Download CPST Group Work-Interpretive Guidelines

Community Psychiatric Support and Treatment:
Definition: Goal directed supports and solution-focused interventions intended to achieve identified
goals or objectives as set forth in the Member’s individualized treatment plan. CPST is a face to face
intervention with the Member present; however, family or other collaterals may also be involved. The
majority of CPST contacts must occur in community locations where the person lives, work, attends
school, and/or socializes.
ADDITIONAL ELEMENTS FOR CPST SERVICE DELIVERY:
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Family and/or other collaterals may be present and participating in the session with the
Member.
CPST is a rehabilitative service intended to improve functioning in any of the identified life
domains.
Functional impairments are directly related to a Member’s identified mental health condition
which is a focus of treatment.
Life domains for CSS Members include:
daily living,
financial/economic/Insurance,
home/housing,
community/community integration
health,
legal,
leisure/recreational,
vocational/educational,
social supports
personal recovery or resilience,
spirituality
family and/or interpersonal relationships; and
other
Life domains for CBS Members include:
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home,
community,
financial/economic,
health,
legal,
leisure/recreation,
vocational/educational,
socialization
Component A:
“Assist the Member and family members or other collaterals to identify strategies or treatment options
associated with the consumer’s mental illness, with the goal of minimizing the negative effects of
mental illness symptoms or emotional disturbances or associated environmental stressors which
interfere with the Member’s daily living, financial management, housing, academic, and/or employment
progress, personal recovery or resilience, family and/or interpersonal relationships, and community
integration.”
Interpretation of Component A: Assisting the Member to identify strategies (e.g., problem solve) to
decrease the negative effects of mental health symptoms, emotional disturbances, and/or
environmental stressors that are negatively impacting one or more life domains. This might include but
is not limited to discussing the negative effects, discussing strategies and discussing how/if strategies are
working and/or discussing functioning in life domains; AND/OR,
Assisting the Member to identify treatment options (e.g., explore services and natural supports) to
decrease the negative effects of mental health symptoms, emotional disturbances, and/or
environmental stressors that are negatively impacting one or more life domains. This may include but is
not limited to discussing how an appointment or service helped the Member, discussing how to make
the most of treatment or services appointments, discussing treatment and service options, supporting
Member during beginning of using a treatment option or support.
CPST Component B:
Individual supportive counseling, solution focused interventions, emotional and behavioral
management, and problem behavior analysis with the Member, with the goal of assisting the Member
with developing and implementing social, interpersonal, self care, daily living, and independent living
skills to restore stability, to support functional gains, and to adapt to community living.”
Interpretation of Component B: Utilizing individual supportive counseling that might include but is not
limited to providing reassurance, suggestions, active listening, empathy, advice, expanded perspectivetaking, or affirmation of concerns; AND/OR,
Utilizing solution focused interventions that might include but is not limited to solution-oriented
conversations, goal development, identifying exceptions to problems, expanding strengths, problem
solving, focusing on the present, acknowledging difficulties, or affirming strengths; AND/OR ,
Utilizing emotional and behavioral management techniques that might include but is not limited to
obtaining information regarding the emotion and/or behavior that needs management, teaching coping
skills, practicing coping skills, discussing how the skills are working, developing contingency
management systems, or teaching skills for emotional self-control; AND/OR,
Utilizing problem behavior analysis to identify specific components of problem behavior that might
include but is not limited to observing patterns of behavior, describing target behaviors, identifying
triggers to problem behavior, identifying factors that continue a problem behavior, or identifying a point
for intervening in the problem behavior.
Component C:
“Participation in and utilization of strengths based planning and treatments which include assisting the
Member and family members, or other collaterals with identifying strengths and needs, resources,
natural supports and developing goals and objectives to utilize personal strengths, resources and natural
supports to address functional deficits associated with their mental illness.”
Interpretation of Component C: This Component may include a formal strengths and needs assessment
which may take more than one session and/or may include ongoing monitoring and identification of
strengths, needs, resources and natural supports; And/Or,
Meet with Member to identify strengths and needs in their life domains; And/Or,
Meet with the Member to assist them in identifying their natural resources and supports that can be
utilized as part of their recovery process; And/Or,
Meet with the Member to develop treatment goals and/or objectives utilizing the Member’s strengths,
needs, natural supports or resources.
These meetings must include the Member but collateral contacts may also be present.
Component D:
“Assist the Member with effectively responding to or avoiding indentified precursors or triggers that
would risk their remaining in a natural community location, including assisting the Member and family
members or other collaterals with identifying a potential psychiatric or personal crisis, developing a
crisis management plan and/or as appropriate, seeking other supports to restore stability and
functioning.”
Interpretation of Component D: This component is intended to include face-to-face interventions with
the Member which may include family and/or collaterals for the purpose of addressing crisis needs
related to the Member’s mental health condition. This intervention may include:
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Assisting the Member to identify what constitutes a crisis, including those situations or
behaviors that might risk the Member’s ability to remain in a natural community location;
And/Or,
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Identifying the causes of a crisis for the Member; And/Or,
Developing an individualized plan to prevent a crisis; And/Or,
Responding to a crisis situation to prevent further deterioration in functioning; And/Or,
Assisting the Member to obtain other needed services or supports necessary to resolve a
crisis.
Component E:
“Evidenced Based Practices which include integrated dual diagnosis treatment, strength based service
delivery, and employment supports are included.”
Interpretation of Component E:
At this time, it only applies to adult EBP’s approved by SRS and delivered by staff certified in one of the
three models: IDDT, Strengths-Based, and Supported Employment.
However, these tasks can also be accomplished through other CPST Components.
Documentation must include elements of any of the other components, in addition to those specific to
fidelity for the specific EBP.
This means that a CPST provider may use techniques from one of the three (3) identified EBP’s and
document that in the service intervention section of the progress note. Problems, triggers and solutions
could be identified. Goals would be developed with the Member that fit within one of these EBP’s.
Some of the requirements of the EBPs are not part of CPST requirements.