Community Provided Services

Outpatient Mental Health Services

Outpatient therapy is a level of care with the least amount of restriction. The therapy can be individual or group, structured or not.

Traditional outpatient therapy is individual sessions with a therapist at their office. There are some occasions when an individual may bring a partner or family member to the session, however the focus remains on the identified individual.

It is important that a person in outpatient therapy be able to maintain a degree of safety outside of the session. At times a higher, or more restrictive level of care may be required to ensure the safety of the client.

Individuals may also see a psychiatrist for medication management as necessary. 

Agencies that provide Outpatient Mental Health Services:
Family Behavioral Resources - www.familybehavioralresources.com
Franklin Family Services – www.ffspa.com
Momentum Services – www.mymomentumservices.com
Summit Behavioral Health Services – www.summithealth.org
Pennsylvania Counseling Services – www.pacounseling.com
Keystone Behavioral Health Center - www.keystonehealth.org/keystonebehavioralhealth
Spectrum Health and Wellness – contact (717) 263-0307
Pathways Counseling Services - www.pathwayscs.com
Francis Leiter Center – www.cassd.org/leiter-caring-center
Lutheran Counseling Services – www.lutheranscp.org
CenterPoint Counseling Services - www.centerpointtherapist.com

Case Management Services 

A Mental Health Case Manager coordinates a variety of community services, monitors the services, and serves as an advocate for the individual receiving services and their family and friends.  It is the Case Manager's role to locate resources and assist the individual in getting access to their needed services.

A case manager provides assistance in identifying an individual’s needs, goals, strengths, abilities, and preferences in their treatment and recovery. The case manager also monitors the effectiveness of services to ensure they are of benefit.  All residents having a diagnosis of a serious mental health illness qualify for these services regardless of their ability to pay.  After the need for services is established, financial liability is determined. Case Managers then assist individuals in applying for any benefits available to help pay for the cost of services.

Mental health case management levels of care include Utilization Management (UM), Administrative Case Management (ACM), Resource Coordination (RC) and Intensive Case Management (ICM). 

UM – Utilization Management is basic case management services for individuals who are stable in their mental illness and only need assistance with completing various documentation. 

ACM - Administrative Case Managers work with individuals who are stable in their mental illness. Therefore, the caseloads are rather large and staff has minimal contact with their individuals.

RC - Resource Coordination is for individuals in need of multiple services at a level between Intensive Case Management and Administrative Case Management. The caseloads are small enough to allow the staff to be in contact on a frequent basis, while fostering independence in those individuals that can manage it. 

ICM - The individual caseloads are smaller than in Administrative Case Management and Resource Coordination allowing staff to have more frequent contact with each individual/family and, therefore, greater opportunity to provide assistance and support. 

Agencies that provide case management services: 

Service Access and Management, Inc. (SAM) - www.sam-inc.org/Locations/franklin-county.html or www.sam-inc.org
TrueNorth Wellness Services - www.truenorthwellness.org

(TrueNorth Wellness Services provides administrative case management services for individuals who reside in Fulton County).  

Representative Payee

A representative payee is an individual or organization (agency) appointed by Social Security Administration (SSA) to receive Social Security and/or SSI benefits for someone who cannot manage or direct someone else to manage his or her money. The main responsibilities of a payee are to use the benefits to pay for the current and foreseeable needs of the beneficiary and properly save any benefits not needed to meet current needs. A payee must also keep records of expenses. When SSA requests a report, a payee must provide an accounting to SSA of how benefits were used or saved.

Agencies that provide Representative Payee services: 

Family Care Services – www.familycareservices.org
Marantha Ministries - www.maranathaministries.net

Psychiatric Rehabilitation 

Psychiatric rehabilitation services, based on the nationally known and respected Boston University model, are provided to adults with minimal employment skills, are socially isolated with limited social skills and whose lives lack meaningful structure/direction. Program participants are strongly encouraged to develop their own goals within four key areas and are supported by staff to successfully meet these goals as they progress in dealing with the symptoms of their mental illness.  Attendees are also encouraged to develop skills which may enable them to become competitively employed within the local community. These individuals have become contributing members of the local community.

