N.J. Admin. Code § 10:37A-6.3 - Other services
(a) At a minimum, and in addition to the
services required to be provided pursuant to
N.J.A.C.
10:37A-6.2, the PA shall offer or arrange for
the following services to be made available, where they are appropriate to the
needs of the consumer as identified in the comprehensive rehabilitation needs
assessment:
1. Housing skills. Assist the
consumer in identifying natural supports to successfully live in an
unsupervised setting. Assist the consumer to set up and decorate their
residence, help them to become familiar with the local community resources,
access transportation services, and locate resources, such as the supermarket,
bank, library, post office, and pharmacy;
2. Mental health medication and illness
self-management. Develop a plan to help the consumer monitor their symptoms,
track early warning signs, develop coping skills, and prepare a plan to prevent
or minimize a relapse. Observe the consumer's symptoms, help the consumer
manage symptoms not reduced with medication, and assist the consumer to adapt
and cope with internal and external stresses. Assist consumers in advocating
for themselves regarding medication concerns and act as a liaison to clinical
service providers.
3. Finances,
budgeting, and banking. Provide training and support in all areas concerned
with the consumer's finances, including weekly/monthly budgeting, establishing
bank accounts, balancing checkbooks, looking for sales, using coupons and
rebate offers, avoiding impulse buys, responding to telemarketing or mail
"schemes," establishing a savings plan designed for emergencies, and enhancing
self-sufficiency;
4. Co-occurring
mental health and substance use disorder services linkages. Inquire about
substance use history and, when a problem is identified, help consumers
identify triggers for relapse and focus on a lifestyle centered on recovery.
Refer to co-occurring mental health and substance use disorder treatment, if
necessary. Educate the consumer on the interactive effects of substance use on
psychiatric symptoms, psychiatric and other medications, and social behavior.
Share Twelve-Step recovery and local co-occurring group meeting lists with
consumers and accompany to local groups and/or meetings in order to encourage
attendance. Encourage an alcohol and substance free-living environment in
shared living arrangements. If necessary, assist consumers in accessing
in-patient rehabilitation facilities;
5. Transportation services. Provide coaching
in the use of Medicaid taxi service, carpools, buses, trains, etc., and help
consumers access low-cost transportation resources, if available. Assist with
reading maps, reading bus/train schedules, locating bus stops/train stations,
etc. Assist consumers to save for bicycles or other low-cost methods of
transportation. Provide instruction on and assistance with all transportation
options;
6. Access to natural
supports. Assist consumers to develop a support network other than
professionals, which may include neighbors, family, friends, co-workers, clergy
or lay religious or spiritual guides, shopkeepers, etc. Explore with the
consumer opportunities for social networks and coach the consumer to strengthen
these connections. Explore/encourage joining or rejoining a social
organization, recreational group, or religious or spiritual organization to
enhance quality of life and promote community integration;
7. Crisis intervention, consisting of
face-to-face, short-term interventions with a consumer who is experiencing
increased distress and/or an active state of crisis. Interventions and
strategies include:
i. Contributing to the
development and implementation of the consumer's crisis contingency plan and
psychiatric advance directive;
ii.
Brief, situational assessment;
iii.
Verbal interventions to de-escalate the crisis;
iv. Assistance in immediate crisis
resolution;
v. Mobilization of
support systems; and
vi. Referral
to alternative services at the appropriate level;
8. Residential counseling; and
9. Emergency response services.
Notes
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