Transcript Crisis Intervention Services Washington County

Washington County:
Overview of Services
Washington County BHDS
100 West Beau Street, Suite 302
Washington, PA 15301
724-228-6832
Janice Taper, County BHDS Administrator
Washington County BHDS
Administration Office
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History – Deinstitutionalization in 1960’s
Law - Mental Health procedures Act of 1966/76 amended
 Established procedures for treatment of mentally ill persons
 Also established and defined treatment, treatment facilities,
MHRO and responsibility release of info, bill of rights,
commitment procedures, voluntary and involuntary
Care of medical assistance clients and those non-insured
Contracts for mandated and unmandated services –
administrative office and number of contracts
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Number of contracts: 40 Base; 30 I/DD; 40 Waiver Providers
HealthChoices contract
Continued development of needed services
Flow Charts – administrative office departments, office personal
oversight – 5 reporting/2 not fiscal clerical
Washington County BHDS Administrative Office
Flow Chart
Effective September 22, 2011
Janice M. Taper
WC BHDS Administrator
Scott A. Berry
MH DIRECTOR
Crisis/Emergency/
Disaster
Vickie
Amos
Early
Intervention
Coordinator
Mary Jo
PatrickHatfield
MH DIRECTOR
Planning &
Development
Perri Greco
Tom Jones
MH DIRECTOR
Child &
Adolescent
Services
ID DIRECTOR
Base Service Unit (BSU)
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The Base Service Unit is the initial entry point to all Mental Health,
Intellectual/Developmental Disability, and Early Intervention services and a
direct extension of the Washington County Office of Mental Health.
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Washington Communities Human Services Inc.
378 West Chestnut Street, Suite 205
Washington, PA 15301
(724)225-6940
Contact: Dawn Houston
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Southwestern Pennsylvania Human Services (SPHS)
568 Galiffa Drive
Donora, PA 15300
(724)379-1420
Contact: Chris Garrett
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Centerville Clinics, Inc.
Old National Pike Road
Fredericktown, PA 15333
(724)632-6801
Contact: Tina Boni
BSU Services
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Administrative Management which is the initiator of all
county funded services
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Administrative Case Management (ACM)
Blended Case Management (BCM)
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Washington Communities Human Services Inc.
378 West Chestnut Street
Suite 205
Washington, PA 15301
(724)225-6940
Contact: Leslie Pahler or Dawn Walls
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Southwestern Pennsylvania Human Services (SPHS)
568 Galiffa Drive
Donora, PA 15300
(724)379-1420
Contact: Tracy Osman
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Centerville Clinics
Old National Pike Road
Fredericktown, PA 15333
(724)632-6801
Contact: Jeannie Holzapfel
BSU Services Continued
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Telephone, Mobile, Crisis Stabilization Units, Walk-in
Crisis and Emergency Services
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Forensic Liaison and Forensic Case Manager
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2 specialty Courts (MH and Veterans)
90 Day Diversionary Program
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Hospital Liaison
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Delegate Services
Inpatient Services
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The Washington Hospital
155 Wilson Ave.
Washington, PA 15301
(724)223-3198
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The Monongahela Valley Hospital
1363 Country Club Rd.
Monongahela, PA 15063
(724)724-258-1200
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Southwood
2575 Boyce Plaza Road
Pittsburgh, PA 15241
Outpatient Services
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Outpatient Services are provided by
 Washington Communities Human Services Inc.,
 Southwestern Pennsylvania Human Services (SPHS),
 Centerville Clinics,
 Wesley Spectrum
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Outpatient Services provided include
 Outpatient Therapy
 Psychiatrist
 Medication Maintenance
 Co-Occurring services provided by SPHS and Wesley
Spectrum
 Anger Management Services provided by SPHS
 Sexual Trauma and Assault Services provided by SPHS
 Pharmacological Program (County Scripts)
Partial Hospitalization Programs
(PHPs)
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Provide a step down from an inpatient acute
level of care.
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Psychiatric care and therapy are integral parts
of the programs.
