MENTAL HEALTH
SERVICES
CHOOSE-GET-KEEP MODEL
The Boston University Center for
Psychiatric Rehabilitation developed a simplified conceptual model for
understanding the vocational recovery process for persons with psychiatric
disabilities.
The mission of the AChoose-Get-Keep@ Model is to help people
with psychiatric disabilities to be satisfied and successful in the workplace
of their choice with the least possible professional support.
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THE
CHOOSING OR PRE-EMPLOYMENT PHASE
The basic assumption is that the
foundation established in the AChoosing:@ stage is critical to later
success. The consumer is empowered to
make choices which increase the likelihood they will be able to martial all of
the ego strength to achieve their goals in getting and keeping a job. Without this critical early investment, the
job coach=s later work
is much more difficult. Human beings
will work very hard to achieve something they want. Time invested in assisting the consumer to
make an informed choice will pay dividends later in reduced time and better job
retention.
The Oklahoma milestone program
includes two processes under the AChoosing@ phase of the program. They are:
1) Determination of Needs: The outcome is a
determination of the consumer=s
rehabilitation needs. This is
accomplished through working with the consumer and collaboratively completing
vocational assessments, usually 3 to 5.
2) Individualized Career Plan Development: This
involves a vocational exploration process which is summarized by a Vocational
Plan (Job Success Plan) collaboratively developed with the consumer. This phase includes exploring the consumer=s past experience, skills,
education, hobbies, interests, leisure time activities, etc. The career exploration process includes
administration of interest inventories, interviews, and a Job Club class. The emphasis is on getting to know the
consumer, building up their self-esteem and developing a level of trust and
comfort with the job coach. The
vocational goal should be chosen by the consumer based on personal values. The role of the job coach is to facilitate
the self-discovery and job selection process.
This process can take from 5 to 20 hours of one-on-one time with the job
coach working through vocational exploration materials.
THE GETTING PHASE
The placement or AGetting@ phase includes marketing,
general and specific job development by both consumer and job coach, and
training and placement planning.
1) Marketing: This is the outcome of a facilitated
job search which includes the activities of community research, contacts with
employers, interviews, and application.
The outcome is a job placement which matches the vocational goal
contained in the Vocational or Job Success Plan.
2) Placement Planning: Consumer is involved in the
process of planning and achieving their goal.
They use job seeking skills learned in Job Club. Job analysis is done collaboratively
including determination of opportunities for career advancement. The job coach role ranges from monitoring to
job seeking.
3) Negotiating: Consumer, job coach, and employer
negotiate the job offer. A Job
Discrepancy Analysis is completed to determine what training and accommodations
will be needed on the job. A training
plan is developed that summarizes the terms of employment and skills to be
acquired.
THE
KEEPING PHASE
The AKeeping@
or job retention and stabilization phase includes on-site and off-site support
which begin intensively and fade as competence develops. The four major activities of the keeping
phase are:
1) Skill Development: The consumer and job coach
agree in the Training Plan how necessary job skills will be developed. Task analysis, skill training, and fading
are the major interventions. Natural
supports on the job site should be the first option with facilitation and
supplementation by the job coach.
2) Service Coordination: The consumer and job coach
determine what supports are needed to maintain employment such as
transportation, housing, medication, therapy, social activities, etc., and plan
so that all services are coordinated and supportive.
3) Environmental Modification: Job analysis is done
collaboratively with the consumer and employer to determine what environmental
modifications are necessary to support success. Simple environmental changes can greatly increase the performance
with
limiting distractions,
supervisory or co-worker training, workplace organization, job carving,
part-time work, etc.
4) Long Term Support: Studies have shown that
ongoing support by friends, family, co-workers, supervisors, case managers, and
job coaches is critical for success.
Club House programs and circles of support offer some of the best long
term solutions.
VOCATIONAL SERVICE
OPTIONS
EMPLOYMENT
AND RETENTION SERVICES
Referral Criteria:
1) Mental Health or Substance Abuse
diagnosis
2) Meets at least DRS priority group 2 or
3 requirements
3) Does not meet criteria for Supported
Employment because
a. Has 4 quarters of work
experience in the last 3 years OR
b. The contractor has been paid
for case closure in a job under a DRS contract within the last 3 years
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Employment and Retention
(E&R) Services are designed to serve individuals who have a mental health
diagnosis (DSM IV, not including V codes).
