Adult Services Initiatives

Older Adults Behavioral Health:

Pre-Admission Screening and Resident Review (PASRR) Program: PASRR is a federal program governed by the Centers for Medicare and Medicaid Services.  This program screens individuals seeking nursing facility care for a history of mental illness and identifies the most appropriate and least restrictive services that will meet the individual’s needs. The required evaluations are conducted by Adult Evaluation and Referral Services (AERS) professionals at the local health departments and approved by Value Options® Maryland under the direction of Adult Services.

Outreach and specialized services to support older adults with behavioral health issues: BHA funds specialized programs and resources through state grants to certain jurisdictions to support the behavioral health needs of older adults. These programs may include outreach, education, engagement, home-based treatment, or specialized older adult RRP or behavioral health assisted living services.

Transition Age Youth (TAY) Specialized Services:  TAY Specialized Services assist youth and young adults (emerging adults) with significant mental health conditions and emotional disabilities as they prepare for adult life.  Transition-age services and supports are available to youth beginning at age 16. Services and supports are designed to prepare and facilitate achievement of the individual’s goals related to relevant transition domains, such as employment, career, and educational opportunities, living situations, personal effectiveness, well-being,  community contribution and life functioning. TAY services integrate traditional and nontraditional supports within developmentally appropriate and effective youth-guided local systems of care with the system goal of expansion of the evidence informed service provision throughout the state.

Housing:  Adult Services continues to work with the Department of Housing and Community Development (DHCD) to promote and leverage DHMH’s administration-sponsored capital program funding to support an array of affordable, accessible and integrated housing choices for individuals within in the behavioral health system of care. In addition, Adult Services is a fully engaged member of Maryland Partnership for Affordable Housing (MPAH), a cross-disability coalition of state agencies, advocates, and individuals with disabilities that are committed to creating affordable housing opportunities for persons with significant disabilities and extremely low income.  MPAH has been successful in securing Harry and Jeanette Weinberg Housing Opportunities Initiative for Person with Disabilities, the U.S. Department of Housing Opportunities Initiative for Persons with Disabilities, the U.S. Department of Housing and Urban Development’s Section 811 Project Rental Assistance Demonstration, and the Bridge Subsidy program that links individuals to temporary housing subsidies until permanent support can be located.

Behavioral Health Homes:  Behavioral Health Homes are for individuals with behavioral health needs who are at high risk for additional chronic health conditions, including those with serious mental illness, serious emotional disorders, and opioid-related disorders.  The program offers participants enhanced care coordination services from providers with whom they regularly receive services, including psychiatric rehabilitation programs, mobile treatment service providers, and opioid treatment programs.  This is a community-based approach, not a residential program.  Health Homes enhance person-centered care by empowering participants to manage and prevent chronic conditions in order to improve health outcomes, while reducing avoidable hospital encounters.  Health Homes provide six core services: Comprehensive Care Management, Comprehensive Transitional Care, Care Coordination, Individual and Family Support, Health Promotion, and Referral to Community and Social Support.  To learn more about the behavioral health homes, visit: http://dhmh.healthhomes@maryland.gov

Traumatic Brain Injury (TBI):  BHA has leadership responsibilities within the State of Maryland related to planning and coordinating services for individuals with TBI. BHA staffs the Maryland Traumatic Brain Injury Advisory Board, which reports annually to the Governor, the General Assembly and several State Departments regarding the needs of Marylanders with TBI. BHA also provides statewide training to human service workers on topics related to brain injury, person centered planning, and mental health first aid. The Home and Community-Based Waiver (1915c) for Individuals with Brain Injury is also administered by this unit. The program offers specialized community based brain injury supports to individuals who have significant neurobehavioral issues related to a brain injury sustained after the age of 17 who meet the medical, technical and financial eligibility criteria for the program. For more information call, 410-402-8476. For general brain injury information and referrals, contact the Brain Injury Association of Maryland 410-448-2924

Ticket to Work Program: The Ticket to Work Program is a program established by the Social Security Administration that helps people who receive Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI) to return to meaningful work, maintain employment, and to pursue ongoing career advancement up to and including economic self-sufficiency. BHA sponsors the Maryland Employment Network (MD-EN) which serves as a statewide employment net to administer the Ticket to Work Program.  Program participation is free and voluntary.  MD-EN connects partnering employment programs into a single employment network consortium.   MD-EN provides technical assistance for participating providers, statewide benefits and work incentives training, individualized benefits counseling, peer counseling for beneficiaries, and business liaison service to develop relationships with the business community.  More information is available at www.ticket2workmd.org​

EBP Services:  In partnership with the University of Maryland School of Medicine (SOM) Department of Psychiatry, Adult Services promotes, monitors, and evaluates the development and implementation of EBP-participating programs and services.  EBP refers to a set of standardized, replicable interventions for which rigorous scientific research exists to demonstrate the effectiveness of the interventions, when implemented as designed, in achieving meaningful, positive outcomes for individuals who have received the interventions.  Fidelity Assessments and evaluations are systematically performed by trained BHA fidelity evaluators of EBP programs to determine adherence to the established EBP standards. 