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Partial Programs are provided by
 Centerville Clinics, Inc. (2 locations)
 SPHS
Early Intervention Services
An Overview of
Early Intervention
in
Washington County
Definition of
Early Intervention
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Early Intervention Services are for children from
birth through the “age of beginners”:
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Services are designed to meet the
developmental needs of each eligible child and
the needs of the family related to enhancing the
child’s development
Selected in collaboration with parents
Provided at no cost to the family
Provided under public supervision by qualified
personnel in conformity with an individualized
plan
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Lead Agencies for Early Intervention
in Washington County
Infants & Toddlers - Birth through age 2:
Washington County BHDS
Preschoolers - Age 3 to Age of
Beginners:
Intermediate Unit 1
Washington County
Early Intervention Program
Infant/Toddler - Birth to Age 3
Washington County BHDS
100 West Beau Street, Suite 302
Washington, PA 15301
Phone: 724-228-6832 Fax: 724-223-4685
Vickie Amos, County Early Intervention Coordinator
Washington Communities
Early Intervention Service Coordination Department
378 W. Chestnut Street
Washington, PA 15301
Phone: 724-229-2620 or 866-765-2888 Fax: 724-225-6944
Mona Gutierrez, Supervisor
Choice of 2 Independent Assessment Agencies
Crossroads Speech & Hearing, Inc.
Early Intervention Specialists, Inc.
Washington Co. Contracted EI Providers
Infant/Toddler Program
Pathways of SW PA Inc.
289 North Avenue
Washington, PA 15301
Phone: 724-223-7803 ext. 640 or 800-835-4140
Fax: 724-223-7804
Monica Brooks - EI Program Director – Washington County
SPHS-Diversified Human Services, Inc..
301 Chamber Plaza
Charleroi, PA 15022
Phone: 724-489-8096 ext. 4258
Fax: 724-483-9373
Toni Tarquinio – Director
The Integrated Care Corp.
371 Bethel Church Rd.
Ligonier, Pa. 15658
Phone: 724-593-7447 or 888-645-5683
Fax: 724-593-7448
Lance Queer – President
Washington, Greene & Fayette
Early Intervention System
Preschool Age 3 through the Age of Beginners
Intermediate Unit One
One Intermediate Unit Drive
Coal Center, PA 15423-9642
Telephone: 724-938-3241 or 800-328-6481
Fax: 724-938-8722
Contact Person:
Barb Rothermel, Preschool Supervisor
Steps in the
Early Intervention Process:
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Referral
First Meeting
Assessment
Determine Eligibility
Develop Individualized Family Service Plan
Implement IFSP
Transition to Preschool
Individualized Education Program
Transition to School (Kindergarten)
Who is Eligible for EI
Services?
Infants/Toddlers:
Age range - Birth through age 2 inclusive
 Developmentally Delayed
 Delay of 25% in months or
 1.5 Standard deviations below the mean on a
standardized test or
 Informed Clinical Opinion
 Diagnosed Physical or Mental Condition which
has a high probability of resulting in a
Developmental Delay (e.g. Down Syndrome,
Spina Bifida, Cerebral Palsy)
Who is Eligible for the
EI Tracking Program?
Infants/Toddlers:
Age range - Birth through 2 inclusive
 Birth weight under 1500 grams (3 ½
pounds)
 Cared for in Neonatal Intensive Care
Unit or NICU
 Born to a chemically dependent mother
 Seriously abused or neglected
 Dangerous levels of lead poisoning
Where are services
provided?
Infants/Toddlers:
Age range - Birth through 2 inclusive
Natural Environments:
 Services should be delivered in settings that
meet the needs of the child and family
 Services must be provided to the extent
appropriate in the types of settings in which
infants and toddlers without disabilities would
participate OR where the child would be if he or
she did not have a disability
EI Services for
Infants & Toddlers
While all children grow and change at their own rates, some children can experience delays in
their development. Sometimes this can be cause for concern, but…Early Intervention is
here to help!
Your child will learn skills in these five primary developmental areas as he or she grows:
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Physical Development - the ability to move, see & hear
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Language and Speech Development - the ability to talk, express needs
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Social and Emotional Development - the ability to relate to others
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Self Help or Adaptive Development - the ability to eat, dress and take care of self
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Cognitive Development - the ability to think and learn
Early Interventionists assist parents, family members or other caregivers learn ways to
support children within their daily routines and activities in their natural environment.