Eligible individuals must also meet DRS criteria for severe
disability. These are individuals,
though severely disabled, who do not require extended services to maintain
employment (i.e. supported employment).
E & R services are intended
to assist individuals with disabilities in preparing for work, learning the
how-to=s of obtaining
and maintaining employment, finding a job which matches their vocational goal
and adjusting to the demands of the work environment. The service provider is required to assist the customer/consumer
in vocational preparation, job development, job coaching on-site (if included
in the IPE) and work adjustment counseling until case closure.
SUPPORTED EMPLOYMENT
Supported Employment (SE) is
designed to serve individuals who meet DRS criteria for most severe disability,
the Department of Mental Health and Substance Abuse Services= definition of Aserious mental illness@ and who are expected to
need intensive and long-term support to maintain employment.
Referral Criteria:
1)
DMHSAS diagnosis of serious mental illness;
2)
Eligible for supported employment and are
priority group 1;
3) Have
less than four quarters of work experience during the last three years.
4) Have
a long term support source
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The levels of service must be
offered: Aregular@ supported employment and
supported employment for individuals who are Ahighly
challenged@ and
therefore will take more time and expense to complete the milestone process.
Supported Employment services are
intended to assist individuals with disabilities to build their work
adjustment skills and ego
strength to prepare for work, learn the how-to=s
of obtaining and maintaining employment, adjust to the demands of the work
environment and maintain long-term employment.
The service provider is required to assist the customer/consumer in
vocational preparation, work hardening (if in the IPE), job development, job
coaching on-site and long term support to maintain employment.
TRANSITIONAL
EMPLOYMENT (SUBTYPE OF SE)
Transitional employment (TE) is a
sub-type of Supported Employment. It is
designed to serve individuals who meet DRS criteria for most severe disability,
the Department of Mental Health=s
definition of Serious Mental Illness and who are expected to need intensive and
long-term support to maintain employment.
Two levels of service must be offered: Aregular@ Transitional employment
and TE for individuals who are Ahighly
challenged.@ Transitional Employment services are
intended to assist individuals who have not had significant, successful or
recent work experience to build their work adjustment skills in a real work
environment and to clarify their strengths and interests. The service provider is required to: 1)
assist the member/consumer in obtaining and retaining multiple transitional
employment positions, 2) provide job coaching on-site, off site support, and 3)
obtain continued transitional employment placements until competitive
employment is achieved.
DEFINITION OF AHIGHLY CHALLENGED@ MH CONSUMER
Individuals who meet at least
three of the criteria can be considered AHighly
Challenged@:
THas
been unemployed for a minimum of 30 months out of the last 36 months.
THad
four or more jobs which lasted less than a month.
TWithin
the last 6 months, has a record of at least three of the following: social
withdrawal, poverty of speech, poor hygiene, poor medication compliance,
difficulty with initiating tasks, 3 months of more of inactivity.
TThree
or more hospitalizations in the last two years.
TEligible
for SSI or SSDI benefits.
TDrug
or alcohol abuse as a secondary diagnosis.
TBorderline
Personality Disorder as a primary or secondary diagnosis.
TSymptomatic
despite good medication compliance.
Documentation must be submitted
to the DRS counselor with Milestone billing verifying the criteria which are met.
MENTAL HEALTH MILESTONE PAYMENT
PERCENTAGES
Payments will be made in parts
(milestones) as work is completed.
Payment of a milestone constitutes payment in full for all services
delivered during that phase of the program.
Each milestone can be paid only once per case. Individuals served should receive only those services which are
included in their Individualized Rehabilitation program. All services must be pre-authorized by the
DRS counselor. Payment is made as
consumers complete the milestone outcomes and the contractor has provided the
services and required documentation.
The bid percentages to be paid
for each milestone are described below.