This movement also creates opportunities for more individuals to participate in and benefit from this program. Participation in this structured day program reduces the utilization of inpatient psychiatric beds as well as the amount of recidivism concerning inpatient admissions. More than simply providing individuals with a place to go during the day, this program provides individuals with a supportive environment which encourages personal growth and development.

Keystone Health Services - www.keystonehumanservices.org

Residential Programs

Community Residential Rehabilitation (CRR) / group home

The Full Care CRR site offers supervision and support to consumers on a twenty-four hour basis, and is intended to address the need for intense psychosocial skills training within a structured residential setting.  Staff assists the consumers by monitoring medications, assisting with daily living and interpersonal skills development, and generally aiding consumers in making the often-difficult transition of community living.

New Visions, Inc. - www.new-visions.org

Supported Living 
TrueNorth Wellness Services provides 17 apartments. The adults live independently but have access to an on- site support staff 24/7. The support staff assist with teaching traditional activities of daily living such as household maintenance, money management, medication management, health management, nutrition and cooking skill development, etc. Community integration skills are also developed such as accessing transportation, employment, grocery stores, pharmacy, etc.

New Visions, Inc. also provides residential supported living apartments in Chambersburg and Waynesboro area. 

TrueNorth Wellness Services - www.truenorthwellness.org
New Visions, Inc. - www.new-visions.org

Specialized Community Residence (SCR) 
The Keystone Specialized Community Residence is an eight (8) bed facility for adults with serious and persistent mental illness. Per their state issued license, this program operates under personal care home regulations. An LPN is part of the staff complement and is on site during the day shift.

Additionally, the residential program staff is trained to work with this segment of the population. These two components allow it to be referred to as a specialized residence. The presence of the LPN on staff allows this program to admit individuals with psychiatric and physical/medical conditions which would not be appropriate for facilities without representation by this discipline on staff. Each resident has their own bedroom and share various common areas within this facility.

Keystone Health Services - www.keystonehumanservices.org

Long-Term Structured Residence (LTSR) 
Through a contractual agreement with Dauphin County MH/ID for bed availability for up to two persons at a time in this sixteen (16) bed locked facility, residents of Franklin/Fulton County are provided with long-term residential services. Residents of this facility are involuntarily committed and may live in this program for as long as is determined to be appropriate by the treatment team.

Individuals who are considered to be appropriate for this program include: persons being discharged from long-term inpatient psychiatric treatment (either Danville State Hospital or Holy Spirit Hospital's Extended Acute Care program) and individuals who are at risk for commitment to either of these long-term inpatient facilities.

Residents of this facility receive Resource Coordination case management service provision through Service Access and Management (SAM). This program serves residents of Cumberland/Perry, Dauphin and Franklin/Fulton Counties.

Keystone Health Services - www.keystonehumanservices.org

Family Based Mental Health Services

Family Based Mental Health Services are designed to provide community based therapy and support services to children and adolescents with emotional and behavioral problems. FBMHS provides therapy in a family’s home by utilizing a two-person team who are under the supervision of a Program Director.

The goal of the program is to enhance parents’ feelings of empowerment and self-efficiency so they can help themselves and their children become psychologically and financially self-sufficient. The function of FBMHS is to assist families with maintaining their child in the home rather than in a psychiatric or residential facility.

Family members are encouraged to actively participate in assessment, treatment planning, development of treatment goals, and ongoing review of progress. The child, family and FBMHS team work together to develop a plan that is individualized and designed to fit each family’s unique situation.

All services are designed to better circumstances, empower families and prevent out-of-home placement.  

Agencies that provide Family Based Mental Health Services: 

Family Care Services, Inc. - www.familycareservices.org
Momentum Services - www.mymomentumservices.com
Laurel Life Services, Inc. (a division of Manito, Inc.) - www.manito-inc.com
Franklin Family Services - www.ffspa.com
Pennsylvania Counseling Services, Inc. - www.pacounseling.com

Social Rehabilitation

Social Rehabilitation (SR) programs assist persons with mental illness with learning social skills and acquiring supports needed to live in the community.