If you have concerns about the rate your child is developing skills, you may want to talk to his
or her pediatrician or physician.
You may also refer your child to EI Services and ask for a free developmental screening.
In Washington County:
Washington Communities
724-229-2620 or 866-765-2888
Or to refer a child anywhere in PA, CONNECT Information & Referral at 800-692-7288
Children’s Mental Health
Services
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Student Assistance Program (SAP)
A collaborative service provided by Mental Health, Drug and Alcohol
liaisons and Education in the educational environment.
Liaisons attend weekly meetings in the school to review students who
are having difficulty academically that may be a result of outside
influences (i.e. mental health instability, substance usage, family
challenges).
Liaisons consult with the SAP team to help in designing a supportive
plan for the student.
Will conduct a screening to determine if supportive services are
appropriate and help the parent connect with the appropriate agency
SAP Liaison contacts attached
School-Based Therapy
is an outpatient treatment provided in the school setting
is provided in 13 out of the 14 school districts; excluding Peters Twp.
School based therapist contacts attached
Family-Based Mental
Health Services
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Provides individual and structural family therapy up to 32 weeks
Must be recommended by a psychologist or a psychiatrist
Child/adolescent must be at risk for psychiatric hospitalization
or out of home placement
Team delivered service
Providers of Service:
Southwood 412-206-0176
Pressley Ridge 724-225-4400
Centerville Clinics 724-228-8420 ext. 313
Behavioral Health Rehabilitation
Services (BHRS)
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A medically necessary service recommended by a psychologist or
psychiatrist within the past 60 days which includes:
Behavioral Specialist Consultant (BSC) – masters level clinician who
develops a behavioral plan for the child
Mobile Therapy – masters level clinician who provides individual and
family therapy typically provided in the home setting
Therapeutic Staff Support (TSS) – bachelors level position who
provides one-on-one intervention and implements the behavioral plan
Strength-Based Therapy
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A Mobile Therapist in an expanded role that includes consultation and
clinical case management for up to 36 weeks
Can do “booster” sessions 12 weeks after discharge from treatment
Behavioral Health Rehabilitation
Services (BHRS), Cont.
Interagency Service Plan Team (ISPT) meeting is required
after the recommendation of the above services
 Includes the parent/legal guardian adolescent of 14 years
and older, and any other child serving agency including
CYS, JPO, MR, EI, education, and the evaluator
ISPT Team – reviews the recommendations made by the
evaluator
 Discuss strengths and current behavior/concerns
 Determines if any other mental health services or natural
supports are needed
 The information presented at an ISPT meeting is used by
VBH to determine if BHRS is the most appropriate service
Behavioral Health Rehabilitation
Services (BHRS), Cont.
Site- Based Social Skills Group
 A medically necessary services provided to individuals
that have an Autism Spectrum Disorder (ASD) diagnosis.
Because of the difficulties children with this diagnosis have
in social situations (i.e. social cuing, understanding
speech, body proximity), this service provides the children
with the opportunity to learn skills in a therapeutic
environment with trained staff to make social situations
more comfortable for them. This service is evaluated
regularly to determined continued need
Provider: Wesley Wonder Kids – 724-820-1590
NHS Stepping Stones – 724-924-4677
Behavioral Health Rehabilitation
Services (BHRS), Cont.