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MILESTONE
|
TRANSITIONAL
EMPLOYMENT
|
SUPPORTED
EMPLOYMENT
|
|
Determination of
needs/planning
|
10%
|
10%
|
|
Placement
|
-
|
10%
|
|
Job Site training
|
20%
|
20%
|
|
Job Site Fading
|
15%
|
10
%
|
|
Stabilization
|
20%
|
20%
|
|
Transition to Extended
Support/ Closure
|
25%
|
30 %
|
|
Independent Employment /Career
Placement
|
10%
|
-
|
LIMITATIONS ON
ACCEPTANCE OF REFERRALS
Providers are required to cease
accepting referrals if the percentage of individuals completing Milestone
Placement falls below 50% of the individuals completing Milestone Determination
of Needs/Planning. Referrals may also
be ceased if the provider fails to maintain at least a 40% closure rate.
MENTAL HEALTH MILESTONE
DEFINITIONS:
Funding Source: Supported Employment
A) Determination of Needs
Outcome: a determination of the
consumer's rehabilitation needs through an assessment of the consumer's
abilities and functional limitations.
Services:
·
Assessments must be completed in a Clubhouse program,
in a community business or other DRS pre‑approved program model.
·
Vocational Assessments should reflect detailed work
assessments conducted on different days.
·
The type and total hours of assessment are determined
by the DRS Counselor.
·
If eligibility has not been determined, documentation
must be submitted to the DRS Counselor
within 45 days of the DRS application date.
B) Career Planning
Outcome: a vocational plan
including short term and long term vocational goals developed collaboratively
with the consumer.
Services:
·
A vocational exploration process should be completed
using the Job Club model or an alternative model approved by the Community
Rehabilitation Services Unit.
·
The process should take a minimum of 15 hours and
result in a Career Plan (Job Success Plan) which can be used by the DRS
Counselor to establish the Vocational Goal and write the IPE.
Required
Documentation:
• Computerized Milestone Report including
Summary Progress Note
• Sufficient information for the DRS
Counselor to determine eligibility
• Sufficient information to allow DRS
Counselor to complete IPE
• 3 (minimum) Work Behavior Inventories
• Copies of Job Club Test (80% or higher
score)
• Copy of the certificate of achievement
• Job Success Plan
• Highly Challenged Form, if applicable
Name of
Milestone: Career Placement Milestone
Outcome: a job placement that
matches the goal contained in the Job Success Plan and the IPE.
Services:
·
The career placement phase includes job development
around the short-term career goal.
·
A job analysis and job accommodation negotiation and
must be done collaboratively with the consumer prior to the first day of work.
·
Job Placement will be determined to be completed when
the consumer has accepted the Training Plan
which must have been completed prior to the first day of work.
Required
Documentation:
• Job
and Worker Discrepancy Analysis
• Training Plan (must be completed before
the first day of work)
• Sequential Task Analysis
• Employment Verification
• Summary Progress Note
Length of
Time:
• Job Placement will be determined to be
completed when the consumer has started
his/her third day of work.
Name of
Milestone: Initial Job Site Training
Outcome: to provide intensive on and off job site
supports and job accommodations which assist the worker in adjusting to the
demands of the integrated work environment.
Services:
·
Provide intensive and substantial on the job training
by a job coach.
·
Job Coach addresses the accommodations identified in
the discrepancy analysis.
·
Support services as defined in the IPE are being provided.
·
Verification of services provided will be required for
payment.
Required
Documentation:
• Computerized Milestone Report including
Summary Progress Note
• Employment Verification/Employer
Evaluation Form
• Records of hours worked each week
• Consumer Job Satisfaction Questionnaire
Length of
Time:
Outcome: to reduce support to
the long‑term maintenance level while retaining employment and employer
and consumer satisfaction.
Services:
·
Stabilization has occurred when the individual has been
employed for at least 8 weeks beyond the initial 4-week Job site-training milestone
·
Stabilization has occurred when a written employer
evaluation has been submitted which
indicates acceptable job performance
during the most recent month,
·
Stabilization has occurred when a current consumer job
satisfaction questionnaire has been submitted which does not indicate any major
problems; and
·
Stabilization has occurred when the individual has
received the support services as defined in the IPE
·
including at least one support contact every week
during the four weeks.