The goal is for the person with a psychiatric disability to build skills and access the supports needed to function as actively and independently in the community as possible.

Social Rehabilitation is directed at helping persons with mental illness gain or regain practical skills needed to live and socialize in the community.  Social Rehabilitation programs provide learning opportunities in areas such as daily and community living skills, healthy diet, personal hygiene, cooking, shopping, budgeting, housekeeping, and use of transportation.

New Visions, Inc. - www.new-visions.org

Respite

Respite care is the provision of short-term, temporary relief to those who are caring for family members who might otherwise require permanent placement in a facility outside the home.

Respite programs provide planned short-term and time-limited breaks for families and other unpaid care givers of children with behavioral health issues and/or developmental delays in order to support and maintain the primary care giving relationship. Respite also provides a positive experience for the person receiving care.

Even though many families take great joy in providing care to their loved ones so that they can remain at home, the physical, emotional and financial consequences for the family caregiver can be overwhelming without some support, such as respite. Respite provides a break for the family caregiver, which may prove beneficial to the health of the caregiver. Respite has been shown to help sustain family caregiver health and wellbeing, avoid or delay out-of-home placements, and reduce the likelihood of abuse and neglect.

Family Care Services - www.familycareservices.org

Student Assistance Program

Student Assistance Program (SAP) is a process using techniques to mobilize school resources to remove barriers to learning. The core of the program is a professionally trained team, including school staff and the Mental Health Professional (MHP) from community alcohol and drug and mental health agencies.  SAP team members are trained to identify problems, determine whether or not the presenting problem lies within the responsibility of the school and to make recommendations to assist the student and the parent.  

When the problem lies beyond the scope of the school, the SAP team will assist the parent and student so they may access services within the community. The MHP is able to complete a screening for the student's presenting issues and then assist with making referrals to access services and/or support.

Referrals include outpatient counseling, school based counseling, psychological/psychiatric evaluations, case management, group counseling, support groups, food banks, assistive technology, coping skills training, etc. The MHP will offer continued support and follow up with the student and their families to ensure successful linkage to services.

Healthy Communities Partnership - www.hcpfranklinpa.org

Crisis Intervention Services

This program provides a 24 hours a day, seven days a week telephone, walk-in or mobile crisis intervention service. The crisis staff provide intervention, assessment, brief counseling and disposition/referral services to individuals presenting themselves in a mental health or substance abuse crisis situation. 

Agencies that provide Crisis Intervention Services: 

Keystone Behavioral Health Center www.keystonehealth.org/keystonebehavioralhealth
TrueNorth Wellness Services - www.truenorthwellness.org

Additional information
National Suicide Hotline: 1-800-273-TALK (8255) - www.crisistextline.org 

Certified Peer Specialist Program

The Peer Support Services (PSS) program seeks to provide one-to-one support to adults with mental illness in a way that helps each person achieve his or her full potential. The Peer Support Services program is voluntary. Peer Specialists meet with their peers in public environments convenient and familiar to peers. Essentially, it is service provision provided for individuals with mental illness by individuals with mental illness. The peer specialists receive extensive training initially (and receive certification) and then ongoing training thereafter.

Agencies that provide Certified Peer Specialist services: 
Mental Health Association of Franklin County - www.mhaff.org
TrueNorth Wellness Services - www.truenorthwellness.org
Peer Star - www.peerstarllc.com

Community Support Program 

Monthly Meetings 
CSP is a group of recipients of mental health services, family members, mental health professionals, and other community members who are working together to help adults with serious mental illnesses and co-occurring  disorders live successfully in the community. The cornerstone of CSP is the bringing together of families, friends, professionals and other natural supports into the lives of people with mental illness.  

