Behavioral Health Rehabilitation. Access to Counseling Services. 1.
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The following information is not sanctioned by any state or federal agency, you as a licensed or certified and credentialed clinician are ethically and legally responsible for following state/federal regulations in the services you provide.
"BH" means behavioral health, which relates to mental, substance abuse, addictions, gambling, and other diagnosis and treatment."BHRS" means Behavioral Health Rehabilitation Specialist."CM" means case management."LBHP" means a Licensed Behavioral Health Professional."Objectives" means a specific statement of planned accomplishments or results that are specific, measurable, attainable, realistic, and time-limited."Trauma informed" means the recognition and responsiveness to the presence of the effects of past and current traumatic experiences in the lives of members.
Outpatient BH Services: are covered when provided under a full BioPsychoSocial Assessment and Individualized Treatment Plan conducted by a LBHP. TheTreatment Plan is developed to treat the identified mental health and/or substance abuse disorder(s), with the goal of improvement of functioning, independence, and well-being of the member. The member must be able to actively participate, have sufficient cognitive abilities, communication skills, and short term memory to benefit from treatment.
If a person uses SoonerRide(SR):
$11.79 per 15 min
Adult (18 and over)—$2.72 per 15 min
Children (0-17))—$3.89 per 15 min
Trauma-informed care is both a philosophy and a way of providing services based on compelling research over the past 20 years. The research indicates the exposure to trauma is not only dramatically more prevalent than previously known, but also closely linked to many detrimental medical, psychological and social outcomes throughout an individual's lifespan.Exposure to adverse experiences is especially harmful during childhood when the brain is in a rapid stage of development. Immediate behavioral health interventions offer real hope for minimizing negative consequences, but even in situations where the traumatic experiences occurred long ago, new and evidence-based practices can be helpful.
In addition to evidence-based practices, a trauma-informed agency examines every aspect of their management and service delivery systems to ensure they support healing. This includes having an appreciation for the high prevalence of traumatic experiences for all people in our society and particularly in persons who seek and/or receive behavioral health treatment.
Client-centered care is an innovative approach to the planning, delivery, and evaluation of care that is grounded in mutually beneficial partnerships among clients, families, and providers. Client-centered care applies to people of all ages, and it may be practiced in any setting.
–Adapted from Activities That Teach by Tom Jackson
-Adapted from Activities That Teach by Tom Jackson
Create a physically and emotionally safe environment. Confidentiality should be of utmost importance in community settings. Group sessions should be governed by rules that they group creates.
Passion to Teach
You need passion to teach others in order to be a good BHRS. Know your subject and show the clients that you are passionate about that subject and they will be willing to learn even more.
Patience is necessary for a BHRS. You are dealing with people for extended periods of time, so you will have to be quiet and calm with the clients.
You want to be both a good listener and speaker. Getting people to answer questions will involve getting their attention and making them comfortable enough to speak up. You will lose their attention by being dull and speaking in a monotone voice.
Unique problems arise in the field. You will need to be a problem solver and able to think on your feet when surprises occur in your sessions. You need to know when to step back and staff a situation.
Your clients need to know that you are there for them if they need help. Let them know they can come to you for help while, at the same time, practice healthy boundaries.
Able to Interact With all Ages
If you are assigned to work with families, you need to interact with not only the children, but their parents and other clinicians. Make sure you are comfortable with all age groups.
You are in a leadership role, and your clients see how you behave. Always be aware of what you say or do (model desired behaviors) because clients are watching and learning from you.
Teaching Symptom Management
317:30-5-248 Documentation of records [Revised 07-01-10]
Date; Person(s) to whom services were rendered; Start and stop time for each timed treatment session or service;
Original signature of the service provider; Credentials of therapist/service provider;
Specific service plan need(s), goals and/or objectives addressed; Services provided to address need(s), goals and/or objectives;
Progress or barriers to progress made in treatment as it relates to the goals and/or objectives;
Member (and family, when applicable) response to the session or intervention; Any new need(s), goals and/or objectives identified during the session or service.
In addition to the items listed above : (B) a list/log/sign in sheet of participants for each Group rehabilitative or psychotherapy session and facilitating BHRS, LBHP, or CADC must be maintained; and(6) Concurrent documentation between the clinician and member can be billed as part of the treatment session time, but must be documented clearly in the progress notes and signed by the member (or note if the member is unable/refuses to sign).
Progress notes for intensive outpatient mental health, substance abuse or integrated programs may be in the form of daily summary or weekly summary notes and must include the following:
State & Federal Authorities - www.okhca.org
Policies, Payment Rates, and Medicaid Fraud Reporting
Center for Psychosocial Rehab - www.cpr.org
Liability Insurance - www.hpso.com, www.cphins.com, etc.