Required Documentation:
• Computerized
Milestone Report including Summary Progress Note
• Employment
Verification/Employer Evaluation Form
•
Records of hours worked each week
• Consumer Job
Satisfaction Questionnaire
Length of Time:
• Initial Job
Site Training will be completed when the consumer has worked for 12
weeks.
• Only weeks
where hours exceeded 40% of the weekly work goal and in which
training
or supports were provided will be counted.
Name
of Milestone: Transition to Extended Support/Closures
Outcome: a worker who can be
considered rehabilitated by the Vocational Rehabilitation System.
Services:
·
The Transition to Closure process will be determined to
be payable when the contractor has completed all their services under this
contract and has submitted all the required documentation.
·
The worker must have received adequate training and
support after placement, as identified in the IPE.
·
For SE and TE, support services must include at least
two support contacts per month
(beginning at least 90 days prior to closure these contacts must be
billed to the long‑ term funding source).
Required Documentation:
• Computerized
Milestone Report including Summary Progress Note
• Employment
Verification/Employer Evaluation Form
• Proof
of on-going support
•
Consumer Job Satisfaction Questionnaire
Length of time:
·
Initial Job Site Training will be completed when the
consumer has worked for 90 days after the last completed milestone.
Funding Source: Transitional Employment
Outcome: a determination of the
consumer's rehabilitation needs through an assessment of the consumer's
abilities and functional limitations.
Services:
·
Assessments must be completed in a Clubhouse program,
in a community business or other DRS pre‑approved program model.
·
Vocational Assessments should reflect detailed work
assessments conducted on different days.
·
The type and total hours of assessment are determined
by the DRS Counselor.
·
If eligibility has not been determined, documentation
must be submitted to the DRS Counselor
within 45 days of the DRS application date.
Required
Documentation:
• Computerized Milestone Report including
Summary Progress Note
• Sufficient information for the DRS
Counselor to determine eligibility
• 3 (minimum)
Work Behavior Inventories
• Highly
Challenged Form if applicable
Name of
Milestone: Initial Job Site Training
Outcome: to provide intensive on and off job site
supports and job accommodations which assist the worker in adjusting to the
demands of the integrated work environment.
Services:
·
Provide intensive and substantial on the job training
by a job coach.
·
Job Coach addresses the accommodations identified in
the discrepancy analysis.
·
Support services as defined in the IPE are being
provided.
·
Verification of services provided will be required for
payment.
Required
Documentation:
• Computerized Milestone Report including
Summary Progress Note
• Employment Verification/Employer
Evaluation Form
• Records of hours worked each week
Length of
Time:
Name of
Milestone: Fading of Job Site Support
Outcome: to provide gradual
withdrawal of intensive support and retention of employment during the 5th
through the 8th week of transitional employment.
Service Description:
·
Includes provision of on‑site job coach support
in reducing intensity over a four week period which begins at the end of the
Initial Job Site Training period.
·
Also Includes regular, at least weekly, off job site
support provided by the clubhouse
Required
Documentation:
• Computerized Milestone Report including
Summary Progress Note
• Employment Verification/Employer Evaluation
Form
• Records of hours worked each week
Length of
Time:
• Fading of Job Site Support will be
completed when the consumer has worked for 8
weeks.
• Only weeks where hours exceeded 40% of
the weekly work goal and in which
training or supports were provided will be counted.
Name of
Milestone: Stabilization
Outcome: to reduce support to
the long‑term maintenance level while retaining employment and employer
and consumer satisfaction.
Services:
·
Stabilization has occurred when the individual has been
employed for at least 8 weeks beyond the initial 4-week Job site-training milestone
·
Stabilization has occurred when a written employer
evaluation has been submitted which
indicates acceptable job performance
during the most recent month,
·
Stabilization has occurred when a current consumer job
satisfaction questionnaire has been submitted which does not indicate any major
problems; and
·
Stabilization has occurred when the individual has
received the support services as defined in the IPE
·
including at least one support contact every week
during the four weeks.
