Behavior Health Services
Alternatives Living, Inc.’s Behavioral Health Program is administered by the Louisiana Department of Health and Hospitals’ Office of Behavioral Health (OBH) in conjunction with the Federal Medicaid Program, and the Statewide Management Organization (SMO). The SMO provides funding for the reimbursement of prior authorized services to Alternatives Living as a certified and credentialed Behavioral Health Program.
Alternatives Living is certified to provide Behavioral Health services for adults and children under the Louisiana Behavioral Health Partnership. Specifically, the Agency may provide Community Psychiatric Support and Treatment (CPST), Psycho-social Rehabilitation Services (PSR), Short Term Respite Care, Independent Living/Skills Building, and Crisis Intervention (CI) services to individuals living with a serious emotional disturbance (SED) or mental illness. Services are based in the home and community, and are provided according to an approved person-centered treatment plan to assist individuals in coping with the symptoms of their behavioral health needs. The intent of Alternatives Living’s services is to minimize the disabling effects on the individual’s capacity for independent living and to prevent out of home placement or limit the periods of inpatient behavioral health treatment.
Alternatives Living offers prior authorized services to adults and children with severe and persistent mental illness and behavior health issues, who meet medical necessity criteria for services. All services are delivered in accordance with federal and state laws, rules and regulations, by qualified individuals who are knowledgeable regarding the policies and procedures governing Alternatives Living’s Behavioral Health services.
Psycho-social Rehabilitation Services (PSR)
Psycho-social rehabilitation (PSR) services are designed to assist the individual with compensating for or eliminating functional deficits and interpersonal and/or environmental barriers associated with their mental illness. Activities included must be intended to achieve the identified goals or objectives as set forth in the individual’s individualized treatment plan. The intent of PSR is to restore the fullest possible integration of the individual as an active and productive member of his or her family, community and/or culture with the least amount of ongoing professional intervention.
Crisis Intervention (CI)
CI services are provided to a person who is experiencing a psychiatric crisis and are designed to interrupt and/or ameliorate a crisis experience, via a preliminary assessment, immediate crisis resolution and de-escalation and referral and linkage to appropriate community services to avoid more restrictive levels of treatment. The goals of CIs are symptom reduction, stabilization and restoration to a previous level of functioning. All activities must occur within the context of a potential or actual psychiatric crisis.
Community Psychiatric Support and Treatment (CPST)
Community Psychiatric Support and Treatment (CPST) are goal-directed supports and solution-focused interventions intended to achieve identified goals or objectives as set forth in the individual’s individualized treatment plan. CPST is a face-to-face intervention with the individual present; however, family or other collaterals may also be involved. The service may include the following components:
- Assist the individual and family members or other collaterals to identify strategies or treatment options associated with the individual’s mental illness, with the goal of minimizing the negative effects of mental illness symptoms or emotional disturbances or associated environmental stressors which interfere with the individual’s daily living, financial management, housing, academic and/or employment progress, personal recovery or resilience, family and/or interpersonal relationships and community integration.
- Individual supportive counseling, solution-focused interventions, emotional and behavioral management and problem behavior analysis with the individual, with the goal of assisting the individual with developing and implementing social, interpersonal, self-care, daily living and independent living skills to restore stability, to support functional gains and to adapt to community living.
- Participation in, and utilization of, strengths-based planning and treatments, which include assisting the individual and family members or other collaterals with identifying strengths and needs, resources, natural supports and developing goals and objectives to utilize personal strengths, resources and natural supports to address functional deficits associated with their mental illness.
- Assist the individual with effectively responding to or avoiding identified precursors or triggers that would risk their remaining in a natural community location, including assisting the individual and family members or other collaterals with identifying a potential psychiatric or personal crisis, developing a crisis management plan and/or, as appropriate, seeking other supports to restore stability and functioning.
- Restoration, rehabilitation and support to develop skills to locate, rent and keep a home, landlord/tenant negotiations, selecting a roommate and renter’s rights and responsibilities.
- Assisting the individual to develop daily living skills specific to managing their own home, including managing their money, medications and using community resources and other self care requirements.
Independent Living/Skills Building
Independent living/skills building services are designed to assist children who, are or will be, transitioning to adulthood with support in acquiring, retaining and improving self-help, socialization and adaptive skills necessary to be successful in the domains of employment, housing, education and community life and to reside successfully in home and community settings. Independent living/skills building activities are provided in partnership with young children to help the child/youth arrange for the services they need to become employed, access transportation, housing and continuing education. Services are individualized according to each youth’s strengths, interests, skills, goals and are included on an individualized transition plan.
Short Term Respite
Short term respite care provides temporary direct care and supervision for the child/youth in the child’s home or a community setting that is not facility-based (i.e., not provided overnight in a provider-based facility). The primary purpose is relief to families/caregivers of a child with a SED or relief of the child. The service is designed to help meet the needs of the primary caregiver, as well as the identified child. Respite services help to de-escalate stressful situations and provide a therapeutic outlet for the child. Respite may be either planned or provided on an emergency basis.