Mental_HealthCharis Youth Center provides comprehensive specialty mental health services that include Individual and Group Psycho Therapy, Medication Management Support, Therapeutic Behavior Services, Individual and Group Rehabilitation, Collateral, Case Management and Crisis Intervention.  Charis’ Mental Health Services provide a thorough assessment of each youth’s mental health status, the development of a comprehensive treatment plan and interventions, with an integrated approach to alleviating symptoms related to the youth’s identified Diagnostic and Statistical Manual of Mental Disorders (DSM) diagnosis.

Adolescents placed in Charis’ program are typically very difficult to place and have experienced numerous placement failures in less restrictive environments.  For many of these youth, the mental health interventions they receive through Medication Support Services, Mental Health Services and Case Management are critical to their success in a community-based program; and help avoid placement in a more restrictive setting, such as a community treatment facility, out of state placement or acute hospital.

Services are provided for as long as the client needs and benefits from such services and are terminated when such services are no longer needed.

PROGRAM COMPONENTS

ASSESSMENT:  An Assessment is a comprehensive clinical analysis of the history and current status of the individual’s mental, emotional, and behavioral disorder.  The assessment documents the history, diagnosis and mental status determination.  It includes relevant issues relating to cultural, linguistic, and family involvement.  It documents the use of or abstinence from alcohol, tobacco, and other drugs.  It is an appraisal of the individual’s psychological functioning, living situation, daily activities, social support system, and physical health status.  Assessment services are limited to an intake evaluation, mental health evaluation and testing and scoring procedures necessary for the evaluation and treatment of the individual’s mental health needs.  It establishes the medical necessity for ongoing treatment.  Assessments are completed by Licensed Practitioners of the Healing Arts (LPHA) which include Charis’ Psychiatrist, LCSW’s, MFT’s and registered interns with the Board of Behavioral Sciences. The types of assessments may be:

  • Initial Psychiatric Assessment
  • Intake Assessment Report
  • Lab Test on Psychotropic Medications
  • Mental Health 24-hour crisis intervention services
  • Initial Medication Evaluation

TREATMENT PLAN DEVELOPMENT:  Treatment Plan Development is the development of coordination plans, treatment plans or service plans, verification of mental health services and medical necessity, and monitoring the individual’s progress.  This will be overseen and supervised by a licensed therapist.

  • Identification of Mental Health Needs
  • Coordination of Plans, Treatment Plans, Service Plans
  • Verification of Medical and Service Delivery
  • Interagency and Intra-agency Consultation, Coordination, and Referral
  • Monitoring Individual’s Progress
  • Discharge Planning and Placement Follow-up

THERAPY: Therapeutic interventions consistent with the individual’s goals/desired results/personal challenges that focus primarily on symptom reduction as a means to improve functional impairments.  This service is delivered by a Charis licensed therapist to an individual, group or in family therapy.

  • Individual, Group, and Family therapy
  • Behavior Stabilization

REHABILITATION SERVICES:  Assistance in restoring or maintaining an individual’s or group of individuals’ functional skills, daily living skills, medication compliance, and support services.  Counseling of the individual and/or family; training in leisure activities needed to achieve the individual’s goals/desired results/personal challenges; and medication education.  These services are provided by a team of mental health specialists all supervised by a licensed therapist team.

Therapeutic Recreation

  • Equestrian activities / horseback riding
  • Animal Assistance Program
  • Camping

Focused Learning Groups

  • Child Abuse/Trauma Protective Skills
  • Grief
  • Aggression Management

Process Oriented Group

  • Daily Goals
  • Problem Solving
  • Counseling Skills

Transition Groups

  • Reunification, adoption, foster care or independent living
  • Aftercare

Life Skills

  • Grooming, Hygiene, and Self-Care
  • Daily Living, Social Skills
  • Cultural Awareness
  • Community Outings

Functional and Developmental Improvement/Maintenance

  • Health Screening
  • Community Health Supports

Stress & Anger Management

  • Relaxation Training
  • Assertive Skills
  • Anger Replacement Therapy
  • Social Streaming

COLLATERAL:  Collateral services include, but are not limited to, helping significant support persons to understand and accept the individual’s condition and involving them in the development and implementation of the treatment plan. “Significant support person” means persons, in the opinion of the client or the person providing services, who have or could have a significant role in the successful outcome of treatment, including but not limited to the parents or legal guardian of a client who is a minor, the legal representative of a client who is not a minor, a person living in the same household as the client, and relatives of the beneficiary.

Education

Family Involvement

  • Family Activities/Home Culture
  • Parent Education
  • Family Support/Visitation

County Contact

  • May include:  Social Workers, Probation Officers, Mental Health Workers, CASA Workers

CASE MANAGEMENT:
Services that assist a client to access needed medical, educational, social, prevocational, vocational, rehabilitative, or other community services. The service activities may include, but are not limited to, communication, coordination, and referral; monitoring service delivery to ensure client access to service and the service delivery system; monitoring of the client’s progress; placement services; and plan development.  Case Management Services may include but are not limited to:

  • Treatment Plan Meetings
  • Red Flag Meetings
  • Placement Meetings
  • Transition Meetings
  • Permanency Planning Meetings

MEDICATION MANAGEMENT
If it is determined by Charis’ multi-disciplinary team that a youth requires psychotropic medication evaluation to assist in ameliorating symptoms s/he is experiencing, medication support services will be provided as part of their comprehensive treatment planning process.

Medication management services include the prescription, administration, dispensing, and monitoring of psychotropic medications.  Charis’ medication support services program provides the following:

  • Evaluation of the need for medication
  • Evaluation and monitoring of clinical effectiveness and side effects
  • Obtaining informed consent from the client’s guardian
  • Collateral medication education
  • Plan development
  • Prescribing of psychotropic medications

Only those professionals identified under Title 9, Chapter 11, as qualified to administer these services provide medication support services.  Those professionals include: psychiatrists, physicians, registered nurses, licensed vocational nurses, and Licensed psychiatric technicians.

The medical staff works closely with the Charis’ multidisciplinary treatment team in designing medication support services that support the overall treatment interventions provided by the mental health staff.  Working together, this treatment team and the youth design an individualized medication plan that will be most effective in reducing the youth’s identified symptoms.

CRISIS INTERVENTION
Crisis Intervention is an emergency response service, lasting less than 24 hours, enabling the client to cope with a crisis while maintaining his/her status as a functioning community member to the greatest extent possible.  A crisis is an unplanned event that results in the client’s need for immediate clinical intervention.  Crisis Intervention services are limited to stabilization of the presenting emergency.

  • Life Space Crisis Intervention

QUALITY IMPROVEMENT
Charis’ Quality Improvement staff has designed systems that provide clear audit trails to identify and delineate how services are documented and billed.  Regular case reviews, chart reviews, and ongoing internal audits provide methods of oversight for all Medi-Cal services.

  • Utilization Review Chart Reviews
  • Medication Monitoring
  • Cultural Competence
  • Advanced Incident Reviews