Required Documentation:
• Computerized
Milestone Report including Summary Progress Note
• Employment
Verification/Employer Evaluation Form
•
Records of hours worked each week
• Consumer Job
Satisfaction Questionnaire
Length of Time:
• Initial Job
Site Training will be completed when the consumer has worked for 12
weeks.
• Only weeks
where hours exceeded 40% of the weekly work goal and in which
training or supports were provided will be counted.
Name
of Milestone: Transition to Extended Support/Closures
Outcome: a worker who can be
considered rehabilitated by the Vocational Rehabilitation System.
Services:
·
The Transition to Closure process will be determined to
be payable when the contractor has completed all their services under this
contract and has submitted all the required documentation.
·
The worker must have received adequate training and
support after placement, as identified in the IPE.
·
For SE and TE, support services must include at least
two support contacts per month
(beginning at least 90 days prior to closure these contacts must be
billed to the long‑ term funding source).
Required Documentation:
• Computerized Milestone
Report including Summary Progress Note
• Employment
Verification/Employer Evaluation Form
• Proof
of on-going support
•
Consumer Job Satisfaction Questionnaire
Length of time:
·
Initial Job Site Training will be completed when the
consumer has worked for 90 days after the last completed milestone.
Name of
Milestone: Independent Career Placement Incentive Payment
Outcome: an
independent/competitive job placement that occurs after completion of
Transitional Employment and which matches the career (short term) goal
developed collaboratively with the consumer and contained in the Job Success
Plan.
Services:
·
The consumer must have completed at least two
transitional employment placements.
·
The Career Placement includes the requirements listed
under the Individualized Career Plan Development
·
A vocational
exploration process should be completed using the Job Club model or an
alternative model approved by the Community Rehabilitation Services Unit.
·
The process should take a minimum of 15 hours and
result in a Career Plan (Job Success Plan) which can be used by the DRS
Counselor to establish the Vocational Goal and write the IPE.
·
The development of the final version of the Job Success
(Career) Plan must be done on an individual basis and take at least one
hour.
·
Groups are limited to a total of 8 individuals.
Required Documentation:
• Computerized
Milestone Report including Summary Progress Note
• Employment
Verification/Employer Evaluation Form
•
Summary pages from the Vocational Interest Inventories
• Consumer Job
Satisfaction Questionnaire
• Job and Worker Discrepancy Analysis
• Job Success Plan
Length of time:
·
The consumer has completed at least four weeks of
competitive work in the community.
·
Must be completed within 12 months of the VR case
closure date.
Funding
Source: Employment and Retention
Name
of Milestone:
Determination of Needs and Career Planning
Outcome: A determination of the consumer’s
rehabilitation needs through an assessment of the consumer’s abilities and
functional limitations. Development of a vocational plan including short and
long term vocational goals developed collaboratively with the consumer.
Services:
·
Assessments must be completed in a Clubhouse program,
in a community business or other DRS pre‑approved program model.
·
Vocational Assessments should reflect detailed work
assessments conducted on different days.
·
The type and total hours of assessment are determined
by the DRS Counselor.
·
If eligibility has not been determined, documentation
must be submitted to the DRS Counselor
within 45 days of the DRS application date.
·
A vocational exploration process should be completed
using the Job Club model or an alternative model approved by the Community
Rehabilitation Services Unit.
·
The process should take a minimum of 15 hours and
result in a Career Plan (Job Success Plan) which can be used by the DRS
Counselor to establish the Vocational Goal and write the IPE.
Required
Documentation:
• Computerized Milestone Report including
Summary Progress Note
• Sufficient information for the DRS
Counselor to determine eligibility
• Sufficient information to allow DRS
Counselor to complete IPE
• 3 (minimum) Work Behavior Inventories
• Copies of Summary pages of the Vocational
Interest Inventories
• Copies of Job Club Test (80% or higher
score)
• Copy of the certificate of achievement
• Job Success Plan
Name of
Milestone: Initial Job Site Training
Outcome: to provide intensive on and off job site
supports and job accommodations which assist the worker in adjusting to the
demands of the integrated work environment.
Services:
·
Provide intensive and substantial on the job training
by a job coach.
·
Job Coach addresses the accommodations identified in
the discrepancy analysis.
