Community-Based Services

Tobinworld’s objectives for this program include:

  • achieving the youth’s and family’s goals/desired results
  • a significant reduction or elimination of symptoms
  • restoration or maintenance of functioning consistent with the requirement for learning, development, independent living, and enhanced self-sufficiency
  • improvement in the emotional, social, and/or the academic functioning of their clients;
  • improvement in their family’s functioning
  • improvement in parenting skills, household management, accessibility to community resources, and family unity
  • assisting each youth to be served in the least restrictive environment as is possible
  • assisting the youth and family in assessing their needs for and acquiring access to medical, educational, recreational, social, prevocational, rehabilitative, and other community services necessary for the youth and family to meet their needs and enable the youth to function at his/her residence, school, and community
Assessment
Evaluation
Therapy
Evidence-Based Practices
Rehabilitation
Plan Development
Targeted Case Management
Medication Management
Crisis Intervention Services
Therapeutic Behavioral Services
Assessment

Initial DMH Child/Adolescent assessment, annual assessments, DSM IV diagnosis, GAF, clinical interview, and other standardized testing instruments including psychological testing.

Evaluation

A thorough appraisal of the youth’s functioning in their residence, school and community settings; includes health status, social support systems and daily activities.

Therapy

Individual, group and family therapy, which focus on symptom reduction and behavioral  changes as a means to improve functional impairments.  When substance abuse is an issue, substance abuse education and counseling might be offered, and when appropriate linkage to a substance abuse program.  Collateral contacts will be an important element of this service.

Evidence-Based Practices

Seeking Safety, MAP (Managing and Adapting Practice), TFCBT (Trauma Focused Cognitive Behavioral Therapy) and PPP (Positive Parenting Program).

Rehabilitation

These services include assistance in restoring or maintaining functional daily living skills, social skills, grooming and personal hygiene, medication compliance and education, and support services; counseling for the youth and family members; training in leisure time activities; and substance abuse counseling/education for the youth and/or family members.

Plan Development

The development of coordination plans and service plans; approval of coordination and service plans; utilization review/verification of medical necessity; and monitoring of progress.

Targeted Case Management

Communication, coordination and referral between the program and other service agencies; monitoring service delivery to ensure the client’s access to service and the service delivery system; monitoring of the client’s progress and plan development.

Medication Management

Evaluation for the need for medication; evaluation of the clinical effectiveness and possible side effects of medication; obtaining informed consent; medication education; dispensing and administering of psychiatric medication (this may be done by the psychiatrist or a nurse); at least monthly follow-up for patients prescribed medication.  Each psychiatrist will participate in clinical reviews and consultations with staff.

Crisis Intervention Services

A service lasting less than 24 hours to or on behalf of a client for a condition that requires a more timely response than a regularly scheduled visit, with the focus on preventing loss of placement, school suspension or expulsion, hospitalization, and/or incarceration

Therapeutic Behavioral Services

An intensive one-to-one, short-term outpatient treatment intervention for children and youth with serious emotional disturbance, who are experiencing a stressful transition or life crisis and need additional short-term support to prevent placement in a group home of Rate Classification Level (RCL) - 12 through 14 or a locked facility for the treatment of mental health needs, including acute care; or to enable a transition from any of those levels to a lower level of residential care.