Advocacy 
Franklin and Fulton CSP members sit on Advisory Boards to advocate for persons with mental illness. Fulton CSP is part of a statewide coalition. Over the years, it has achieved a very positive reputation within Pennsylvania. 

Community Involvement
Participants have the opportunity to make a meaningful difference in the lives of individuals with serious mental illness and those with co-occurring (mental health/intellectual disabilities or mental health/ drug and alcohol) disorders by becoming involved with the Franklin and Fulton County Community Support Program. The Leadership Academy is one of the ways that individuals get to interact with others in the community.

Support
Provide phone support (Warm Line; persons who answer the phones receive ongoing monitoring and training) to members of the local community which allows the crisis intervention service to focus more exclusively on the individuals who are in crisis. This service provides individuals with a place they can call to speak with someone. 

Mental Health Association of Franklin County - www.mhaff.org

Individual/Family Satisfaction Team

The Individual/Family Satisfaction Team (I/FST) examines participant satisfaction with behavioral health services through the use of one-on-one survey interviews as well as focus groups. Executive Summary reports are prepared at the conclusion of each survey. These reports are distributed to all interested individuals. The reports are reviewed at the site of the survey and staff from the agency, as well as other interested individuals, are invited to attend. A vital focus is to ensure that the service system is consistent with the principles of recovery in adults, resilience in children, and aligns with the core principles of the Community Support Program, the Child and Adolescent Service System Program, and Drug and Alcohol treatment. Surveyors receive extensive training both in the beginning and throughout their work. While many agencies have their own internal satisfaction survey process, using I/FST provides the opportunity to receive a free, unbiased perspective. 

Mental Health Association of Franklin County - www.mhaff.org

Inpatient Psychiatric Treatment

Inpatient behavioral health provides individualized treatment for patients in crisis. Short-term care is provided for patients with a primary behavioral health diagnosis (mental health) who are not responsive to outpatient treatment. The staff provides round the clock structured and supportive environment and one-to-one supervision for patients who are at risk for harm to self or others. Patients benefit from diagnostic assessment, stabilization, and individualized treatment programs.

Agencies that provide Inpatient Psychiatric Treatment:
Chambersburg Hospital - www.summithealth.org/chambersburg-hospital
Roxbury Treatment Center - www.roxburyhospital.com

Supported Employment 

Supported employment is employment for individuals with disabilities who are working toward competitive employment in integrated work settings. Employment is based on the individual's interests, the availability of jobs, and transportation needs.  

Support is provided by an Employment Specialist and is based on the needs of the individual.  An Employment Specialist and the individual work to establish goals that are designed to provide the necessary support for the individual to be successful in employment.  Support can be provided throughout the entire employment process.

AHEDD - www.ahedd.org

Transitional Employment 

Transitional employment is temporary subsidized employment that allows individuals with a disability who lack work experience, education or training an opportunity to prepare for competitive employment.  

Individuals with no or limited work history are able to access job placement and receive on-the-job training and support in the "real world".  A "host" employer provides duties that a group of transitional employment individuals complete under the supervision of a job coach.  The individuals receive payment from the transitional employment provider, not the "host" employer.  

Occupational Servics, Inc. (OSI) – www.osinc.org

Vocational Rehabilitation 

Sheltered employment is a workplace that provides a supportive environment where a person with a disability can acquire job skills and vocational experience. 

Vocational Rehabilitation is a service that provides job training to individuals with disabilities.  Individuals work with a counselor who develops a service plan with the individual so he or she can reach the highest level of employability.  Employment is in-house and individuals' pay corresponds with their production.  

Work adjustment training is a vocational rehabilitation program to develop an individual’s capability, including vocational, social and emotional capabilities to the optimal level.  Individuals participate in this program when the outlook for attainment of competitive employment within a short period of time is likely.  Individuals are assigned to a counselor and are placed in a competitive oriented work setting during training.  This program is sponsored by the Office of Vocational Rehabilitation and may last up to 16 weeks.

Occupational Services, Inc. (OSI) - www.osinc.org