·
Support services as defined in the IPE are being
provided.
·
Verification of services provided will be required for
payment.
Required
Documentation:
• Computerized Milestone Report including
Summary Progress Note
• Employment Verification/Employer
Evaluation Form
• Records of hours worked each week
• Training Plan which includes a summary of
the needed accommodations
identified
Length of
Time:
Name
of Milestone: Transition to Extended Support/Closures
Outcome: a worker who can be considered
rehabilitated by the Vocational Rehabilitation System.
Services:
·
The Transition to Closure process will be determined to
be payable when the contractor has completed all their services under this
contract and has submitted all the required documentation.
·
The worker must have received adequate training and
support after placement, as identified in the IPE.
·
For SE and TE, support services must include at least
two support contacts per month
(beginning at least 90 days prior to closure these contacts must be
billed to the long‑ term funding source).
Required Documentation:
• Computerized
Milestone Report including Summary Progress Note
• Employment
Verification/Employer Evaluation Form
• Proof
of on-going support
•
Consumer Job Satisfaction Questionnaire
Length of time:
·
Initial Job Site Training will be completed when the
consumer has worked for 90 days after the last completed milestone.
1
The first TE placement is reimbursable through DRS. The second TE placement is
reimbursable through the Department of Mental Health and Substance Abuse.
Closure occurs after completion of the first TE placement.
DEPARTMENT OF MENTAL HEALTH AND SUBSTANCE
ABUSE SERVICES (DMHSAS)
The Oklahoma Department of Mental Health and
Substance Abuse Services is a publicly funded agency offering services for
individuals experiencing problems related to mental illness, substance abuse,
or domestic violence/sexual assault.
Through its own facilities and through contracts with private,
non-profit community-base organizations, the department offers a variety of
treatment and supportive services and devotes substantial resources to
prevention programs. Fees for services are calculated based on the client’s
ability to pay. Following is a brief
overview of available services grouped by client category. It is important to note, however, that the
department’s services span all categories and are offered without regard to
age, gender, race, condition, or financial status. Availability of services varies. Contact the local mental health
center to ask which services are offered.
Services for the Adult Mentally Ill
§
Psychiatric and psychological evaluation
§
Outpatient counseling
§
Medication monitoring
§
Crisis intervention and stabilization
§
Social and recreational services
§
Training in daily living skills
§
Vocational training
§
Supported employment
§
Intensive case management
§
Assistance in applying for entitlements
§
Supported apartment, group homes, or other
transitional living services
§
Inpatient psychiatric and psychological
treatment
§
REACH-OUT, a toll free statewide hotline
providing referral to services and offering educational material on mental
illness and related issues (800 522-9054)
§
Placement and monitoring of geriatric clients
with long-term mental illness.
Services for Victims
of Domestic Violence and Sexual Assault
§
Safe shelter, counseling, support groups, and
advocacy for victims of domestic violence
§
Crisis intervention, support, and advocacy for
victims of sexual assault, including
adult survivors of childhood sexual assault, rape victims, and victims
of sexual harassment and sexual exploitation
§
Emergency transportation away from a violent
environment
§
Counseling for abusive partners
§
SAFELINE, a toll free statewide hotline providing
information on shelter locations and services (800 522-7233)
Services for Substance
Abusers
§
Crisis intervention and stabilization
§
Assessment and referral
§
Detoxification
§
Outpatient counseling for individuals, groups,
and families
§
AIDS education and support groups
§
Residential treatment
§
Support groups and other aftercare activities
§
Transitional housing in drug-alcohol free
environments
§
Treatment for individual in the custody of the
Department of Corrections
§
DUI schools, which provide education on substance
abuse as it relates to automobile safety
§
Consultation on the development of Employee
Assistance Programs
§
Specialized residential substance abuse
treatment programs for pregnant women and mothers of young children
§
Specialized substance abuse treatment for Native
American substance abusers
§
REACH-OUT, a toll free statewide hotline
providing referral to services and offering educational material on substance
abuse and relates issues (800 522-9054)
§
Counseling and educational programs on drug and
alcohol abuse among senior citizens
§
Outpatient substance abuse services for
batterers.
