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Services
Supporting Your Journey Towards a Healthier, and More Fulfilling Life
Mental Health Targeted Case Management
Targeted case management services are services to clients within targeted groups. The target population that may receive Mental Health Targeted Case Management (MHTCM) as part of the Texas Medicaid Program are clients, regardless of age, with a single diagnosis of chronic mental illness or a combination of chronic mental illnesses as defined in the latest edition of the American Psychiatric Association’s (APA), Diagnostic and Statistical Manual of Mental Health Disorders (DSM) and who have been determined via a uniform assessment process to be in need of MHTCM services. MHTCM services are furnished to assist clients in gaining access to needed medical, social/behavioral, educational, and other services and supports.
MHTCM consists of Intensive case management and routine case management
Intensive case management services are predominantly community-based case management activities
provided to the client or to the LAR on behalf of the client (who may or may not be present), to assist a
client and care giver or LAR in obtaining and coordinating access to necessary care and services
appropriate to the client’s needs.
Routine case management services are primarily office-based case management activities that assist a
client, caregiver, or LAR in obtaining and coordinating access to necessary care and services appropriate
to the client’s needs.
Mental Health Rehabilitative Services
Mental health rehabilitative services are defined as providing assistance in maintaining or improving functioning and may be considered rehabilitative when necessary to help a client achieve a rehabilitation goal as defined in the treatment plan. Mental health rehabilitative services may be provided to a client with a serious mental illness as defined in the latest edition of the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (DSM). Mental health
rehabilitative services are age-appropriate, individualized, and designed to ameliorate functional impairments that negatively affect any of the following:
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Community Integration
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Community Tenure
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Behaviors resulting from serious mental illness (SMI) or severe emotional disturbance (SED) that interfere with a client’s ability to remain in the community as a fully integrated and functioning member of that community
Mental health rehabilitative services may include:
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Medication management
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Psychosocial rehabilitative services
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Skills training and development
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Crisis intervention services
Skills Building & Development
Skills building and development is training provided to an eligible client, the LAR, or primary caregiver on behalf of an eligible client. The training addresses:
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Serious mental illness and symptoms related problems that interfere with the client’s functioning and living, working, and learning environment
Provides opportunities for the client to acquire and improve skills needed to function as appropriately
and independently as possible in the community.
Crisis Intervention
Skills training and development services consist of increasing the LAR’s or primary caregiver’s understanding of an ability to respond to the client’s needs identified in the uniform assessment or documented in the treatment plan. Clients receiving skills training and development are not eligible to simultaneously receive psychosocial rehabilitative services and both services should not be simultaneously listed in the client’s treatment.
Crisis intervention shall provide immediate mental health care, to assist individuals who are experiencing acute psychiatric dysfunction requiring immediate clinical attention. Crisis intervention services must be available 24 hours a day, seven days per week.
Treatment Planning
Treatment planning is a process in which the therapist tailors, to the greatest extent possible, the application of available treatment resources to each client’s individual goals and needs.
Case Management for Children and Pregnant Women (CPW)
Case Management for Children and Pregnant Women is a Medicaid benefit that provides health-related case management services to children birth through 20 years of age with a health condition and to high-risk pregnant women of any age. Case managers help clients gain access to needed medical, social, educational, and other services.
Individual Counseling
Individual counseling is a one-on-one discussion between the counselor and the client, who is the person seeking treatment. The two form an alliance, relationship or bond that enables trust and personal growth.
What are the 5 steps of individual Counselling?
Stages of the counseling process:
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Initial Disclosure- Relationship Building,
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In-depth Exploration – Problem Assessment.
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Commitment to action – Goal Setting.
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Step 1: Relationship Building.
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Step 2: Problem Assessment.
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Step 3: Goal Setting.
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Step 4: Counselling Intervention.
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Step 5: Evaluation, Termination.
Treatment Modalities
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Grief Therapy
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Art Therapy
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Cognitive Behavioral Therapy (CBT)
Family Counseling
Family counseling, or family therapy, is a method to develop and maintain healthy and functional family relationships. The goal is to identify and address problems in the family. These issues could be emotional, psychological, or behavioral.