Family Psychoeducation (FPE): FPE is an approach for partnering with individuals and families to treat serious mental illnesses.  FPE practitioners develop a working alliance with individuals and families in the recovery process by providing information on mental illness; helping to build social supports; and enhancing problem solving, communications and coping skills. Only programs such as FPE that have been determined to meet established fidelity standards are designated by BHA as an EBP program and are eligible to receive the EBP rate of reimbursement.

Assertive Community Treatment (ACT):  ACT, similar to Mobile Treatment, is an intensive community based service which provides assertive outreach, treatment, rehabilitation, and support to individuals with SPMI who may be homeless, or for whom more traditional forms of outpatient treatment may have been ineffective. In addition, ACT provides comprehensive, individualized services by a single, multidisciplinary team in an integrated and continuous manner.   Services are collaborative, person-centered, holistic, recovery-oriented, and include: psychiatric assessment, medication management, individual therapy, substance-related disorder intervention and integrated co-occurring disorder treatment, psychiatric rehabilitation, supported employment, resource linkage, advocacy, peer support.  Only programs such as ACT that have been determined by BHA to meet established fidelity standards are eligible to receive the EBP rate of reimbursement.
               
EBP Supported Employment (SE): Like traditional supported employment, EBP SE services provide job development and placement, job coaching, and ongoing support to individuals with SMI or a serious emotional disorder for whom competitive employment has not occurred, has been interrupted, or has been intermittent.  These individualized services are provided to enable eligible individuals to choose, obtain, maintain, or advance within independent competitive employment or a community-integrated work environment, consistent with their interests, preferences, and skills. This level of service is available for individuals ages 16 and older.  In addition, EBP SE services are integrated into the individual’s overall treatment plan with an employment specialist working as an equal member of the treatment team.   The combination of comprehensive, professional supports, delivered by the entire treatment team, and natural support provided by family, friends, and co-workers creates the best possible environment for success.  The research evidence that’…people are two to three times more likely to work in regular part-time or full-time jobs when participating (EBP) supported employment services than other vocation services” (Swanson, Becker, Drake, Merrens, 2008, p.1)1   Only programs such as EBP SE that have been determined by BHA to meet established fidelity standards are eligible to receive the EBP rate of reimbursement.

Early Interventions Programs/First Episode Psychosis Programs: DHMH, BHA, (SOM) and the University of Maryland Medical System have collaborated to offer specialized programs with expertise in the early identification, evaluation, and comprehensive psychiatric treatment of adolescents and young adults at risk for, or in the early stages of, a mental illness with psychosis. The programs use an integrated approach to address the health and mental health needs of young adults, including providing support for co-occurring substance-related disorders with metabolic-related disorders, and other co-occurring medical conditions. These programs are committed to reducing disability by equipping individuals at risk and their families with tools to manage their illness, move successfully through the developmental stages of growth, and establish a life of their choosing. For more information about the Maryland Early Intervention Programs (EIP), visit www.MarylandEIP.com or call (877) 277-MEIP (6347).

Access to Services:
For additional information about availability of services under these Initiatives and specific information regarding local services in all Maryland counties and Baltimore City, listed under Maryland Association of Core Service Agencies, visit www.marylandbehavioralhealth.org.  

Steven Reeder
Adult Services, Unit Director
410 402 8476
Steven.reeder@maryland.gov

 

Treatment and Recovery Services Unit
The Treatment and Recovery Services Unit ensures an integrated system of behavioral health treatment and recovery services are available and accessible to individuals experiencing substance-related disorders.  In collaboration with the Office of Adult and Specialized Behavioral Health Services, the unit is responsible for the development and monitoring of effective behavioral health treatment and substance-related recovery services and the implementation of evidence-based practices and standards statewide.  The unit aims to increase access to appropriate clinical and recovery support services, improve treatment outcomes; and to provide education on, and increase the public’s awareness of the risks associated with substance use. The unit also allocates and monitors the use of federal and state fiscal resources, provides training and technical assistance to jurisdictions and service providers, and monitors the achievement of outcome and performance measures.
Clinical Services

Clinical services are offered through a continuum of treatment modalities/levels of care that promote public health and safety of patients, families, and communities.  The modalities are community and jail-based and consist of Intensive Outpatient, Outpatient, Inpatient and Residential treatment (see Halfway House), DWI/DUI education, detoxification services, and Opioid Maintenance Therapy which uses pharmacological (medication assisted) interventions to provide treatment and recovery support to opioid-addicted patients.