Services for Children
§
Drug and alcohol abuse prevention programs for
high-risk youth
§
School- and community-based prevention programs
§
Community-based substance abuse prevention
programs geared to Native American and Hispanic cultures
§
Parenting training in the cultural context of
African American families
§
Home-based children’s mental health services and
gatekeeping
§
Therapeutic nurseries for emotionally disturbed
infants and young children
§
Programs to help families whose children are in
transition from institutional care to family living
§
Suicide prevention programs for adolescents and
young adults
§
Safe shelter and therapeutic activities for
children affected by domestic violence
§
Residential and outpatient substance abuse
treatment for adolescents and young adults
§
Therapeutic activities for children living with
their mothers in residential substance abuse treatment centers
§
TEENLINE, a toll free statewide hotline allowing
young people to discuss their concerns confidentially with a caring listener
(800-522-TEEN)
§
Inpatient psychiatric care and educational
services
Services for the
Homeless
§
Outreach services to identify and assist
homeless persons who are mentally ill or substance abusers
§
Temporary housing
§
Medication clinic and monitoring
§
Linkage with community resources providing food,
clothing, and other assistance
§
Transportation
§
Emergency cash assistance with rent and utility
payments to avert homelessness
§
Advocacy and assistance in obtaining
entitlements and housing
§
Safe shelter for persons who are homeless as a
result of domestic violence or sexual assault
Services for Clients with Disabilities
§
Interpreters and assistive listening devices for
mental health, substance abuse, or domestic violence/sexual assault program
clients with hearing impairment
§
Mental health and substance abuse counselors
trained in the special needs of hearing impaired clients
§
Telecommunications Devices for the Deaf (TDDs)
to allow hearing impaired clients with similar devices to reach service
providers by phone
§
TDD equipment on all the department’s toll free
hotlines to allow hearing impaired callers access to referral information
§
A telephone relay system for individuals who
need to communicate with facilities not equipped with TDDs
§
Accessibility accommodations for clients with
vision or mobility impairment
Other Services
§
Oklahoma Prevention Resource Network, which
offers community-based substance abuse prevention training, educational
materials, prevention curricula, technical assistance, and public awareness
events through 18 Area Prevention Resource Centers
§
Specialized treatment programs for individuals
dually diagnosed with mental illness and substance abuse or with mental illness
and mental retardation.
SUGGESTED POLICIES
AND PROCEDURES
The Supported Employment program is designed to
provide services for individuals in need of support when they gain employment.
1.
Persons in need of supported employment services
must have a DSM-IV classification or mental health diagnosis.
2.
Individuals must receive treatment other than
adjustment disorder.
3.
*All applicants need to participate in a
clubhouse for three days a week for at least three hours per day for three
consecutive weeks.
4.
All referrals to the employment program will be
made by Employment Specialist, Case Management, consultants, Therapist,
coordinator, or the Department of Rehabilitation Services.
5.
Individuals will fill out an application with
Vocational Rehabilitation services for the supportive employment program. Applicants will meet with a Vocational
Rehabilitation counselor to discuss the Vocational (Employment) goal.
6. *Individuals will need to sign a consent
for treatment allocated by the employment program and Vocational Rehabilitation
services.
7. *They will also sign a release for all
information needed by the employment program.
They are also required to sign a confidentiality form for their
protection and the protection of the other individuals in the program. Clients will receive a copy of their rights
and responsibilities from the agency.
8.
The Employment Program and Case Management will
work together to provide all services needed by the individual. Clients will receive transportation to
interviews, job searching and the first two weeks of employment from the
Employment Specialist of Job Coach.
Case Management will be responsible for housing, social security, and
personal hygiene issues.
9.
Individuals from other agencies will continue to
receive services from that agency.
10. *Individuals will participate in unit
functions or volunteer on a job for pre-assessment evaluations. There are three
assessments each lasting for three hours.
(Club house)
11. Our contract with Department of
Rehabilitation Services requires individuals to participate in pre-placement or
training (job club) as a prerequisite of job development.
12. Individuals then go through stages
(milestones) for attaining skills
ranging from interviewing for a job to maintaining a job placement provided by
the Employment Specialist.
