Behavior Health Programs

 

Susanne Reed

Program Coordinator

 

 

Franklin County

Manito Franklin BHRS
450 Cleveland Avenue
Chambersburg, PA 17201
Ph: 717.263.7160



Cumberland/Perry Counties

Manito Cumberland/Perry BHRS
898 Waggoner's Gap Road
Carlisle, PA 17013
Ph. 717.243.1326

 

Rehabilitation Therapy

 

Program OverviewBehavioral Health Rehabilitation Services (BHRS) is the new name for services formerly known as Wraparound. BHR Services are therapeutic interventions available to children and adolescents between the ages of 3 and 21 who have been diagnosed with a serious emotional disturbance, a serious social problem, and/or behavioral problems. BHR Services are provided to the client in the school, home, and/or community setting. Services include psychological evaluations, Therapeutic Staff Support, Mobile Therapy, and Behavioral Specialist Consultant Services. The focus of our program is to provide treatment in the least restrictive environment, while maintaining the child within his or her natural setting. The service "wraps" the child, providing individualized treatment in a familiar environment.

Program Services

Therapeutic Staff Support (TSS)
The TSS provides one-on-one intervention to a child at school, home, or community settings. TSS can provide a number of interventions, such as, crisis intervention, emotional support, problem solving, time structuring activities, and behavioral modification strategies.

Mobile Therapist (MT)
The MT provides therapy to a child and family in settings other than an agency or office (typically the home and/or school settings). The MT can provide individual therapy with the child, family treatment with any or all family members, or treatment with the child and other caregivers.

Behavioral Specialist Consultant (BSC)
A BSC is assigned to a case to design and direct the implementation of a behavioral modification plan. The BSC monitors the treatment provided by the TSS and collaborates with family members and other professionals in order to ensure delivery of quality services.

Psychological Evaluations
Doctoral level clinical psychologists conduct evaluations every four months to review client progress, determine ongoing medical need for services, and make recommendations for appropriate levels of care. Ongoing psychological care is required for Behavioral Health Rehabilitation services.

Process of Obtaining Services

BHR Services are implemented based on the recommendation of a licensed psychologist or psychiatrist, agreed upon by an interagency treatment team, and, ultimately authorized by Medical Assistance. Medical necessity for services and eligibility for Medical Assistance are required to receive services. A client can receive all or any combination of MT, BSC, and TSS services.

BHR Services are authorized through MA by first being referred by a physician, county worker, parent, or other caregiver. The possible client will then be evaluated by a licensed prescriber to determine a need for services. A prior authorization packet is assembled and sent to MA for authorization.

Services are authorized in periods of time not exceeding four months and must be reauthorized every four months. Initial authorization of services often requires a waiting period of 60 days from referral during which services are prescribed, discussed in a team meeting, and reviewed for medical necessity.

 

Outcomes Measures

Reports of consumer satisfaction
Increase in pro-social behavior and positive self-management skills
Reduce out-of-home placement
Increase in skills caregivers can utilize when working with the client

Funding

BHR Services are funded by the Office of Medical Assistance Programs. In certain Pennsylvania counties, OMAP contracts with behavioral health managed care organizations to administer BHRS funding and authorize services.