Summer Therapeutic Activities Program (STAP) aka
Summer Camp
 A medically necessary service provided to
children/adolescents (typically school age) that need
additional therapeutic support during the summer to
enhance behavioral and social skills
 Children attend up to 5 weeks
Providers: Centerville Clinics 724-632-6801 ext. 2151
SPHS Behavioral Health – 724-684-6489
Camp Laugh-a-Lot – 724-745-3010
Community Residential
Rehabilitation (CRR)
Community Residential Rehabilitation (CRR)
 Also known as Host Homes or Therapeutic Foster Care
 The foster parents are trained in mental health therapeutic
interventions, with support provided by licensed clinical staff
 Must be recommended by a psychologist/psychiatrist within the
past 60 days
 Need to have an ISPT meeting
 Provides services to the biological family for reunification
Providers: Northwestern Human Services 724-942-4617
Pressley Ridge 724-430-6000
Residential Treatment
Facility (RTF)
Residential Treatment Facility (RTF)
 Must be recommended by a psychiatrist within the past 60
days
 Provides 24 hour therapeutic intervention for a
child/adolescent
 Family therapy and home visits to move towards
reunification
 Requires an ISPT and re-evaluation every 120 days and
an ISPT meeting
 Discharge planning from the RTF is crucial to the child
transitioning back home or another placement option
 RTF provider list is attached
Supportive Services
Family Support Services
 Money available to families so the
child/adolescent can participate in community
activities
Respite
 In or Out of the home
 Available to give families a break
 Can use licensed CRR providers
 Family members must have clearance checks
Parent Advocate Program
Parent Advocate Program – Mental Health
Association
 Provides help, information, and
advocacy for parents of children with
special needs, i.e.. attending ISPT
meetings, IEP meetings,
complaint/grievance hearings
 Mary Ann Zeitler, 724-225-2061
Child and Adolescent
Service System Program
CASSP
CASSP is an acronym for the Child and Adolescent Service
System Program. This service is planned collaboratively with
the child’s or adolescent’s family, the public service
providers (Mental Health, Mental Retardation, Substance
Abuse, Children and Youth, Juvenile Probation), the school
and any other services providing support to the
child/adolescent and family.
Through the interagency process, CASSP convenes a team
of the key players to develop a support plan built upon the
strengths of the family, and addressing the issues targeted
by the family and team.
Attached are referral forms to request a CASSP meeting.
Contact Information
Perri Greco, Mental Health Program Director, Children and Adolescent Services
Ext. 5915
e-mail: [email protected]
Sara Sichi, CASSP Coordinator
Ext. 6669
e-mail: [email protected]
Direct referrals and questions regarding Family-Based Mental Health Services
Referrals for CASSP meetings
Amy Wildman, County Designee
Ext. 4065
e-mail: [email protected]
All requests for BHRS, RTF, and CRR are to be sent to either Amy or Kelly.
Mobile Medication Program
The Mobile Medication Program
provides psychoeducation, medication
monitoring, and medication
administration for consumers who are
not engaged in their recovery and/or
need additional assistance in this area.
Assertive Community
Treatment Team (ACT)
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ACT is an evidence based Mental Health
program which provides a comprehensive
approach to service delivery to consumers with
severe mental illness.
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ACT uses a trans-disciplinary team which
typically includes: a psychiatrist, a nurse,
mental health professional/therapist and case
manager. Additionally specialty team members
may be available, including substance abuse,
vocational and peer.
Residential / Housing
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Can accommodate Transition of Age population.
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The admission criteria are that each consumer has to be homeless with a
history of mental illness and substance abuse. Preferred that each
consumer has been involved in treatment or currently in treatment and
stable. Have to be between the ages of 18 – 22. Must have a Blended
Case Manager.
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The admission procedure is for each consumer to have an onsite interview
and tour to assess if the program is appropriate and beneficial for that
consumer. After acceptance into the program admission occurs within two
days.
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Teaching life skills is the key focus of the program. Staff is trained to assist
consumers in achieving a higher level of independent living in the
community. Specific areas of focus are money management and budgeting,
meal preparation, meal planning, medication management, housekeeping
skills, job preparation and interviewing skills.
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Each consumer is encouraged to save money to be used for living expenses
once discharged. These funds can be supplemented by agency funds so
that the consumer is able to afford the first months rent, supply food, and
obtain furnishings for the residence.
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The ultimate goal is for each consumer to be able to transition into the
community on their own.
Residential / Housing:
Long Term Structured Residence (LTSR)
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The LTSR is a residence where mentally ill
consumers can reside for an undetermined
period of time. They identify goals that they
want to work on in preparation for returning
to the community.
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The LTSR is a committable facility which is
either locked or has the ability to be locked.
