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TIME ORGANIZATION, INC Policies and Procedures 2.A.1.a SCOPE OF SERVICES: OUPATIENT MENTAL HEALTH CLINIC (OMHC) 1. PURPOSE TIME Organization Outpatient Mental Health Clinic (OMHC) offers outpatient services for adults, children, and adolescents. The clinic provides psychiatric evaluation and diagnosis, consultation, and medication management as well as therapy services including individual, family, couples and group therapy. The focus of the program is to assist the client in identifying and accepting mental health barriers, to help in the establishment of new goals, to improve the understanding of feelings and attitudes, and to support independence and healthy living through the learning of new ways of dealing with problems with the use of psychotherapy and medication management. 2. PROGRAM PHILOSOPHY: We at TIME Organization believe in a strength based holistic process of healing and recovery for all persons, family systems, and organizations. The fundamental characteristics for TIME Organization serve as our guiding principles which are leadership, integrity, accountability, protection, and trust. It is in this vain that we move forward serving those in need of help, empowerment, and a desire for change.” Referrals to other appropriate community resources are provided as needed. 3. PROGRAM GOALS: The goal of treatment is to assist an individual with his or her personal journey of recovery. This is achieved by developing an individualized treatment approach that empowers consumers to recognize their potential, set goals for themselves, and make choices about their life. 4. CLASSIFICATION OF MENTAL HEALTH DISORDERS All categories of mental health are treated which meet DSM V criteria. 5. INSURANCE ACCEPTED: TIME Organization accepts: Maryland Medicaid Medical Assistance Fee for service/Sliding Fee Scale 6. REFERRAL SOURCES TIME Organization accepts referrals from many sources: Self referrals; walk-ins; schools; courts; counselors; mentors; Department of Social Services (DSS); Department of Juvenile Services (DJS); assisted living facilities; and primary care physicians. Page 1 of 4 7. SCOPE OF CARE: Outpatient Mental Health Clinic provides brief or long term, multidisciplinary treatment in an outpatient setting. Clients treated at this level of care are receiving mental health services at the lowest level of care with the goal of reducing the likelihood of inpatient stays and hospitalizations. Clinical interventions available include modalities typically delivered in office-based settings such as individual, couple and family psychotherapy, group therapies, medication management, and psycho-educational services. While services are predominately provided in an office setting, services may be provided in the clients’ home or school if there are barriers to receiving on site services. Active family/significant other involvement is important, unless contraindicated. Frequency should occur based on individual needs. A. Outpatient Services includes: 1) Prescreening and intake services 2) Individual, Group and Family counseling by licensed counselors and social Workers. 3) by Psychiatric evaluations, follow up care and medication management provided Board approved and credentialed Psychiatrist B. 4) Referrals and linkages to alternative levels of treatment and resources 5) Treatment oversight by Board approved Clinical Supervisors TIME Organization outpatient mental health services are designed for: 1) Individuals and families who have identified a behavioral health barrier that interferes with daily functioning, or social and emotional well-being. 2) Individuals who are seeking support to maintain community stability and social and emotional functioning after being diagnosed from a previous provider 3) Individuals being discharged from an inpatient setting 8. OPERATING HOURS AND SETTINGS TIME Organization OMHC operates five days a week beginning at 9:00 a.m. and closing at 7pm, Monday through Thursday and at 5pm on Fridays. Services are provided to both men and women who are in need of mental health therapy, 5 to 75 years old. Services are provided on site in the office, in home, in school or in a confidential area in the community. . 9. PROGRAM OUTLINE: At the referral stage a client is screened for eligibility of services. An Intake Specialists reviews the referral to ensure that all items indicated on the referral are completed, then processes the referral through Beacon Health Systems for verification of eligibility of services. The Intake Specialist then contacts the referral source and client to inform them of receipt of referral and that a Rehabilitation Specialist will be in contact to schedule and assessment. After admission to the program, the client participates in an intake which allows for the clients to receive knowledge about their rights as a participant and the client signs all Page 2 of 4 intake paperwork. At this stage, the intake worker, completes a needs assessment to identify therapeutic needs and the client is then assigned to an appropriate therapist. Once assigned, the client undergoes extensive assessments from which an individual treatment plan is formulated that will meet the clinical needs of the client. The assessments includes a full bio-psychosocial. Based on the results of the psychosocial assessment and based on what wellness and recovery goals the client’s parent and /or client wants to accomplish while receiving therapeutic services, an Individualized Treatment Plan (ITP) is created in collaboration with the client. Although the goals and objectives created will be measurable and time-specific, there is no set time for the course of treatment as the client’s needs may change as time goes on and treatment goals & objectives may be modified according to the client’s needs and desires. As soon as possible after the start of treatment, we will begin to talk with the parent and/or client about various needs after discharge from our services. We want to make sure we do everything we possibly can to ensure that your recovery continues after you leave us. 10. FREQUENCY OF SERVICES: Services are provided weekly, bi weekly or monthly depending on the phase of treatment that the client is in. Frequency is recommended by the treating therapist or Psychiatrist. Therapy services can be either brief or long term. Group therapy: clients are referred to groups based on their needs assessed by their individual therapist. Groups are held on days and times that are most convenient for the participants. Initial Psychiatry Services are provided within 30 days of referral or if being discharged from inpatient setting, within 5 days. Medication management follow up appointments occur every 3 to 4 weeks. 11. DESCRIPTION OF SERVICES PROVIDED: TIME Organization OMHC provides outpatient treatment with individuals, groups and families in the setting that is most conducive setting to the client and the therapeutic process. Emphasis is placed on mental health education and identification of symptoms, triggers. Individual counseling is provided at the frequency recommended by treatment team. Cognitive/behavioral, systems theory, and reality therapy techniques are predominately utilized. The therapist directs the counseling to focus on issues relevant to the client. All clients input is necessary and strongly enforced when treatment planning and discharge planning. In therapy the goals are for the client to become more aware of self, reduce symptoms by utilizing skills learned, reduce stigmas and strengthen interpersonal relationships. For children receiving services, monthly family therapy is enforced to ensure that treatment goals and interventions are transferrable across all environments that the child frequents. Group Therapy is provided for both adults and children. Group Therapy sessions focus on topics such as self-awareness, improving interpersonal relationships, utilizing techniques outside of therapy, anger Page 3 of 4 management, healthy relationship, conflict resolution and many other topics that are derived from needs assessment surveys distributed to clients. 12. SPECIAL POPULATIONS SERVED TIME Organization OMHC services special populations to include individuals with co-occurring disorders. Screening for substance abuse or use occurs at intake at which time the intake worker makes a referral to the appropriate level of service. If client requires inpatient substance abuse treatment this is coordinated with community partners. Level 1 outpatient substance abuse counseling is provided by credentialed TIME counselors on site and as recommended by the treating therapist or at the client’s request. 13. INELIGIBILITY The following will make a client ineligible for services: Clients who are incarcerated; institutionalized; hospitalized for over 30 days; clients who Beacon Health Systems deem services not medically necessary; or clients who have private insurance and are not capable of paying the fee for services/sliding scale rate. Page 4 of 4