Behavioral Health Rehabilitative Services
Behavioral Health Rehabilitation Services (BHRS) - These services include a range of primarily individualized behavior management, treatment and rehabilitation services provided in community settings. Settings typically include the child’s home and or school as well as other settings such as camps, recreational venues or commercial establishments.
a. Mobile Therapy (MT) includes face-to-face, child-centered, family-focused, individualized and family psychotherapy, and behavioral management (only if the clinician is skilled in Applied Behavioral Analysis – ABA), utilizing a strengths-based approach, provided in a setting other than a therapist or provider’s office. The settings in which MT is to be provided is identified in the treatment plan by the treatment team at the Interagency Service Planning Team (ISPT) meeting. When other behavioral services are being provided simultaneously, the MT should serve as the Lead Clinician. The lead clinician should have the primary responsibility of the clinical direction of the treatment for the child including development of the treatment plan, coordinating and attending ISPT meetings, collection of data, measurement of symptomatology, and reporting progress on identified goals. As defined in the treatment plan, the MT can provide specialized therapies providing the MT is certified in this specific type of treatment.
b. Behavior Specialist Consultant (BSC) is a consultation service delivered by a professional with expertise in behavioral management utilizing an Applied Behavioral Analysis (ABA) approach. The BSC advises the members of the treatment team regarding the appropriate clinical approach for a specific child with complex needs and may contribute to the development of the behavioral management component of the individualized treatment plan for implementation by the family, other professionals and paraprofessionals working with the child. The BSC provides expertise in behavioral management protocols that the MT and TSS do not have the proficiency to provide. The behavioral specialist consultant, in collaboration with other members of the treatment team, designs and directs the implementation of a behavior modification intervention plan, which is individualized to each child/adolescent. The behavioral specialist consultant identifies behavioral goals and intervention techniques, and recommends non-aversive behavioral change methods. Members of the treatment team and family provide the service directly to the child and/or family in the home, school, day care, or other community program or setting.
c. Therapeutic Staff Support (TSS) are staff that provide direct services to the children/adolescents under the supervision of a master’s level clinician (typically the BSC or MT). TSS staff provide one-on-one support to clients, implementing interventions defined in the client’s treatment plan or behavior management plan. The primary goal of the TSS is to assist with skill transfer to other adults involved in the child’s life, including parents, extended family, teachers, etc.