13. All individuals referred to the Employment
Program are subject to be reviewed by the Employment Specialist.
14. Once persons are referred and accepted to
the Employment Program, we have an ethical obligation to serve them.
15. The Employment Program reserves the right
to refuse acceptance to anyone.
*These particular issues may be specific to
requirements for individual service provider programs, which may include Mental
Health Centers.
The following are mental health vocational
contacts:
Connie Schlittler, Director
Consumer Support Services, DMHSAS
1200 NE 13th
P.O. Box
53277
Oklahoma City, Ok 73152-3277
Telephone: 405-522-3863
Fax:
405-713-2489
Dan O’Brien, Program Field Representative
Department of Rehabilitation Services
RS #49, Community Rehabilitation Services
2401 NW 23rd, Suite 7
Oklahoma City, Ok 73107
Telephone:
405-522-6537
MEMORANDUM
OF AGREEMENT
ON
EXTENDED SERVICES
BETWEEN
THE
OKLAHOMA
DEPARTMENT OF REHABILITATION SERVICES
AND
______________________
MENTAL HEALTH CENTER
AND
__________________________
AGENCY
Federal regulations on
provision of Supported Employment services by the Oklahoma Department of
Rehabilitation Services for people with severe disabilities requires that
extended services be available to the supported worker when ODRS funding stops.
PURPOSE:
The purpose of this agreement is to assure that
the mental health center will provide extended services for persons receiving
supported employment services.
The extended services must be provided for the
duration of the employment. Experience
in other supported employment programs reveals that the time and cost for the
needed support is more cost-effective than other more institutionalized
programs. In addition, the rewards to
the consumer, such as higher pay and benefits, the opportunity to work in the
community, improved self-esteem and job satisfaction are self-evident.
DEFINITION:
Extended services is on-going job support in the
form of either:
a)
twice
monthly contact at the work site to assess job
stability
or
b)
two
off-jobsite face-to-face support contacts per month with the consumer and one with the employer to help the
consumer placed into supported employment retain that employment.
Extended services, on-going
support services include, if needed, but are not limited to:
Coordinating with
the placement agency on the appropriateness of the job.
Collaborating
with the placement agency to ensure a smooth transition to on-going job
support.
Working
with the consumer and/or the employer to resolve a problem(s) affecting
employment.
Meeting
with a family member or significant other to help resolve a problem(s) relating
to employment.
On
and off-jobsite support when job duties, transportation, living arrangements,
etc. change.
Providing
needed professional counseling services and/or treatment, if that is an usual
and customary service provided by the organization.
CONSUMER’S
NAME AND SOCIAL SECURITY NUMBER:
(Additional names may be
attached to this agreement as needed)
NONDISCRIMINATION:
Both parties to this agreement
agree that neither will discriminate in employment, services or benefits
because of race, color, national origin, age, sex, religion or handicap.
CONFIDENTIALITY:
The parties agree that all
consumer information is provided upon the assurance that it will be properly
safeguarded, used only for the purpose for which provided and not released to
unauthorized persons.
TRAINING:
All case managers or other
staff delivering on-going support services must complete mental health job
coach training (up to five days) before delivering services. Training will be offered at least twice a
year and provided free of tuition by ODRS Supported Employment Unit in the
Oklahoma City or Tulsa areas. Travel
and per diem are the responsibility of the employing.
EFFECTIVE DATE:
This agreement is effective
____________________ and will remain in effect unless one of the following
occurs: 1) the consumer(s) has/have been determined by ODRS to be unsuccessful
in his/her supported employment program;
2) an agreement for natural supports has been approved by the VR
Counselor and the ODRS field representative;
3) the mental health center ceases providing any vocational services to
any of its consumers and gives 30 days notice to the VR Counselor and the
assigned ODRS field representative; or
4) the consumer refuses all services from the mental health center.
Mental Health Center: Vocational
Service Provider:
_______________________ _______________________
Case Manager SE
Program Manager
Or Executive Director
Department
of Rehabilitation
_______________________ Services:
Executive Director or
Designee ________________________
VR
Counselor
________________________
VR
Supervisor