Halfway House: Halfway House is clinically managed, low-intensity, structured residential care with at least 5 hours a week of on-site treatment that is delivered by a certified or licensed counselor/therapist. Individuals must meet American Society of Addiction Medicine (ASAM) criteria for admission. This housing type is considered level of care 111.1 and is monitored by the Office of Quality Assurance.

Recovery Support Services

Maryland RecoveryNet:  Maryland RecoveryNet develops partnerships with service providers statewide and funds access to clinical and recovery support services for individuals with substance-related disorders and substance-related disorders co-occurring with mental health conditions who have treatment and recovery support needs.  All Maryland RecoveryNet service recipients receive Care Coordination through which they can access a menu of services which includes Halfway House, recovery housing, transportation, employment services, vital records reports, medical and dental services, and other unmet needs as expressed by the individual and/or identified by the Care Coordinator.

Supportive Transitional Housing (Recovery Housing):  Supportive Transitional Housing is a sober living facility that provides supportive housing to individuals that do not require the higher intensity of a halfway house setting.  Individuals may be early in recovery, transitioning from homelessness or have other living arrangements that do not offer safe and recovery oriented environments.  This housing type is not monitored or regulated.  Recovery housing providers are encouraged to become a member of Maryland State Association of Recovery Residences (M-SARR).  Only recovery housing providers who are members of M-SARR are eligible for reimbursement under the Maryland RecoveryNet. For additional information on M-SARR, call 410-522-2232 or visit http://www.m-rocc.org  
    
Continuing Care: Continuing Care is available to individuals who no longer meet ASAM criteria for a more intensive level of care, affording them the opportunity to maintain an ongoing relationship with their substance use treatment provider.  Key components of this program include flexibility in frequency of contact between clinician and patient, phone-based risk assessment (recovery check-up) and counseling, face-to-face sessions, transfer back to a higher level of care if warranted, and referral for support services (e.g., housing, employment, access to medical care, etc.) as needed.

Care Coordination: Care Coordination is an activity designed to improve recovery outcomes for individuals identified as at high risk for relapse.  Individuals in the program are assisted with gaining access to community/faith-based medical, behavioral, social and other recovery support services appropriate to their needs and includes recovery assessment, care planning, referral/linkage, on-going monitoring, and follow-up. For additional information, contact the State Care Coordination Program Manager Leslie Woolford at 410- 402-8673.

Recovery Community Centers (RCC): Recovery Community is a term used to convey the sense of shared identity and mutual support of persons who are part of the social world of individuals in recovery. BHA now has twenty funded Recovery Community Centers. These centers are designed to be a safe haven for those in recovery to convene and a place where interested persons in recovery can obtain a multitude of services to support a healthy and recovering lifestyle.  Services include: 12-step support meetings, Meditation sessions, Care Coordination/enrollment into MD RecoveryNet, Peer Support group, Recovery Coaching, computer access, and discussions on HIV, mental health, and tobacco use.  Some RCCs serve as an access point linking individuals needing somatic care, behavioral health care, and/or insurance. For additional information, contact Patricia Konyeaso at 410- 402-8595.

Peer Support/Recovery Coaching:  Peer Support/Recovery Coaching services involve the development of a supportive peer relationship with individuals that will assist in developing healthy living skills, and the acquisition and enhancement of recovery self-management skills.  Peer services are facilitated by Certified Peer Recovery Specialists (CPRS) in consideration of the four domains: Advocacy, Recovery and Wellness, Mentoring and Education, and Ethical Responsibility.   CPRS are certified by the Maryland Addictions Professional Certification Board.  Peer activities may include but are not limited to accompanying individuals to appointments/meetings and leisure activities, providing assistance with completing paperwork for social services and other support services, providing assistance/preparation for employment such as shopping for work related clothing, coaching to prepare for an interview. For additional information, contact Leslie Woolford at 410-402-8673.

Access to Services: For more information, contact Unit Director Deirdre Davis at 410 402 8620 or deirdre.davis@maryland.gov.   Information about services in Baltimore City and the Maryland counties is available from the Local Addiction Authorities for each county and Baltimore City. A complete directory with contact information can be obtained online at http://adaa.dhmh.maryland.gov/SitePages/ADAA-ResourceDirectory.aspx.


Deirdre Davis, Unit Director
Treatment and Recovery Services
410 402 8620
Deride.davis@maryland.gov