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The LTSR service is provided through the
Mental Health Association.
Residential / Housing:
Enhanced Personal Care Home (EPCH)
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The EPCH provides standard personal care
home services with the enhancements of
mental health trained staff.
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Services can be received both in the facility
and in the community.
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The EPCH service is provided by both the
Mental Health Association and Community
Transition Connections.
Residential / Housing:
Community Residential Rehabilitation (CRR)
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CRR’s provide both staff support and assistance to
consumers in the achievement of their goals, including a
variety of psychosocial areas.
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The primary function is to assist individuals in transitioning
to greater levels of independence in the community.
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CRR’s can be provided in two levels of service:
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Full Care
Partial Care
The CRR service is provided by Southwest Behavioral Care
and Residential Recovery Services.
Residential / Housing:
Mental Health Supportive Housing
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Mental Health Supportive Housing offers housing case
management as well as assistance in the following
areas.
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Housing Acquisition
Landlord Tenant Negotiations
Housing Counseling and Lease Interpretation
Moving Assistance
Life Skills Training
Housing Assistance Funds
Mental Health Supportive Housing is provided by
Residential Recovery Services and Southwest
Behavioral Care.
Residential / Housing:
Shelters
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Shelter Plus Care Program
 HUD Funded Program for disabled individuals who
meet the Federal definition of homeless.
 Provides both a rental subsidy such that individuals
pay only 30% of their adjusted net income towards
monthly rental costs as well the "care" involved in
ensuring that individuals are able to maintain safe
housing with minimum standards of quality.
 Provided through Residential Recovery Services.
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Safe Haven Shelters
 Provides shelter and in-house case management to
individuals with serious mental illness.
 Provided through Connect, Inc. a subsidiary of SPHS.
Residential / Housing:
Housing Contingency/Rental Subsidy Funds
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Provided as needed to Mayview discharges, diversions and
those consumers transitioning into the community from
structured Residential Programs.
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Housing Contingency Funds may be used for a variety of
housing needs such as utility hook-ups, furnishing,
household supplies, security deposits, etc.
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Rental Subsidy Funds allow consumers to pay only 30% of
adjusted net income towards monthly rental costs enabling
them to obtain safe, affordable housing while awaiting
Section 8 (Housing Choice) vouchers.
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Provided by Southwest Behavioral Care and Residential
Recovery Services.
Residential / Housing:
Mobile Housing Support Service
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Provides direct in-home assistance and skill
building to consumers living in his/her own
home within the community.
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Assistance is provided in many areas
including laundry, housekeeping, budgeting,
meal planning and preparation and grocery
shopping.
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Provided by Southwest Behavioral Care.
Rehabilitative Services
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Psychiatric Rehabilitation Services
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Designed to assist consumers in the recovery process by
addressing goals in the following life domains: Living,
Learning, Working, Social, and Self Maintenance.
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Can be provided in three modalities:
• Site Based – Provided By AMI.
• Mobile – Provided by Mental Health Association.
• Clubhouse – Provided by AMI.
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Psycho-Social Rehabilitation Services
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Services for seriously mentally ill consumers that provide
acclimation or re-acclimation to social roles as well as social
integration.
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This service is provided through AMI and SPHS.
Supported Employment
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Supported Employment is an Evidence Based Practice
which helps individuals with mental illness to find and
keep meaningful jobs in their community.
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Eligibility for supported Employment is based upon
consumer choices. The ultimate goal is competitive
employment, and as such, the job search begins soon
after the individual expresses interest in working.
Services are an integral part of mental health treatment
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Consumer preference, personal benefits counseling,
and continuous follow along supports are all important
aspects of supported employment.
Peer Support Services:
Peer Mentor Program
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A peer mentor is a person in recovery from mental health issues
and can assist others through their recovery journey by being a
positive role model to that peer.
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This service is available to any consumer 18 years of age or older
with a serious mental illness who desires to have a peer mentor.
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The referral is made through the Base Service Unit or a peer
mentor can assist their peer through the referral process.
