Program Services/Continuum of Care
CTC, OMHC programs provide a continuum of care that ensures all clients and family members referred are evaluated and provided services and/or referred to primary and secondary service providers to meet their individual needs. The specific areas that demonstrate a continuum of care are as follows:
Screening and Intake Assessment:
A screening and intake process is completed 14 days of the initial referral. The strengths, needs, abilities, and preferences of each client are identified explicitly for integration within an individual plan of care.
Individual Rehabilitation Planning:
An Individual Rehabilitation Plan (IRP) is developed with each client within the first 5 work days after the initial screening and intake assessment. The client is a full participant in the rehabilitation planning and goals. And, objectives are based on individual needs, strengths, abilities and preferences. Clients assist in the goals that are created for them, and the client has open access to the individual plan upon request.
Counselor Assignment:
Each client is assigned a PRP Counselor who is responsible for setting up a meeting schedule that works for both the counselor and the client. The Counselor is also responsible for mentoring and encouraging the client to take the necessary steps to reach their rehabilitation goals. Additionally, the Counselor is responsible for regular collaboration with CTC’s OMHC staff to ensure a thorough treatment plan through CTC.
Crisis Intervention:
Emergency response to mental health crisis is available 24 hours a day, 7 days a week. CTC’s automated phone messaging system provides patients with an afterhours number which goes to one of the Program Director’s (Annapolis site) as well as directions for going to the local hospital in certain situations.
Medication Management:
Medication management is available through CTC’s OMH program to assist with an increase in life functioning. Through the services of qualified physicians, medications are prescribed and their efficacy is evaluated on an ongoing basis. Education is provided to individual clients regarding the effects, use, and expected outcomes of medication.
Psychosocial Education:
Psychosocial education is available to clients through CTC’s OMH program, and provided to assist with interpersonal relations, role performance, anger management, and communication skills.
End-of-the-Month Progress Reports and Individual Rehabilitation Plan Reviews:
Regular scheduled meetings are held with each client to review the progress of their individual goals and update and/or revise the Individual Rehabilitation Plan.
Discharge/Transition Planning and Criteria:
Discharge/transition planning occurs throughout all phases of the program. The person served has met discharge/transition criteria when the goals of the Individual Rehabilitation Plan are achieved.
Mechanisms to Address the Needs of Special Populations:
CTC, PRP programs address the special needs of the clients served through the development and ongoing monitoring and modification of the Individual Rehabilitation Plan. Through this process, the strengths, abilities, needs, preferences and desired outcomes will be developed based on the unique qualities of the clients served. Specific accommodations to address special needs may include the following; amplification devices and writing boards for use with hearing impaired clients, magnification sheets for the visually impaired, and language interpretation of non-English speaking clients.
