Family Focused Solution Based - Community Care Behavioral Health

“letting go” process, recognizing that due to the fact that services are intense andare delivered in the families’ homes, the working relationships between families andthe FFSBS staff are often intense. FFSBS providers may also use “transitionsessions” of less frequency to help families prepare for discharge. FFSBS arerequired to maintain at least weekly contact with the families during this transitiontime. FFSBS will utilize titration of services prior to discharge as a means for testingtreatment gains and sustainability of gains once discharged from the program.“Graduation celebrations” or rituals are often useful to families and staff in preparingfor discharge.• There will be occasions when FFSBS are not meeting the needs of the family andservices will be terminated by the provider or by the family. In such situations, theFFSBS provider is expected to frame the decision positively for the family and assistthe family in exploring other service options.• An ISPT meeting must be held prior to discharge. The referral source and/or theappropriate administrative case management program are to be notified of theclosing of FFSBS.• Providers are expected to link families with aftercare providers and assist in thesuccessful transition to those services. Providers are expected to facilitate thetransition to other levels of care to ensure continuity of care and follow up.• Requests for extensions beyond six months must be based on clinical rationale aspresented by the team and the team’s psychologist/ psychiatrist. In addition,Community Care may review all requests for an extension internally with apsychologist or physician (referred to as professional advisors) before rendering aservice determination decision.• Community Care will consider requests for “booster shots” or the short-termresumption (generally up to two weeks) of services to a family discharged within thepast year from FFSBS. This approach is appropriate when attempting to prevent aninpatient episode of care. It can also be very helpful in strengthening theimplementation of the aftercare plan or modifying the aftercare plan to better meetthe needs of the family. Community Care is amenable to recommendations from theprovider as to the needed intensity of duration of “booster shots.” Providers mayalso include planned “booster shots” in the discharge planning process to assistfamilies during transition times (such as the anniversary of a loss). FFSBS providersshould always consult with the current lead treatment provider, before initiating a“booster shot.”Cultural Competency• FFSBS providers are expected to support the ongoing development of culturalcompetence within their programs. Supervisors should make cultural competence anon-going topic of discussion with their teams.• Cultural Competency will be addressed in the FFSBS training curriculum.• FFSBS programs take the philosophical approach of learning from the familiesserviced, identifying strengths and recognizing the uniqueness of each family.Providers should engage in open, respectful communication about culturally basedvalues and belief systems before intervening.© 2012 Community Care | 1-888-251-CCBH | Page 13