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Some examples of things that a peer mentor can do is introduce
their peers to community resources, help develop healthy social
interactions, provide support, assist a peer in being able to
advocate for themselves, and most importantly be a good friend
which provides hope that recovery is possible.
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At this time, AMI offers this service county wide and currently
employs 7 peer mentors serving approximately 40 of their peers.
Peer Support Services:
Certified Peer Specialist Program
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A Certified Peer Specialist is a self identified consumer who has
received specialized training.
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The Consumer has to be 18 years of age or older and have been
referred by a physician or another healing arts professional.
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The consumer must also have a serious mental illness as defined by
the OMHSAS Adult Priority Group.
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Services are based on the individuals self identified goals within the five
recovery domains of education, working, social, living, and self
maintenance.
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Services have no specific time length as long as the consumer meets
required criteria.
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Medicaid reimbursable service.
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Certified Peer Specialist Services are available through AMI, SPHS,
and Centerville Clinics.
Peer Support Services:
Drop In Center
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The Drop in Center offers a friendly
atmosphere for socialization and fellowship
between individuals coping with Mental
Health issues.
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Circle Center Drop in Center provided by
the Mental Health Association.
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Alliance Drop in Center provided by SPHS.
Peer Support Services:
Warm Line
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The Warm Line is a telephone line for
mental health consumers and family
members to call and receive nonemergency peer support and/or community
resources
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The Warm Line is staffed by consumers
themselves and is provided by the Mental
Health Association.
Representative Payee Program
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Provides assistance to consumers with their financial
affairs.
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Abides by all procedures established by the Social
Security Administration.
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The Representative Payee receives Social Security
payments on behalf of the consumer to pay for current
needs such as housing, food, clothing, medical and
dental care, etc.
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This service is provided by the Mental Health
Association.
Managed Care Ombudsman
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Provides information to consumers
about managed care and assists in
the process of filing complaints and
grievances.
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Provided by the Mental Health
Association.
Personal Care Home/Long
Term Care Ombudsman
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Aging Services of Washington County in contract with
Washington County BHDS will act as Ombudsman for
individuals age 18 and over residing in Long Term Care
Facilities, Personal Care, Domiciliary Care and nursing care.
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The Ombudsman receives and investigates complaints as well
as provide, on our behalf, education regarding the access to
Mental Health Services and supports, and assist in linking
individuals to a base service unit.
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Ombudsman also coordinate with our office in matters
pertaining to closures and potential closures of personal care
homes in order to assist in linking residents to alternative
placements when appropriate.
Consumer/Family Satisfactions Team
(C/FST)
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Service identified and developed out of HealthChoices.
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Designed to assess the satisfaction of consumers along all
categories of service through relatively standard surveys.
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Ensures accountability for the provision of quality care by
established minimum levels of consumer satisfaction
(typically 85%) that providers must meet.
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Provided by Community Action Southwest:
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Jessica Hajek
150 W. Beau St.
Washington, PA 15301
(724) 225-9550
Quality Management of Mental Heath Services
Incident Management
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All incidents ranging in nature from moderate to serious are classified and reported
to a single point of contact at the BHDS office. They are then reviewed and
corrective actions are required. Additionally, all incidents are entered into a web
application for data collection and analysis. Root cause analyses are performed for
serious incidents such as deaths or patterns of other serious incidents.
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The Washington County Mental Health Program uses a Quality Management
Oversight Committee which meets quarterly to assist in the identification of system
level needs as well as the development of the annual county Mental Health Plan.
Ongoing monitoring is used to ensure that the objectives indicated in the plan are
accomplished according to designated time frames.
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A designee of the Washington County Mental Health Program participates in
bimonthly Quality Management Committee activities with Value Behavioral Health.
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Quality of Services is also assessed through the Consumer Satisfaction Team
Surveys. When surveys reveal that provider scores fall below 85%, a corrective
action plan is required from the provider for the particular service.
