PART I - Department of Behavioral Health and Developmental ...

Psychosocial Rehabilitation5. Consumer/family need a different level of care; orServiceExclusionsClinicalExclusionsRequiredComponentsStaffingRequirements6. Consumer/family requests discharge.1. Cannot be offered in conjunction with SA Day Services.2. Service can be offered while enrolled in a Crisis Stabilization Unit in a limited manner when documentation supports this combination as a specific need of theindividual. Time and intensity of services in PSR must be at appropriate levels when PSR is provided in conjunction with other services. (This will trigger a review bythe External Review Organization). This service cannot be offered in conjunction with Medicaid MR Waiver services.1. Individuals who require one-to-one supervision for protection of self or others.2. Individual has primary diagnosis of substance abuse, developmental disability, autism, or organic mental disorder without a co-occurring DSM IV mental disorderdiagnosis.1. This service must operate at an established clinic site approved to bill Medicaid for services. However, individual or group activities should take place offsite in naturalcommunity settings as is appropriate to the participating consumer’s Individualized Recovery Plan.2. This service may operate in the same building as other day-model services; however, there must be a distinct separation between services in staffing, programdescription, and physical space during the hours the PSR program is in operation except as described above.3. Adequate space, equipment, furnishings, supplies and other resources must be provided in order to effectively provide services and so that the program environmentis clean and in good repair. Space, equipment, furnishings, supplies, transportation, and other resources for consumer use within the PSR program must not besubstantially different from that provided for other uses for similar numbers of individuals.4. A PSR program must be operated for no less than 25 hours a week, typically during day, evening and weekend hours. No more than 5 hours per day may be billedfor any one consumer.5. A PSR program must operate to assist individuals in attaining, maintaining, and utilizing the skills and resources needed to aid in their own rehabilitation and recovery.1. The program must be under the direct programmatic supervision of a Certified Psychiatric Rehabilitation Practitioner (CPRP), or staff who can demonstrate activitytoward attainment of certification (an individual can be working toward attainment of the certification for up to one year under a non-renewable waiver which will begranted by the DBHDD Regional Coordinator). For purposes of this service “programmatic supervision” consists of the day-to-day oversight of the program as itoperates (including elements such as maintaining the required staffing patterns, staff supervision, daily adherence to the program model, etc.)2. Additionally, the program must be under the clinical oversight of an independently licensed practitioner (this should include meeting with the programmatic leadershipon a regular basis to provide direction and support on whether the individuals in the program are clinically improving, whether the design of the program promotesrecovery outcomes, etc.).3. There must be a CPRP with a Bachelor’s Degree present at least 80% of all time the service is in operation regardless of the number of consumers participating.4. The maximum face-to-face ratio cannot be more than 12 consumers to 1 direct service/program staff (including CPRPS) based on average daily attendance ofconsumers in the program.5. At least one CPRP (or someone demonstrating activity toward attainment of certification) must be onsite face-to-face at all times (either the supervising CPRP or otherCPRP staff) while the program operates regardless of the number of consumers participating. All staff are encouraged to seek and obtain the CPRP credential. Allstaff must have an understanding of recovery and psychosocial rehabilitation principles as defined by USPRA and must possess the skills/ability to assist individualsin their own recovery processes.6. Basic knowledge for all staff serving individuals with mental illness or substance abuse in “co-occurring capable” day services must include the content areas inGeorgia DBHDD Suggested Best Practices: Principles and Staff Capabilities for Day Services Serving Adults with Co-Occurring Disorders of Substance Abuse andMental Illness.7. Programs must have documentation that there is one staff person that is “co-occurring capable.” This person’s knowledge must go beyond basic understanding andFY2013 Provider Manual for Community Behavioral Health Providers Page 118