiring Very Substantial support
Home and Community Services adheres to the philosophy of Applied Behavioral Analysis:
“…the science in which procedures derived from the principles of behavior are systematically applied to improve socially significant behavior to a meaningful degree and to demonstrate experimentally that the procedures employed were responsible for the improvement in behavior. (Cooper, Heron, & Heward, 1987)
Principles of Challenging Behaviors
1.) Determine Function of Behavior
2.) Determine if Function is Acceptable
Guidelines for Interventions:
Guidelines for Interventions (con’t):
Some of examples of Programs/Techniques
Definition of a crisis:
Inappropriate interventions by TSS in the school include:
PA CASSP Training and Technical Assistance Institute
Information on Reporting Child Abuse is available on the Resources page of Moodle under Mandated Reporter.
Who to call:
1. Childline 1-800-932-0313
To answer questions you may have, the H&CS Procedures for Reporting Child abuse begin on the next slide….
S/he may suggest that you immediately report it yourself.
Under the Mental Health Procedures Act:
As professionals working in confidential situations, we must be extremely careful to maintain appropriate boundaries.
That being said, we offer the following suggestions:
If your "on-site supervision" hours do not take up your total TSS/PCA session that day:
(because your contract said you needed 3 hours of “on-site.” )That covers the first 3 hours of your session.
If you are working as a PCA for your first case, you are still required to complete 3 or 6 hours of “On-Site Supervision” as designated in your contract with CCRES, however….
On an upcoming slide about filling in TSS paperwork, you will see a space for entering Start and End times for your session. There are several things to keep in mind.
You would enter:
Personal Care Assistants (BHPCA)
Some PCA assignments will require online documentation
in lieu of the written PCA Daily Log that will be
described in the next slides.
If you are assigned to a case that requires
this process, you will be provided training upon
acceptance of the assignment
When applicable to your client, your BSC will provide you with a Schedule which will guide you in writing your Daily Log as described on the next slide.
The PCA Weekly Verification Form is completed by the PCA on a daily basis to verify the dates, location and times that the PCA works with a client. Additionally, the weekly reporting sheet includes the weekly authorized hours compared to hours provided and the reason for the under-delivery of services (if applicable). The teacher must sign this form every day after services have been provided.
The Weekly Verification Form is not a time sheet. PCAs are still required to use the McKesson Practice Choice System to enter their Encounter and Notes Information.
All information about the new "Electronic Medical Records System" (paperwork/timesheets), known as McKesson Practice Choice, is available on Moodle when you click on the picture icon or on the printed links under the appropriate icon(s) in the middle of the page. You must scroll down the page to view the icons. The McKesson icons (links to the videos and instructions) are in the bottom row of picture icons.
There are McKesson Instructional Videos to watch FIRST, and then McKesson printed instructions to guide you as you begin to familiarize yourself with the program.
The printed instructions also include the Weekly Verification Form (explained in the video) and information on how to convert hours into units (also explained in the video).
You can enlarge the screen during the video training by clicking on the "gear" symbol near the center of the page.
We have set up a website for providers to access as the first step to getting to McKesson. It has a link to the McKesson system, as well as a link to the setup guide and trouble-shooting. You may have to copy and paste this into your browser. http://mckesson.cciu.org
You will be provided with a log-in and password, and then be prompted to change your password to something you can remember.
Non-billable services such as meetings w/o client, shadowing current TSS, etc.
Non-billable services do not require a corresponding daily report, must be entered electronically, and must be pre-approved by Case Management Team.
Enter Non-Billable services as “non-billable” in McKesson. CCRES can provide information about that hourly rate.
Chester County BHPCAs ONLY
One hour each week
Supervision Schedules and Registration instructions are posted on http://hcsmoodle.cciu.org
Click on this icon on main page of Moodle:
Register for Supervision with the designated TSS Supervisor.
If you are doing Saturday Supervision, register via Google Docs each Friday prior to noon.
Do not enter supervision on your time sheet
Group Supervision is monthly, and is offered in each county. You may attend any supervision session, and you can switch between them.
Schedules are posted on Moodle
Use this website to access updated:
H&CS Procedures Manual
Paperwork and Forms for each county
H&CS Staff Directory
BHPCA policies and procedures
My Learning Plan website
Links and addresses to other resources
Billing, Payroll and Contact Information
If you have questions about issues with your paperwork content, your TSS/BHPCA schedule or absences, contact your Case Management Team.
If you have problems with your BSC, other members of the BHRS team or problems with the client’s family, contact your Case Management Team.
If you have problems with your case management team, contact your Coordinator
If you have problems with client behaviors, the Treatment Plan or interventions, contact your BSC
Frequently Asked Questions
New staff cannot access which you provide servicesMy Learning Plan to register for in-person trainings until after the following:
Be sure that when you register for a training on My Learning Plan, that you click on DISTRICT CATALOG on the left side of the main page under “Activity Catalogs”.