Intellectual Disabilities (ID)
Program
Intake
 Eligibility
 Puns
 Individual Support Plan
 Consolidated Waiver
 Person/Family-Directed Support
(P/FDS)Waiver
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Intake
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Program intake is handled through:
Washington Communities Human
Services, Incorporated
378 West Chestnut Street, Suite 103,
Washington PA, 15301
(724) 229-2620
Eligibility for ID Services and
Supports
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The office of Developmental Programs is the
entity within the Department of Public Welfare
responsible for the oversight of intellectual and
developmental disability services in
Pennsylvania. The local County BHDS role is
to verify eligibility for intellectual disability
services through the Office of Developmental
Programs.
Eligibility for ID Services and
Supports Cont.
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Eligibility for intellectual disability services through the Office
of Developmental Programs requires a diagnosis of an
intellectual disability based on the results of objective
standardized testing. An intellectual disability is a
permanent condition that affects a persons ability to learn
and function in daily life that occurs during the
developmental period. A diagnosis of an intellectual
disability requires that both a persons general intelligence
and ability to function in daily life are significantly below
average. These two conditions must be present at birth or
occur in the developmental period defined as prior to the
person’s 22nd birthday.
Prioritization of Urgency of
Need for Services (PUNS)
Emergency needs: require help right
away.
 Critical needs: require help within the
next two years.
 Planning needs: require help within
the next five years.
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Individualized Service Plan
(ISP)
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ODP requirements related to ISP’s
ISP must be based on assessed need
ISP’s must be developed using a person centered
planning process to capture information on health and
welfare, preferences and desires, thus ensuring
appropriate services & supports are identified &
implemented.
ISP’s must list all unpaid natural supports and funded
supports to meet assessed needs.
ISP’s must be developed by the individual, involved
family, Involved Provider Agencies and Supports
Coordinator.
Available ID Services

There are a number of services that can be
provided to meet the needs of an individual
registered with the Office of Developmental
Programs (ODP) for mental retardation
services. This list of services is subject to
change as service definitions change and
waiver amendments are approved by the
Centers for Medicare and Medicaid Services
(CMS).
Available ID Services
Continued

Some examples of services include but may not be
limited to the following:
 Habitation Services (Residential and NonResidential)
 Companion Services
 Transitional Work Services
 Supported Employment Services
 Pre-Vocational Services
 Day Services
 Home and Vehicle Accessibility Adaptations
 Therapy Services
 Nursing Services
 Behavior Support
WHAT DOES AN HCBS
WAIVER “WAIVE”?
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Offers “Flexibility to States” by providing
relief from certain Federal rules which
impede development of Medicaidfinanced home and/or community-based
treatment alternatives.
Allows for the provision of a broad range
of services not otherwise covered by
Medicaid as an alternative to
institutionalization.
Consolidated Waiver

Age 3 or older. Require an ICF/MR level of
care. Sub-Average intellectual functioning and
impairments in adaptive behavior.
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Assistive technology
Behavior support
Companion
Education support
Home and Community Habilitation (unlicensed)
Homemaker/chore
Licensed Day Habilitation
Nursing
Consolidated Waiver
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Prevocational
(Licensed) residential habilitation
(Unlicensed) residential habilitation
Respite
Specialized supplies
Supportive Employment
Supports broker
Supports coordination
Person/Family-Directed
Support (P/FDS) Waiver

Age 3 or older. Require an ICF/MR level of care. SubAverage intellectual functioning and impairments in
adaptive behavior. Does not reside in a licensed
community residential setting. Annual Funding is capped.

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Assistive technology
Behavior support
Companion
Education support
Home and Community Habilitation
Homemaker/chore
Licensed Day Habilitation
Nursing
Person/Family-Directed
Support (P/FDS) Waiver
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Prevocational
Respite
Specialized supplies
Supportive Employment
Supports broker
Supports coordination
Specialized Therapies
Transitional Work
Transportation
Vehicle accessibility adaptations
INFORMATION & REFERRAL

Washington County BHDS
100 West Beau Street, Suite 302
Washington, PA 15301
Phone: (724) 228-6832
(877) 840-5639 (Toll Free)
(724) 223-4685 (MR)

Base Service Units
ID and EI (724) 229-2620
MH
Washington Communities MH/MR (724) 225-6940
Centerville Clinics (724) 632-6801
SPHS (724) 379-1420