Services

MENTAL HEALTH SKILLS BUILDING

From Start 2 Finish provides mental health skills building services to adolescents and/or adults 18 years of age or older who have been identified as at risk of hospitalization, homelessness, and/or isolation from social supports.

 

From Start 2 Finish has developed residential, work and job training programs that help individuals in their efforts to become self-sufficient.

INTENSIVE IN-HOME COUNSELING

From Start 2 Finish aims to preserve the family unit and prevent out of the home placement by collaborating with the identified client, family and community agencies to manage and stabilize behavioral and mental health challenges with in the home environment.

Must Meet All the Following:

 

  • The Individual has one of the following as a primary Axis I DSM diagnosis: Schizophrenia, Major Depressive Disorder-Recurrent, Bi-Polar I or Bi-Polar II, and/or any other chronic mental health disorder.

  • Requires assistance in basic living skills such as personal hygiene, managing finances, nutrition... (etc)

  • Prior history of the following: Individual must have hospitalization; residential crisis stabilization, Intensive Community Treatment (ICT), Program of Assertive Community Treatment (PACT) services, placement in psychiatric treatment facility or Temporary Detention Order (TDO) pursuant of evaluation as a result of decompensation related to a serious mental illness.

  • Has/had a prescription for anti-psychotic, mood stabilizing or  anti-depressant medications within the past 12  months.

Mental Health Skills Building Criteria

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*Individual must be ages 5-18 years of age.

*Is at risk of out of home placement or hospitalization due to conflict within the family or community.

*Unable to recognize personal danger or recognize inappropriate social behaviors.

*Uncontrollable behavior that involves repeated interventions by social services, judicial system... (etc.)

Intensive In-Home Enrollment Criteria

THERAPEUTIC DAY SERVICES

Covered services are a combination of therapeutic interventions combined with evaluation, medication education and management, opportunities to learn and use daily skills to enhance social and interpersonal skills (e.g. problem solving, anger management, community responsibility, increased impulse control, and appropriate peer relations) and individual, group, and family psychotherapy offered in programs of two or more hours per day with children and adolescents.

Individuals qualifying for this service must demonstrate a clinical necessity for the service arising from a condition due to mental, behavioral, or emotional illness which results in significant functional impairments in major life activities. Individuals must meet at least two of the following criteria on a continuing or intermittent basis:

1. Have difficulty in establishing or maintaining normal interpersonal relationships to such a degree that they are at risk of hospitalization or out-of-home placement because of conflicts with family or community.

 

2. Exhibit such inappropriate behavior that repeated interventions by the mental health, social services, or judicial system are necessary. For example:  crisis intervention services have been provided, outside intervention for truancy has been made, or there have been repeated in school and out of school suspensions that must be addressed as a part of the TDT Individual Service Plan.

 

3. Exhibit difficulty in cognitive ability such that they are unable to recognize personal danger or recognize significantly inappropriate social behavior. For example the youth exhibits acting out in such a fashion that will cause harm to themselves or others.

In addition to meeting two of the three criteria listed above, children and adolescents must meet one of the following that must be supported by child-specific documentation in the medical record:

 

 

1. Have deficits in social skills, peer relations, or dealing with authority; are hyperactive; have poor impulse control; or are extremely depressed or marginally connected with reality. The deficits or problem behaviors must be documented in the medical record and must be to the level that they significantly impact the child’s abilities to participate in activities of daily living compared to most children who are the same age.


2. Would otherwise be placed on homebound instruction because of severe emotional or behavioral problems, or both, that interfere with learning. The medical record must contain documentation from the school that supports this criterion.


3. Require year-round treatment in order to sustain behavioral or emotional gains. The medical record must document the need for year-round treatment and any periods when service has been decreased and behavioral or emotional gains have been lost.

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