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Psychosocial Rehabilitation

Manual
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Overview
of Level
of Care
Guidelines
-- LOCUS
v. 2000 LOC
for Adult
Continuous
Treatment


Overview
of Level
of Care
Guidelines
-- CA-LOCUS
v. 1.5 LOC
for Childrens
Treatment
Teams


Outpatient
Therapy


Psychiatric
Medication


Psychosocial
Rehabilitation


In-Home
Treatment


Stabilization --
Non-Medical


Stabilization --
Medical


Partial
Hospitalization


Inpatient
Hospitalization


Residential
Treatment


Payeeship
Psychosocial rehabilitation services are primarily delivered in a group setting. These services develop, support and optimize the quality of life and functional abilities of people with serious and persistent mental illnesses. Such programs have a commitment to community integration.

Therapeutic Goals
  • Improve or sustain the member's level of functioning
  • Increase the member's ability to cope with his or her psychiatric disability
  • Reduce the need for hospitalization
Service Components
Psychosocial rehabilitation service provides structured and purposeful activities where individuals can engage in a group/community type setting with peers and staff in a way that facilitates community integration. Services may include:
  • Peer and family support services
  • Structured purposeful activities; groups for budgeting, skill training or ADL training to support independent living
  • Socialization and use of leisure time services
  • Vocational and pre-vocational rehabilitation services
  • Crisis intervention services
Admission Criteria -- Must Meet First Two
  • Have a serious mental illness with a DSM-IV Axis I diagnosis
  • Have documented functional deficits in:
    • Self-maintenance
    • Occupation or employment
    • Social roles
    • Living independently
  • Has an expressed desire to learn social skills or enhance the quality of relationships
  • Has an expressed desire to learn pre-vocational skills
Exclusion Criteria -- Any Are Sufficient
  • A primary diagnosis of mental retardation or substance abuse
  • A medical condition that would complicate the treatment and cannot be managed by the psychosocial rehabilitation center
  • Member currently meets criteria for a different LOC
Continued Services Criteria -- Must Meet All
  • Member is making progress toward treatment goals and benefiting from program
  • Member's motivation for treatment is evident, based on participation and follow-through with recommendations such as regular attendance or completion of tasks -- or -- member's current symptoms continue to impair ability to perform activities of daily living or impair social, occupational or interpersonal functioning -- or -- member has a documented history of a drop in functional ability without support at this level
Discharge Criteria -- Any Are Sufficient
  • Member has achieved the long-range treatment goals necessary to be discharged
  • Member's level of functioning has improved to having sufficient natural supports, employment in the community
  • Member demonstrates lack of motivation by non-attendance or non-participation
  • Member's clinical condition requires a different LOC

 


    
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Quality mental health care throughout the St. Louis, Missouri metropolitan and outlying areas
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